MAC study materials
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MAC (NBCRNA) study plan

MAC · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Clinical assessment and diagnosis & Professional ethics and legal requirements

  • Build a one-page diagnostic decision tree that walks from presenting concern to differential diagnosis for the four most common adult presentations, citing DSM-5-TR criteria you write out yourself.

  • List the six most frequently tested ethical principles and, for each, write two original vignettes where two principles collide and state which governs and why.

  • Define the limits of confidentiality, including mandated reporting thresholds for suspected child and elder abuse, and record the exact statutory language you would be expected to know.

  • Create a spaced-repetition deck of 60 cards covering diagnostic criteria, specifiers, and ethics terms, and complete the first two review cycles.

Your checkpoint

A single reference sheet (diagnostic decision tree on one side, ethics/confidentiality limits on the other) plus a 60-card deck with at least two completed review cycles logged.

Week 2

Clinical assessment and diagnosis & Treatment planning and counseling practice

  • Distinguish the screening, assessment, and diagnosis phases by writing a worked case in which you show what data belongs in each phase and what tool you would use.

  • Compare at least five standardized instruments (for depression, anxiety, substance use, trauma, and suicide risk) on purpose, administration time, cutoffs, and cultural limitations.

  • Draft a written suicide risk assessment template that includes ideation, intent, plan, means, protective factors, and documentation of the level-of-care decision.

  • Explain how to conduct a mental status exam and integrate it into a diagnostic formulation, writing one full MSE from a fictional case.

Your checkpoint

A two-page assessment toolkit: instrument comparison table plus a completed suicide risk assessment and MSE write-up for one fictional client.

Week 3

Treatment planning and counseling practice & Professional ethics and legal requirements

  • Map the major theoretical orientations (psychodynamic, cognitive-behavioral, humanistic, systemic) to specific interventions and articulate the mechanism of change each assumes.

  • Write treatment plans for three fictional cases that each contain measurable goals, objectives, interventions, and a stated review timeline.

  • Identify the informed consent elements required before treatment, and draft a consent script that covers risks, benefits, alternatives, fees, and limits of confidentiality.

  • Describe the ethical decision-making process step by step and apply it to one boundary-crossing scenario, documenting each step in writing.

Your checkpoint

Three complete written treatment plans plus a one-page informed consent script and a documented ethical decision-making worksheet for one boundary scenario.

Week 4

Clinical assessment and diagnosis & Treatment planning and counseling practice & Professional ethics and legal requirements

  • Complete a timed 60-question mixed practice set across assessment, treatment, and ethics, and log every missed item with the underlying concept rather than the answer.

  • Re-teach the five weakest concepts from that set in your own words in a written summary of at least 200 words each.

  • Review the documentation standards for clinical records, including what must be included in progress notes and how to correct an error in a record.

  • Write a short comparison of when to refer out versus when to continue treatment, grounded in competence boundaries and scope of practice.

Your checkpoint

A scored practice set with an error log of at least 15 entries, each containing the concept, why you missed it, and the corrected reasoning.

Week 5

Clinical supervision and practice management

  • Differentiate the supervisory roles (clinical supervisor, administrative supervisor, consultant) and specify what each may and may not do.

  • Draft a supervision contract that covers goals, methods, evaluation, documentation, and due-process steps for remediating a struggling supervisee.

  • Outline a model for giving formative and summative feedback, including a written template for a mid-rotation evaluation.

  • Explain the ethical and legal obligations that attach to supervision, including vicarious liability, informed consent for supervisees' clients, and dual-relationship risks.

Your checkpoint

A complete supervision contract and a mid-rotation evaluation template, plus a one-page summary of supervisor legal and ethical obligations.

Week 6

Clinical supervision and practice management & Co-occurring disorders and special populations

  • Describe the core practice-management functions: scheduling, billing and coding basics, record retention, and responding to a records request or subpoena.

  • Identify the key components of a risk-management plan for a small practice, including malpractice coverage, emergency coverage, and termination procedures.

  • List the special-population considerations (children, older adults, LGBTQ+ clients, court-involved clients, clients with disabilities) and state at least two adaptations for each.

  • Explain how cultural humility and implicit bias affect assessment and diagnosis, and write one case formulation that names specific cultural factors you would explore.

Your checkpoint

A practice-management checklist covering records, billing, subpoena response, and risk management, plus a special-populations adaptation table with at least two entries per group.

Week 7

Co-occurring disorders and special populations

  • Distinguish the major models of co-occurring disorder treatment (sequential, parallel, integrated) and state the evidence-based rationale for integrated care.

  • Explain how substance withdrawal, intoxication, and medication interactions complicate the assessment and treatment of co-occurring mental health conditions.

  • Write a treatment plan for a fictional client with co-occurring PTSD and substance use disorder that sequences interventions and names the specific modality used.

  • Identify the screening tools appropriate for co-occurring disorders and describe how to interpret a positive screen in the presence of another condition.

Your checkpoint

A co-occurring disorder treatment plan with an explicit sequencing rationale, plus a one-page comparison of the three treatment models and the screening tools you would use.

Week 8

Clinical assessment and diagnosis & Treatment planning and counseling practice & Professional ethics and legal requirements & Clinical supervision and practice management & Co-occurring disorders and special populations

  • Complete two full-length timed practice exams under test conditions and record domain-level accuracy for each.

  • Revisit every error-log entry from weeks 4 and 8 and mark each as resolved, still unclear, or needs a new resource.

  • Rebuild the week 1 reference sheet from memory and compare it against the original to identify remaining gaps.

  • Write a final one-page summary of the five highest-yield concepts per domain and a short plan for continued review after the exam.

Your checkpoint

Two scored full-length practice exams with a domain-accuracy breakdown and a final one-page summary of the 25 highest-yield concepts.

Milestones

Week 2: Can you state, without notes, the DSM-5-TR criteria for at least three common diagnoses and name the mandated reporting thresholds in your jurisdiction? If not, repeat week 1 ethics review before moving on.

Week 4: Score at or above 70% on the 60-question mixed set across domains 1, 2, and 3, and confirm every missed item has a written error-log entry.

Week 6: Can you explain the difference between clinical and administrative supervision and produce a supervision contract from memory in outline form? Verify the practice-management checklist is complete.

Week 8: Score at or above 75% on both full-length practice exams with no domain below 65%, and confirm the error log is fully triaged with clear next steps for any unresolved items.