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NBCC National Counselor Examination Sample Questions (Q180-Q185):NEW QUESTION # 180
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. Overconcern with bodily functioning and possible ailments
- C. Pervasive lack of enthusiasm coupled with continual fatigue
- D. Repetitive thoughts and ritualistic actions
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 # 181
How would a counselor demonstrate empathy in a counseling session?
- A. Nod their head frequently as the client speaks.
- B. Communicate an accurate perception of the client's feelings.
- C. Sit in an open posture without crossing arms or legs.
- D. Provide a detailed summary of the story the client just shared.
Answer: B
Explanation:
Within the Core Counseling Attributes domain, counselors are expected to demonstrate an ability to accurately understand and reflect the client's emotional experience. Empathy involves communicating back to the client an accurate awareness of their internal world, especially their feelings, meanings, and emotional nuances.
Option A reflects this essential skill: the counselor expresses an understanding of what the client is feeling, allowing the client to feel heard, validated, and emotionally understood. This is central to building the therapeutic relationship and promoting client growth.
Why the other options are incorrect:
* B. Nod their head frequently: This is a nonverbal attending skill, but nodding alone does not establish empathy or convey an understanding of the client's emotional experience.
* C. Open posture: Although helpful for rapport and presence, posture alone does not demonstrate emotional understanding and therefore is not empathy by itself.
* D. Provide a detailed summary: Summarizing is a useful skill, but a detailed summary may focus on content rather than the client's emotional experience, and therefore does not fully represent empathy.
The NBCC Counselor Work Behavior Areas emphasize that empathy involves accurately perceiving and clearly communicating the client's emotional state, making option A the correct answer.
NEW QUESTION # 182
Which of the following types of data is considered to have the greatest impact when collecting career counseling program data for accountability purposes?
- A. Outcome
- B. Context
- C. Process
- D. Input
Answer: A
Explanation:
In accountability and program evaluation, counselors are expected to use data that reflects actual client change to demonstrate effectiveness. Within professional practice, the most powerful and persuasive evidence is outcome data, because it shows:
* What changed for clients (e.g., improved career decision-making, job placement, satisfaction with career choice).
* The degree to which program goals and client objectives were met.
* The impact of services on client functioning and development.
By comparison:
* Input data focuses on what resources went into the program (e.g., staff, time, materials).
* Context data describes the environment or client population characteristics.
* Process data shows what was done (activities, number of sessions), but not whether it worked.
NBCC-aligned counselor work behaviors emphasize using results-focused (outcome) data for accountability to stakeholders and for improving services, which is why outcome data has the greatest impact.
NEW QUESTION # 183
Generally, the provision of career counseling for persons at midlife and older should
- A. Be grounded in the realities of clients' lives
- B. Focus on abstract considerations of clients' perception of self
- C. Be presented systematically with a focus on career selection
- D. Emphasize the continuing need for self-development through training or education
Answer: A
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 # 184
A client prefers ideas, words, and symbols. How would this individual be classified according to Holland's career theory?
- A. Enterprising
- B. Investigative
- C. Realistic
- D. Social
Answer: B
Explanation:
In the Career Development core area, counselors must understand major theories of career choice, including Holland's RIASEC model. Holland proposed six personality-environment types: Realistic, Investigative, Artistic, Social, Enterprising, and Conventional.
* Investigative types prefer working with ideas, symbols, and abstract concepts, and enjoy activities that involve thinking, analyzing, and problem-solving (often in scientific, mathematical, or theoretical areas). This matches the description in the question.
* Social types (A) prefer working with people, helping, teaching, or serving.
* Realistic types (B) prefer working with things, tools, machines, or hands-on activities.
* Enterprising types (C) prefer persuading, leading, or selling, often in business or leadership settings.
Because the stem emphasizes a preference for ideas, words, and symbols rather than people, things, or persuasion, the classification that best fits Holland's model is Investigative (Option D).
NEW QUESTION # 185
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