Free NCMHCE Practice Test (2023)

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:

2. Li is concerned about her ability to pay. Which of the following is NOT true in regard to counselor code of ethics?

Study Online Instantly

(Video) Free NCE Practice Exam

(Video) NCMHCE Study Guide

Click to Save 50% Now

(Video) NCMHCE exam tips | This is what helped me pass the NCMHCE | Become a Licensed Therapist | BetterHelp

(Video) NCMHCE Exam Review Assessment Part 1 | Counseling Continuing Education
3. An important area to gain more information on at this point is:
4. Counseling Session 1

During the first session, Li explained that she came to the United States four months ago after a wealthy US family invited her here to be their nanny. She was told that she would be able to get a stipend for clothes, decent pay, health benefits and even paid time off. However, Li shared that what was described is not currently the life she is living. Li described that for the past few months she has been basically sleeping in a closet with a bed in it, works tremendously long hours and is not allowed to eat the same things as the family. Additionally, the family frequently berates her and addresses her with racial slurs.

How should the counselor respond to Li's description of her situation?
5. Which of the following steps should the counselor take?
6. By saying, "Tell me about your experience coming into a new culture and going through what you did" The counselor is demonstrating the attribute of:
7. Counseling Session 2
After the initial session, Li was able to report her situation to the authorities and applied to live in a shelter for women. Li reported that since she has been at the shelter, things have been a bit better. Although she has not yet found employment, she feels a better sense of independence. Li did share that something upsetting that happened when she was on the subway. Li stated that she saw someone who looked like her previous employers, and she had an abrupt surge of fear. Li stated that she started sweating and shaking, her heart was pounding, and she felt like she couldn’t breathe. A passerby noticed that she was having difficulty and helped her to sit down and get a drink of water.

Li's reaction on the subway meets the criteria for:
8. Li should be referred to:
9. An effective treatment for anxiety is:
10. A symptom of Panic Disorder is:
11. Case Study 2

Initial Intake

Age: 8
Gender: Male
Sexual Orientation: N/A
Ethnicity: Caucasian
Relationship Status: N/A
Counseling Setting: Through agency inside school and via telehealth
Type of Counseling: Individual
Presenting Problem: Attention and concentration deficits
Diagnosis: Attention-deficit hyperactivity disorder, combined type (F90.2)

Presenting Problem:
Avery is an 8-year-old Caucasian male that has been referred to you by his school counselor because of emotional breakdowns, failing grades and falling asleep in class. You set up an initial assessment session with Avery and his parents in person at the school’s conference room and learn that he refers to his biological mother as “dad” and her wife as “mom”, and that he has a twin brother with Autism. Mom tells you Avery sees a psychiatrist for medications but frequently has them changed because she feels they are not working. Mom reports Avery has trouble sleeping at night, hits and kicks her and his brother when he’s angry and steals food from the kitchen and hides it in his room. She must ask him multiple times to complete a task and he often will not comply or forget each time he is told. Dad adds that Avery is very smart and does well in most subjects in school but struggles with reading comprehension and worded math problems. Avery is already on an IEP (Individualized Educational Plan) in school to better support his unique learning needs. They ask for your help in regulating his affect and behaviors.

Mental Status Exam:
Avery presents as fair, with some stains on his t-shirt. His mood is euthymic but with anxious affect as evidenced by hyperactivity, some pressured speech and fidgeting of the hands and feet as he cannot sit still. There is no evidence of suicidal or homicidal ideation and no reported hallucinations or delusions. The initial assessment revealed no significant trauma, other than not having his biological father around his entire life. Avery reports feeling tired often but overall happy. Mom reports his appetite is very good, but his diet could be better. He also has headaches at times in school or when he comes home.

Family History:
Avery is very close with his two mothers and does not seem to notice that he does not have his father present in his life. His mother mentions that he has made several remarks recently about wanting to be a girl. Avery’s brother is high functioning on the autism spectrum but has poor communication and coping skills, increasing Avery’s stress level at home due to their constant fighting. Both parents work full-time and take shifts in caring for the children, often sleeping at odd hours of the day and therefore have trouble keeping Avery on a regular schedule. Avery has some extended family on both sides and sees them occasionally. Dad reveals she was also diagnosed with ADHD and Dyslexia growing up and had trouble in school.

Which of the following is not a behavioral definition of ADHD?

12. Which instrument is the most appropriate for further screening Avery’s diagnosed symptoms?
13. Regarding Avery’s comments about desired gender, which of the following courses of action is the most clinically appropriate?
14. Which of the following is a long-term goal as opposed to a short-term objective?
15. First session, two weeks after the intake session
You visit with Avery back in the school’s conference room during his math class. He tells you he does not like that class and is happy to be out of it, saying “I am too stupid. It’s too hard.” Throughout the session Avery abruptly interrupts you and races off to gather a different activity off the shelf or wants to switch topics of conversation. You call mom afterwards to touch base with how his moods and behaviors have been in the past two weeks. She reports that he is still stealing foods and hiding them, fighting with his brother, and having trouble sleeping. She asks what she should be doing at home to resolve the behaviors.

What is the best response for how to guide this parent while building the therapeutic alliance?
16. First session, two weeks after the intake session
You visit with Avery back in the school’s conference room during his math class. He tells you he does not like that class and is happy to be out of it, saying “I am too stupid. It’s too hard.” Throughout the session Avery abruptly interrupts you and races off to gather a different activity off the shelf or wants to switch topics of conversation. You call mom afterwards to touch base with how his moods and behaviors have been in the past two weeks. She reports that he is still stealing foods and hiding them, fighting with his brother, and having trouble sleeping. She asks what she should be doing at home to resolve the behaviors.

Which of the following interventions support the objective to improve Avery’s ability to identify positive traits and talents about himself?

17. First session, two weeks after the intake session
You visit with Avery back in the school’s conference room during his math class. He tells you he does not like that class and is happy to be out of it, saying “I am too stupid. It’s too hard.” Throughout the session Avery abruptly interrupts you and races off to gather a different activity off the shelf or wants to switch topics of conversation. You call mom afterwards to touch base with how his moods and behaviors have been in the past two weeks. She reports that he is still stealing foods and hiding them, fighting with his brother, and having trouble sleeping. She asks what she should be doing at home to resolve the behaviors.

Avery has a history of multiple medication switches with his psychiatrist. Which of the following steps would not be necessary to do for your treatment planning?

18. Second session, two weeks after the first session
You decide to meet with Avery’s parents again together and in person along with Avery’s school counselor briefly before having your next session with Avery. The school counselor reports Avery’s emotional responses to difficulties in class have not been as severe as in past weeks, but that he is still falling asleep during morning classes. Dad mentions that Avery is often up late playing video games despite their attempts to get him to sleep. Mom adds they have settled on a medication regimen that has reduced Avery’s physical aggression, but that he is less communicative now and “spaces out” more. In meeting with Avery, he presents as more focused on your intervention attempts but when you ask how he has been feeling he reports “I don’t feel anything, really.”

Which type of therapy encompasses teaching emotion regulation and distress tolerance that would be helpful for Avery in case of future behavioral outbursts?

19. Second session, two weeks after the first session
You decide to meet with Avery’s parents again together and in person along with Avery’s school counselor briefly before having your next session with Avery. The school counselor reports Avery’s emotional responses to difficulties in class have not been as severe as in past weeks, but that he is still falling asleep during morning classes. Dad mentions that Avery is often up late playing video games despite their attempts to get him to sleep. Mom adds they have settled on a medication regimen that has reduced Avery’s physical aggression, but that he is less communicative now and “spaces out” more. In meeting with Avery, he presents as more focused on your intervention attempts but when you ask how he has been feeling he reports “I don’t feel anything, really.”

In response to Avery’s parents telling you how difficult it is to get him to sleep, you reply saying “I completely understand it must be difficult! I am here to help however I can.” This is an example of:

20. Second session, two weeks after the first session
You decide to meet with Avery’s parents again together and in person along with Avery’s school counselor briefly before having your next session with Avery. The school counselor reports Avery’s emotional responses to difficulties in class have not been as severe as in past weeks, but that he is still falling asleep during morning classes. Dad mentions that Avery is often up late playing video games despite their attempts to get him to sleep. Mom adds they have settled on a medication regimen that has reduced Avery’s physical aggression, but that he is less communicative now and “spaces out” more. In meeting with Avery, he presents as more focused on your intervention attempts but when you ask how he has been feeling he reports “I don’t feel anything, really.”

As you are concluding your conversation with Avery’s parents, they ask if you can also treat his twin brother Marc, who has autism spectrum disorder and is non-verbal. You should reply:

FAQs

How many people pass the Ncmhce the first time? ›

The format of the NCMHCE is unlike any test you have probably ever taken and, unfortunately, 40 to 45 percent of test-takers fail the exam. So, in short, yes, you do need to study for the NCMHCE. But with such a comprehensive examination, where do you begin?

What is the best way to study for the Ncmhce exam? ›

The best way to pass the NCMHCE is to study with professional materials. Work hard learning the material and taking practice exams, so you understand how to complete the actual test. The format is different from most other certification tests, so you need to prioritize your study time to learn all the information.

What percentage of people fail the Ncmhce? ›

You may fail the NCMHCE. In fact, statistically, failing is likely (40-45 percent of people do).

How long should you study for the Ncmhce? ›

Because this exam is unlike most standardized, multiple choice tests, preparation for the NCMHCE should include putting together information and studying 3 to 4 months before your scheduled test date. Taking practice tests will help you. Make it a point to speak to licensed colleagues who have taken the test.

How do you pass decision making on Ncmhce? ›

Decision Making can be really difficult for many clinicians who take the NCMHCE.
  1. Read the scenarios to identify the information you need to make a diagnosis. ...
  2. Take the problem at face value in the present context. ...
  3. Avoid responses with extreme/dichotomous words.
Aug 9, 2021

How many times can you fail Ncmhce exam? ›

You can take the NCMHCE exam up to three times in two years. However, there is a 90-day waiting period between attempts.

Is the Ncmhce test changing? ›

The NCMHCE State Licensing Exam transitioned to a new Content Outline and Exam Format as of November 7, 2022.

How many simulations are on the Ncmhce exam? ›

Designed to test your clinical problem-solving skills, the NCMHCE is made up of 10 clinical simulations.

How many questions do you need to answer correctly to pass NCE? ›

There are many forms of the NCE and typically the cutoff for passing the exam is in the 90s (97, 91, 99, etc.) – out of 160 questions. One hundred questions correct out of 160 is 62.5%. Never has the cutoff for the NCE been higher than 65% correct out of 160 so it is a very passable exam, with your preparation.

What happens if you don't pass Ncmhce? ›

Candidates who do not take the NCMHCE within the test authorization window must complete a separate registration and fee for reregistration. Candidates who fail the examination may take the examination again after a 3-month (90-day) window.

What happens if you fail the NCE 3 times? ›

If this was your third failed attempt, your application will close. To reapply, you will need to contact our office directly at certification@nbcc.org. I passed the NCE, and my account shows that all of my documents have been approved. What is my status?

What happens after you pass Ncmhce? ›

Once you have passed the NCMHCE, you will submit an Application for Initial License Issuance and fee.

How is Ncmhce scored? ›

The NCMHCE includes 11 case studies. Of the total number of multiple-choice questions, 100 will be scored, and one of the case studies will be unscored. The unscored narrative and questions are used to generate statistics for future examinations.

What percent of people pass NCE first time? ›

Scores take eight weeks to get back. While the pass rate for first-time takers is 84.8%, the test can become very overwhelming without proper preparation and knowledge of how the test is administered. Additionally, you are only allowed to test a total of three times in a two-year period before your application closes.

Is it better to take the NCE or Ncmhce? ›

Should I take the NCE or the NCMHCE? The choice is completely yours: State counselor licensure boards contract with NBCC to use one or both of these examinations. The NCE is taken most often by final year graduate students, in the pursuit of becoming a National Certified Counselor.

How many questions are on the Ncmhce? ›

In total, the NCMHCE contains between 130 and 150 questions and has a time limit of 255 minutes (4 hours and 15 minutes).

How do I get the best results in Counselling? ›

Counselling advice.
  1. Be specific. Keep your sessions focused on your counselling goals by being specific during your sessions. ...
  2. Include your supports. ...
  3. Given feedback to your therapist. ...
  4. Keep an open mind. ...
  5. Be honest. ...
  6. Be respectful of time. ...
  7. Be a willing participant.
Jan 29, 2021

Can a therapist help you make decisions? ›

A therapist can also help as a sounding board to learn from one's mistakes and process them, as well as talking about the feelings that come up from the experience. There is tremendous pressure to make the “right” choice for important life decisions.

What percentage of people pass the NCE? ›

What is the NCE Passing Score? No score is known to be considered a passing score. There is somewhat information that NBCC stated that the NBCC informed her that the passing score ranges from 56% to 67%, depending on the kind of test she was taking.

Do you get your NCE score immediately? ›

If your state uses computer-based testing, you will receive an unofficial score report immediately after the exam. For your protection and confidentiality, scores are not released over the telephone. If you did not pass the examination, you may reregister by submitting a new registration form and fee.

How many times can you fail NCE? ›

We hold applications open for a two-year time period from the original exam date for which you applied or 3 unsuccessful attempts to pass the NCE, whichever comes first. Note: "not taking" the NCE does not count as one of your three attempts to pass. Only failing scores count as one of the three attempts.

How difficult is the National Counselor exam? ›

NOTE: In recent years the fail rate for the first time administration of this exam is close to 60%. Yes, this is a hard test. If you end up needing another option, SC allows you to take the National Clinical Mental Health Counselor Exam (NCMHCE) instead.

What are the content areas of the Ncmhce? ›

The examination covers the following content areas: Assessment and Diagnosis; Counseling and Psychotherapy; and Administration, Consultation, and Supervision.

How many questions count on the NCE? ›

Within the set of 200 questions on each form of the NCE, 160 of the questions are counted for the purpose of determining whether a minimally qualified candidate surpasses the minimum criterion (i.e., “passing”) score for that form.

What is normal curve equivalent? ›

In educational statistics, a normal curve equivalent, developed for the U. S. Department of Education by the RMC Research Corporation, is a way of standardizing scores received on a test into a 0-100 scale similar to a percentile-rank, but preserving the valuable equal-interval properties of a z-score.

What is the average NCE score? ›

As with many other scales related to the normal curve, the average NCE, by definition, is 50. If all students improve in their performance, the mean, or NCE 50, will represent a higher raw score. The standard deviation of NCE is set at 21.06.

Is NCE score a standard score? ›

Normal Curve Equivalents, or NCEs, are standardized scores used in education and other social sciences. Student scores are often converted to NCEs to ensure that all assessment scores are on a common scale across years, grades, and subjects.

How long does it take to hear back from NBCC? ›

Due to the high volume of applicants, the review can take up to eight weeks. If you have your documents prior to testing, please go ahead and send them to us. Documents are reviewed in the order they are received. You can check the status of your application in Credentialing Gateway.

Do NCE scores expire? ›

Does the NCE expire? Yes, NCE exam scores are good for three years following your exam date. Within this time, you must complete the application process for the NCC or you will need to retake the exam if you wish to become a certified counselor.

Does North Carolina require the NCE or the Ncmhce? ›

All applicants must pass the North Carolina Jurisprudence Exam, provided online. Study material is provided online. Applicants must also pass one of the National Counselor Examination (NCE), the National Clinical Mental Health Counselor Examination (NCMHCE), or the Certified Rehabilitation Counselor Examination (CRC).

Is 94 passing on NCE? ›

What is a passing score on NCE exam? There are 200 questions on the NCE exam. The cutoff score to be considered as passing is in the high 90s.

What is a perfect score on the NCE? ›

Those questions will not count towards your score, which means the maximum score you can receive on the NCE is 160. If you receive a score of 160 on the NCE, it means that you correctly answered every single one of the scored multiple-choice questions.

How much does a mental health therapist make in California? ›

The average Mental Health Therapist salary in California is $71,654 as of February 27, 2023, but the range typically falls between $64,861 and $79,362.

How much do LPCC make in California? ›

How much does a Mental Health Clinician (LPCC) make in California? The average Mental Health Clinician (LPCC) salary in California is $78,157 as of February 27, 2023, but the range typically falls between $69,991 and $86,636.

What's the difference between a counselor and a therapist? ›

Counselors tend to offer short-term care, while therapists tend to offer long-term care. Therapists can be more past focused and counselors more future focused. Counselors often have a set number of sessions, and therapists often work on an ongoing basis. Therapists are more likely to treat mental health conditions.

How are NCE scores calculated? ›

Excel formula for conversion from Percentile to NCE: =21.06*NORMSINV(PR/100)+50, where PR is the percentile value. Excel formula for conversion from NCE to Percentile: =100*NORMSDIST((NCE-50)/21.06), where NCE is the Normal Curve Equivalent (NCE) value.

Are the Cpce and NCE similar? ›

This is a multiple choice examination that mirrors the National Counselor Examination (NCE). The specific exam is the Counselor Preparation Comprehensive Examination (CPCE), a 160 item exam used by over 220 colleges and universities that train professional counselors.

How is the new format of the Ncmhce different from the old format? ›

Here are the most significant changes: The new format is a longer exam, containing 11 case studies in 225 minutes. Each case study contains a client narrative (which includes the diagnosis) followed by 13 multiple-choice questions. Each question has four answer choices of which only one is correct.

Does Cacrep accreditation make a difference a look at NCE results and answers? ›

Results show statistically significant differences with programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP) requiring multiple-choice exams. Recommendations for clinical supervisors and counseling faculty are discussed.

What percentage of people pass the NCE on the first try? ›

While the pass rate for first-time takers is 84.8%, the test can become very overwhelming without proper preparation and knowledge of how the test is administered. Additionally, you are only allowed to test a total of three times in a two-year period before your application closes.

What percentage of people pass the national MFT exam? ›

As you'll see, they generally hover around 70%. For the NCMHCE, NCE, National MFT Exam, ASWB Clinical Level Exam, passing scores are typically set at the state level, though the exam developers set a recommended passing score to provide state boards a reference point.

Is a 91 A passing score on the NCE? ›

There are many forms of the NCE and typically the cutoff for passing the exam is in the 90s (97, 91, 99, etc.) – out of 160 questions. One hundred questions correct out of 160 is 62.5%. Never has the cutoff for the NCE been higher than 65% correct out of 160 so it is a very passable exam, with your preparation.

How many people fail the MFT exam? ›

In 2019, our pass rate for the social work exams was 95% and our pass rate for the MFT exams was 96%.

What state pays the most for MFT? ›

In fact, our research shows that Pennsylvania is the best state for marriage and family therapists in America. The best city in America for marriage and family therapists with the highest pay is Bensalem, PA.
...
1. Pennsylvania.
Total Marriage And Family Therapist Jobs:2,949
Highest 10 Percent Earn:$108,000
3 more rows
Apr 6, 2021

How long should I study for the MFT exam? ›

While there is no magic number guaranteed to improve exam performance, it is not unusual to hear MFTs say they spent six months or more specifically preparing for the exams. Licensing exams are anxiety-provoking enough; do not make the anxiety worse by procrastinating on your preparation to the last minute.

How many questions are on the Ncmhce exam? ›

In total, the NCMHCE contains between 130 and 150 questions and has a time limit of 255 minutes (4 hours and 15 minutes).

Do you get NCE results immediately? ›

You'll receive your test scores around eight weeks after taking the exam. You can access them via the same account you used to register. If you passed and need to submit these results to your state licensing board, you will need to fill out an additional form requesting score verification.

What do I do after I pass the Ncmhce? ›

Once you have passed the NCMHCE, you will submit an Application for Initial License Issuance and fee.

Videos

1. Counseling Theories NCMHCE and Addiction Counselor Exam Review
(Doc Snipes)
2. NCMHCE Exam Presentation
(Licensure Exams Inc.)
3. 3 Free NCE Study Resources To Help You Pass The Exam ✨
(Keep On Growing)
4. NCMHCE Review Treatment Planning
(Doc Snipes)
5. NCMHCE test try 1
(TheMkim624)
6. Stages and Theories of Treatment for the Addiction Counselor & NCMHCE Exam Review
(Doc Snipes)
Top Articles
Latest Posts
Article information

Author: Stevie Stamm

Last Updated: 02/26/2023

Views: 6684

Rating: 5 / 5 (60 voted)

Reviews: 91% of readers found this page helpful

Author information

Name: Stevie Stamm

Birthday: 1996-06-22

Address: Apt. 419 4200 Sipes Estate, East Delmerview, WY 05617

Phone: +342332224300

Job: Future Advertising Analyst

Hobby: Leather crafting, Puzzles, Leather crafting, scrapbook, Urban exploration, Cabaret, Skateboarding

Introduction: My name is Stevie Stamm, I am a colorful, sparkling, splendid, vast, open, hilarious, tender person who loves writing and wants to share my knowledge and understanding with you.