Free NC-PSYCH Practice Questions

Question 1

An adult client signs a valid release authorizing the psychologist to send her raw scores and test responses to her attorney. No law restricts the release, and the psychologist identifies no specific risk of substantial harm or misuse. Nevertheless, he refuses because the attorney is not a psychologist. What response is consistent with the APA Ethics Code?

Accepted Answer

Provide the authorized scores and responses, but keep separate manuals and unused test materials secure.

Answer

Send the narrative report instead, because raw scores and item responses cannot be released to an attorney.

Answer

Release the scaled scores, but withhold the client's item responses as protected test materials.

Answer

Ask the attorney to obtain a court order before releasing data outside the psychology profession.

Question 2

During September, a Level 1 licensed psychological associate records 18 hours of activities requiring supervision at one independently owned North Carolina clinic and 26 hours at another. These are separate work settings. She has no independent-practice approval or applicable exemption, and the Board has imposed no additional supervision. What is her minimum individual supervision obligation for that month?

Accepted Answer

Five hours: two for the first clinic and three for the second.

Answer

Four hours total, because the combined clinical workload exceeds 30 hours.

Answer

Eight hours: four at each clinic because each is a separate setting.

Answer

Three hours total, using the clinic with the larger clinical workload.

Question 3

An LPA licensed in 2023 holds HSP-PA certification and has documented 4,200 hours of postlicensure psychological services under qualified supervisors over 30 consecutive months. Every performance rating is average or above. Her EPPP scaled score is 465. She has not received approval for independent practice. Which next step is supported by North Carolina's independent-practice statute?

Accepted Answer

Apply for Board approval of independent practice with the documented experience.

Answer

Accumulate 4,500 supervised hours over at least three calendar years before applying for independent practice.

Answer

Retake the EPPP and achieve a scaled score of 500 before seeking independent-practice approval.

Answer

End supervision immediately, because the documented hours and satisfactory ratings establish independent-practice authority.

Question 4

During therapy, a 10-year-old says she is regularly left overnight to care for her two-year-old sibling. Her mother confirms working nights but asks the psychologist not to involve anyone. The psychologist has cause to suspect neglect; both children are currently staying safely with an aunt. Under North Carolina law, the psychologist must:

Accepted Answer

Report the suspected neglect to the county department of social services without waiting for corroboration.

Answer

Obtain the mother's written authorization before sharing treatment information with child-protection personnel.

Answer

Ask the school to verify the children's supervision arrangements before deciding whether to report.

Answer

Record the concern and reassess after the family has tried a voluntary safety plan.

Question 5

A 72-year-old who began learning English two years ago is referred for cognitive evaluation. Her English-language verbal reasoning score is at the 4th percentile; her nonverbal reasoning score is at the 58th percentile. The verbal norms do not represent her language background. A scoring service labels the findings 'global cognitive impairment.' Which interpretation can the psychologist defend?

Accepted Answer

The language mismatch limits interpretation; these results do not substantiate the global-impairment conclusion.

Answer

The low verbal percentile establishes global impairment despite the stronger nonverbal performance.

Answer

The nonverbal percentile excludes cognitive impairment, so further evaluation of the reported difficulties is unnecessary.

Answer

Similar verbal scores on repeat testing would establish the validity of the scoring service's conclusion.

Question 6

An unlicensed psychometrist has documented training that meets an intelligence-test publisher's requirements. A licensed psychologist supervises the work, remains available, and personally sees each client. The test requires decisions about starting and stopping points during administration. Which assignment falls within North Carolina's ancillary-services rules?

Accepted Answer

Administer the test, following its instructions for starting, stopping, and probing responses.

Answer

Conduct the diagnostic interview, provided the psychologist later reviews every response.

Answer

Explain the psychological meaning of scores to clients using a psychologist-approved interpretation script.

Answer

Draft the clinical interpretation section of the evaluation report for the psychologist to revise and sign.

Question 7

A record-retention review lists a client's date of birth as February 9, 2008, and the last psychological service as May 12, 2025. No legal or ethical matter is pending, and no other extended-retention requirement applies. What is the earliest date satisfying the North Carolina Psychology Practice Act's ordinary retention minimum for this record?

Accepted Answer

May 12, 2032.

Answer

February 9, 2029.

Answer

May 12, 2028.

Answer

February 9, 2033.

Question 8

A psychologist and a current client discover that they both sing in a large community choir. Neither holds a leadership role, they have no other relationship, and the client wishes to continue therapy. Review of this limited overlap identifies no expected impairment of clinical judgment or risk of exploitation or harm. How should the psychologist manage the situation?

Accepted Answer

Continue treatment with agreed boundaries for public contact and ongoing attention to potential conflicts.

Answer

Transfer the client promptly, because continued membership creates an unethical multiple relationship.

Answer

Make continued treatment conditional on the client leaving the choir to remove the overlapping roles.

Answer

Treat the client's written consent as sufficient protection against any later conflict in the relationship.

Question 9

At her fourth North Carolina license renewal, a psychologist's continuing education portfolio lists 14 Category A hours, including two ethics hours, and 10 Category B hours. These entries already include one Category A ethics hour awarded for completing the Board's renewal ethics examination. Which addition alone would satisfy the total-hour, Category A, and ethics minimums?

Accepted Answer

One more Category A hour on ethics in professional psychology practice.

Answer

One additional Category A hour on assessment, with no ethics content.

Answer

One additional ethics hour from a qualifying Category B sponsor.

Answer

Two additional Category B hours of otherwise creditable Board-required supervision.

Question 10

Immediately after a flood evacuation, a 15-year-old is in an acute psychological crisis at a shelter. Physical safety and urgent medical needs have been addressed, and a parent requests psychological help. The only available psychologist normally treats adults and has not received adolescent crisis training; no other mental-health services are accessible. Which statement accurately describes the emergency exception to the usual competence standard?

Accepted Answer

She may provide needed emergency care until the emergency ends or appropriate services become available.

Answer

She must withhold psychological intervention until an adolescent specialist can assume responsibility for the crisis.

Answer

She may use parental consent to continue routine adolescent trauma treatment after the emergency has ended.

Answer

She must secure a consultant's authorization before providing emergency care outside her routine area of practice.

Free NC-PSYCH Practice Questions

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