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Certification NBCC NCE-ABE Exam - NCE-ABE Free Test Questions

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Certification NBCC NCE-ABE Exam - NCE-ABE Free Test Questions

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NBCC National Counselor Examination Sample Questions (Q138-Q143):NEW QUESTION # 138
Which of the following factors would be most salient in the treatment of a client who grew up in an urban neighborhood and is currently unemployed?
  • A. Cultural identity
  • B. Family background and history
  • C. Psychological maturity and development
  • D. Economic and class experiences
Answer: D
Explanation:
The question highlights two contextual details:
* The client grew up in an urban neighborhood.
* The client is currently unemployed.
These details point strongly toward socioeconomic conditions, access to resources, exposure to systemic barriers, and the impact of poverty or underemployment-all of which are captured in economic and class experiences.
Therefore, Option C is the most salient factor for treatment planning in this scenario. Understanding economic and class realities helps the counselor:
* Conceptualize stressors such as financial strain, housing instability, neighborhood safety, and limited opportunity.
* Avoid pathologizing reactions that may be understandable responses to systemic and structural inequities.
* Integrate advocacy, resource referral, and practical support into the plan when appropriate.4 Why the other options are less salient given the specific prompt:
* A. Cultural identity - Always important, but the question specifically emphasizes urban upbringing and unemployment, which more directly point to class and economic context. Cultural identity may or may not be the central driver in this particular description.
* B. Family background and history - Relevant to any case conceptualization, but not as clearly tied to the urban and unemployed descriptors given in the stem.
* D. Psychological maturity and development - Also important, but the vignette does not supply information about developmental maturity; instead, it highlights environmental and economic context.
In the Treatment Planning work behavior area, NBCC emphasizes integrating contextual, socioeconomic, and environmental factors into goals and interventions, particularly when clients are affected by unemployment, neighborhood conditions, or social class pressures.4 Top of Form Bottom of Form

NEW QUESTION # 139
A client with a terminal illness discloses to their hospice counselor that they would like to discuss the option of assisted suicide. Which of the following should the counselor do first?
  • A. Seek consultation or supervision from professional and legal parties.
  • B. Maintain confidentiality to protect the therapeutic relationship.
  • C. Review palliative care medications.
  • D. Inform the client's family immediately to discuss next steps.
Answer: A
Explanation:
When a client brings up assisted suicide, the counselor is dealing with a situation that involves serious ethical, legal, and clinical considerations. The NBCC Counselor Work Behavior Areas emphasize that counselors must know and follow applicable laws, adhere to ethical standards, and seek supervision or consultation when facing complex or high-risk situations.
The best first step is Option A: seek professional and legal consultation/supervision. This helps the counselor clarify:
* Legal requirements in their jurisdiction regarding assisted suicide.
* Ethical obligations related to client safety, autonomy, and confidentiality.
* Appropriate clinical responses and documentation.
Option B (maintain confidentiality) is important but not an action step and may need to be reconsidered if there is clear risk of self-harm. Option C (inform the family) could violate confidentiality without proper legal
/ethical grounding. Option D (review palliative medications) is outside the counselor's scope. Consulting first allows the counselor to proceed in an informed, ethical, and legally sound manner.

NEW QUESTION # 140
Generalized anxiety disorder is best characterized by which of the following symptom patterns?
  • A. Continual yet diffuse and overly-intense reactions to day-to-day stress
  • B. Repetitive thoughts and ritualistic actions
  • C. Pervasive lack of enthusiasm coupled with continual fatigue
  • D. Overconcern with bodily functioning and possible ailments
Answer: A
Explanation:
In the intake, assessment, and diagnosis domain, counselors must distinguish among common mental disorders based on symptom patterns. Generalized anxiety disorder (GAD) is characterized by:
* Excessive anxiety and worry occurring more days than not
* Worry that is difficult to control
* Concerns that are broad and diffuse, often about everyday events or activities
* Associated symptoms such as restlessness, fatigue, muscle tension, irritability, and sleep disturbance This is captured by Option D: continual yet diffuse and overly-intense reactions to day-to-day stress.
The other options describe different clinical patterns:
* A: A persistent lack of enthusiasm with fatigue is more characteristic of depressive disorders.
* B: Overconcern with bodily functioning and possible ailments fits somatic symptom-related or illness anxiety presentations, not classic GAD.
* C: Repetitive thoughts and ritualistic actions are typical of obsessive-compulsive disorder (OCD).
Thus, the symptom pattern most consistent with generalized anxiety disorder is D.

NEW QUESTION # 141
When working with ethnically and culturally diverse populations, it would be helpful for the counselor to
  • A. Work to assimilate clients who are culturally dissimilar.
  • B. Disclose any lack of knowledge or awareness to the client.
  • C. Focus on global concepts and ideas.
  • D. Seek supervision and training on multicultural issues.
Answer: D
Explanation:
The Social and Cultural Diversity core area requires counselors to:
* Develop multicultural counseling competence,
* Recognize their limitations and biases, and
* Engage in ongoing professional development specifically in multicultural issues.
Ethical and training standards emphasize that when counselors recognize gaps in their cultural knowledge or skills, they should:
* Seek supervision, consultation, or training to improve their competence with those populations.
Looking at the options:
* A. Focus on global concepts and ideas.This can make counseling more abstract and may overlook specific cultural contexts and lived experiences.
* B. Disclose any lack of knowledge or awareness to the client.Limited, thoughtful self-disclosure may sometimes be appropriate, but it is not, by itself, sufficient or the most helpful global strategy.
* C. Seek supervision and training on multicultural issues.This aligns directly with CACREP's expectation of ongoing multicultural competence development and is the best answer.
* D. Work to assimilate clients who are culturally dissimilar.This is contrary to multicultural principles; counselors should honor and respect clients' cultural identities, not pressure them to assimilate.
Therefore, the most appropriate and CACREP-consistent action is C (seek supervision and training on multicultural issues).

NEW QUESTION # 142
What term is used for the act a counselor displays when they set aside personal values to provide services for a diverse client?
  • A. Developmental maturation
  • B. Ethical bracketing
  • C. Acculturation
  • D. Countertransference
Answer: B
Explanation:
Within the CACREP Core Area of Social and Cultural Diversity, counselors are expected to demonstrate skills that allow them to work effectively with clients from diverse backgrounds. A key competency is the ability to avoid imposing personal values and to maintain an unbiased, respectful stance toward clients' cultural identities, beliefs, and worldviews.
* Ethical Bracketing (Correct Answer)Ethical bracketing refers to a counselor's intentional process of setting aside personal values, beliefs, or biases in order to provide competent, culturally responsive services.This aligns with ethical expectations that counselors:
* Maintain value neutrality,
* Avoid personal value imposition, and
* Uphold client autonomy, dignity, and cultural uniqueness.Ethical bracketing is specifically encouraged as an important skill when working with diverse populations.
* Countertransference (Incorrect)This refers to a counselor's emotional reactions toward the client, often based on the counselor's unresolved issues. It is not about intentionally setting aside personal values; instead, it is a internal emotional process that must be managed during therapy.
* Acculturation (Incorrect)Acculturation refers to the process of adapting to a dominant or new culture, not the counselor's act of setting aside personal values during counseling.
* Developmental Maturation (Incorrect)This refers to normal growth processes across the lifespan. It has no direct connection to value management in counseling.
Because only ethical bracketing describes consciously setting aside personal values to serve clients without bias, A is the correct answer.

NEW QUESTION # 143
......
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