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[General] NCE-ABE Real Exam, New NCE-ABE Exam Discount

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【General】 NCE-ABE Real Exam, New NCE-ABE Exam Discount

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NBCC National Counselor Examination Sample Questions (Q68-Q73):NEW QUESTION # 68
Being able to sit with a client's experience without judging it or analyzing it demonstrates which concept?
  • A. Active listening
  • B. Interpretation
  • C. Empathic attunement
  • D. Integration
Answer: C
Explanation:
Within the Counseling and Helping Relationships core area, CACREP highlights the importance of empathy and the counselor's ability to be fully present with the client. Empathic attunement refers to:
* Deeply tuning in to the client's emotional experience,
* Staying present with the client without judging, fixing, or overanalyzing,
* Conveying understanding and acceptance of the client's internal world.
Active listening (option B) involves attending behaviors and reflective responses, but empathic attunement specifically emphasizes nonjudgmental presence and emotional resonance with the client's experience.
Interpretation (option A) involves analyzing or offering meanings, which is the opposite of simply sitting with the experience. Integration (option C) refers more broadly to combining insights or aspects of the self, not this particular stance.

NEW QUESTION # 69
Which statement concerning fetal alcohol syndrome (FAS) is correct?
  • A. FAS can develop through breastfeeding.
  • B. The children with FAS tend to have average IQs.
  • C. The effects of the syndrome are mental rather than physical.
  • D. Fetal alcohol damage appears to be irreversible.
Answer: D
Explanation:
Fetal alcohol syndrome (FAS) results from prenatal exposure to alcohol and is characterized by a pattern of:
* Central nervous system (CNS) abnormalities
* Growth deficiencies
* Characteristic facial features
* Cognitive, behavioral, and learning difficulties
These effects are considered permanent and irreversible, making Option A correct. While supportive services and interventions can improve functioning and quality of life, the underlying damage does not "heal" or disappear over time [as consistently noted in medical and developmental literature, e.g., CDC and pediatric guidelines].
Why the other options are incorrect:
* B. "The effects ... are mental rather than physical."FAS includes both physical and neurodevelopmental effects-growth deficits, facial anomalies, and CNS involvement-not just
"mental" effects.
* C. "FAS can develop through breastfeeding."FAS is specifically caused by alcohol exposure in utero; breastfeeding does not cause FAS, although alcohol can affect the infant in other ways.
* D. "The children with FAS tend to have average IQs."Many individuals with FAS have below- average IQ, learning disabilities, and executive functioning deficits. Average IQ is not characteristic of the syndrome as a whole.
Within the NBCC Counselor Work Behavior Areas, counselors are expected to understand key features of developmental and neurobehavioral conditions such as FAS to inform assessment, referral, and appropriate support planning.

NEW QUESTION # 70
What is the best course of treatment for a 25-year-old client who has lost 20 lb in the past month, maintains a strict exercise regimen and a restrictive diet, uses the bathroom after every meal, and has been missing 2-3 days of work each week due to fatigue?
  • A. Refer the client to an eating disorder inpatient facility.
  • B. Refer the client to an outpatient therapy group for eating disorders.
  • C. Refer the client to a crisis unit since they intend to lose more weight.
  • D. Refer the client to an eating disorder peer support group.
Answer: A
Explanation:
The presentation described-rapid and significant weight loss (20 lb in one month), restrictive dieting, excessive exercise, possible purging after meals (bathroom use), and functional impairment (missing work due to fatigue)-strongly suggests a severe eating disorder with medical risk (e.g., risk of electrolyte imbalance, cardiac complications, severe malnutrition).
Within treatment planning, counselors are expected to:
* Assess risk and severity,
* Determine the least restrictive but safe level of care,
* Refer to specialized services when problems exceed their scope or when intensive medical and psychological treatment is required.
Given the combination of rapid weight loss, ongoing disordered behaviors, and clear impairment, the safest and most appropriate choice is Option D: referral to an eating disorder inpatient facility, where the client can receive:
* Medical monitoring and stabilization,
* Nutritional rehabilitation,
* Intensive specialized psychotherapy.
Why the other options are not appropriate as the best course:
* A. Crisis unit - Typically used for imminent danger such as acute suicidality or psychosis; while eating disorders are serious, the scenario calls for specialized eating-disorder treatment, not just general crisis stabilization.
* B. Peer support group - Helpful as an adjunct, but inadequate as the primary level of care for a case with this level of severity and medical risk.
* C. Outpatient therapy group - More suitable for mild to moderate cases or for those stabilized medically; the client described likely requires a higher level of care first.
This reflects the Treatment Planning work behavior: using clinical information to select an appropriate level of care, prioritizing client safety, and coordinating referrals to intensive or specialized services when indicated.

NEW QUESTION # 71
Clients who experience financial stress are more likely to focus on which area of concern?
  • A. Developmental needs
  • B. Interpersonal needs
  • C. Intrapersonal needs
  • D. Survival needs
Answer: D
Explanation:
In the Human Growth and Development core area, CACREP includes understanding theories of human needs, such as Maslow's hierarchy. According to this framework:
* When individuals are under significant financial stress, their basic needs (e.g., housing, food, safety, security) are threatened.
* Under such conditions, people are more likely to be preoccupied with survival-level concerns (physiological and safety needs) than with higher-order needs such as development, self-exploration, or complex interpersonal growth.
Options A, B, and C refer to important but higher-level needs relative to basic survival and security. In the presence of acute financial stress, clients understandably prioritize D. Survival needs.

NEW QUESTION # 72
What technique should be used in solution-focused brief therapy (SFBT)?
  • A. In-depth views and experiences regarding the client's feelings of distress
  • B. The miracle question labeled as an emotional-focused coping strategy
  • C. Exceptions based on curiosity about times the problem seems prominent
  • D. The understanding of issues within or outside of the client's control
Answer: C
Explanation:
In solution-focused brief therapy (SFBT), counselors emphasize:
* Exceptions - times when the problem is less severe or not present.
* Future-oriented, goal-focused questions.
* Client strengths and what already works.
Option A, referring to exceptions, points directly to a hallmark SFBT technique: the counselor shows curiosity about when the problem does not occur or is reduced, helping clients identify what they are doing differently in those moments so they can build on those exceptions. (The stem's wording about "prominent" is less precise, but "exceptions" is the key SFBT concept here.)
* B. Miracle question labeled as an emotional-focused coping strategy mixes an SFBT tool (miracle question) with an inaccurate label; the miracle question is about imagining a preferred future, not simply an emotion-focused coping label.
* C. Understanding issues within or outside of the client's control is more characteristic of other cognitive or problem-solving approaches, not specifically SFBT.
* D. In-depth views of distress is more consistent with insight-oriented or process-focused therapies, whereas SFBT de-emphasizes detailed exploration of problems and focuses instead on solutions.
NBCC Counselor Work Behavior Areas expect counselors to be able to apply interventions consistent with their theoretical orientation, and for SFBT that includes using exception questions, miracle questions, and scaling to help clients move toward solutions.

NEW QUESTION # 73
......
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