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NBCC National Counselor Examination Sample Questions (Q168-Q173):

NEW QUESTION # 168
After giving a group intelligence test to a sample of students, a counselor found that the mean equaled 110 and the mode equaled 115. The counselor concluded that

Answer: C

Explanation:
Within the Assessment and Testing core area, counselors are expected to understand measures of central tendency (mean, median, mode) and how they relate to the shape of a distribution. When the mode is higher than the mean (mode = 115, mean = 110), this suggests a negatively skewed distribution, meaning that:
* There are some relatively low scores pulling the mean downward.
* The most frequent score (mode) is higher than the average score.
From this pattern, it is reasonable to infer that a few very low scores are present, which is reflected in option A).
* Option B ("most students scored below the mean") is not necessarily true; in skewed distributions, many scores may actually be above the mean.
* Option C (calculation error) is not supported by the information; mean and mode do not have to be equal.
* Option D (high reliability) cannot be inferred from central tendency measures; reliability relates to consistency of measurement (e.g., test-retest, internal consistency), not mean vs. mode relationships.
Thus, the best conclusion consistent with assessment principles is A. A few students showed very low intelligence scores.


NEW QUESTION # 169
A diagnosis of attention-deficit/hyperactivity disorder is

Answer: D

Explanation:
Within the Assessment and Testing core area, counselors are expected to understand the principles of diagnosis, including that mental disorder diagnoses (such as ADHD) are based not only on the presence of symptoms but also on clinically significant impairment in social, academic, or occupational functioning across settings.
* Diagnostic criteria for attention-deficit/hyperactivity disorder specify that symptoms must cause clear evidence of interference with, or reduction in quality of, social, academic, or occupational functioning, and must be present in two or more settings (e.g., home and school). Therefore, a diagnosis is justified primarily when functioning is impaired, which matches Option D.
* ADHD is more commonly diagnosed in males than females, particularly in childhood; thus, Option A is incorrect.
* Although symptoms often begin in early childhood, ADHD is commonly identified after increased demands in school; it is not typically diagnosed before formal schooling, so Option B is incorrect.
* ADHD is associated with a familial pattern of ADHD and related conditions, not specifically with family members having personality disorders, so Option C is incorrect.
Therefore, D is the correct answer because diagnosis must be tied to meaningful impairment in functioning, not just the presence of symptoms.


NEW QUESTION # 170
A counselor asks, "Why don't you try to make yourself stay awake the next time you have insomnia?" What intervention does the question best illustrate?

Answer: A

Explanation:
Within the Counseling and Helping Relationships core area, counselors are expected to understand and apply a range of evidence-based counseling strategies and interventions, including behavioral and cognitive- behavioral techniques for specific problems such as insomnia.
Paradoxical intention is a technique in which the counselor instructs the client to intentionally engage in, or exaggerate, the very symptom they fear or are trying to avoid (in this case, trying to stay awake instead of trying to fall asleep). This counters performance anxiety and reduces the pressure around the symptom.
* Not A (Sleep education): Sleep education focuses on teaching about sleep cycles, sleep hygiene, and lifestyle factors, not instructing clients to do the opposite of their goal.
* Not B (Mirroring): Mirroring is reflecting the client's emotional or verbal content, not giving paradoxical directives.
* Not D (Stimulus control): Stimulus control involves modifying environmental and behavioral cues that signal sleep (e.g., using the bed only for sleep), not asking the client to try to stay awake.
Therefore, the intervention described is best understood as paradoxical intention (C).


NEW QUESTION # 171
Which of the following statements best describes burnout?

Answer: B

Explanation:
Within Professional Counseling Orientation and Ethical Practice, CACREP highlights the importance of counselors understanding impairment, burnout, and self-care-for themselves and in general occupational contexts.
* Burnout is typically defined as a state of emotional, physical, and mental exhaustion that results from chronic work-related or career-related stress, often accompanied by decreased sense of accomplishment and depersonalization.
Option D captures burnout as a phenomenon associated with career-related (occupational) stress, which is the broad, accurate description tested on the NCE.
Options A, B, and C each describe possible symptoms or correlates (hopelessness, confusion, fatigue, illness), but none by themselves constitute the definition of burnout. Burnout is best understood as a syndrome arising from prolonged job stress, making D the best answer.


NEW QUESTION # 172
Counselors use which type of group to help clients emphasize personal growth through increasing awareness, decreasing inhibitions, and exploring interpersonal issues via marathon sessions?

Answer: C

Explanation:
In Group Counseling and Group Work, one of the classic group formats covered is the encounter group (closely related to sensitivity or T-groups). Encounter groups typically:
* Emphasize personal growth and here-and-now interpersonal awareness,
* Aim to decrease inhibitions and increase authenticity and emotional expression,
* Often use intensive or "marathon" sessions to facilitate deep exploration of interpersonal issues.
This description matches encounter groups (A) exactly.
* Psychoanalytic groups (B) emphasize insight into unconscious processes, using interpretation and transference analysis.
* Psychoeducational groups (C) focus on structured teaching of skills or information (e.g., health, coping skills).
* Humanistic (D) is a broader theoretical orientation; many encounter groups are humanistic, but the specific term used for this kind of intensive, awareness-focused marathon group is "encounter group."


NEW QUESTION # 173
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