NBCC NCE-ABE - National Counselor Examination

Within the Counseling and Helping Relationships core area, CACREP highlights the importance of empathy and the counselor’s ability to be fully present with the client. Empathic attunement refers to:

Deeply tuning in to the client’s emotional experience,

Staying present with the client without judging, fixing, or overanalyzing,

Conveying understanding and acceptance of the client’s internal world.

Active listening (option B) involves attending behaviors and reflective responses, but empathic attunement specifically emphasizes nonjudgmental presence and emotional resonance with the client’s experience. Interpretation (option A) involves analyzing or offering meanings, which is the opposite of simply sitting with the experience. Integration (option C) refers more broadly to combining insights or aspects of the self, not this particular stance.

In the Group Counseling and Group Work core area, CACREP-based training and the NCE require familiarity with stages of group development (often described similarly to forming, storming, norming, performing):

Stage I (Initial/Forming/Orientation):

Members are cautious, tentative, and dependent.

They often ask many questions of the leader.

The group may be quiet or withdrawn as members test safety and structure.(These correspond to options B, C, and D.)

Stage II (Transition/Storming/Conflict):

Characterized by anxiety, resistance, and control issues.

Members may challenge the leader or one another.

Open disagreement, power struggles, and expressions of frustration are common.

Therefore, the clearest indicator that the group is in Stage II is when members openly express disagreement with the leader, reflecting conflict and challenge—hallmarks of the transition/storming stage.

Thus, A is correct.

In the Assessment and Testing core area, CACREP highlights the importance of understanding test limitations, response biases, and sources of error in measurement—especially when using self-report instruments.

A major concern with self-report is social desirability responding, where individuals intentionally or unintentionally answer in ways that:

Present themselves in a more favorable light

Conform to perceived expectations or norms

Minimize or hide behaviors or attitudes that might be viewed negatively

This bias can seriously affect the accuracy of self-report measures when they are used as criterion measures (standards against which other instruments are validated).

Homogeneity of variance (A) is a statistical assumption, not a specific self-report response bias.

Halo effect (B) is more commonly associated with rater bias (e.g., supervisor ratings), not with standardized self-report questionnaires.

Type I error (C) is a statistical concept (rejecting a true null hypothesis), again not a specific behavioral response style in self-report.

Thus, the most relevant and problematic issue when using self-report as a criterion measure is D. Social desirability responding.

Within the CACREP core area of Counseling and Helping Relationships, students are expected to understand major counseling theories, including psychodynamic concepts such as defense mechanisms. In classical and contemporary psychodynamic theory, defense mechanisms are defined as automatic psychological processes that protect an individual from anxiety or internal/external stressors by distorting, denying, or falsifying reality.

A key feature taught in counselor education is that defense mechanisms:

Are involuntary and automatic (not under conscious control),

Function to reduce anxiety and protect self-esteem, and

Operate primarily at the unconscious level of awareness.

Therefore:

Conscious (A) is incorrect because, if a person is fully aware they are distorting reality, it is not considered a classic defense mechanism.

Subconscious (C) and preconscious (D) are sometimes used colloquially, but in counseling theory aligned with NCE content, the standard wording emphasizes that defenses operate unconsciously.

Because defense mechanisms deny or distort reality and operate unconsciously, B (unconscious) is the correct answer.

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).

In the Human Growth and Development core area, CACREP includes understanding theories of human needs, such as Maslow’s hierarchy. According to this framework:

When individuals are under significant financial stress, their basic needs (e.g., housing, food, safety, security) are threatened.

Under such conditions, people are more likely to be preoccupied with survival-level concerns (physiological and safety needs) than with higher-order needs such as development, self-exploration, or complex interpersonal growth.

Options A, B, and C refer to important but higher-level needs relative to basic survival and security. In the presence of acute financial stress, clients understandably prioritize D. Survival needs.

In the Assessment and Testing core area, CACREP requires that counselors understand:

The use of diagnostic classification systems (such as DSM),

The difference between identity or behavior and a mental disorder, and

The central role of distress or impairment in making a diagnosis.

For gender dysphoria, diagnostic criteria emphasize that:

A person may experience incongruence between their experienced/expressed gender and assigned sex,

However, this incongruence alone is not sufficient for a mental health diagnosis,

A diagnosis is appropriate only when the experience is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Evaluating the options:

A. Considering surgical reassignment – Not required for diagnosis. Many individuals with gender dysphoria may never seek surgery.

B. Strong dislike for their anatomy – This can be one feature, but by itself does not justify a diagnosis without associated distress or impairment.

C. Desire for secondary sexual characteristics of another gender – Again, this can be part of the experience but is not sufficient alone to meet diagnostic criteria.

D. There was clinically significant distress. – This is the essential condition across DSM diagnoses: the symptoms must cause clinically significant distress or impairment. Without that, a formal diagnosis of gender dysphoria should not be made.

Therefore, the counselor would only diagnose gender dysphoria if D (there was clinically significant distress) is present.

In the Counseling and Helping Relationships core area, CACREP emphasizes the importance of Rogers’ core conditions: empathy, genuineness (congruence), and unconditional positive regard.

Unconditional positive regard is the counselor’s nonjudgmental acceptance of the client as a person, without placing conditions on their worth or requiring them to think, feel, or behave in specific ways in order to be accepted.

In this scenario, the counselor continues to work with the client without insisting that they confess, change their choice, or think differently, which directly reflects unconditional positive regard.

Empathy (B) is understanding and feeling with the client; congruence (C) is the counselor being genuine; fidelity (D) is about loyalty and keeping commitments as an ethical principle. The description most clearly matches A. Unconditional positive regard.

Within the Research and Program Evaluation core area, counselors are expected to understand how different research designs relate to questions of causality. Experimental designs are identified as the primary method for examining cause–effect relationships because they:

Use manipulation of an independent variable

Include control or comparison groups

Often use random assignment to reduce bias

Descriptive and correlational designs can show associations or describe variables but cannot establish causation because they do not control for alternative explanations in the same way. Therefore, consistent with CACREP’s emphasis on understanding experimental methods as the standard for testing causal hypotheses, the correct answer is D. An experimental design.

In the Assessment and Testing core area, CACREP expects counselors to distinguish between different categories of instruments, including interest inventories, personality tests, aptitude tests, and self-concept measures.

Interest inventories are designed to assess a person’s likes and dislikes regarding activities, subjects, and occupations. They are widely used in career counseling to help people explore suitable fields based on what they enjoy.

They directly ask about preferences—which is exactly what the question describes.

Why the others are not best:

Likert-type scale (B): This is a response format (e.g., strongly agree to strongly disagree), not a type of test by itself. It can be used in many kinds of instruments (attitudes, beliefs, etc.).

Self-concept inventory (C): Focuses on how people see themselves (self-image, self-worth), not primarily on their likes and dislikes about activities or careers.

Projective technique (D): Uses ambiguous stimuli (inkblots, drawings, etc.) to explore personality dynamics, not straightforward preference ratings.

Therefore, an instrument that indicates likes and dislikes is A. An interest inventory.