Pass the NBCC National Certified Counselor NCE-ABE Questions and answers with CertsForce

Behavior therapy is grounded in learning theory and focuses on observable behavior and the environmental conditions that maintain it. A key procedure is functional analysis, often described in terms of A–B–C:

A – Antecedents: What happens before the behavior?

B – Behavior: The specific, observable behavior.

C – Consequences: What happens after the behavior that might reinforce or punish it?

Option D, mapping antecedents and consequences, directly reflects this core emphasis of behavior therapy—understanding what triggers behaviors and what maintains them, so that interventions can be designed to change environmental contingencies and support new, adaptive behaviors.

A (collaborative relationship) is important in almost all approaches but is not a unique emphasis of behavior therapy.

B (personal awareness) aligns more with insight-oriented or humanistic approaches.

C (moral behavior) does not reflect standard behavior therapy focus, which is on learning processes, not moral judgment.

Mastery of theoretical orientations like behavior therapy fits under Areas of Clinical Focus, where counselors must know how different models conceptualize problems and guide intervention choices.

When clients are described as vocationally immature, they typically lack sufficient awareness of the world of work, have limited understanding of career options, and often have not yet developed realistic views of themselves in relation to occupations. Within the NBCC Counselor Work Behavior Areas, career-focused practice emphasizes meeting clients where they are developmentally and supplying the foundational information and experiences needed before moving into more advanced planning tasks.

For vocationally immature clients, the appropriate emphasis is on providing occupational information—helping them learn about different types of work, training requirements, work environments, typical duties, earnings, and opportunities for advancement. This information reduces confusion, increases readiness for decision-making, and supports later steps like goal setting and occupational choice, making Option B correct.

Option A (Identify occupational choices) is premature if the client does not yet understand the range of possibilities.

Option C (Evaluate past career-related decisions) is not central when the person has made few or no meaningful career decisions.

Option D (Establish long-term goals) is also a later-stage task; vocationally immature clients often struggle with long-range planning until they have more information and self-understanding.

NBCC work expectations related to clinical focus in career counseling stress using developmentally appropriate interventions—building awareness and knowledge first, then progressing toward decision-making and long-term planning.

Within the Areas of Clinical Focus work behavior area, counselors are expected to know evidence-based treatments for specific clinical conditions, including personality disorders.

Dialectical behavior therapy (DBT) (Option C) was originally developed by Marsha Linehan specifically to treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD). DBT integrates:

Cognitive-behavioral strategies for behavior change,

Acceptance-based strategies (e.g., mindfulness),

A dialectical framework balancing acceptance and change.

The model includes:

Individual therapy,

Group skills training (mindfulness, emotion regulation, distress tolerance, interpersonal effectiveness),

Phone coaching,

Consultation team for therapists.

These features reflect the NBCC-aligned work behavior expectation that counselors understand appropriate, validated modalities for complex clinical presentations such as BPD.

Why the other options are incorrect:

A. Analytical behavioral analysis – This is not the recognized model associated with the original treatment of BPD.

B. Cognitive behavioral therapy – While DBT evolved from CBT and CBT techniques are useful with many disorders, standard CBT was not specifically designed as the original, specialized treatment protocol for BPD.

D. Transactional analysis – A distinct theoretical model focusing on ego states and life scripts; it is not the empirically established, original treatment model for BPD.

Counselors working with personality disorders are expected to identify and, when within their scope, apply or refer for treatments such as DBT, which are designed and researched for these clinical populations.

Within Professional Practice and Ethics, counselors are expected to monitor and evaluate their own effectiveness, seek feedback, and engage in ongoing professional development to improve their practice.

In this scenario, the counselor:

Asks for anonymous written comments after each session

Focuses specifically on the counselor’s own behaviors in the group

Takes steps to protect confidentiality (having comments typed by a third party)

This clearly frames the feedback as a tool for the counselor to evaluate and improve their own performance, which is an example of self-evaluation.

Group stage evaluation (A) would focus on where the group is developmentally (forming, storming, norming, etc.), not primarily on the counselor’s behavior.

Outcome evaluation (B) assesses whether client or group goals are being met (symptom reduction, improved functioning), not how the counselor acted.

Process gradient scaling (D) is not what’s being described here; this is not a formal scaling or rating method of session process variables.

Therefore, the process is best understood as self-evaluation, making C the correct answer.

Transference is a core relationship phenomenon in counseling in which a client unconsciously redirects feelings, expectations, and patterns from important early relationships (often parents or caregivers) onto the counselor. A common form of this is when the client begins to relate to the counselor as if the counselor were a parental figure—idealized, critical, abandoning, overprotective, or nurturing in ways that mirror their early experiences.

This makes B the best answer: it captures the classic understanding of transference as the client viewing and reacting to the counselor in a parental role.

A (wanting a counselor who shares their culture) is a preference about counselor characteristics and is more related to cultural competence and matching, not transference.

C (developing strong emotions) is too broad; clients can have strong feelings without it being transference. Transference specifically involves repetition of earlier relational patterns.

D (wanting a counselor with the same diagnosis) is again a preference for perceived similarity, not an unconscious displacement of past relationship dynamics.

Recognizing and working with transference appropriately is part of the counselor’s core counseling attributes (self-awareness, relationship skills, and understanding of interpersonal processes) as outlined in professional counselor work behaviors.

In the Counseling Skills and Interventions domain, counselors are expected to know and apply core cognitive-behavioral strategies, including how to help clients and families learn and practice new behaviors.

Modeling (B) is a technique in which the counselor (or another family member) demonstrates a desired behavior, allowing others to observe and then imitate it. This approach is rooted in social learning principles: people learn new behaviors by watching others perform them and seeing the positive outcomes that follow. In family counseling, modeling can be used to teach communication skills, problem-solving, emotional expression, or conflict-resolution behaviors.

The other options are related but not as directly focused on teaching new behaviors through demonstration:

Intensification (A) is more associated with structural family therapy, where the therapist heightens or intensifies interactions to promote change in family structure.

Reinforcement of incompatible behaviors (C) is a behavior modification method that increases behaviors that cannot occur simultaneously with the unwanted behavior. It shapes behavior but does not inherently rely on demonstration.

Extinction (D) reduces a behavior by removing the reinforcement that maintains it.

While several behavioral techniques can support change, modeling is specifically designed to help family members develop and learn new behaviors by observing them in action.

Within Counseling Skills and Interventions, counselors must understand how specific theories (such as reality therapy) are applied in practice, including the use of concepts like positive addiction.

In reality therapy (developed by William Glasser), positive addictions refer to healthy, constructive activities that a person engages in regularly (for example, running, meditation, or creative pursuits) which:

Enhance psychological strength and self-esteem

Support a sense of competence and control

Contribute to personal growth and self-actualization

The primary purpose of encouraging positive addiction, especially with adolescents, is to help them develop life patterns that support growth, responsibility, and a stronger, more confident sense of self—essentially encouraging movement toward self-actualization and a belief in their own worth and potential.

A. Increase physical fitness may be a side benefit (e.g., with exercise-based activities) but is not the central counseling purpose.

B. Help the client abandon negative addictions can be an important outcome, but the core rationale in reality therapy is to build new, healthy patterns that support growth rather than focusing solely on stopping negative behavior.

C. Help clarify new support systems can be useful, but this is not the primary definition or goal of positive addiction.

The central therapeutic aim is to foster healthy, growth-oriented habits that strengthen the self and support self-actualization, making D the best answer.

The term “outsider witness groups” comes specifically from narrative therapy. In this approach, clients tell and re-author their stories, and selected others (outsider witnesses) listen to these stories and then respond by sharing what moved or resonated with them. This process:

Brings in social resources and supportive witnesses.

Strengthens the client’s preferred identity and alternative story.

Helps the client feel seen and supported in a broader community context.

Thus, option D. Narrative therapy is correct.

Adlerian therapy (A) uses family constellation, early recollections, and encouragement, but not outsider witness groups as a standard technique.

Gestalt therapy (B) emphasizes experiential awareness, here-and-now work, and empty-chair techniques.

Community psychology (C) incorporates social systems and resources but does not specifically use “outsider witness groups” as conceptualized in narrative therapy.

NBCC Counselor Work Behaviors expect counselors to know the distinctive concepts and methods of major counseling theories, including narrative therapy’s use of outsider witnesses to support client change.

In the intake, assessment, and diagnosis domain, counselors must distinguish among common mental disorders based on symptom patterns. Generalized anxiety disorder (GAD) is characterized by:

Excessive anxiety and worry occurring more days than not

Worry that is difficult to control

Concerns that are broad and diffuse, often about everyday events or activities

Associated symptoms such as restlessness, fatigue, muscle tension, irritability, and sleep disturbance

This is captured by Option D: continual yet diffuse and overly-intense reactions to day-to-day stress.

The other options describe different clinical patterns:

A: A persistent lack of enthusiasm with fatigue is more characteristic of depressive disorders.

B: Overconcern with bodily functioning and possible ailments fits somatic symptom–related or illness anxiety presentations, not classic GAD.

C: Repetitive thoughts and ritualistic actions are typical of obsessive-compulsive disorder (OCD).

Thus, the symptom pattern most consistent with generalized anxiety disorder is D.

Counselors using assessments must understand basic statistics, including correlation, to interpret test data appropriately. A correlation coefficient (r) ranges from −1.00 to +1.00 and reflects the strength and direction of a linear relationship between two variables.

A correlation of 0 (option A) indicates no linear relationship between the variables—knowing one gives no information about predicting the other in a straight-line fashion.

−1.00 (B) indicates a perfect negative linear relationship: as one variable increases, the other decreases in a perfectly predictable way.

+1.00 (C) indicates a perfect positive linear relationship: as one variable increases, the other also increases in a perfectly predictable way.

Unable to determine (D) is incorrect because the coefficient itself does provide this information.

Therefore, 0 represents a complete lack of linear relationship, making A the correct answer.