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National Counselor Examination — Information & Free Practice

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National Counselor Examination

Provider
National Board for Certified Counselors (NBCC); administered through the Center for Credentialing & Education (CCE) and delivered by Pearson VUE at test centers or online through OnVUE
Format
200-question, multiple-choice, non-sectioned examination; scored and unscored items appear in jumbled order; a different form is compiled for each administration
Exam questions
200 multiple-choice questions: 160 scored and 40 unscored field-test items
Time limit
225 minutes to complete the examination within a 255-minute test session (one scheduled 15-minute break after question #100)
Passing score
Criterion passing score set by a modified Angoff method and adjusted for each form by statistical equating; passing scores may vary slightly for each version
Examination outline
  • 1. Professional Practice and Ethics — This section encompasses counselors’ knowledge, skills, and abilities related to maintaining proper administrative and clinical protocols. (12% of items; 19 scored items) (12%)
    • A. Assess your (the counselor) competency to work with a specific client
    • B. Understand statistical concepts and methods in research
    • C. Practice legal and ethical counseling
    • D. Clarify counselor–client roles
    • E. Discuss client’s rights and responsibilities
    • F. Discuss limits of confidentiality
    • G. Explain counselor agency policies
    • H. Review payment, fees, and insurance benefits
    • I. Explain counseling processes, procedures, risks, and benefits
    • J. Explain uses and limits of social media
    • K. Inform clients about the legal aspects of counseling
    • L. Obtain informed consent
    • M. Discuss confidentiality as it applies to electronic communication
    • N. Establish group rules, expectations, and termination criteria
    • O. Assess competency to provide informed consent
    • P. Monitor the therapeutic relationship and build trust as needed
    • Q. Review client records
    • R. Provide adequate accommodations for clients with disabilities
    • S. Provide information to third parties
    • T. Provide referral sources if counseling services are inadequate/ inappropriate
    • U. Advocate for professional and client issues
    • V. Seek supervision/consultation
    • W. Create and maintain documentation appropriate for each aspect of the counseling process
    • X. Awareness and practice of self-care
  • 2. Intake, Assessment, and Diagnosis — This section encompasses counselors’ knowledge, skills, and abilities to effectively conduct client intake, assessment, and diagnosis. (12% of items; 19 scored items) (12%)
    • A. Conduct a biopsychosocial interview
    • B. Conduct a diagnostic interview
    • C. Conduct cultural formulation interview
    • D. Conduct an initial interview
    • E. Determine diagnosis
    • F. Perform a Mental Status Exam (MSE)
    • G. Consider co-occurring diagnoses
    • H. Determine level of care needed
    • I. Determine the appropriate modality of treatment
    • J. Assess the presenting problem and level of distress
    • K. Evaluate an individual’s level of mental health functioning
    • L. Screen clients for appropriate services
    • M. Select, use, and interpret appropriate assessment instruments
    • N. Use formal and informal observations
    • O. Assess for trauma
    • P. Assess substance use
    • Q. Obtain client self-reports
    • R. Evaluate interactional dynamics
    • S. Conduct ongoing assessment for at-risk behaviors (i.e., suicide, homicide, self/other injury, and relationship violence)
    • T. Use pre-test and post-test measures to assess outcomes
    • U. Evaluate counseling effectiveness
  • 3. Areas of Clinical Focus — This section encompasses counselors’ knowledge and skills related to areas of clients’ concern(s). (29% of items; 47 scored items) (29%)
    • A. Adjustment related to physical loss/injury/medical condition
    • B. Aging/geriatric concerns
    • C. Behavioral problems
    • D. Bullying
    • E. Caregiving concerns
    • F. Cultural adjustments
    • G. End-of-life issues
    • H. Fear and panic
    • I. Financial issues
    • J. Gender identity development
    • K. Grief/loss
    • L. Hopelessness/depression
    • M. Loneliness/attachment
    • N. Hyper/hypo mental focus
    • O. Intellectual functioning issues
    • P. Insomnia/sleep issues
    • Q. Maladaptive eating behaviors
    • R. Remarriage/recommitment
    • S. Developmental processes/tasks/issues
    • T. Obsessive thoughts/behaviors
    • U. Occupation and career development
    • V. Physical issues related to anxiety
    • W. Physical issues related to depression
    • X. Physical/emotional issues related to trauma
    • Y. Process addictions (pornography, gambling)
    • Z. Racism/discrimination/oppression
    • AA. Religious values conflict
    • AB. Retirement concerns
    • AC. Ruminating and/or intrusive thoughts
    • AD. Separation from primary care givers
    • AE. Sexual functioning concerns
    • AF. Sleeping habits
    • AG. Spiritual/existential concerns
    • AH. Stress management
    • AI. Substance use/addiction issues
    • AJ. Suicidal thoughts/behaviors
    • AK. Terminal illness issues
    • AL. Visual/auditory hallucinations
    • AM. Worry and anxiety
    • AN. Adoption issues
    • AO. Blended family issues
    • AP. Child abuse-related concerns
    • AQ. Child development issues
    • AR. Dating/relationship problems
    • AS. Divorce
    • AT. Family abuse/violence (e.g., physical, sexual, emotional)
    • AU. Interpersonal partner violence concerns
    • AV. Marital/partner communication problems
    • AW. Parenting/co-parenting conflicts
    • AX. Emotional dysregulation
  • 4. Treatment Planning — This section encompasses counselors’ knowledge, skills, and abilities to develop an effective course of treatment. (9% of items; 14 scored items) (9%)
    • A. Collaborate with client to establish treatment goals and objectives
    • B. Establish short- and long-term counseling goals consistent with clients’ diagnoses
    • C. Identify barriers affecting client goal attainment
    • D. Identify strengths that improve the likelihood of goal attainment
    • E. Refer to different levels of treatment (e.g., outpatient, inpatient, residential, etc.)
    • F. Refer to others for concurrent treatment
    • G. Guide treatment planning
    • H. Discuss termination process and issues
    • I. Discuss transitions in group membership
    • J. Follow-up after discharge
    • K. Use assessment instrument results to facilitate client decision making
    • L. Review and revise the treatment plan
    • M. Engage clients in review of progress toward treatment goals
    • N. Collaborate with other providers and client support systems (documentation and report writing)
    • O. Discuss with clients the integration and maintenance of therapeutic progress
    • P. Educate client to the value of treatment plan compliance
  • 5. Counseling Skills and Interventions — This section encompasses counselors’ knowledge, skills, and abilities to conduct effective counseling. (30% of items; 48 scored items) (30%)
    • A. Align intervention with client’s developmental level
    • B. Align intervention with counseling modality (individual, couple, family, or group)
    • C. Align intervention with client population (e.g., veterans, minorities, disenfranchised, disabled)
    • D. Implement individual counseling in relation to a plan of treatment
    • E. Establish therapeutic alliance
    • F. Apply theory-based counseling intervention(s)
    • G. Address addiction issues
    • H. Address cultural considerations
    • I. Address family composition and cultural considerations
    • J. Evaluate and explain systemic patterns of interaction
    • K. Explore family member interaction
    • L. Explore religious and spiritual values
    • M. Guide clients in the development of skills or strategies for dealing with their problems
    • N. Help clients develop support systems
    • O. Help facilitate clients’ motivation to make the changes they desire
    • P. Improve interactional patterns
    • Q. Provide crisis intervention
    • R. Educate client about transference and defense mechanisms
    • S. Facilitate trust and safety
    • T. Build communication skills
    • U. Develop conflict resolution strategies
    • V. Develop safety plans
    • W. Facilitate systemic change
    • X. Provide distance counseling or telemental health
    • Y. Provide education resources (e.g., stress management, assertiveness training, divorce adjustment)
    • Z. Provide psychoeducation for client
    • AA. Summarize
    • AB. Reframe/redirect
    • AC. Facilitate empathic responses
    • AD. Use self-disclosure
    • AE. Use constructive confrontation
    • AF. Facilitate awareness of here-and-now interactions
    • AG. Facilitate resolution of interpersonal conflict
    • AH. Use linking and blocking in a group context
    • AI. Management of leader–member dynamics
    • AJ. Model giving and receiving of feedback
    • AK. Address impact of extended families
    • AL. Contain and manage intense feelings
    • AM. Explore the influence of family of origin patterns and themes
    • AN. Address the impact of social support network
    • AO. Use “structured” activities
    • AP. Promote and encourage interactions among group members
    • AQ. Promote and encourage interactions with the group leader
    • AR. Use psychoeducation as a part of the group process
    • AS. Explain phases in the group process
    • AT. Identify and discuss group themes and patterns
    • AU. Create intervention based on the stage of group development
    • AV. Challenge harmful group member behaviors
    • AW. Address the potential interaction of members outside of the group
  • 6. Core Counseling Attributes — This section encompasses behaviors, traits, and dispositions of effective counselors. (8% of items; 13 scored items) (8%)
    • A. Awareness of self and impact on clients
    • B. Genuineness
    • C. Congruence
    • D. Demonstrate knowledge of and sensitivity to gender orientation and gender issues
    • E. Demonstrate knowledge of and sensitivity to multicultural issues
    • F. Demonstrate conflict tolerance and resolution
    • G. Empathic attunement
    • H. Empathic responding
    • I. Foster the emergence of group therapeutic factors
    • J. Non-judgmental stance
    • K. Positive regard
    • L. Respect and acceptance for diversity
    • M. Use foundational listening, attending, and reflecting skills
Examination sources

Related license preparation

This examination may be required or accepted as an alternative, depending on the license and application pathway.