ExamAce:
Practice Simulations 0n-line for the Latent Image Clinical Simulation Exam



About the Exam

The National Clinical Mental Health Counseling Examination (NCMHCE) is made up of a series of Case Simulations.

Each simulation is designed to
  • Cover NCMHCE competency areas (content based)
  • Assess the clinician’s problem solving abilities in terms of:
    • Analyzing
    • Diagnosing
    • Treating clinical problems
    • Professional Practice/Ethics
Each NCMHCE Exam is made up of 10 simulations which are divided into 5-8 sections. Each section is categorized as either an Information Gathering activity (IG) or a Decision Making activity (DM). You must have a passing score in each category to pass the exam.

Information Gathering activity (IG)
During the information gathering process you gather information to answer the questions that have been posed in that section. When you believe you have enough information, for example for a provisional diagnosis, you stop selecting responses in that section.

Every choice you make has a value, you lose points for selecting responses that are deemed not appropriate, or relevant to the question that has been posed. For example, a correct response might give you 2 points, while an incorrect choice would subtract 2 points from your overall score.

Decision Making activity (DM).
In the decision making section you are asked to make clinical judgments or decisions about treatment planning, testing, diagnosing or other areas of decision making the clinician faces in any case.

Every choice you make has a value. You lose points for selecting responses that are deemed not appropriate, or relevant to the question that has been posed. For example, a correct response might give you 2 points, while an incorrect choice would subtract 2 points from your overall score. AND A correct answer reveals needed information. An incorrect answer reveals no critical information.
When you see an asterisk (*) you know you have reached the end of the information in that box.

Each simulation:
  • Begins with a brief paragraph giving you the setting and initial information about your case
  • Contains several sections, A through G
  • Has a unique “path” - the sections in each scenario are not completed sequentially, as written. The last question in each section tells you which section to go to next.
  • Be sure to follow the directions as they are stated.


It is very important that you do not guess or uncover responses you do not think answer the question you have been asked, you could lose points.

Harris: A Sample Simulation

We have provided a sample of the exam. After you answer the questions posed you will be given a scored report.

When you enroll and participate in ExamAce, the reports you will receive include:
  • A detailed report of your scores
  • Your areas of strengths, weakness (by both IG & DM scores and Master Content areas)
  • Recommendations for further study


We look forward to helping you pass the NCMHCE!





Psychotherapists Training Institute - 
      Clinical Mental Health Counselor Handbook & Study Guide Order Form_files

4 Bruno Drive, Milford, MA 01757   (617) 576-8877 or (888) 201-1619

© Copyright 1999-2008, Psychotherapists Training Institute. All Rights Reserved. Reproduction in whole or part without explicit permission is prohibited. Web site maintained by Miyoji Productions  Last updated February 8, 2008 .