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National Counselor Examination (NCE) Practice Test

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About the National Counselor Exam

The National Counselor Examination (NCE) is an exam that tests your knowledge of entry-level counseling. In many US states, you need to pass this exam to get a counselor license.

The exam is run by the National Board for Certified Counselors (NBCC). The NBCC provides information about the NCE on its website at www.nbcc.org/exams/nce.

A pass on the NCE exam or a pass on the National Clinical Mental Health Counseling Examination (NCMHCE) is also a requirement for National Certified Counselor (NCC) certification.

About these practice questions

These practice questions will help prepare you for the National Counselor Exam.

This page contains 200 practice questions divided into the six sections of the exam: 1. Professional Practice and Ethics, 2. Intake, Assessment, and Diagnosis, 3. Areas of Clinical Focus, 4. Treatment Planning, 5. Counselling Skills and Interventions, and 6. Core Counselling Attributes.

All questions have been carefully designed to mimic the questions on the real exam, to help you prepare and get a passing grade.

Sections

  1. Professional Practice and Ethics
  2. Intake, Assessment, and Diagnosis
  3. Areas of Clinical Focus
  4. Treatment Planning
  5. Counselling Skills and Interventions
  6. Core Counselling Attributes

Section 1: Professional Practice and Ethics

1.1) What is the term for how well a test measures what it should?
  1. Integrity
  2. Reliability
  3. Standardization
  4. Validity
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1.2) If the results of a test show scores that plot out to be positively skewed, you would find:
  1. equal numbers of low and high scores
  2. low scores only
  3. more high scores than low scores
  4. more low scores than high scores
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1.3) John scores 83/100 on a test. Marisa fails to show up for the test and receives the minimum score of 0/100. What type of scale is the test using?
  1. Interval
  2. Nominal
  3. Ordinal
  4. Ratio
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1.4) Which of these is a client right?
  1. The right of a guarantee of a specific outcome
  2. The right to ask about the counsellor's qualifications
  3. The right to contact the counselor at any time
  4. The right to refuse payment for services rendered
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1.5) A counselor has made an error in a client's clinical record. The counselor should:
  1. append the record with the correct information
  2. cross out the inaccurate information several times so it is no longer readable
  3. destroy the original record and rewrite it with the correct information
  4. keep the record as is and do nothing
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1.6) A client tells you that his coworkers regularly steal money from the cash register. What is the best action to take?
  1. Advise the client of possible actions he could take
  2. Tell the owner of the business what is happening
  3. Tell the police
  4. Terminate the client
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1.7) Which of these statements about counseling charges is true?
  1. Clients should be told the cost of counseling before counseling begins
  2. Counselors must accept insurance
  3. Long-term clients should pay a reduced rate
  4. Once the price for counseling is agreed on, it must never change
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1.8) A counselor works employed at a county agency and also runs her own private practice. She sends clients with good insurance from the county agency to her private practice. This counselor is:
  1. acting unethically
  2. engaging in a dual relationship
  3. following the standard procedure
  4. practicing beyond her scope of practice
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1.9) The duty to warn conflicts with a client's right to:
  1. confidentiality
  2. informed consent
  3. non-discrimination
  4. safety
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1.10) Informed consent would give the client the right to know which of the following?
  1. The counselor's fees
  2. The counselor's home address
  3. The counselor's religion
  4. The counselor's sexual orientation
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1.11) Which of these would be a valid reason for a counselor to refuse to treat a client?
  1. The client has a drug addiction
  2. The client is already seeing another counselor
  3. The client is the counselor's nephew
  4. The client wants to meet only once a month
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1.12) What should you do if a client sends you a friend request to your personal Facebook account?
  1. Accept the request and send the client a thank you message
  2. Accept the request but add the client to your Facebook restricted list
  3. Decline the request
  4. Only accept if you are sure the client is okay with it
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1.13) As a counselor, what is the best defense against lawsuits?
  1. Following standards of practice
  2. Letting the client guide the sessions
  3. Putting the client's needs before your own needs
  4. Using questionnaires to diagnose the client
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1.14) A client says he is going to shoot up a school. Your main concern should be:
  1. avoiding a lawsuit
  2. maintaining confidentiality
  3. protecting the public
  4. staying within ethical considerations
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1.15) In which of these situations can a counselor break confidentiality?
  1. When a client has died and a family member wants to know what happened
  2. When a client reports having occassional thoughts about suicide
  3. When the counselor receives a court order
  4. When the counselor's supervisor wants to know about the client
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1.16) A situation where multiple roles exist between a counselor and a client is called a:
  1. dual relationship
  2. multiple-role situation
  3. multiplex relationship
  4. variable-role situation
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1.17) Which law protects the privacy of counseling records?
  1. Americans with Disabilities Act (ADA)
  2. Health Insurance Portability and Accountability Act (HIPAA)
  3. Medicaid
  4. Occupational Safety and Health Act (OSHA)
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1.18) Which of the following best describes informed consent?
  1. Developing a structure that allows for everyone's ideas to be heard
  2. Having members decide upon all the activities of the group
  3. Having members sign a contract before joining the group
  4. Telling members about the nature and purpose of the group
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1.19) The highest level of confidentiality is found in:
  1. directed groups
  2. heterogeneous groups
  3. homogeneous groups
  4. individual counseling
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Section 2: Intake, Assessment, and Diagnosis

Section 3: Areas of Clinical Focus

Section 4: Treatment Planning

Section 5: Counselling Skills and Interventions

Section 6: Core Counselling Attributes

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