NCMHCE - National Clinical Mental Health Counseling Examination Lifespan Development in Counseling 4

Question 1

A counselor is working with a client who lost a spouse six months ago and is still experiencing intense grief.
Which Worden task of mourning is most focused on adjusting to an environment without the deceased?

Accepted Answer

Adjusting to the world without the deceased

Answer

Accepting the reality of the loss

Answer

Processing the pain of grief

Answer

Finding an enduring connection while embarking on a new life

Question 2

Which developmental concept describes the discrepancy between a child's current abilities and what they can achieve with guidance from a more skilled partner?

Accepted Answer

Zone of Proximal Development

Answer

Scaffolding

Answer

Object permanence

Answer

Assimilation

Question 3

A 55-year-old male client reports feeling like his life has stalled and he has contributed nothing meaningful. Erikson would view this as unresolved conflict from which stage?

Accepted Answer

Generativity vs. Stagnation

Answer

Intimacy vs. Isolation

Answer

Integrity vs. Despair

Answer

Industry vs. Inferiority

Question 4

Gilligan criticized Kohlberg's moral development theory primarily because it:

Accepted Answer

Was based predominantly on male samples and neglected care-based ethics

Answer

Ignored adolescent development

Answer

Failed to account for cognitive development

Answer

Did not include spiritual or religious reasoning

Question 5

A therapist working with an elderly client uses reminiscence therapy to help integrate life experiences. This approach is most aligned with which theoretical framework?

Accepted Answer

Erikson's ego integrity stage

Answer

Cognitive behavioral therapy

Answer

Object relations theory

Answer

Bowenian family therapy

Question 6

According to attachment theory, an infant who explores freely when the caregiver is present but becomes very distressed when separated and is not easily comforted on reunion displays which attachment style?

Accepted Answer

Anxious-ambivalent (resistant) attachment

Answer

Secure attachment

Answer

Avoidant attachment

Answer

Disorganized attachment

Question 7

A counselor working with a client navigating the 'empty nest' transition would most appropriately frame this using which developmental lens?

Accepted Answer

Midlife transition and role adjustment

Answer

Adolescent identity formation

Answer

Late adulthood integrity review

Answer

Young adult intimacy development