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NBCC NCE-ABE Exam Syllabus Topics:

NBCC National Counselor Examination Sample Questions:

1. A client comes to you for counseling because they identify with a gender that is not typically associated with their sex at birth. This could be diagnosed as gender dysphoria. A counselor would only make this diagnosis if

A) The client was considering surgical reassignment.
B) The client showed a desire for the secondary sexual characteristics of another gender.
C) There was clinically significant distress.
D) The client exhibited a strong dislike for their anatomy.

2. 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) Maintain confidentiality to protect the therapeutic relationship.
B) Review palliative care medications.
C) Seek consultation or supervision from professional and legal parties.
D) Inform the client's family immediately to discuss next steps.

3. A client is an 85-year-old male who is in declining health. He has had a recent heart attack and his cardiologist recommended counseling. The client reports being divorced for 10 years and estranged from his adult children. He presents as mildly depressed with a limited range of emotional expression. He says he has accepted the loss of family relationships while recounting all he did to provide for his family. He expresses some fears about dying alone and wonders aloud about how much time he has left. An important focus of counseling with this client would be which of the following?

A) Developing and expanding support networks
B) Repairing family relationships
C) Reviewing will and health care directives
D) End-of-life issues

4. What diagnostic criteria would a counselor consider while assessing the severity of intellectual disability of a seven-year-old client?

A) Pressured speech
B) Genetic factors
C) Concept formation
D) Agitation

5. An adult helps a child notice their feelings by engaging in dialogue about the effects of the child's misbehavior on others. This is a form of which of the following disciplines?

A) Intermittent reinforcement
B) Inductive approach
C) Deductive approach
D) Operant conditioning

Solutions: