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NBCC National Counselor Examination Sample Questions:

1. When counselors build an alliance and demonstrate an understanding of the client's issues and concerns, they are using which foundational skills?

A) Summarizing, challenging, and reframing skills
B) Listening, attending, and reflection skills
C) Clarifying, assessing, and problem-solving skills
D) Treatment planning, interventions, and referral skills

2. A client with a terminal illness discloses to their hospice counselor that they would like to discuss the option of assisted suicide. Which of the following should the counselor do first?

A) Maintain confidentiality to protect the therapeutic relationship.
B) Review palliative care medications.
C) Inform the client's family immediately to discuss next steps.
D) Seek consultation or supervision from professional and legal parties.

3. A counselor who believes that most thoughts and behaviors are learned and subject to change, and that the procedures employed with a client can be specifically designed to help the individual in solving a particular problem, has which theoretical orientation?

A) Existential counseling
B) Cognitive behavioral counseling
C) Trait-and-factor counseling
D) Person-centered counseling

4. What therapeutic model was originally developed to treat individuals with borderline personality disorder?

A) Cognitive behavioral therapy
B) Dialectical behavior therapy
C) Analytical behavioral analysis
D) Transactional analysis

5. The primary purpose of the facilitation of positive addiction within the context of reality therapy approaches when counseling an adolescent is to:

A) Help the client believe in the worth of self-actualization.
B) Increase the physical fitness of the client.
C) Help clarify new support systems for the client.
D) Help the client abandon negative addictions.

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