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[Hardware] Free PDF Quiz 2026 NBCC High Pass-Rate New NCE-ABE Study Notes

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【Hardware】 Free PDF Quiz 2026 NBCC High Pass-Rate New NCE-ABE Study Notes

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NBCC National Counselor Examination Sample Questions (Q14-Q19):NEW QUESTION # 14
Which is a symptom of generalized anxiety disorder?
  • A. Restlessness
  • B. Rechecking locked doors
  • C. Lack of hobbies
  • D. Pressured speech
Answer: A
Explanation:
In the Assessment and Testing core area, counselors are expected to recognize common diagnostic features of mental disorders to inform screening, referral, and conceptualization (not to replace full diagnosis).
For generalized anxiety disorder (GAD), hallmark symptoms include:
* Excessive anxiety and worry about a variety of events or activities,
* Difficulty controlling the worry,
* Physical and cognitive symptoms such as:
* Restlessness or feeling keyed up/on edge,
* Being easily fatigued,
* Difficulty concentrating,
* Irritability,
* Muscle tension,
* Sleep disturbance.
Thus, restlessness (Option B) is a classic symptom associated with GAD.
The other options fit different or nonspecific issues:
* A. Lack of hobbies is not a diagnostic criterion; it may relate to lifestyle, depression, or other factors but is not specific to GAD.
* C. Rechecking locked doors is more characteristic of obsessive-compulsive disorder (OCD), where compulsive checking behaviors respond to intrusive obsessions.
* D. Pressured speech is typically associated with mania or hypomania, not GAD.
Therefore, B is the correct symptom associated with generalized anxiety disorder.

NEW QUESTION # 15
A new blended family comes to a counselor with issues with their adolescent offspring from previous marriages. The stepsiblings complain that their parents are arguing too much. Which of the following techniques would be appropriate for a first session in helping with this issue?
  • A. See the parents together.
  • B. See each child separately.
  • C. See each parent with their stepchildren.
  • D. See the family as a whole.
Answer: D
Explanation:
In the Counseling and Helping Relationships core area, systemic and family counseling approaches emphasize that:
* A family is a system, and problems (such as parental conflict and stepfamily tension) are best understood by observing the entire system interacting.
* Early sessions often focus on joining with the whole family, clarifying roles, boundaries, and interaction patterns, especially in blended families where alliances and loyalties can be complex.
Option B, seeing the family as a whole in the first session, allows the counselor to:
* Directly observe parent-child and stepparent-stepchild interactions,
* Hear each member's perspective on the arguing and its impact,
* Begin to restructure communication and set shared goals collaboratively.
The other options fragment the system:
* A (see each child separately) misses the systemic interaction at the heart of the complaint.
* C (see parents together) may be useful later but does not initially address how the conflict is affecting the children or the overall family dynamics.
* D (each parent with their stepchildren) reinforces existing divisions and alliances rather than treating the family as a single integrated system.
Therefore, B is the most appropriate first-session technique for this blended family issue.

NEW QUESTION # 16
Generally, the provision of career counseling for persons at midlife and older should
  • A. Focus on abstract considerations of clients' perception of self
  • B. Emphasize the continuing need for self-development through training or education
  • C. Be grounded in the realities of clients' lives
  • D. Be presented systematically with a focus on career selection
Answer: C
Explanation:
Career work with clients in midlife and later adulthood must consider actual life circumstances, including financial responsibilities, health, caregiving roles, retirement timing, age discrimination, and existing skills.
For this reason, career counseling for this group should be grounded in the realities of clients' lives-their current roles, constraints, and opportunities-making Option C the best answer.
* Option A (focus on career selection) is more appropriate for adolescents or emerging adults choosing an initial field, not individuals who already have extensive work histories.
* Option B (abstract self-perception) is too vague and detached from the very concrete life factors often central in midlife/older transitions.
* Option D (emphasize training/education) may be appropriate for some clients, but it is not a universal guiding principle and ignores many who may not have the time, resources, or interest for extensive retraining.
NBCC Counselor Work Behavior Areas highlight that, in career development, counselors must integrate developmental stage and real-world context into their clinical focus, particularly for adults navigating later- life work and retirement decisions.

NEW QUESTION # 17
Which of the following is a physical trauma response?
  • A. Changes in the central nervous system
  • B. Ongoing mental distress or discomfort
  • C. Physically acting out the trauma
  • D. Ruminating about the trauma
Answer: A
Explanation:
Counselors must be able to recognize that trauma can affect clients physically, cognitively, emotionally, and behaviorally. A physical trauma response involves changes in bodily systems and functioning.
Option D. Changes in the central nervous system is a physical response: trauma can alter arousal systems, stress responses, and brain functioning (for example, heightened startle response, altered sleep-wake patterns, or dysregulated autonomic responses). These are bodily/physiological manifestations of trauma, not just thoughts or emotions.
Why the others are incorrect:
* A. Ongoing mental distress or discomfort reflects emotional/psychological symptoms (e.g., anxiety, sadness), not specifically physical changes.
* B. Physically acting out the trauma is best understood as a behavioral manifestation (reenactment or agitation), not underlying physical system change.
* C. Ruminating about the trauma is a cognitive response (repetitive, intrusive thinking), not a physical one.
NBCC Counselor Work Behavior Areas highlight the importance of recognizing the multidimensional impact of trauma-including physical-so that assessment and treatment planning can address the full range of client needs.

NEW QUESTION # 18
What strategy would a counselor use with a client whose cultural background is different from their own?
  • A. Address presenting concerns separately from culture, race, and ethnic background.
  • B. Ask the client about any cultural issues or beliefs that may be impacting them.
  • C. View cultural background as secondary to treatment planning.
  • D. Wait for the client to share their cultural experiences.
Answer: B
Explanation:
Within the Social and Cultural Diversity core area, counselors are expected to demonstrate multicultural competence, which includes recognizing how culture, race, ethnicity, and worldview affect clients' experiences and concerns, and actively exploring these with clients. Ethical and culturally responsive practice involves:
* Openly inviting discussion of cultural beliefs, values, and experiences that may influence the client's presenting concerns.
* Avoiding assumptions or minimizing culture as "secondary" to treatment.
Option D reflects this standard: the counselor asks the client directly about any cultural issues or beliefs that may be impacting them, honoring client expertise about their own cultural context and integrating it into case conceptualization and treatment planning.
* A places the responsibility fully on the client and can lead to important cultural issues being overlooked.
* B contradicts multicultural counseling principles by treating culture as unimportant.
* C suggests separating concerns from culture, which ignores the fact that many problems are embedded in cultural, racial, and systemic contexts.
Therefore, D is the strategy that aligns with CACREP's multicultural and social justice competencies.

NEW QUESTION # 19
......
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