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NBCC National Counselor Examination Sample Questions:

1. 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

2. In setting up a behavior change program, a behavioral counselor would not be concerned about:

A) Previous research on the concern.
B) Contingency management.
C) A baseline of behavior.
D) Self-actualization.

3. Which of the following is consistent with a strengths-based approach that can improve the client's ability to attain goals?

A) Discover and utilize client resources and resilience.
B) Recognize the effects of social structures on the client.
C) Strengthen the client's perceived self-worth.
D) Reward the client for challenging negative thoughts.

4. What would a counselor do if an individual client in treatment for anxiety began following a new weight loss plan of diet and exercise?

A) Affirm the client's body size and health goals to meet the client where they are.
B) Utilize behavior therapy to support the client in achieving new goals.
C) Assess for an eating disorder and other concerns from a weight-neutral stance.
D) Determine if weight loss is needed before responding.

5. The reality therapy approach to counseling stresses that the counselor must assume which role?

A) A partner who helps the client accept behavioral responsibility
B) A parental surrogate who can provide behavioral guidance
C) A consultant who can solve the client's problems
D) An effective listener who can sort out the client's problems

Solutions: