Test Prep Test Prep Certifications NCE Questions & Answers

• Question 21:

  Under which of the following circumstances is it not okay to break patient confidentiality?

  A. A court subpoenas the client's chart.

  B. The client has threatened to hurt himself or someone else.

  C. The client's employer has requested the information.

  D. The client admits to abusing his children.

  Correct Answer: C

  The patient's employer has no right to request information he or she shared in a confidential session with a therapist, even if it is through the Employee Assistance Program. Therapists are required to break confidentiality when someone's safety is at risk. Courts can subpoena charts, which is why therapists should be careful about taking notes during sessions.

• Question 22:

  If a counselor's role changes from a nonforensic evaluative role to a therapeutic role, the client must be informed of the change as a matter of __________________.

  A. confidentiality

  B. treatment

  C. informed consent

  D. assessment

  Correct Answer: C

  Informed consent is a process of getting permission before conducting a healthcare intervention on a person. Informed consent needs to occur before treatment.

• Question 23:

  Some counseling methods are "product-oriented," while others are "process-oriented". Which of the following is more interested in the product than the process?

  A. Transactional-analysis

  B. Client-centered

  C. Behavioral D. None of the Above

  Correct Answer: C

  Behavioral counseling focuses on changing the client's behavior. Transactional-analysis, developed by Berne, focuses on interactions between people and communication is very important. In this theory, it is believed that within each person, there are 3 altered ego stages- the parent, the adult, and the child. In Client-centered, developed by Carl Rogers, the process is the focus and often guided by the client.

• Question 24:

  A man comes to you and has been through a series of traumatic events. You have no training or experience in helping clients overcome trauma. Ethically, you should:

  A. continue meeting with him and 'learn as you go'.

  B. tell him you can't help him.

  C. refer the client to a therapist who has the proper qualifications.

  D. ask him to tell you all the details.

  Correct Answer: C

  Helping clients work through trauma requires specialized training. If the client is presenting with trauma and it is out of the realm of the counselor's ability to handle, the client should be referred to a qualified professional.

• Question 25:

  Most ethical dilemmas are related to:

  A. family members

  B. confidentiality

  C. money

  D. mental illness

  Correct Answer: B

  An ethical dilemma occurs when a counselor feels pulled in two different directions. In surveys of practitioners, confidentiality is one of the top dilemmas reported.

• Question 26:

  You are a licensed professional counselor with a Master's degree in Counseling and a doctorate (PhD) in Technology and Operations Management. On your appointment cards for clients, the most appropriate way to list yourself is:

  A. Jane Doe, MA, LPC

  B. Dr. Jane Doe, LPC

  C. Jane Doe, PhD

  D. Dr. Jane Doe, PhD, LPC

  Correct Answer: A

  According to the ACA Code of Ethics, when acting in a counselor context, counselors may only use their highest degree earned in counseling, and should not imply doctorate-level competence unless their doctorate degree is in a clinical or related field.

• Question 27:

  It is ________ to administer a test to a client from a certain population when the test has not been normed to that population.

  A. appropriate

  B. unethical

  C. illegal

  D. unfair

  Correct Answer: B

  If a test has not been normed to a certain population it is unethical to administer it to a person from that population and the client's results will not be accurate. Normed tests compare and rank the test takers in relation to one another.

• Question 28:

  Nosology, the process of formal diagnosis, is most closely related to:

  A. sampling

  B. individualized education plans (IEP)

  C. psychoanalysis

  D. the medical model

  Correct Answer: D

  The most recent revision helped align the DSM with the ICD-11 (International Classification of Diseases). The DSM-5 provides researchers, clinicians, and health officials with a standard language to use when communicating about mental disorders. The ICD-11 is used by medical professionals to diagnose medical conditions. Most IEPs do contain a formal diagnosis, but the diagnosis is used to help guide what accommodations and modifications go into the IEP to help the student.

• Question 29:

  You have just launched a successful therapy group, and want to promote it to engage new clients so they,

  too, can benefit. You have asked your current therapy clients to offer an anonymous testimonial, telling

  others how useful it has been.

  From an ethical standpoint, this is _____________.

  A. prohibited under any circumstances

  B. allowed since it is a successful group that would benefit future clients that may join

  C. allowed, only if they sign a voluntary testimonial release

  D. prohibited unless they sign a voluntary testimonial release, use a pseudo-name and do not provide a photo

  Correct Answer: A

  The ACA Code of Ethics outlines that testimonials from clients, former clients or any other person vulnerable to undue influence is prohibited.

• Question 30:

  Culture can be defined as:

  A. values a group shares and learns from other members of the group

  B. attitudes, beliefs, art, and language specific to a group

  C. customs shared by a group which are different from those in another group

  D. All of the above

  Correct Answer: D

  Culture is a broad term used to describe the social behavior and norms found in human societies and therefore, a, b, and c are all part of the definition. An overly simplified way of thinking about culture is as a way of life for certain groups.