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NCMHCE Practice Test

1.	Case Study 1 Initial Intake Age: 45 Sex: Female Gender: Female Sexuality: Heterosexual Ethnicity: Asian Relationship Status: Single Counseling Setting: Community outpatient clinic Type of Counseling: Individual Presenting Problem: Li is a self-referral. She walked into the clinic and stated that she had been experiencing feelings of anxiety. Mental Status: During the intake she looked visibly anxious. She appeared jumpy and kept looking at her watch. Although hesitated at times when she was asked a question. The counselor was concerned when Li paused for a long time when asked if she ever thought of hurting herself. Li eventually responded no. The counselor noticed that Li’s clothes looked disheveled and soiled. Li was not forthcoming with information about her past. History: Li came into the community outpatient clinic asking to pay a sliding scale fee in cash. When asked for identifying information, Li asked if she had to give that information. She explained that she was undocumented and was weary of leaving any information that may lead government officials to her. Li did not want to give the counselor much of her history and cut the intake session short, stating that she had to get back to work. An appropriate response from the counselor to Li’s situation would be:
		a. We must use your name for our records.
		b. Don't worry, if we use your real name, nothing will happen.
		c. We can use a pseudo name if that is what you are most comfortable with.
		d. How much can you pay?

2.	Li is concerned about her ability to pay. Which of the following is NOT true in regard to counselor code of ethics?
		a. In establishing fees for professional counseling services, counselors consider the financial status of clients and locality.
		b. Counselors do not have to discuss payment during informed consent since it may change during treatment.
		c. If a counselor\'s usual fees create undue hardship for the client, the counselor may adjust fees or make an appropriate referral.
		d. Counselors make a reasonable effort to provide services to the public for which there is little or no financial return.

Authors

Jenny Preffer-Davis, LMHC, ACS, NCC, RN

is a professor in the Graduate Counseling Department at Grace College. She has been a LMHC for over fifteen years and is an owner of a mental health clinic and career coaching service in Jacksonville, Florida.

Joanne Fortune, PhD, LMHC

is an adjunct professor in counseling at Mercy College in New York where she assists students in preparation for board certification. She is also Regional Director of SCO Family Services in New York City.

Tara Williams, LPC, MCAP

is a community therapist in Georgia in a number of elementary and middle schools. She has also worked as a primary therapist and clinical compliance coordinator in outpatient treatment centers in substance abuse and family therapy.

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