NCE Practice Exam Flashcards
(154 cards)
One family structure that is on the rise in the United States is the:
a. blended family.
b. multigenerational family.
c. single-parent family.
d. homosexual family.
b. multigenerational family.
One of the fastest-growing trends in family structures is the multigenerational family, in which the grandparents are raising
their grandchildren. They, instead of the children’s biological parents, are parenting the grandchildren. Blended families have
been around for decades, as have single-parent families. The homosexual family is an acknowledged family structure but is
not one of the fastest-growing trends in family structures
A counselor may decide to administer a number of psychological tests in order to:
a. better understand the client.
b. predict future performance.
c. evaluate the outcomes of counseling.
d. all of the above.
d. all of the above.
If a counselor decides to administer a psychological test, most likely the counselor wants to understand the client more fully.
The counselor may want to predict the future performance of a client. Or the counselor may want to evaluate the outcomes of
treatment. A psychological test provides a means to look at these issues objectively and concretely.
When working with prospective employers about hiring those with mental disabilities, an employer asks the counselor if
it is legal to ask potential employees if they are disabled during the initial interview. Which of the following is the best
response?
a. “Yes, you can ask if the person has a disability that may affect the job.”
b. “You can ask if the person has any disability.”
c. “You may ask only if the person can perform job functions.”
d. “You may ask only if there are job-related functions the person cannot do.”
c. “You may ask only if the person can perform job functions.”
If, when working with prospective employers about hiring those with mental disabilities, an employer asks the counselor if it is
legal to ask potential employees if they are disabled during the initial interview, the best response is: “You may ask only if the
person can perform job functions.” If the individual is able to carry out the job functions, the individual is under no obligation
to provide information about a disability. However, the individual may choose to divulge a disability and ask for workplace
accommodations.
Josie likes to play peek-a-boo with her little brother, Jack. According to Piaget, Jack finds this game fun because he has
not yet acquired ____________, which is one of the primary tasks of the sensorimotor stage of cognitive development.
a. conservation
b. dual representation
c. object permanence
d. reversibility
c. object permanence
Piaget proposed that there are four stages of cognitive development. The first stage is the sensorimotor stage, whereby the
infant or toddler recognizes that even though something is out of sight, it still exists (object permanence). Without object
permanence, games such as peek-a-boo are fun to the child who believes the individual has temporarily disappeared, then
reappears. Piaget’s second stage of cognitive development is the preoperational stage (early childhood years) in which
children begin to recognize that something can be an object as well as a symbol (dual representation). The third stage of
cognitive development according to Piaget is called the concrete operational stage, during which children 6 to 11 years old
develop the capacity of both conservation (object permanence, or the understanding that physical characteristics of objects
remain the same even if the appearance is different) and reversibility (the ability to think through a series of steps and then to
reverse the process mentally).
The Rorschach, TAT, and Rotters Incomplete Sentences are all:
a. projective tests.
b. observational tests.
c. rating scales.
d. standardized personality tests.
a. projective tests.
The Rorschach is an inkblot test. The TAT (Thematic Apperception Test) is a storytelling test. The Rotters Incomplete
Sentences test is a finish-the-sentence test. All of these tests are projective tests because they ask test takers to project their
own thoughts and ideas into the stimuli to complete the answers. The test takers come up with their own answers freely
without any suggestions or information being provided by the examiner except the stimuli. Rating scales are typically used to
describe various dimensions of behavior across a number of different situations or environments. Standardized personality
tests include the MMPI-II and CPI, among others. Observational tests would typically involve the examiner observing the test
takers’ behavior across environments or situations.
Styles of group leadership have been described as all EXCEPT:
a. autocratic.
b. effective.
c. democratic.
d. laissez faire
b. effective.
Effective is NOT a term used to describe a group leader style. (It is, however, a term used in Virginia Satir’s A-B-C-D-E family
therapy model to describe a healthy way of interacting.) Group leadership styles are described as autocratic or authoritarian,
democratic, or laissez faire. The autocratic style may not be liked by group members, but is best for making quick decisions.
The democratic style may be liked better by group, but is not always the most productive. With a cohesive, committed group,
the laissez faire style often gets superior results.
The withdrawal of reinforcement until the conditioned response no longer occurs is known as:
a. extinction.
b. elimination.
c. discrimination.
d. punishment
a. extinction.
When Person A wants to eliminate a previously conditioned response in Person B, Person A withholds any reinforcement
when the response occurs so that Person B no longer elicits the behavior. This is known as extinction. Discrimination occurs
in classical and operant conditioning when a person learns to respond to only specific stimuli, while not responding to other
similar stimuli. The person learns to distinguish between similar stimuli. “Punishment” is also a term associated with operant
conditioning. It is a behavior modification technique that is used to decrease the probability that a particular behavior will
occur again. Punishment can be either the presentation of an aversive stimulus or the taking away of a positive stimulus.
Elimination is not a technique utilized in classical and operant conditioning.
During the working stage of the group, the leader’s role is to:
a. establish a trusting climate.
b. provide a role model.
c. deal with feelings.
d. support risks.
d. support risks.
The leader serves as a role model during the transition stage of the group, as well as establishing a trusting climate for the
group, providing support, and addressing resistances and anxiety. During the termination stage, the leader’s role is to deal
with feelings, reinforce changes, and help members make plans. During the orientation stage, the leader’s role is to help
identify goals and structures and begin the modeling process. The leader in the working stage provides reinforcement, links
themes, supports risks, and encourages translating insight into action.
Jeremy is a counselor. He believes in mirroring back his client’s verbalizations, and not passing judgment on what they
say. Jeremy considers himself a facilitator in assisting his client in reaching resolution of the presenting problems. What
type of therapeutic theory is Jeremy working from?
a. Freudian psychoanalysis
b. Behavioral theory
c. Rogerian, client-centered therapy
d. Jung’s client-guiding theory
c. Rogerian, client-centered therapy
Carl Roger’s client-centered approach to therapy mirrors back what the patient is saying, guiding him/her to clearer selfunderstanding. Rogers believed in freeing clients from obstacles to growth, and aiding them in becoming independent, selfdirected individuals. This type of therapy involves a therapist who is more facilitator than director, and only guides clients in
making their own decisions. The Rogerian approach involves a positive outlook and high degrees of respect for the client.
This type of therapy works well with many types of cases, but is often not the best choice for more severe disorders, such as
schizophrenia or other organic disorders.
Which of the following screening tools for alcohol abuse include questions about socioeconomic status and
psychological needs as well as the use of addictive substances?
a. CAGE (alcohol abuse tool)
b. Alcohol Use Disorders Identification Test (Modified) (AUDIT-C)
c. Addiction Severity Index (ASI)
d. Alcohol Use Disorders Identification Test (AUDIT)
c. Addiction Severity Index (ASI)
The Addiction Severity Index (ASI) includes questions about socioeconomic status and psychological needs as well as the
use of addictive substances. The CAGE tool is a 4-questions self-assessment of alcohol use. The CAGE-AID tool is similar but
includes the use of drugs. The Alcohol Use Disorders Identification Test (AUDIT) includes 10 questions about drinking habits
and how it affects the client’s life. AUDIT-C is a 3-question modification of the AUDIT.
The Minnesota Importance Questionnaire is used:
a. for those reading at an eighth grade level or higher.
b. in the context of vocational counseling.
c. with groups only.
d. with individuals only
b. in the context of vocational counseling.
The Minnesota Importance Questionnaire (MIQ) is a useful tool in vocational counseling. The MIQ measures twenty
psychological needs and six underlying values as related to work satisfaction, and it includes 185 occupations. The six values
from which the needs are derived are achievement, comfort, status, autonomy, safety, and altruism. The test is a paper-andpencil inventory, gender neutral, and appropriate for those who are reading at a fifth-grade level or higher. It can be
administered to groups or individuals. A Spanish language edition of the MIQ is also available
Which of the following is a good example of a standardized test?
a. A checklist
b. A rating scale
c. A structured, scored test
d. An open-ended interview
c. A structured, scored test
A test with a structured procedure for administration and a specified scoring system is a better example of a standardized
test. A checklist, a rating scale, or an open-ended interview are all good examples of non-standardized tests as they have no
formalized or routinized directions for administering or scoring them.
A client with catatonic schizophrenia has sat in the same chair with the right arm extended for an hour after the phlebotomist extended the arm for a blood draw. This is an example of which of the following?
a. Posturing
b. Waxy flexibility
c. Anergia
d. Mimicry
b. Waxy flexibility
If a client has sat in the same chair with the right arm extended for an hour after the phlebotomist extended the arm for a
blood draw, this is an example of waxy flexibility, a psychomotor behavior associated with schizophrenia with catatonia. With
waxy flexibility, the client maintains a position initiated by someone else (such as the phlebotomist). This differs from posturing
in that, with posturing, the client voluntarily assumes abnormal or bizarre postures.
If a mental health client is making statements that seem to be based on delusional thinking, such as “My doctor is
constantly flirting with me,” the best way to express doubt is by which of the following statements?
a. “I don’t believe that.”
b. “You must be kidding!”
c. “Are you telling me the truth?”
d. “That’s hard to believe.”
d. “That’s hard to believe.”
If a mental health client is making statements that seem to be based on delusional thinking, the best way to express doubt is, “That’s hard to believe.” This statement is not overtly challenging but does avoid reinforcing false beliefs and may help to
undermine the client’s faulty belief system. The counselor should avoid arguing with the client or directly confronting the client’s false statements, as this is rarely effective, but should remain calm and try to reset reality.
When counseling a client who is self-identified as a lesbian and whom the counselor believes is marginalized, which of
the following should be the first step?
a. Outline the ways in which the client may be marginalized
b. Determine if the client feels marginalized
c. Guide the client to becoming more aware of being marginalized
d. Explore how marginalization has affected the client’s life
b. Determine if the client feels marginalized
When counseling a client who is self-identified as a lesbian and whom the counselor believes is marginalized, the first step
should be to determine if the client feels marginalized. It’s important to avoid making assumptions about others. If the client
does not feel marginalized, then focusing on marginalization may avoid the real issues that are concerning the client and may,
in fact, increase the client’s level of stress by introducing new areas of conflict that the client had not previously experienced.
When counseling a client with PTSD, what advice should the counselor advise the client to follow?
a. Try to avoid thinking about the traumatic experience
b. Avoid all stressful social situations
c. Talk about problems with support people
d. Stay alert at all times
c. Talk about problems with support people
When counseling a client with PTSD, the counselor should advise the client to talk about problems with support people, such
as close friends, family, or members of a support group. Avoidance strategies usually work for only limited periods of time and
are not helpful in recovery because the client is not dealing effectively with the issue. Clients with PTSD can practice
relaxation techniques as well, but they may need to do so in small increments of time initially
The counselor is assisting with a research study in which half of the subjects are given medication and the other half
given sugar pills. Neither group knows which pills contain medication, yet many who receive the sugar pills repeatedly
report positive effects from taking them. What would account for this?
a. Transference
b. The placebo effect
c. The Hawthorne effect
d. Research bias
b. The placebo effect
A placebo is a substance that is generally used in one of two ways. It can be used as a control in an experiment to determine
the true effectiveness of a medication. A placebo can also be used as a substitute for a medication, and is meant to work based on the expectation of the subject using the placebo. Many studies have shown that giving a placebo is preferable to
providing no treatment at all, and that many patients favorably respond to placebos. Some professionals believe that the use of placebos is unprofessional, and its use in psychotherapy is controversial. However, even though not completely
understood, it has been shown to be beneficial in some cases.
A parent stops the counselor and asks, “Could you tell me what is wrong with the client across the hall from my son?
He seems so agitated.” Which of the following responses complies with the Health Insurance Portability and
Accountability Act (HIPAA)?
a. “The law doesn’t allow me to give out any information about clients in order to protect their privacy and
safety.”
b. “His mother is in the lounge. You can go ask her.”
c. “Why are you asking?”
d. “He has bipolar disease, like your son.”
a. “The law doesn’t allow me to give out any information about clients in order to protect their privacy and
safety.”
“The law doesn’t allow me to give out any information about clients in order to protect their privacy and safety” is accurate and appropriate. The Health Insurance Portability and Accountability Act (HIPAA) addresses the privacy of health information.
It is essential to never release any information or documentation about a client’s condition or treatment without consent. Personal information about the client is considered protected health information (PHI), and it includes any identifying or personal information about the client, such as health history, condition, or treatments in any form, and any documentation.
Failure to comply with HIPAA regulations can make one liable for legal action.
What does multicultural/diversity counseling refer to?
a. Counseling that recognizes diversity and approaches beneficial to specific groups
b. Counseling that attempts to minimize the cultural aspects of particular groups
c. An approach that all counselors should ethically be aware of
d. Both A and C
d. Both A and C
It is expected that all counselors respect diversity in their clients and educate themselves as to the individualistic needs of the
clients as affected by such concepts as social identity, history, and economic and political issues, as relevant to particular
cultures. Respect for individual cultures and knowledge of their unique and special features are necessary for a counselor to
responsibly and ethically provide competent service to their clients.
In a support group, one client monopolizes the conversation, talking about the same problems over and over and preventing others from participating. The counselor has spoken with the client privately about the importance of allowing others to speak and not interrupting others, but the behavior persists. Which of the following is the most
effective response?
a. “Remember what we discussed about your interrupting other group members.”
b. “Please stop interrupting other members when they are trying to speak.”
c. “When you interrupt others, I’m concerned that some group members are unable to participate.”
d. “You’ve already expressed your feelings about this topic many times.”
c. “When you interrupt others, I’m concerned that some group members are unable to participate.”
If one client monopolizes the conversation in a support group, talking about the same problems over and over and preventing
others from participating, and speaking privately about the matter to the client did not change the client’s behavior, the most
effective response focuses on the results of the action rather than blame: “When you interrupt others, I’m concerned that
some group members are unable to participate.” Many groups include members who tend to monopolize the communication
until other members become angry and/or exasperated.
Ann Roe believed that all EXCEPT which of these elements influence occupational selection?
a. Genetic factors
b. Environmental influences
c. Parent-child relationships
d. Cognitive development
d. Cognitive development
Cognitive development was NOT identified as a major determinant in Ann Roe’s theory, which is a needs-based approach. She believed that occupational selection is a function of the needs developed by a child, whose structure were influenced by
a combination of genetics, environmental experiences, and interactions between the parents and the child. Career development as a part of cognitive development is more closely identified with Tiedeman, O’Hara, and Miller-Tiedeman’s
decision-making model of career development.
Interpersonal therapy is generally most effective for which of the following?
a. Depressive episodes associated with specific situations
b. Major depressive episodes
c. Depressive episodes associated with bipolar disorder
d. Depressive episodes associated with PTSD
a. Depressive episodes associated with specific situations
Interpersonal therapy is generally most effective for depressive episodes associated with specific situations (such as grief)
and is usually of short duration (six 20-minute sessions). During therapy, the focus is on one issue, such as conflicts, changing roles, or grief. The client is helped to develop specific goals, and the therapist confronts the client when the client’s behavior
does not facilitate reaching these goals. Clients are encouraged to remain focused on the problem and to associate concrete feelings rather than abstract feelings.
What are some common criticisms of Rogerian therapy?
a. It doesn’t take developmental stages into account
b. It assumes that people are basically good and healthy
c. It may be inappropriate for some type of mental illness
d. All of the above
d. All of the above
There are several criticisms of Rogerian therapy. One common criticism is that while Carl Rogers does take the unconscious
into account in his writings, he doesn’t give it enough emphasis. Likewise, Rogers doesn’t incorporate information relative to
developmental stages into his therapy. Rogers is also sometimes criticized because his therapeutic method is not appropriate
for use with some types of mental illness. For example, some individuals may not have the ability for self-expression, or feel
anxiety for their actions. Rogers’ theory also assumes that people are basically good and healthy, so application with clients
who are particularly violent or lacking in personal or social conscience may be difficult.
__________________ is a disorder of thought, unlike _________________, which is a disorder of mood.
a. Borderline; conduct disorder
b. Conduct disorder; depression
c. Bipolar disorder; schizophrenia
d. Schizophrenia; bipolar disorder
d. Schizophrenia; bipolar disorder
Bipolar disorder is primarily a mood disorder, while schizophrenia is characterized more by disordered thought patterns.