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NBCC National Counselor Examination Sample Questions (Q56-Q61):

NEW QUESTION # 56
The client uses criticism and gossip about her supervisor as disguised ways of expressing hostility toward her spouse. This illustrates

  • A. Reaction formation.
  • B. Rationalization.
  • C. Displacement.
  • D. Projection.

Answer: C

Explanation:
In the Counseling and Helping Relationships core area, students are expected to understand psychodynamic concepts, including defense mechanisms.
* Displacement occurs when a person redirects emotional reactions (often anger or hostility) from the true source (seen as threatening or unsafe) to a safer or more acceptable target.In this case, the client is actually angry with her spouse but expresses that hostility indirectly toward her supervisor through criticism and gossip. This is classic displacement, making B correct.
* Rationalization (A) is offering excuses or justifications to make unacceptable behavior seem reasonable.
* Reaction formation (C) involves behaving in a way that is opposite to one's true feelings (e.g., being overly nice to someone one dislikes).
* Projection (D) means attributing one's own unacceptable thoughts or feelings to someone else ("He's the one who's angry, not me").
Only B matches the described pattern.


NEW QUESTION # 57
What is the best diagnosis for a 40-year-old client who reports feeling hopeless and worthless, difficulty concentrating, and suicidal ideation nearly every day for the past two weeks, and who previously experienced the same symptoms as a traditionally-aged college student?

  • A. major depressive disorder, single episode
  • B. persistent depressive disorder
  • C. bipolar I disorder
  • D. major depressive disorder, recurrent

Answer: D

Explanation:
In the Intake, Assessment and Diagnosis domain, counselors are expected to gather history, duration, and prior episodes of symptoms to determine the most accurate diagnosis using established diagnostic criteria (e.
g., DSM-5-TR depressive disorders).
* The client currently meets criteria for a major depressive episode: hopelessness, worthlessness, impaired concentration, and suicidal ideation occurring nearly every day for at least two weeks.
* The question also states the client previously experienced the same symptoms during college. This history of a prior major depressive episode means the current presentation is not a single episode but part of a pattern of recurring episodes.
Therefore, the appropriate diagnosis is:
* A. major depressive disorder, recurrent
Why the other options are not the best fit:
* B. major depressive disorder, single episode - incorrect because the client has had more than one episode (current plus college years).
* C. persistent depressive disorder - this requires a chronic depressed mood over at least two years, typically less episodic and more continuous than what is described.
* D. bipolar I disorder - requires at least one manic episode; there is no indication of manic or hypomanic symptoms.
Accurately distinguishing between single-episode and recurrent disorders reflects the counselor's responsibility to integrate symptom history and duration into a diagnostic formulation, as emphasized in the NBCC work behavior expectations for assessment and diagnosis.


NEW QUESTION # 58
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. Inhibited cognitive and emotional growth due to low stimulation
  • C. Decreased experience with attending behaviors
  • D. Indiscriminate attachments to adults due to lack of attachment

Answer: B

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 # 59
In analyzing potential statistically significant differences among three or more sample means, a counseling researcher would use

  • A. A f-test.
  • B. A discriminant function analysis.
  • C. An analysis of variance.
  • D. A multiple regression analysis.

Answer: C

Explanation:
In the Research and Program Evaluation core area, counselors are expected to understand basic inferential statistics used in counseling research. When comparing three or more group means (for example, mean scores for three different treatment conditions), the standard procedure taught for the NCE is:
* Use analysis of variance (ANOVA), which tests whether there are statistically significant differences among three or more group means.
* ANOVA uses an F statistic internally, but the name of the procedure for comparing multiple means is
"analysis of variance."
Option A (f-test) refers to the test statistic used in ANOVA, but in counseling research courses and NCE exam language, the procedure is properly identified as ANOVA, not simply "an F-test." Option C (discriminant function analysis) is used to predict group membership from a set of predictors, not to test mean differences among groups.
Option D (multiple regression) evaluates the relationship between one dependent variable and multiple predictors, not the difference among three or more group means.
Therefore, when a counseling researcher wants to test for significant differences among three or more sample means, the appropriate method is B. An analysis of variance.


NEW QUESTION # 60
When Rogers's statement "What is most personal is most general" is applied in a group counseling context, it is called

  • A. Generalization
  • B. Projection
  • C. Transference
  • D. Universalization

Answer: D

Explanation:
In the Group Counseling and Group Work core area, counselors learn about therapeutic factors in groups
, such as universality/universalization.
* In groups, when an individual shares something deeply personal and then discovers that others have similar feelings or experiences, members realize that what feels "most personal" is often shared and common.
* This experience is called universality or universalization-the recognition that "I am not alone in this." This directly reflects Rogers's idea that what is most personal is also most general, and in group work that concept is labeled universalization (B).
Projection (A) involves attributing one's own unacceptable feelings to others. Transference (C) involves transferring feelings from past significant relationships onto the counselor or group members. Generalization (D) is a learning principle, not the specific group therapeutic factor being referenced here.
Thus, the correct term in group counseling for Rogers's idea in this context is B. Universalization.


NEW QUESTION # 61
......

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