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National Counselor Examination (NCE) Practice Test 2
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Avg score: 44% Most missed: “Premature termination of participation in a group usually occurs when an individ…”
The National Counselor Examination (NCE) is a 200-item multiple-choice examination designed to assess knowledge, skills and abilities determined to be important for providing effective counseling services. The NCE is a requirement for counselor licensure in many U.S. states. It is also one of two examination options for the National Certified Counselor (NCC) certification. Education Requirements: You must hold a counseling degree with at least 48 semester hours or 72 quarter hours of graduate-level coursework from a CACREP-accredited program or a counseling program administered by a... Show more
National Counselor Examination (NCE) Practice Test 2
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25 Questions

1. A survey researcher has asked Larry and Carol about their attitudes toward obeying laws. They are asked what they would do in certain hypothetical situations. For example, if the only way to help someone and/or to avoid harming someone would involve breaking the law. 'Law, schmaw, what’s important is doing the right thing,' said Carol. 'True, we should do what’s right, but we’ve also made an agreement with society to follow its rules. We should try to do that too, but I agree that a lot of it depends on the situation,' said Larry. How did Larry and Carol fit in Kohlberg’s stages of moral development?
2. A client admits to the counselor that she drinks 2 to 3 large glasses of wine daily in order to relieve stress but feels this is not a concern even though she recently was involved in an automobile accident and was arrested for drunk driving. The client is likely in which stage of substance abuse?
3. A 22-year-old female is receiving haloperidol for schizoaffective disorder. She was admitted to the psychiatric unit with delusional thinking, rapid disorganized speech, irritability, and lethargy. She has begun slapping at his face repeatedly. Which assessment tool is most indicated?
4. If using functional family therapy (FFT) to work with the family of a 17-year-old client with antisocial behavior and a history of escalating delinquency, which of the following is the first phase?
5. If a mental health client is making statements that seem to be based on delusional thinking, such as 'My doctor is constantly flirting with me,' the best way to express doubt is by which of the following statements?
6. Working with individuals from different cultures requires that the counselor do all the following EXCEPT:
7. Two clients are referred to a counselor and deemed to be 'workaholics.' One enjoys his work, and the other does not. Which is likely to be more problematic?
8. Robert Carkhuff proposed a five-point scale to measure the quality of a counselor’s empathic responses. Which level does the following example best represent? Client: Oh, my wife yelled at me so bad you wouldn’t believe it! It just killed me!!! Counselor: What did she say?
9. When beginning a counseling relationship, the counselor is ethically required to:
10. Which of the following is a warning sign that a counselor is developing a relationship with a client that is too personal?
11. The psychodynamic model has a _______ unit of study; the experiential model has a ______ unit of study; the transgenerational model has a _______ unit of study; and the strategic model has a ________ unit of study.
12. A 42-year-old woman returns to her career as an HR manager after her children start to attend school all day. This is an example of:
13. The evidence-based Suicide Assessment Five-step Evaluation and Triage (SAFE-T) tool indicates that a client has modifiable risk factors for suicide and strong protective factors, resulting in an overall low risk factor although the client admits to thoughts of death but denies a plan or intent. Which of the following is the intervention that is most indicated?
14. When one member of a group begins to exhibit negative non-verbal communication (such as eye-rolling or looking bored), the counselor, who is serving as the group leader, routinely directs the group’s attention toward another member of the group by asking the other group member a question or making a comment. Which of the following does this best exemplify?
15. Which of the following is NOT true about purposeful sampling?
16. The only test a counselor is using with her client has a reliability of 0.60, so she should:
17. Jeremy is a counselor. He believes in mirroring back his client’s verbalizations, and not passing judgment on what they say. Jeremy considers himself a facilitator in assisting his client in reaching resolution of the presenting problems. What type of therapeutic theory is Jeremy working from?
18. Which of the following is an example of feedback that is directed at an action that the client cannot modify?
19. The counselor is assisting with a research study in which half of the subjects are given medication and the other half given sugar pills. Neither group knows which pills contain medication, yet many who receive the sugar pills repeatedly report positive effects from taking them. What would account for this?
20. A client who worries about how she looks and checks her appearance in the mirror repeatedly for 4 to 5 hours every day and has had repeated plastic surgical procedures is diagnosed with body dysmorphic disorder. The client has been prescribed an SSRI by a psychiatrist. Which approach to therapy is most indicated?
21. If a client expresses great anxiety and fears about an upcoming meeting with her employer, and the counselor asks, 'What is the worst thing that can happen?', which of the following approaches is the counselor utilizing?
22. An 18-year-old student wants to view his educational records. The best course of action is to:
23. Jennifer has to choose between spending the evening with her parents or spending the evening babysitting her younger sister. Jennifer does not like either of these choices. This situation describes an:
24. The counselor is working with a client who has just been admitted to a rehabilitation facility for treatment of alcohol addiction. Within how many hours is the client likely to begin exhibiting signs of withdrawal?
25. Would Freud’s psychodynamic approach and Albert Ellis’ REBT favor the emic or the etic approach?