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NCMHCE Exam Study Guide with Complete Solutions (2024/2025)
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NCMHCE Exam Study Guide with Complete Solutions (2024/2025)
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©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AMNCMHCE Exam Study Guide with
Complete Solutions (2024/2025)
Notes To Self
Client confidentiality can be an issue when working with minors. Parents can technically know
everything.. but its encouraged they don't to help kid feel comfortable with you. This is
something to be made aware of
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Recommend referral to an physician INDICATED The choice and dosage of medication can be
made only by a qualified physician. OH SHIT. I SAID NAH BECAUSE SHE WAS IN GOOD
HEALTH BUT MAKES SENSE. NEEDED PSYCH MEDS
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What might be posttreatment recommendations? Create routines such as a bedtime routine
RECOMMENDED A bedtime routine where a parent reads to the child is a great opportunity for
bonding. Routines are important for children, and a routine that involves quality time with the
client and a parent is essential for Kaleigh. SHE HAS REACTIVE ATTACHMENT. I DID NOT
KNOW THIS WOULD COUNT AS BONDING THO. - ✔️✔️If you see mentions of sex,
shopping, or pornography addiction, remember that there is no DSM-5 diagnosis for these issues.
Think about Obsessive-Compulsive Disorder, a V-code/Z-code, or consider whether the behavior
may be related to a manic episode.
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Doug's mother's assessment of his abilities ASSESSED Doug's mother reports that he makes
complex inventions with construction toys and successfully wins at handheld video games. She
describes him as "friendly, but a boy of few words." GOOD TO KNOW. THE PARENTS ARE
AROUND HIM ALL THE TIME. I WAS SKEPTICAL CAUSE SHE SEEMED
FACITIOUS...BUT BUT BUT STILL GOOD TO KNOW BECAUSE THAT CAN INDICATE
IF SHE IS MAKING SOMETHING UP
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,©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
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Open group NOT BENEFICIAL There are fewer barriers to entry for this type of group. People
may move in and out of these groups. These groups may lack a cohesive core due to members
leaving. This type of group has no termination date.
DD For Denationalization / Derealization disorder + Why?? (6) ALWAYS PERRY SEEING
SHIT OUTSIDE SELF - ✔️✔️-MDD: Feelings of numbness, deadness, apathy, and being in a
dream can often be part of a major depressive episode. However, if the
depersonalization/derealization either precedes the onset of a major depressive episode or
continues after the major depressive episode is resolved, then the diagnosis of
Depersonalization/Derealization Disorder is appropriate.
-Panic Disorder: Depersonalization/derealization is one of the symptoms that may occur during a
panic attack, particularly as the severity increases. As such, Depersonalization/Derealization
Disorder should not be diagnosed when the symptoms are the result of a panic attack that meets
the criteria for the diagnosis of Panic Disorder.
-Social Anxiety Disorder: Depersonalization/derealization is one of the symptoms that may occur
during a panic attack, particularly as the severity increases. As such,
Depersonalization/Derealization Disorder should not be diagnosed when the symptoms only
occur during panic attacks associated with the fear of social situations as in Social Anxiety
Disorder.
-Specific Phobia: Depersonalization/derealization is one of the symptoms that may occur during
a panic attack, particularly as the severity increases. As such, Depersonalization/Derealization
Disorder should not be diagnosed when the symptoms only occur during panic attacks associated
with the fear of an object or situation as in Specific Phobia.
-Other Specified Mental Disorder Due to Another Medical Condition: differentiating factor in
this case is that the dissociative symptoms are due to the direct physiological effects of a general
medical condition.
-Substance Intoxication: Substance Intoxication may be characterized by dissociative symptoms
along with the other symptoms of Substance Intoxication such as impaired motor coordination,
euphoria, anxiety, and impaired judgement.
Schizophrenia
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,©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
1) After how long can a therapist add a specifier for the diagnosis of Schizophrenia?
2) What good therapeutic TX can help treat Schizophrenia and why? (3)
3) Is amensia founded in Schziophrenia - ✔️✔️Specifiers with Schizophrenia
1) 1 year
2) Group therapy BENEFICIAL This can be a place for Darwin to practice social skills,
normalize his experience, and discuss the appropriate use of medication.
3) Nope
Notes to Self
Homogeneous group BENEFICIAL Homogeneous groups have members with similar diagnostic
backgrounds (for example, they may all suffer from depression).
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FOR THE 1ST QUESTION... DONT BE TOO AFRAID TO CLICK ON A BUNCH OF SHIT.
YOU'RE GATHERING INFO.
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Bipolar I Disorder and Unspecified Alcohol Use Disorder INDICATED Based on Cathy's
depression, excessive spending, impulsivity, binge drinking, and severe rages, this is the BEST
answer. Further, her excessive use of alcohol (binge drinking) points to an unspecified alcohol
use disorder. .. so yea... i know that it seemed all depressive... but you knew from the jump that
rage and maxed out credit cards to not seem to be depressive episodes.. And excessive spending
leads to what..... Implusivity. - ✔️✔️For ADHD, inattention is usually phrased and described as
issues with task accomplishment.
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Psychoeducational group NOT BENEFICIAL. MAY NOT BE DIRECT ENOUGH FOR SOME
SHIT
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Explore the idea of Brian receiving services through a VA hospital; perhaps he's not comfortable
sharing his experience in war with a civilian therapist CHOSEN It seems he's very proud of
being a soldier, and he may be more comfortable being treated by someone who understands
where he has come from. I DIDNT CLICK THAT BECAUSE I THOUGHT THEY WOULD BE
3
, ©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
LIKE YOU SHOULD ****ING KEEP HIM... BUT WHEN I REREAD IT.. IT JUST SAYS
EXPLORE... IT DOES NOT SAY "REFER OUT". DONT BE AFRAID TO BRING THAT UP
DUE TO FEAR HE'LL BE UPSET... JUST BECAUSE YOU ARE "EXPLORING".. DONT
THINK TOO DEEP MY LOVE. AND PLAYOUT WHAT MIGHT HAPPEN... JUST BE
BASIC, BUT ATTENTIVE
Conduct Disorder
1) How many codes/specifiers for this disorder?
2) What are they?
3) Is Schizophrenia a DD for Conduct + Why? - ✔️✔️Conduct Disorder
1) 3
2) Childhood-onset type (before age 10), Adolescent-onset type (not before age 10)+ Unspecified
onset
3) Nope. Hallucinations and Delusions are not present.
Dissociative Amensia
1) What is Dissociative Amensia?
2) A DD? (2)
3) Good Interventions? (2) - ✔️✔️1) People may be unaware of their memory problems
2)
-Factitious Disorder
-Substance Intoxication or Withdrawal (because they have dissociative symptoms sometimes)
3)
-Dream Analysis
-Free Association
Things journaling could be good for (from what I've gathered) + why? (1) - ✔️✔️-Dependent
Personality: This may be a helpful step in identifying stressors and cognitive distortions
Anorexia Nervosa
1) What are the two types of Anorexia Nervosa?
4
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