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NCE Exam - Professional Orientation and Ethics: Practice Questions and Answers, Exams of Career Counseling

Saint Martin's University (SMU)Career Counseling

A series of practice questions and answers related to the national counselor examination (nce) for professional orientation and ethics. It covers key concepts such as informed consent, privileged communication, ethical guidelines, confidentiality, and duty to warn. Useful for students preparing for the nce exam, offering insights into common ethical dilemmas and legal considerations in counseling practice.

Typology: Exams

2024/2025

Available from 03/26/2025

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NCE EXAM - PROFESSIONAL
ORIENTATION AND ETHICS 2025-2026|
BRAND NEW ACTUAL EXAM WITH 100%
VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK|
ACE YOUR GRADES.
1. Suicide checks in as the or leading cause of death in the US
(higher than homicide). - correct answer - 11th or 12th
(Guns account for more than all other methods put together.)
2. Suicide is the 2nd/3rd leading cause of death for those ages to
. - correct answer - 15 to 24.
3. Suicide is more likely to occur in rural areas and in times of economic
recession/depression. - correct answer - Most suicides occur in the
spring at the end of April or May.
4. to of clients will give warning signs of suicide. - correct
answer - 75 to 80%
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Download NCE Exam - Professional Orientation and Ethics: Practice Questions and Answers and more Exams Career Counseling in PDF only on Docsity!

NCE EXAM - PROFESSIONAL

ORIENTATION AND ETHICS 2025- 2026 |

BRAND NEW ACTUAL EXAM WITH 100%

VERIFIED QUESTIONS AND CORRECT

SOLUTIONS| GUARANTEED VALUE PACK|

ACE YOUR GRADES.

  1. Suicide checks in as the or leading cause of death in the US (higher than homicide). - correct answer - 11th or 12th (Guns account for more than all other methods put together.)
  2. Suicide is the 2nd/3rd leading cause of death for those ages to . - correct answer - 15 to 24.
  3. Suicide is more likely to occur in rural areas and in times of economic recession/depression. - correct answer - Most suicides occur in the spring at the end of April or May.
  4. to of clients will give warning signs of suicide. - correct answer - 75 to 80%
  1. Informed consent - correct answer - The process of giving the client a document stating counselor qualifications, office hours, billing policies, emergency procedures, therapy techniques, and confidentiality rules so they can acknowledge and sign to signify understanding.
  2. Privileged communication (client's privilege) - correct answer - Legal term implying that a therapeutic interaction (verbal or written) will not be available for public inspection (without client consent). The client can choose whether to reveal confidential info (usually on witness stand) - they are the holder of the privilege.
  3. Privileged communication is a concept which protects , not counselors. - correct answer - legal, clients
  4. Privileged communication laws are not applicable in cases of - correct answer - child abuse, neglect, exploitation, suicide, homicidal threats, criminal intentions, clients in dire need of hospitalization, malpractice suits, where client is a minor or mentally incompetent.
  5. Privileged communication that is 'qualified' means - correct answer - exceptions may exist. (Privileged comm. based on licensure status, not degree of certification credetials, because it is a LEGAL concept.)
  6. Which group has been most instrumental in opposing counselor licensure? - correct answer - Psychologists
  1. Ethical guidelines - correct answer - First created in 1953 by the American Psychological Association (APA),
  2. National Assoc. of Social Workers (NASW) created theirs in 1960,
  3. ACA created theirs in 1961.
  4. Ethics always describe standards of conduct imposed by and . - correct answer - ACA and NBCC.
  5. Ethics define standards of behavior set forth by organizations and certification bodies, they are not usually - correct answer - state or federally mandated laws.
  6. Most ethical dilemmas are related to. - correct answer - Confidentiality
  7. Confidentiality - correct answer - implies the counselor will not reveal anything about a client unless he is given specific authorization to do so.
  8. (Confidentiality is relative to the situation as far as counselors go [legally].)
  9. Most ethical dilemmas are related to. - correct answer - confidentiality
  1. ACA indicates counselors have an obligation to protect the confidentiality of the deceased and this should be stated clearly in your document given to the client at the beginning of treatment. - correct answer - informed consent
  2. Should counselors attend a funeral of a client? - correct answer - Ask self if whether beneficial (same as attending a wedding), and if attending, document date, time, basis for decision.
  3. Tarasoff v. Board of Regents of the Univ. of California - correct answer - 'Duty to Warn' someone in imminent danger.
  4. (Case where client threatened in session, later killed her - her family sued, state court denied [Tarasoff I] but appealed and won in Supreme Court [Tarasoff II].)
  5. Duty to warn - correct answer - Counselors have a responsibility to warn those who appear in serious and foreseeable harm due to statements made during a session.
  6. Defamation - correct answer - revealing information that is damaging to a client's reputation.
  7. Beneficence - correct answer - Counselor is working for the good of the client or group.
  1. Downside of accreditation - correct answer - Accreditation organization sets the curriculum to gain it, not the school.
  2. Exceptions to confidentiality when dealing with suicide include - correct answer - joking about killing one's self,
  3. giving away possessions after a depressed period,
  4. previous suicide attempts,
  5. detailed suicide plan
  6. Counselors are mandated reporters for child abuse, making it legal and ethical to break confidentiality in such instances. - correct answer - When a client's condition indicates there is a clear and imminent danger or serious/foreseeable harm to the client and others, the counselor must take reasonable personal action or inform responsible authorities.
  7. Exceptions to confidentiality - correct answer - Client is danger to self or others, Client requests release of info, Court orders a release of info, Counselor engaged in supervision, Clerical assistant processes client info,
  8. Legal/clinical consultations, Malpractice suit, Client less than 18 yrs old, Elderly abuse, Insurance co. requests diagnosis
  1. Tarasoff implies a responsible helper will warn an. - correct answer - intended victim.
  2. Professionals generally adhere to the of , which suggests you reveal only what is necessary. - correct answer - principle of minimal disclosure
  3. Aspirational ethics - correct answer - a practitioner adheres to the highest possible ethical standards.
  4. A 39 yr old female you are seeing in an assertiveness training group reveals she is plotting to shoot her husband. Based on Tarasoff, you should - correct answer - warn the husband.
  5. One impetus for counselor licensing was that psychology licensure bodies sought to the practice of counselors so counselors could not receive 3rd party payments from insurance and managed care company. - correct answer - restrict
  6. (Licensing for counselors was needed as psychologist attained licensing [and had a monopoly on nonmedical treatment services] in every state in the U.S.)
  7. EPPP - correct answer - Examination for Professional Practice in Psychology
  8. (EPPP is to psychologists what the NCE is to counselors)
  1. (defined here as the deterioration in the ability to function as a counselor)
  2. Paraprofessional - correct answer - a helper who does not possess the education and experience necessary to secure professional credentials.
  3. Counselor certification - correct answer - recognizes you have reached a given level of competence and thus are authorized to use a title.
  4. A woman comes to you for help with an eating disorder. You have no experience or training in this area. Ethically, you should - correct answer
    • refer this client to a colleague who is trained and experienced with this type of client.
  5. was the first state to license counselors in 1976. - correct answer - Virginia
  6. The problem with is that it is difficult to administer them in a fair manner. - correct answer - sliding fee scales (or income sensitive scales)
  7. They are ethical and legal, and popular with nonprofit agencies.
  1. Amount waived fees - correct answer - The amount a 3rd party payer does not cover.
  2. One potential negative of counseling licensure is that - correct answer
    • counselors may not be as creative during graduate work and only take courses aimed at fulfilling the requirements to take the licensure exam.
  3. Licensing generally adds prestige to a profession and can serve to protect. - correct answer - the public.
  4. Privacy issue: If you or your agency didn't collect the information in the record, you cannot ethically send it to someone else requesting it even if a release form has been signed. (only send info you have collected) - correct answer - ...
  5. Release of information (aka 'consent to disclose') - correct answer - Ethics dictate client records should be kept at least 5 years after your last contact with the client even if the client is deceased.
  6. Reciprocity - correct answer - occurs when one state or organization accepts the license/credential of another state.
  1. Dual relationship - correct answer - results when a counselor has another significant relationship with the client that hinders objectivity.
  2. (can also exist if a supervisor accepts a subordinate as a client.)
  3. NCC credential requirements over 5 year period - correct answer - 100 hours of professional development (CEUs)
  4. Countertransference in reference to attraction - correct answer - Counselor being sexually attracted to the client.
  5. (typical manifestation of countertransference - purported to indicate unresolved problems on the part of the helper.)
  6. A malpractice/liability insurance company is least likely to defend you if - correct answer - you are sexually involved with a client.
  7. (Your license may be revoked even if the client is not damaged or harmed by the experience.)
  8. According to NBCC, a counselor should not engage in sexual intimacies with a FORMER client within a minimum of years after terminating the counseling relationship. - correct answer - 2
  9. (If engaging in sex after 2 year period, you must document that relationship was not exploitative in nature.)
  1. According to the ACA, a counselor should not engage in sexual intimacies with a FORMER client within a minimum of years after terminating the counseling relationship. - correct answer - 5
  2. Computer Assisted Counseling (CAC) - correct answer - Controversial software that attempts to counsel clients.
  3. (A humanistic counselor's worst nightmare!)
  4. Computer Managed Counseling (CMC) - correct answer - Software that helps manage counseling practice through bookkeeping, appointment setting, billing, etc.
  5. (Cuts down on time, paperwork, and money.)
  6. Exceptions to dual relationships by the NBCC include - correct answer - an exception in instances where "an individual's situation warrants counseling intervention and another alternative is unavailable."
  7. A counseling journal article should use documentation that is based on style. - correct answer - APA
  8. (from the Publication Manual of the American Psychological Association)
  9. A 16-yr old girl threatens to kill herself and you fail to inform her parents. Your behavior as a counselor is - correct answer - negligence, failing to perform a duty (obligation to protect the client)
  1. (ACA also states that counselors devote a portion of their work making a contribution to society by providing services with little financial return or even pro bono.)
  2. Paradoxical intervention - correct answer - occurs when a client is told to exaggerate a symptom
  3. (not ok in cases with homicidal/suicidal clients)
  4. Bartering - correct answer - occurs when a client exchanges a good or service for treatment or testing.
  5. (ethics allow if client requests, written contract is drafted, and relationship is not exploitative)
  6. Ethics state a counselor should all clients for group counseling. - correct answer - screen
  7. Minimal disclosure - correct answer - if a counselor must break confidentiality, they must reveal only what is necessary, and when possible, inform the client that they are going to disclose confidential info.
  8. NBCC code dictates for article submissions, that - correct answer - certified counselors must not submit the same manuscript (or one of same initial content) for simultaneous publication consideration by 2 or more journals.
  1. (Once article is published, may not have it republished elsewhere without express permission of 1st publisher)
  2. Consultation - correct answer - voluntary relationship between professional helper and help-needing individual, group, or social unit in which the consultant helps define or solve problems related to clients, client system, or work-related issues.
  3. (encourages growth and self-direction for consultee)
  4. Nosology - correct answer - a system of classification or formal diagnosis (using the DSM-IV or ICD).
  5. ICD - correct answer - International Classification of Disease
  6. (created by World Health Organization [WHO])
  7. DSM - correct answer - Diagnostic and Statistical Manual of Mental Disorders
  8. (created by American Psychiatric Association)
  9. Traditionally, counseloing has caused the most ethical concerns. - correct answer - behavioral
  10. (Concern is that behavior therapists can control, manipulate, and shape behavior.)
  1. Fifth digit of DSM code - correct answer - Can indicate severity or condition in a state of remission.
  2. (if '0', indicates 'unspecified', which is also shown as 'NOS' for 'not otherwise specified')
  3. V codes - correct answer - refers to conditions which are not attributable to a mental condition (although may be a focus of treatment such as 'academic problem', 'uncomplicated bereavement' or 'antisocial behavior'.)
  4. CPT (by the American Medical Assoc.) - correct answer - Current Procedural Terminology
  5. (insurance billing codes that specify the exact treatment being utilized [i.e., family therapy, individual, etc.])
  6. Mental health consultation - correct answer - Occurs when a consultant works with consultee regarding clients or administrative program issues.
  7. Counselors cannot ethically accept referral fees. - correct answer - ...
  1. Gerald Caplan - correct answer - Proposed the most popular paradigm of mental health CONSULTATION, consisting of 4 basic types.
  2. Client-centered consultation - correct answer - Goal is to help client.
  3. (When supervisor suggests plan of action for one of your clients.)
  4. Consultee-centered consultation - correct answer - Goal is on helping the consultee develop improved techniques or skills.
  5. (Supervisor suggests better way for you to implement a technique.)
  6. Consultee-centered administrative consultation - correct answer - Goal is to help sharpen administrative skills.
  7. (i.e., making you a better presenter at your board meeting.)
  8. Program-centered administrative consultation - correct answer - Emphasis on creating, designing, or evaluating the program in question.
  9. Shein's doctor-patient consultation model - correct answer - Relies of 4 stages: entry, diagnosis, implementation, and evaluation
  10. In order for the doctor-patient consultation to work, the consultee must accurately depict , trust the consultant's , and carry