NCE Prep

Sam and Julie were married for 23 years with the marriage ending in divorce. During the marriage, Julie felt unloved by Sam, a money-motivated man who catered to his mother's wishes to the detriment of their marriage. Sam hoped to gain a large inheritance from his mother, a retired physician, by following her wishes. During the marriage, Sam requested that the couple seek marital counseling so that he would appear to have done everything to save the marriage before filing for divorce. The couple entered couples counseling. During counseling, in an individual session, Sam disclosed to the therapist that he had an affair during the marriage and that made him decide to go ahead with a divorce. During a subsequent couples session, Julie questions the therapist about whether Sam admitted to having an affair which Julie highly suspected. She said she needed to know for her peace of mind. Sam disclosed his extramarital affair in an individual session with his therapist. Therapists must decide who is the client and whose interests they will serve in therapy, protecting the client from unauthorized disclosure of personal information. This is an issue of:

Confidentiality

Which individual is experiencing regression? (Regression indicates an individual who is returning to the behavior of an earlier stage of life)

A teenager who cries when she wants attention

You have just begun the initial interview process with your client, Claire. You are practicing reflective listening responses which are delivered as

Statements

A rehab house would like to determine how they can decrease the elopement rate of teenage girls at their group homes. The type of evaluation the rehab house would probably request is a

Needs Assessment

To assist minority clients experiencing issues with discrimination and prejudice, a counselor could help to recreate scenes that are culturally sensitive. This is an example of

Psychodrama

Which assessment instrument measures one's ability to demonstrate independence in order to categorize intellectual and developmental delays?

Vineland Adaptive Behavior Scales

Donna runs a therapy group that began four weeks ago. During the beginning of today's session, a painful topic came up and instant conflict arose. Within a few minutes, the group had moved onto a pleasant topic. What has most likely occurred?

Avoidance of Conflict

Your client, 15-year-old Grace, has been struggling in school, feeling down, has trouble staying motivated to complete projects, and spends a few hours every week crying in her room at home. Which tool would be appropriate to use to assess Grace's symptoms further?

 Beck Depression Inventory

Randy has recently come out as gay to his family and friends. He has been ostracized and has lost much of his support network. What should you, as Randy's therapist, be very aware of him displaying at this point?

Suicidal thoughts or drug abuse

During your initial assessment, the client states that she has major issues with getting to sleep. What is the best question to ask about sleep to screen for insomnia?

Does your lack of sleep interfere with your day to day activities?

A group of 7 individuals are together and share anxiety about working on interpersonal skills, given their history of depression. Their expectations are uncertain. According to Tuckman, this group appears to be in which stage?

Forming

Tuckman Five Stages of Team Development

Forming, Storming, Norming, Performing, Adjourning

Your supervisee asks that you provide her with counseling. How do you proceed?

Refer the supervisee out for services

When working with a client who suffers from depression, a cognitive-behavioral therapist would focus on

Changing the client's negative styles of thinking and behaving

According to Erik Erikson, which psychosocial stage would a 2-year-old child probably face?

Autonomy vs. shame and doubt

Which of the following is associated with standard deviation?

The mean

Beth says, "Well, it just isn't that big of a deal, we should move on," crosses her arms and looks at the ground. The group leader notes that she appears defensive in response to a group member's reflection to her and says, "I notice defensiveness in your response and body language. I wonder if you are caught up in the irrational belief we focused on last week, specifically 'I'm never going to be good enough'. Let's explore this further." The group leader has used

Immediacy

A study is conducted to see if new age music improves law enforcement officers' abilities to learn new methods of solving interpersonal conflicts. Two groups study the same material, one while listening to new age music and the other without music. The independent variable is

Music

The concept of maturity in one's life vocation is expressed by

Super

Native Americans maintain a cultural value of harmony and balance in both one's environment and one's interpersonal relationships. What did Garrett and Garrett call this traditional value?

Harmony Ethic

16-year-old Stephen is one of your clients who has been diagnosed with Bipolar I Disorder. He has been expelled from his high school for a pattern of aggressive behavior. Is the neighboring high school allowed to reject him because of his diagnosis?

No

What technique could be used in gestalt therapy to help the client deal with a death of a spouse?

Empty Chair

Thought records can be especially helpful when

Tracing thought triggers

You are working with a 16-year-old high school junior whose parents report severe acting out at school. In order to get a better idea of what may be contributing to his behavior, you obtain their consent, and his assent to speak with

The School Counselor

In Tuckman's progression of group therapy, group members develop a sense of psychological closeness and greater relaxation among one another during stage three, often referred to as

Norming

A researcher has compared two means to determine the effects of an independent variable on a dependent variable. Which p-value would indicate that her results are statistically significant?

.05

When you compare the outcome of a test with outcomes of other tests that have been around for a period of time, you are looking at what type of validity?

Concurrent Validity

Nancy is 32 and works to hold in her stomach, as she fears looking fat. "Food is my comfort; it helped me cope after my father left when I was 14. Then when I started bingeing, it got out of control." Nancy found out she could make herself vomit. Nancy first started vomiting when she binged, then randomly to relieve the stress associated with fearing weight gain, then because it was a habit. Now Nancy vomits once or twice a day. About three years ago Nancy's teeth began to have problems, but in short order all had to be replaced with implants. Despite the loss of all of her teeth, bingeing and purging continues. Nancy's symptoms are consistent with:

Bulimia Nervosa Severe

At what age is conformity with peers most likely to be the highest?

12 - 14

Mary is a group counselor who designs a group to meet the needs of several members in her practice. She wants to build trust quickly, have high stability, and be time limited. This is best suited to:

A closed group

Which tool would be appropriate for a clinician to use to assess a 50-year-old's self-esteem and self-concept?

Tennessee Self-Concept Scale

Mark has been irritable all day for several days now. There is nothing particularly pleasant about his demeanor, and he is demanding, like a drill sergeant. He runs around day and night and can be heard barking orders and talking to no one in particular. Mark seems angry with a man he sometimes talks about who died many years back in the war, as though the man were with him now. Mark wants everyone in the house to address him as "First Sergeant," and he is purchasing large equipment for an obstacle course in the backyard. Mark is moving as if he has a motor propelling him inside. He doesn't need much sleep because he's so revved up. For the last few years, similar episodes have occurred. Mark has a history of depression as well. Mark's symptoms are consistent with a diagnosis of:

Bipolar I Disorder, current episode manic, severe, with mood-congruent psychotic features

What is stressed the most in the trait and factor model of vocational counseling?

Matching aptitude and interest profiles with the requirements of jobs

Your new client, 35-year-old Dan, tells you that he's been having trouble staying focused, can't sleep, has muscle tension, and recognizes that he's been irritable for the past several months. Which assessment would help you to further assess these symptoms in order to establish a diagnosis?

Beck Anxiety Inventory

Barbara's little brother, Bobby, has started to recognize that when Barbara hides behind a couch, she is simply out of sight and is still there behind the couch. What is Bobby demonstrating and which of Piaget's stages of cognitive development is Bobby in?

Object permanence in the Sensorimotor Stage

Which instrument could be used to tell a clinician how clients see themselves in school and job settings?

Tennessee Self-concept Scale

Super's model of career development would NOT agree that:

The therapist should assemble and process career data to establish possible courses of action, possible results, and to determine the probability that each outcome will develop.