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NBCC National Counselor Examination Sample Questions (Q193-Q198):

NEW QUESTION # 193
Which Holland personality type should be assigned to a person who enjoys engaging in verbal persuasion to gain power and social status?

A. Realistic
B. Social
C. Enterprising
D. Conventional

Answer: C

Explanation:
Holland's theory of vocational personalities describes the Enterprising type as someone who enjoys leading, persuading, selling, influencing others, and seeking status or power. These individuals often gravitate toward roles involving management, politics, sales, or entrepreneurship.
Option A (Enterprising) matches the description of a person who enjoys verbal persuasion to gain power and social status.
* Realistic (B) types prefer hands-on, practical activities.
* Conventional (C) types prefer structured, orderly, detail-oriented tasks.
* Social (D) types enjoy helping, teaching, and supporting others more than seeking power or status.
Understanding Holland's types is part of career and vocational conceptualization, which falls under Areas of Clinical Focus in the NBCC Counselor Work Behavior Areas.

NEW QUESTION # 194
A client comes to you for counseling because they identify with a gender that is not typically associated with their sex at birth. This could be diagnosed as gender dysphoria. A counselor would only make this diagnosis if

A. There was clinically significant distress.
B. The client was considering surgical reassignment.
C. The client showed a desire for the secondary sexual characteristics of another gender.
D. The client exhibited a strong dislike for their anatomy.

Answer: A

Explanation:
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.

NEW QUESTION # 195
Which of the following would be the most appropriate approach for the counselor to use to help the client clarify vague descriptions of depression and existential concerns?

A. Use active-listening skills to help the client to be more competent in describing the problem.
B. Generate and discuss possible antecedents of depression for the client to consider and evaluate.
C. Confront the client's inconsistency between feelings of depression and lack of explanation of those feelings.
D. Challenge the client to establish a structure with which the client can organize life values.

Answer: A

Explanation:
When a client presents vague descriptions of depression and existential concerns, the first task is to clarify and deepen understanding of the client's experience. The counselor should use core counseling micro-skills
, especially:
* Attentive listening
* Reflections of feeling and content
* Clarification
* Summarizing
These are all part of active listening, which helps the client find words for internal experiences and feel safe enough to explore more deeply. That is why Option B is the best answer.
Why the other options are less appropriate at this stage:
* A. Challenge the client to establish a structure for organizing life values.This is more advanced, existential/values work that may be appropriate later, but it is premature when the client's descriptions are still vague and unclear.
* C. Generate and discuss possible antecedents of depression.This leans toward a cognitive- behavioral analysis (triggers, thoughts, behaviors). It can be helpful eventually, but it risks imposing explanations before the client has fully expressed and clarified their internal world.
* D. Confront inconsistency between feeling depressed and lack of explanation.Confrontation here can feel invalidating or shaming ("you can't explain it, so something is wrong with your story"), and it may shut down rather than open up exploration.
The NBCC Counselor Work Behavior Areas emphasize that effective counselors rely first on empathic, active listening and clarification to understand the client's subjective experience before moving to more structured or challenging intervention

NEW QUESTION # 196
What is the best diagnosis for a 40-year-old client who reports feeling hopeless and worthless, difficulty concentrating, and suicidal ideation nearly every day for the past two weeks, and who previously experienced the same symptoms as a traditionally-aged college student?

A. major depressive disorder, single episode
B. persistent depressive disorder
C. bipolar I disorder
D. major depressive disorder, recurrent

Answer: D

Explanation:
In the Intake, Assessment and Diagnosis domain, counselors are expected to gather history, duration, and prior episodes of symptoms to determine the most accurate diagnosis using established diagnostic criteria (e.
g., DSM-5-TR depressive disorders).
* The client currently meets criteria for a major depressive episode: hopelessness, worthlessness, impaired concentration, and suicidal ideation occurring nearly every day for at least two weeks.
* The question also states the client previously experienced the same symptoms during college. This history of a prior major depressive episode means the current presentation is not a single episode but part of a pattern of recurring episodes.
Therefore, the appropriate diagnosis is:
* A. major depressive disorder, recurrent
Why the other options are not the best fit:
* B. major depressive disorder, single episode - incorrect because the client has had more than one episode (current plus college years).
* C. persistent depressive disorder - this requires a chronic depressed mood over at least two years, typically less episodic and more continuous than what is described.
* D. bipolar I disorder - requires at least one manic episode; there is no indication of manic or hypomanic symptoms.
Accurately distinguishing between single-episode and recurrent disorders reflects the counselor's responsibility to integrate symptom history and duration into a diagnostic formulation, as emphasized in the NBCC work behavior expectations for assessment and diagnosis.

NEW QUESTION # 197
Which of the following is consistent with a strengths-based approach that can improve the client's ability to attain goals?

A. Discover and utilize client resources and resilience.
B. Strengthen the client's perceived self-worth.
C. Recognize the effects of social structures on the client.
D. Reward the client for challenging negative thoughts.

Answer: A

Explanation:
A strengths-based approach emphasizes identifying, affirming, and using the client's existing resources, abilities, and resilience to support change. Within core counseling attributes, counselors are expected to maintain a positive, hopeful view of the client, focusing on what the client already does well and how those capacities can be applied toward goals.
* Option A directly reflects this: discover and utilize client resources and resilience is the essence of a strengths-based stance-locating inner and outer strengths and using them in planning and intervention.
* Option B (rewarding the client for challenging negative thoughts) is more characteristic of cognitive- behavioral techniques, not specifically a strengths-based orientation.
* Option C (strengthening perceived self-worth) is valuable and related to positive regard, but it does not explicitly capture the process of identifying and using strengths as the main pathway to change.
* Option D (recognizing the effects of social structures) is more aligned with social justice and multicultural counseling perspectives.
Therefore, the option most consistent with a strengths-based approach as emphasized in core counseling attributes is A.

NEW QUESTION # 198
......

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NBCC National Counselor Examination Sample Questions (Q193-Q198):

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