NCMHCE Domain 3: Treatment Planning Welcome to your NCMHCE Domain 3: Treatment Planning 1. NCMHCE: Treatment Planning A client with chronic depression and a history of substance abuse is referred for treatment planning. Which of the following is the MOST critical initial step in developing an effective treatment plan for this client? Immediate enrollment in a substance abuse recovery group Establishing a safety plan addressing potential self-harm or overdose risks Prescription of antidepressant medication Implementation of a strict behavioral modification program None 2. NCMHCE: Treatment Planning When designing a treatment plan for a client diagnosed with bipolar disorder, which of the following interventions should be prioritized to address the client's fluctuating mood states? Cognitive Behavioral Therapy (CBT) focusing on restructuring negative thought patterns Pharmacotherapy aimed at stabilizing mood Intensive outpatient psychoeducational groups focusing on life skills A long-term psychodynamic psychotherapy to explore unresolved conflicts None 3. NCMHCE: Treatment Planning A treatment plan for a client presenting with Generalized Anxiety Disorder 'GAD' should prioritize which of the following interventions? Immediate involvement in high-intensity physical activities Psychoeducation about anxiety and stress management techniques Pharmacotherapy with a focus on long-term benzodiazepine use Exposure therapy focusing on the client's specific phobias None 4. NCMHCE: Treatment Planning In planning treatment for a client with Obsessive-Compulsive Disorder 'OCD', the MOST effective initial therapeutic intervention is: Psychodynamic psychotherapy to explore underlying conflicts Exposure and Response Prevention (ERP) Cognitive restructuring to change dysfunctional beliefs Supportive therapy to improve self-esteem None 5. NCMHCE: Treatment Planning When developing a treatment plan for a client with Post-Traumatic Stress Disorder 'PTSD', it is essential to include: Immediate and intensive EMDR (Eye Movement Desensitization and Reprocessing) sessions Prolonged Exposure Therapy sessions starting from the first appointment Trauma-informed cognitive behavioral therapy Neurolinguistic programming to alter traumatic memories None 6. NCMHCE: Treatment Planning For a client experiencing acute stress reaction following a natural disaster, the initial focus of the treatment plan should be on: Long-term psychoanalytic therapy to uncover underlying causes Cognitive restructuring to address negative thoughts about the event Crisis intervention and stabilization Immediate behavioral activation to counteract depressive symptoms None 7. NCMHCE: Treatment Planning In treatment planning for a client with severe social anxiety disorder, which intervention should be prioritized to help the client manage anxiety in social situations? Immediate immersion in social situations without prior preparation Group therapy focused on social skills training Pharmacotherapy alone, avoiding psychotherapeutic interventions Attachment-based therapy to address early relationship issues None 8. NCMHCE: Treatment Planning When planning treatment for a client with a dual diagnosis of major depressive disorder and alcohol use disorder, the MOST effective strategy is to: Address the alcohol use disorder first, as it is the underlying cause of depression Treat both disorders simultaneously with an integrated approach Focus solely on the major depressive disorder, assuming alcohol use will decrease as depression improves Recommend complete abstinence from alcohol before starting any depressive disorder treatment None 9. NCMHCE: Treatment Planning For a client diagnosed with an eating disorder, incorporating which of the following is crucial in the initial stages of treatment planning? A strict diet plan with monitored weight checks at each session Nutritional counseling and psychoeducation about healthy eating patterns Intensive cardio exercise regimen to manage weight Immediate focus on unresolved family dynamics None 10. NCMHCE: Treatment Planning In planning treatment for a client exhibiting symptoms of panic disorder, the initial therapeutic focus should be on: Deep psychoanalytic exploration of unconscious conflicts Immediate and intensive use of relaxation techniques and breathing exercises Prescribing anti-anxiety medication as the sole treatment modality Encouraging rapid desensitization through exposure to panic-inducing situations None 11. NCMHCE: Treatment Planning When creating a treatment plan for a client suffering from insomnia related to chronic stress, which of the following should be prioritized? Immediate prescription of sleep medication for quick symptom relief Cognitive-Behavioral Therapy for Insomnia (CBT-I) to address underlying cognitive and behavioral factors Long-term use of herbal supplements to promote natural sleep patterns Implementation of a rigorous physical exercise program late in the evening None 12. NCMHCE: Treatment Planning In the initial treatment planning for a client with borderline personality disorder 'BPD', which of the following interventions should be considered PRIMARY? Immediate initiation of transference-focused psychotherapy Dialectical Behavior Therapy (DBT) to develop coping skills Pharmacotherapy targeting mood swings exclusively Enrolling the client in a support group for social skills development None 13. NCMHCE: Treatment Planning When creating a comprehensive treatment plan for a client with schizophrenia, which of the following elements is ESSENTIAL to include for optimal management of the condition? Cognitive Enhancement Therapy (CET) from the onset Pharmacotherapy focusing on atypical antipsychotics Immediate, intensive family therapy sessions Sole focus on vocational rehabilitation None 14. NCMHCE: Treatment Planning For a client presenting with severe agoraphobia, the treatment plan should prioritize: Immediate life coaching to set future goals Gradual exposure therapy combined with cognitive restructuring Daily intensive journaling to understand the root cause Pharmacotherapy as the sole intervention None 15. NCMHCE: Treatment Planning In treating a client with chronic pain and a co-occurring depressive disorder, the initial focus of the treatment plan should be on: Prescription of opioids for pain management Implementing a cognitive-behavioral pain management program Focusing exclusively on psychotherapy for depression Encouraging the client to accept the pain as a permanent condition None 16. NCMHCE: Treatment Planning For a client diagnosed with an anxiety disorder and comorbid insomnia, the treatment plan should FIRST prioritize: Pharmacological interventions targeting insomnia Sleep hygiene education and cognitive-behavioral therapy for insomnia (CBT-I) Intensive psychoanalytic therapy to uncover root causes Immediate enrollment in a stress reduction and meditation program None 17. NCMHCE: Treatment Planning In developing a treatment plan for a client with ADHD and significant academic underperformance, the MOST critical intervention to include would be: Immediate enrollment in an alternative schooling system Behavioral interventions combined with academic support Prescription of stimulant medication as the primary focus Long-term psychoanalytic therapy to address underlying issues None 18. NCMHCE: Treatment Planning When planning treatment for a client with a history of trauma and current substance use disorder, the treatment plan should prioritize: Detoxification and abstinence from substances before addressing trauma An integrated approach to treat both trauma and substance use simultaneously A focus on resolving the trauma with the expectation that substance use will then diminish Immediate placement in a long-term residential substance use facility None 19. NCMHCE: Treatment Planning For a client experiencing first-episode psychosis, the treatment plan should primarily focus on: Long-term psychoanalytic therapy to explore unconscious content Immediate cognitive remediation to improve cognitive deficits Early intervention with antipsychotic medication and psychoeducation Placement in a high-intensity residential treatment program None 20. NCMHCE: Treatment Planning In formulating a treatment plan for a client with hoarding disorder, the focus should be on: Immediate forced clean-up of the living space to reduce clutter Cognitive-behavioral therapy (CBT) specifically tailored to hoarding behaviors Pharmacotherapy targeting underlying mood disorders only Focusing therapy sessions on past traumas presumed to be the cause of hoarding None 1 out of 20 Time is Up! Time's up