Free CO-MHJE Practice Questions

Question 1

A 13-year-old asks an LPC for outpatient psychotherapy. The LPC determines that the request is voluntary and knowing, the services are clinically indicated, the adolescent can manage the care, and contacting a parent would be detrimental. Which course best complies with Colorado law?

Accepted Answer

Place the minor's signed request in the record, provide outpatient psychotherapy, encourage parent involvement, and document why contact is detrimental

Answer

Require parental consent before treatment because the age-15 rule governs all mental-health services and overrides the separate age-12 outpatient-psychotherapy exception

Answer

Begin treatment on the verbal request but notify a parent before the second visit

Answer

Refer the adolescent for inpatient admission because the age-12 rule does not authorize outpatient care

Question 2

A 29-year-old client reports being sexually abused at age 14 by a former coach. The counselor has reasonable cause to believe that the coach now directs a youth program and remains in a position of trust with children. What is the counselor's reporting obligation?

Accepted Answer

Report promptly and within 24 hours to a county department, local law enforcement agency, or the statewide hotline

Answer

Maintain confidentiality because the person who disclosed the abuse is now an adult

Answer

Interview former teammates before deciding whether the allegation is sufficiently substantiated

Answer

Notify the youth program director, but do not contact a statutory reporting recipient without the client's authorization

Question 3

An LPC learns that a 72-year-old client is being financially exploited. Before acting, the LPC confirms with local law enforcement that the client's physician has already reported the same conduct and alleged perpetrator. No additional mistreatment has emerged. Which statement accurately describes the LPC's duty under Colorado's at-risk reporting law?

Accepted Answer

A duplicate report is not required when the LPC knows that the same mistreatment has already been reported to law enforcement

Answer

The LPC must file a second report within 24 hours because every mandatory reporter must report independently

Answer

The LPC must report only to the county department because exploitation of an elder is not initially reported to law enforcement

Answer

The LPC may wait for written confirmation from the physician, but must report if that document is not received within 24 hours

Question 4

At an initial session, a client can communicate in Spanish but cannot read the therapist's English mandatory disclosure. The client is able to consent and no statutory exception applies. What should the therapist do?

Accepted Answer

Explain the disclosure orally in a comprehensible language or manner, provide the written copy, and seek the client's signature by the second visit

Answer

Postpone all psychotherapy until a certified Spanish translation of the disclosure and every related office policy has been signed

Answer

Ask an adult family member to summarize the disclosure and sign it on the client's behalf

Answer

Give the English form and request a signature because written delivery eliminates the need for a comprehensible oral explanation

Question 5

An LPC receives a subpoena from opposing counsel demanding a client's complete psychotherapy record. The client has not authorized release, has not waived privilege, and no judge has ruled on the demand. What is the most defensible next step?

Accepted Answer

Preserve the record, respond timely, and assert privilege until the client consents or a court resolves the demand

Answer

Send the complete record because service of a subpoena automatically authorizes disclosure

Answer

Refuse any response because privilege automatically nullifies the subpoena and eliminates the need to seek judicial protection

Answer

Send a limited treatment summary without consent because summaries become unprivileged when a subpoena is served

Question 6

During a session, a patient communicates a serious threat of imminent physical violence against a named coworker, describes a specific plan, and confirms access to the weapon. The therapist elects the statutory warning route rather than hospitalization. Which action fulfills that route?

Accepted Answer

Warn the threatened coworker and notify appropriate law enforcement

Answer

Notify only the employer's human-resources department because the threatened violence concerns a workplace

Answer

Document the assessment and wait to disclose unless the coworker independently asks for protection

Answer

Contact law enforcement only because warning the threatened person would violate confidentiality

Question 7

A client signs an authorization allowing an LPC to confirm dates of attendance to the client's employer. Human resources then asks for the diagnosis, treatment plan, and prognosis. No separate legal exception applies. What may the LPC disclose?

Accepted Answer

Only the attendance dates covered by the authorization

Answer

The diagnosis and treatment plan because the employer paid for the sessions

Answer

The prognosis, but not the diagnosis or treatment plan

Answer

The full record if human resources promises to keep it confidential

Question 8

An LPC has provided effective depression treatment to a stable client for six months. The client now asks the LPC to add EMDR for trauma, but the LPC has no EMDR training. The existing depression work remains beneficial and within the LPC's competence. How should the LPC respond?

Accepted Answer

Continue competent depression care and refer for EMDR, with appropriate coordination and disclosure of the LPC's limits

Answer

End all treatment immediately to avoid any appearance of practicing beyond competence

Answer

Begin EMDR after studying a treatment manual because an LPC license establishes competence in all counseling methods

Answer

Continue the current plan without discussing the request because treatment-method selection belongs solely to the clinician

Question 9

Eighteen months after psychotherapy ends, a former client proposes a consensual sexual relationship. The therapist believes that the former client is no longer vulnerable and offers to document that conclusion. How does Colorado law treat the proposed relationship?

Accepted Answer

It remains prohibited because two years have not elapsed since termination

Answer

It is permitted if the former client signs a separate informed-consent document

Answer

It is permitted if another therapist independently finds no current exploitation risk

Answer

It is permitted after one year unless the original treatment involved trauma

Question 10

A private-pay counseling practice is evaluating four client-acquisition arrangements. Which arrangement fits Colorado's express allowance for bona fide advertising or marketing compensation rather than a prohibited referral fee?

Accepted Answer

Paying an independent advertising firm per enrolled client for bona fide marketing, with no clinical-referral role

Answer

Paying a physician $100 for each named patient sent to the practice

Answer

Paying another counselor ten percent of each referred client's first-month fees under a written reciprocal-referral agreement

Answer

Giving current clients a $50 account credit for each friend who schedules an intake

Free CO-MHJE Practice Questions

Domain 1: General Mental Health Statutes 27% of exam

Question 1

Question 2

Question 3

Question 4

Domain 2: Confidentiality and Privilege 13% of exam

Question 5

Question 6

Question 7

Domain 3: Prohibited Activities/Violations 16% of exam

Question 8

Question 9

Question 10

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