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NBCC National Counselor Examination Sample Questions (Q29-Q34):NEW QUESTION # 29
What is the appropriate emphasis in career counseling with persons who are vocationally immature?
- A. Evaluate past career-related decisions.
- B. Identify occupational choices.
- C. Establish long-term goals.
- D. Provide occupational information.
Answer: D
Explanation:
When clients are described as vocationally immature, they typically lack sufficient awareness of the world of work, have limited understanding of career options, and often have not yet developed realistic views of themselves in relation to occupations. Within the NBCC Counselor Work Behavior Areas, career-focused practice emphasizes meeting clients where they are developmentally and supplying the foundational information and experiences needed before moving into more advanced planning tasks.
For vocationally immature clients, the appropriate emphasis is on providing occupational information- helping them learn about different types of work, training requirements, work environments, typical duties, earnings, and opportunities for advancement. This information reduces confusion, increases readiness for decision-making, and supports later steps like goal setting and occupational choice, making Option B correct.
* Option A (Identify occupational choices) is premature if the client does not yet understand the range of possibilities.
* Option C (Evaluate past career-related decisions) is not central when the person has made few or no meaningful career decisions.
* Option D (Establish long-term goals) is also a later-stage task; vocationally immature clients often struggle with long-range planning until they have more information and self-understanding.
NBCC work expectations related to clinical focus in career counseling stress using developmentally appropriate interventions-building awareness and knowledge first, then progressing toward decision-making and long-term planning.
NEW QUESTION # 30
Which lack of bonding factor between caregiver and child has been found to contribute to academic underperformance by a child?
- A. Decreased practice with delaying gratifications
- B. Decreased experience with attending behaviors
- C. Indiscriminate attachments to adults due to lack of attachment
- D. Inhibited cognitive and emotional growth due to low stimulation
Answer: D
Explanation:
When there is a significant lack of bonding or secure attachment between a caregiver and a child, one major consequence is often low levels of stimulation, interaction, and responsive caregiving. This can lead to:
* Inhibited cognitive growth (e.g., delayed language, problem-solving, and conceptual skills).
* Inhibited emotional growth, including difficulty regulating emotions and forming relationships.
These developmental limitations directly affect school readiness and academic performance, making A the best answer.
The other options describe possible effects of attachment problems but are less directly and broadly tied to academic underperformance:
* B. Indiscriminate attachments to adults - seen in some severe attachment disturbances, but this focuses more on social behaviors than academic performance per se.
* C. Decreased experience with attending behaviors - could play a role but is more narrow and not the primary developmental factor emphasized in research.
* D. Decreased practice with delaying gratifications - relates more to impulse control and behavior, which can affect school, but the core academic underperformance is more strongly linked to global cognitive and emotional inhibition due to low early stimulation.
Within Areas of Clinical Focus, counselors are expected to understand how early attachment and caregiving environments influence later functioning, including academic achievement, and to recognize how disruptions in bonding can affect a child's cognitive and emotional development.
NEW QUESTION # 31
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 outpatient therapy group for eating disorders.
- B. Refer the client to an eating disorder peer support group.
- C. Refer the client to an eating disorder inpatient facility.
- D. Refer the client to a crisis unit since they intend to lose more weight.
Answer: C
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 # 32
Once a person's higher needs have been gratified, the needs' intensity temporarily:
- A. Disappears.
- B. Stabilizes.
- C. Decreases.
- D. Increases.
Answer: C
Explanation:
In understanding human motivation and development (key to clinical focus), counselors often draw on Maslow's hierarchy of needs. Maslow proposed that needs are organized from basic physiological and safety needs up through love/belonging, esteem, and self-actualization.
A central principle is that a need's motivational force lessens once it is sufficiently gratified. When a higher- level need (such as esteem or self-actualization) is met, its intensity as a driver of behavior temporarily decreases (C). The person is no longer as strongly motivated by that need until it becomes frustrated or deprived again.
* The need does not permanently disappear (A); it can re-emerge if no longer satisfied.
* Stabilizes (B) is too vague and does not capture the idea that motivation drops when needs are met.
* Increases (D) is the opposite of Maslow's notion that unmet needs drive behavior more strongly than gratified ones.
Thus, the best description is that the intensity of the need decreases after gratification, so C is correct.
NEW QUESTION # 33
An instrument used to indicate likes and dislikes is
- A. A self-concept inventory
- B. An interest inventory
- C. A projective technique
- D. A Likert-type scale
Answer: B
Explanation:
In the Assessment and Testing core area, CACREP expects counselors to distinguish between different categories of instruments, including interest inventories, personality tests, aptitude tests, and self-concept measures.
* Interest inventories are designed to assess a person's likes and dislikes regarding activities, subjects, and occupations. They are widely used in career counseling to help people explore suitable fields based on what they enjoy.
* They directly ask about preferences-which is exactly what the question describes.
Why the others are not best:
* Likert-type scale (B): This is a response format (e.g., strongly agree to strongly disagree), not a type of test by itself. It can be used in many kinds of instruments (attitudes, beliefs, etc.).
* Self-concept inventory (C): Focuses on how people see themselves (self-image, self-worth), not primarily on their likes and dislikes about activities or careers.
* Projective technique (D): Uses ambiguous stimuli (inkblots, drawings, etc.) to explore personality dynamics, not straightforward preference ratings.
Therefore, an instrument that indicates likes and dislikes is A. An interest inventory.
NEW QUESTION # 34
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