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[General] Exam NCE-ABE Details | Latest NCE-ABE Test Preparation

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【General】 Exam NCE-ABE Details | Latest NCE-ABE Test Preparation

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NBCC National Counselor Examination Sample Questions (Q41-Q46):NEW QUESTION # 41
Using a psychodynamic approach, how can you relate reported symptoms to the best treatment process?
  • A. By examining the client's attachment to symptoms and the therapeutic alliance.
  • B. By utilizing the DSM-5-TR to associate symptoms with disorders.
  • C. By including a reinforcement learning model in the treatment process.
  • D. By researching the optimal interventions for the treatment process.
Answer: A
Explanation:
Within a psychodynamic framework, the counselor's clinical work emphasizes the meaning and function of symptoms, the client's unconscious conflicts, and the relational patterns that are re-enacted in the counseling relationship. Treatment planning in this approach relies heavily on understanding how the client is attached to their symptoms (e.g., how symptoms may protect against painful feelings or maintain familiar relational roles) and on using the therapeutic alliance as the primary vehicle for change.
Option D reflects this: examining the client's attachment to symptoms and the quality of the therapeutic alliance is consistent with psychodynamic treatment planning, where the counselor links symptoms to deeper emotional and relational processes and uses insight and the counseling relationship to facilitate change.
* A focuses on diagnostic classification using the DSM-5-TR, which is important for diagnosis but not specific to a psychodynamic understanding or treatment planning process.
* B refers to "reinforcement learning," a behavioral concept not central to psychodynamic work.
* C describes a general evidence-based stance but does not capture the distinct psychodynamic emphasis on symptom meaning and the therapeutic relationship.
This aligns with the NBCC Counselor Work Behavior Areas expectation that counselors integrate theoretical orientation into conceptualization and treatment planning, using the counseling relationship and client insight as core components of psychodynamic treatment.

NEW QUESTION # 42
Group leaders have a responsibility to manage and contain their anxiety because
  • A. These are ethical and professional standards.
  • B. Their anxiety can increase that of members.
  • C. Group members have this expectation of group leaders.
  • D. Doing so will improve group cohesion and effectiveness.
Answer: B
Explanation:
In the Group Counseling and Group Work core area, CACREP emphasizes the importance of group leadership skills, including self-awareness, emotional regulation, and the impact of the leader on group dynamics.
A central principle is that affect in groups is contagious:
* When leaders are visibly anxious and do not manage or contain that anxiety, members often mirror or absorb it, leading to increased tension, defensiveness, or withdrawal.
* Effective leaders are aware of their own emotional reactions and manage them so the group environment remains safe, stable, and facilitative of growth.
While:
* Ethical and professional standards (option A) do require competence and self-monitoring, the primary reason in group dynamics terms is the direct effect on members.
* Option C (improving cohesion and effectiveness) is a positive outcome but is more general and indirect.
* Option D (member expectations) may be true, but expectations alone are not the main professional rationale.
The most direct and group-dynamics-based reason is B. Their anxiety can increase that of members.

NEW QUESTION # 43
Counselor A has noticed that Counselor B often speaks about clients in public spaces, makes no effort to conceal the clients' identities, and often includes very personal details about the clients' circumstances.
According to the American Counseling Association Code of Ethics, what should Counselor A do first?
  • A. Contact the state regulatory board for mental health counselors.
  • B. Report Counselor B to the American Counseling Association (ACA).
  • C. Speak privately to express ethical concerns and suggest how to best maintain privacy.
  • D. Immediately contact the director of the center and report an ethical violation.
Answer: C
Explanation:
In the Professional Counseling Orientation and Ethical Practice core area, counselors are taught to follow ethical procedures when addressing suspected ethical violations by colleagues, consistent with codes such as the ACA Code of Ethics. These standards state that when a counselor believes that another professional has violated an ethical standard, they should:
* First attempt an informal resolution, when appropriate,
* Approach the colleague directly, in a respectful, private manner,
* Discuss the concern and encourage corrective action.
Only when informal resolution is not appropriate, not effective, or the violation is severe or poses immediate harm are more formal actions (e.g., reporting to supervisors, licensing boards, or professional organizations) recommended. In this situation, Counselor B's behavior appears to violate confidentiality, but there is no indication that a direct, private conversation would be unsafe or impossible.
Therefore, in line with CACREP-aligned ethics instruction, Counselor A should first attempt to address the concern informally by speaking privately with Counselor B, making B the correct answer.

NEW QUESTION # 44
What therapeutic model was originally developed to treat individuals with borderline personality disorder?
  • A. Transactional analysis
  • B. Cognitive behavioral therapy
  • C. Analytical behavioral analysis
  • D. Dialectical behavior therapy
Answer: D
Explanation:
Within the Areas of Clinical Focus work behavior area, counselors are expected to know evidence-based treatments for specific clinical conditions, including personality disorders.
Dialectical behavior therapy (DBT) (Option C) was originally developed by Marsha Linehan specifically to treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD). DBT integrates:
* Cognitive-behavioral strategies for behavior change,
* Acceptance-based strategies (e.g., mindfulness),
* A dialectical framework balancing acceptance and change.
The model includes:
* Individual therapy,
* Group skills training (mindfulness, emotion regulation, distress tolerance, interpersonal effectiveness),
* Phone coaching,
* Consultation team for therapists.
These features reflect the NBCC-aligned work behavior expectation that counselors understand appropriate, validated modalities for complex clinical presentations such as BPD.
Why the other options are incorrect:
* A. Analytical behavioral analysis - This is not the recognized model associated with the original treatment of BPD.
* B. Cognitive behavioral therapy - While DBT evolved from CBT and CBT techniques are useful with many disorders, standard CBT was not specifically designed as the original, specialized treatment protocol for BPD.
* D. Transactional analysis - A distinct theoretical model focusing on ego states and life scripts; it is not the empirically established, original treatment model for BPD.
Counselors working with personality disorders are expected to identify and, when within their scope, apply or refer for treatments such as DBT, which are designed and researched for these clinical populations.

NEW QUESTION # 45
Being able to sit with a client's experience without judging it or analyzing it demonstrates which concept?
  • A. Interpretation
  • B. Empathic attunement
  • C. Integration
  • D. Active listening
Answer: B
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 # 46
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