NCE National Counselor Exam Prep 4

Question 1

Piaget's concrete operational stage is characterized by:

Accepted Answer

Logical thinking applied to concrete objects and reversibility

Answer

Object permanence and sensorimotor exploration

Answer

Abstract hypothetical reasoning

Answer

Symbolic play and egocentrism

Question 2

Which of the following best describes 'countertransference'?

Accepted Answer

The therapist's emotional reactions to the client, often rooted in the therapist's own history

Answer

The client projecting feelings onto the therapist

Answer

A technique used to challenge cognitive distortions

Answer

The transfer of learned behaviors to new situations

Question 3

In classical conditioning, 'extinction' occurs when:

Accepted Answer

The conditioned stimulus is repeatedly presented without the unconditioned stimulus

Answer

A conditioned stimulus is paired with a new unconditioned stimulus

Answer

The conditioned response is reinforced on a variable schedule

Answer

Punishment is applied to eliminate a behavior

Question 4

A counselor working with a terminally ill client uses Kübler-Ross's model. Which stage is correctly matched?

Accepted Answer

Acceptance — feeling a sense of peace and readiness

Answer

Bargaining — refusing to accept the diagnosis

Answer

Anger — making deals with God or fate

Answer

Depression — blaming others for the illness

Question 5

Which statistical concept indicates the percentage of variance in one variable explained by another?

Accepted Answer

Coefficient of determination (r²)

Answer

Standard error of measurement

Answer

Standard deviation

Answer

Reliability coefficient

Question 6

The primary goal of motivational interviewing (MI) is to:

Accepted Answer

Help the client resolve ambivalence and strengthen intrinsic motivation to change

Answer

Confront the client's denial directly and forcefully

Answer

Provide behavioral homework assignments to facilitate change

Answer

Identify irrational beliefs that block healthy motivation

Question 7

Under HIPAA, a 'covered entity' in mental health includes:

Accepted Answer

Healthcare providers who transmit health information electronically

Answer

Any employer who provides health insurance

Answer

All social media platforms that host health discussions

Answer

Only inpatient psychiatric hospitals