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試験の準備方法-実用的なNCE-ABE入門知識試験-ハイパスレートのNCE-ABE関連復習問題集
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更新するNCE-ABE|権威のあるNCE-ABE入門知識試験|試験の準備方法National Counselor Examination関連復習問題集
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NBCC National Counselor Examination 認定 NCE-ABE 試験問題 (Q110-Q115):
質問 # 110
You have been assigned to assess a 21-year-old client who presents as disheveled and confused. During the initial part of the interview, you note rapid speech, agitation, and paranoia. Based on your observations, which of the following is an appropriate next step when making a diagnosis?
- A. Seek a 72-hour hold on the client.
- B. Obtain additional information.
- C. Discuss the client's addiction problem.
- D. Establish a safety plan.
正解:B
解説:
Within the Intake, Assessment and Diagnosis work behavior area, counselors are expected to systematically gather sufficient, relevant information before arriving at a diagnostic conclusion. Observations from an initial contact-such as disheveled appearance, confusion, rapid speech, agitation, and paranoia-are important, but they are only part of a complete assessment.
An appropriate diagnostic next step is to obtain additional information (Option A). This includes:
* Conducting a more thorough mental status examination.
* Gathering history of present illness, psychiatric history, medical history, and substance use history.
* Exploring onset, duration, and course of symptoms.
* Considering differential diagnoses, including mood disorders, psychotic disorders, substance-induced conditions, and medical causes.
The NBCC-aligned counselor work behaviors in this domain emphasize:
* Avoiding premature diagnostic closure.
* Using multiple sources of information (client report, observation, records, and collateral sources when appropriate).
* Integrating behavioral observations with history and contextual factors before assigning a diagnosis.
Why the other options are not the best diagnostic next step:
* B. Establish a safety plan - Safety planning can be crucial, but it follows from a formal risk assessment (e.g., suicidality, homicidality), which has not yet been described. It is an intervention step, not the immediate next step in making a diagnosis.
* C. Discuss the client's addiction problem - No information has been presented that confirms a substance use disorder; assuming this would violate the expectation to base diagnosis on adequate assessment data.
* D. Seek a 72-hour hold on the client - Involuntary hospitalization requires clear evidence of danger to self, danger to others, or grave disability. The scenario only notes symptom presentation; a more complete assessment (Option A) is required before considering such action.
Thus, the response that best aligns with NBCC's expectations for competent diagnostic practice is to obtain additional information before forming or finalizing a diagnosis.
質問 # 111
The concept of self-actualization, as a goal in personal development, is primarily attributable to which of the following theorists?
- A. Perls
- B. Glasser
- C. Rogers
- D. Maslow
正解:D
解説:
In the Human Growth and Development core area, counselors study major developmental and personality theories, including humanistic and existential approaches.
* Abraham Maslow proposed the hierarchy of needs, a motivational model in which human needs are arranged from basic physiological needs to safety, love/belonging, esteem, and finally self-actualization at the top.
* In Maslow's framework, self-actualization is the realization of one's full potential and is explicitly presented as a central goal of personal development.
* Carl Rogers (Option C) also discussed an actualizing tendency and the movement toward becoming a
"fully functioning person," but the classic concept of self-actualization as the pinnacle of a hierarchy of needs is most directly associated with Maslow.
* Fritz Perls (Option B) is associated with Gestalt therapy, focusing on awareness, here-and-now experience, and integration of the self, but not primarily on the hierarchical notion of self-actualization.
* William Glasser (Option D) developed Reality Therapy and Choice Theory, emphasizing responsibility and needs satisfaction (love/belonging, power, freedom, fun, survival), but again, not self- actualization as framed in Maslow's model.
Because self-actualization as a specific, named goal in development is most strongly and classically linked with Abraham Maslow, the correct answer is A (Maslow).
質問 # 112
Which of the following best describes the relationship between aging and intellectual functioning?
- A. Intellectual functioning declines, as reflected by reduced learning capacity in older people.
- B. Intellectual functioning does not change in the later years, as older people can learn just as well as others.
- C. Cognitive ability decreases as memory increases due to diminishing storage capacity.
- D. The consistent use of cognitive skills decreases the likelihood of intellectual decline.
正解:D
解説:
In the Human Growth and Development core area, CACREP emphasizes understanding typical and atypical development across the lifespan, including cognitive changes in later adulthood.
Research summarized in NCE-aligned materials shows that:
* Some aspects of cognitive functioning (such as processing speed and some problem-solving tasks) may decline with age.
* Other aspects, particularly crystallized abilities (like vocabulary and accumulated knowledge), are relatively stable.
* Regular use of cognitive skills-such as reading, problem-solving, learning new activities, and staying mentally engaged-is associated with better preservation of intellectual functioning and reduced risk or slower onset of decline.
Option A overstates decline and implies that older adults have broadly reduced learning capacity, which is not accurate. Option B incorrectly suggests no change at all in intellectual functioning. Option C is conceptually incorrect.
Option D reflects the widely referenced "use it or lose it" pattern, which is consistent with CACREP-based lifespan development content: staying mentally active can decrease the likelihood or speed of intellectual decline.
Thus, the best answer in line with Human Growth and Development principles for the NCE is D.
質問 # 113
Which is a symptom of generalized anxiety disorder?
- A. Pressured speech
- B. Rechecking locked doors
- C. Lack of hobbies
- D. Restlessness
正解:D
解説:
In the Assessment and Testing core area, counselors are expected to recognize common diagnostic features of mental disorders to inform screening, referral, and conceptualization (not to replace full diagnosis).
For generalized anxiety disorder (GAD), hallmark symptoms include:
* Excessive anxiety and worry about a variety of events or activities,
* Difficulty controlling the worry,
* Physical and cognitive symptoms such as:
* Restlessness or feeling keyed up/on edge,
* Being easily fatigued,
* Difficulty concentrating,
* Irritability,
* Muscle tension,
* Sleep disturbance.
Thus, restlessness (Option B) is a classic symptom associated with GAD.
The other options fit different or nonspecific issues:
* A. Lack of hobbies is not a diagnostic criterion; it may relate to lifestyle, depression, or other factors but is not specific to GAD.
* C. Rechecking locked doors is more characteristic of obsessive-compulsive disorder (OCD), where compulsive checking behaviors respond to intrusive obsessions.
* D. Pressured speech is typically associated with mania or hypomania, not GAD.
Therefore, B is the correct symptom associated with generalized anxiety disorder.
質問 # 114
Which of the following counseling approaches maintains that emotional and behavioral disorders are the result of clients' self-maintained illogical beliefs?
- A. Transactional analysis
- B. Behavior therapy
- C. Rational-emotive behavior therapy
- D. Reality therapy
正解:C
解説:
Within Counseling and Helping Relationships, counselors must understand major counseling theories and their conceptualizations of emotional and behavioral problems.
Rational-Emotive Behavior Therapy (REBT), developed by Albert Ellis, holds that:
* People do not simply become disturbed by events themselves; rather, they become disturbed by how they interpret the events through irrational or illogical beliefs.
* These beliefs are often rigid ("musts," "shoulds," "have tos") and self-maintained by ongoing self-talk and interpretations.
* Emotional and behavioral disturbances are thus seen as the result of these self-sustained, irrational thought patterns, and counseling focuses on identifying, disputing, and replacing them with more rational beliefs.
* Reality therapy (A) emphasizes choice, responsibility, and meeting basic needs, not primarily irrational beliefs.
* Transactional analysis (C) focuses on ego states (Parent, Adult, Child) and life scripts.
* Behavior therapy (D) emphasizes learned behaviors through conditioning and reinforcement, typically without the central emphasis on irrational beliefs as the main cause.
Therefore, the approach that specifically maintains that emotional and behavioral disorders stem from clients' self-maintained illogical beliefs is Rational-Emotive Behavior Therapy (B).
質問 # 115
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