The National Counselor Examination (NCE) is an essential step in your journey towards a career in counseling, administered by the National Board for Certified Counselors (NBCC). Originating in 1983, this exam continues to evolve to reflect the current trends in the counseling profession.
The NCE is designed to test your knowledge in six key domains:
- Professional Practice and Ethics
- Intake, Assessment, and Diagnosis
- Areas of Clinical Focus
- Treatment Planning
- Counseling Skills and Interventions
- Core Counseling Attributes
The content aligns with the eight original content areas of the Council for Accreditation of Counseling and Related Educational Programs (CACREP) and six work behaviors validated from a job analysis.
Did you know?
The National Counselor Examination (NCE) is a 200-question multiple-choice assessment managed by the National Board for Certified Counselors (NBCC), with 160 scored items determining your pass or fail. An impressive 84% of test-takers pass, reflecting a high level of proficiency, and your score is solely based on your exam performance, not past experience or external variables. You’re granted three attempts to pass before needing to reapply, and if successful, your scores remain valid for five years before needing to retake the NCE.
The NCE comprises 200 multiple-choice questions, of which 160 are scored. The remainder are field-test items used for future exam statistics. The exam is administered twice a year, in April and October, and you must first apply for certification to register.
On the exam day, you need two forms of valid ID. Your score is solely determined by your exam performance, and a passing score is established by subject matter experts. If you don’t pass, you can retake the exam up to three times.
Understanding the exam’s structure and the six key domains is a solid start to your preparation.
NCE Exam Question Types Explained
As you prepare for your upcoming examination, it’s important to understand the key areas that will be covered. The test will assess your knowledge, skills, and abilities across six main domains: Professional Practice and Ethics, Intake, Assessment, and Diagnosis, Areas of Clinical Focus, Treatment Planning, Counseling Skills and Interventions, and Core Counseling Attributes.
The table below provides a detailed breakdown of the six domains (work behaviors) that will be assessed in the examination. Each domain is represented with the percentage and number of scored items on the test.
| Domain | Percent of items | Number of items |
|---|---|---|
| Professional Practice and Ethics | 12% | 19 |
| Intake, Assessment, and Diagnosis | 12% | 19 |
| Areas of Clinical Focus | 29% | 47 |
| Treatment Planning | 9% | 14 |
| Counseling Skills and Interventions | 30% | 48 |
| Core Counseling Attributes | 8% | 13 |
| Total | 100% | 160 |
This table serves as a guide to understand the distribution of the test items across different domains. It can be used to focus your study and preparation efforts effectively.
In the realm of Professional Practice and Ethics, you’ll need to demonstrate your understanding of maintaining proper administrative and clinical protocols. This includes assessing your competency to work with specific clients, practicing legal and ethical counseling, clarifying counselor-client roles, discussing client’s rights and responsibilities, and understanding the uses and limits of social media in counseling.
The Intake, Assessment, and Diagnosis section will evaluate your ability to conduct effective client intake, assessment, and diagnosis. This includes conducting various types of interviews, determining diagnoses, performing a Mental Status Exam (MSE), assessing the presenting problem and level of distress, and using pre-test and post-test measures to assess outcomes.
Areas of Clinical Focus will test your knowledge and skills related to areas of clients’ concerns. This includes understanding issues related to physical loss, aging, behavioral problems, cultural adjustments, grief and loss, financial issues, gender identity development, and stress management, among others.
In Treatment Planning, you’ll need to demonstrate your ability to develop an effective course of treatment. This includes collaborating with clients to establish treatment goals and objectives, identifying barriers affecting client goal attainment, and identifying strengths that improve the likelihood of goal attainment.
The Counseling Skills and Interventions section will assess your ability to conduct effective counseling. This includes aligning interventions with the client’s developmental level, establishing a therapeutic alliance, addressing addiction issues and cultural considerations, providing crisis intervention, and facilitating trust and safety.
Lastly, the Core Counseling Attributes section will evaluate your behaviors, traits, and dispositions as an effective counselor. This includes demonstrating awareness of self and impact on clients, demonstrating knowledge of and sensitivity to gender orientation and multicultural issues, and using foundational listening, attending, and reflecting skills.
Remember, your preparation should also align with the eight CACREP curriculum educational standards: Professional Counseling Orientation and Ethical Practice, Social and Cultural Diversity, Human Growth and Development, Career Development, Counseling and Helping Relationships, Group Counseling and Group Work, Assessment and Testing, and Research and Program Evaluation.
1. Professional Practice and Ethics
The “Professional Practice and Ethics” domain is one of the six domains covered in the National Counselor Examination (NCE). This domain accounts for 12% of the exam, with approximately 19 items scored in this section.
This section primarily evaluates your knowledge, skills, and abilities as they relate to maintaining proper administrative and clinical protocols. Questions in this domain often touch on critical ethical and professional considerations integral to the counseling profession.
You may encounter questions related to topics such as informed consent, client records, use of social media in a professional context, and maintaining confidentiality. For instance, you could be asked to identify the appropriate steps to obtain informed consent or to handle a breach of confidentiality. You might also be asked to respond to a scenario where a client reaches out to you via social media, or you might need to determine what information should be included in client records.
In all these cases, the questions aim to assess your understanding of professional ethics and standards, and your ability to apply this understanding in real-world counseling scenarios. As you study for the exam, be sure to review the American Counseling Association’s Code of Ethics and other relevant ethical guidelines for counselors to prepare for this domain.
Remember, the goal of these questions is not just to test your theoretical understanding of professional ethics, but also to evaluate your ability to apply these ethical principles to practical situations you might encounter in your role as a counselor. Good luck with your preparation!
Sample Professional Practice and Ethics Question
A client tells you that she wants to friend you on social media. What is the most appropriate response?
- Accept the friend request to show the client that you are approachable and friendly.
- Decline the friend request and explain your professional boundaries to the client.
- Ignore the friend request and do not mention it in your next session with the client.
- Ignore the friend request and do not mention it in your next session with the client.
The correct answer is B. Decline the friend request and explain your professional boundaries to the client.
Explanation:
- Option A is incorrect. While it’s important to be approachable and friendly with your clients, accepting a client’s social media friend request can blur the professional boundaries between a counselor and a client and potentially compromise the therapeutic relationship.
- Option B is the correct answer. It maintains the professional boundary while also addressing the situation directly with the client. Transparency and direct communication about professional boundaries are crucial in the counseling profession.
- Option C is incorrect. Ignoring the situation does not address the issue. It’s essential to maintain open communication with your client, especially when it comes to issues that may impact the therapeutic relationship.
- Option D is incorrect. Even if you don’t engage with the client’s posts, accepting the friend request can blur professional boundaries and create potential ethical issues. It’s best to maintain professional boundaries by keeping your personal and professional lives separate.
2. Intake, Assessment, and Diagnosis
Questions in the “Intake, Assessment, and Diagnosis” domain are designed to assess a counselor’s ability to conduct client intake, assessment, and diagnosis. These questions may cover a wide range of topics, such as how to perform a Mental Status Exam (MSE), how to assess for substance use, and how to evaluate an individual’s level of mental health functioning.
For instance, a test taker might encounter questions about the appropriate use of specific assessment tools, the interpretation of diagnostic criteria from the DSM-5, or the ethical considerations in diagnosing a client. Some questions might ask about the process of conducting a thorough intake interview, including how to establish rapport, gather relevant background information, and assess the client’s readiness for change.
Additionally, the questions could cover the integration of assessment data to formulate a diagnosis and develop a treatment plan. This could involve identifying key symptoms, recognizing patterns consistent with specific disorders, and understanding how a client’s cultural background might influence their experiences and presentation of symptoms.
Thus, to succeed in this domain, it’s crucial for test-takers to have a comprehensive understanding of the various assessment techniques and diagnostic criteria used in counseling practice, as well as the ethical guidelines that govern these processes.
Sample Intake, Assessment, and Diagnosis Question
During an intake interview, a client reports feelings of sadness, loss of interest in activities they once enjoyed, difficulties sleeping, and decreased energy levels over the past month. As a counselor, your preliminary diagnosis would be:
- Generalized Anxiety Disorder (GAD)
- Obsessive-Compulsive Disorder (OCD)
- Major Depressive Disorder (MDD)
- Post-Traumatic Stress Disorder (PTSD)
The correct answer is C. Major Depressive Disorder (MDD)
Explanation:
The client’s reported symptoms—feelings of sadness, loss of interest in activities, difficulties sleeping, and decreased energy levels—are all characteristic of Major Depressive Disorder (MDD).
- Option A, Generalized Anxiety Disorder (GAD), is incorrect because while some symptoms such as difficulties sleeping might be present in GAD, the client did not report excessive worry or other key symptoms of this disorder.
- Option B, Obsessive-Compulsive Disorder (OCD), is also incorrect because the client did not report any obsessions or compulsions, which are the hallmark symptoms of OCD.
- Option D, Post-Traumatic Stress Disorder (PTSD), is not the best answer because the client did not report any traumatic event or specific symptoms related to PTSD, such as flashbacks or avoidance behaviors.
Therefore, based on the client’s reported symptoms, MDD is the most likely preliminary diagnosis.
3. Areas of Clinical Focus
The “Areas of Clinical Focus” domain of the National Counselor Examination (NCE) contains questions that assess a counselor’s knowledge and skills related to a broad range of potential client concerns. This is one of the largest domains on the exam, accounting for about 29% of the scored items.
Questions in this domain may cover a wide variety of topics and scenarios related to specific disorders, life events, and unique client situations. The aim is to gauge your ability to understand, identify, and respond appropriately to various concerns that your clients might present during counseling sessions.
For instance, you may encounter questions related to how to approach counseling for clients dealing with issues like obsessive thoughts/behaviors, sleeping habits, adoption, divorce, bullying, or substance use disorders, among many others. This domain requires a deep understanding of different areas of clinical focus in counseling practice, as well as the ability to apply this knowledge to specific client cases.
You’ll be expected to demonstrate your understanding of the etiology, development, and manifestation of various disorders and issues, as well as the most effective strategies for intervention and support. This domain is comprehensive and multifaceted, reflecting the complex and diverse nature of the issues you might encounter in a counseling practice.
Sample Areas of Clinical Focus Question
A 16-year-old client discloses that they are experiencing constant bullying at school, which is causing them significant distress. As a counselor, what would be the most appropriate initial step in addressing this issue?
- Advise the client to ignore the bullies and focus on their studies.
- Contact the school immediately and demand action.
- Encourage the client to retaliate against the bullies.
- Validate the client’s experiences and feelings, and explore strategies for coping and seeking support.
The correct answer is D. Validate the client’s experiences and feelings, and explore strategies for coping and seeking support.
Explanation:
In this situation, the first step should be to validate the client’s experiences and feelings, which helps in building trust and understanding. Then, the counselor should collaboratively explore coping strategies and avenues for support with the client, which might include involving school personnel or parents in a way that respects the client’s autonomy and confidentiality.
Option A is incorrect because simply ignoring the problem does not address the emotional distress the client is facing or the potential for the problem to escalate. Option B, while potentially part of a broader response plan, is not the best initial step because it may not respect the client’s autonomy and could potentially make the situation worse if not done thoughtfully. Option C is incorrect because it encourages aggression and can potentially exacerbate the situation, rather than resolving it in a healthy and constructive manner.
4. Treatment Planning
In the Treatment Planning domain of the National Counselor Examination (NCE), questions are designed to assess a counselor’s knowledge, skills, and abilities as they relate to effectively treating clients. This domain includes items that may cover everything from a counselor’s ability to identify barriers to client goal attainment, discussing termination, follow-up after discharge, revisions of the treatment plan, or collaboration with other providers.
As for the format of the questions, they are likely to be scenario-based, requiring the test taker to apply theoretical knowledge to practical situations. The scenarios could involve designing a treatment plan for a hypothetical client, prioritizing treatment goals, or determining appropriate interventions based on a given client profile. The incorrect answer choices may represent common misconceptions, less effective interventions, or inappropriate application of therapeutic strategies.
Sample Treatment Planning Question
You are working with a client who is dealing with severe social anxiety. The client has expressed a desire to be able to attend social events without experiencing panic attacks. As part of your treatment plan, you decide to incorporate exposure therapy. Which of the following best describes how you would approach this?
- Immediately have the client attend a large social gathering and instruct them to interact with as many people as possible.
- Gradually expose the client to social situations, starting with less threatening scenarios and working up to more challenging ones.
- Suggest the client to avoid social situations altogether until they feel ready to face them.
- Ask the client to repeatedly visualize attending social events without providing any further intervention.
The correct answer is B. Gradually expose the client to social situations, starting with less threatening scenarios and working up to more challenging ones.
Explanation:
The correct answer is B because it correctly applies the principles of exposure therapy, which involves gradual and repeated exposure to the source of fear or anxiety. This allows the client to learn to tolerate anxiety and realize that the feared outcomes are unlikely to occur.
Choice A is incorrect because it suggests flooding, which can be overwhelming and counterproductive for a client with severe social anxiety. Choice C is incorrect because avoiding social situations altogether would reinforce the client’s anxiety rather than helping them to overcome it. Choice D is incorrect because while visualization can be a helpful tool in therapy, it should not be the sole intervention, especially for a client with severe social anxiety.
5. Counseling Skills and Interventions
Questions in the “Counseling Skills and Interventions” domain of the National Counselor Examination (NCE) would assess a candidate’s knowledge, skills, and abilities to conduct effective counseling. This domain covers a broad and comprehensive array of topics, making it the largest domain on the NCE exam.
Questions would be designed to evaluate the candidate’s understanding and ability to apply core counseling skills such as establishing a therapeutic alliance, using appropriate interventions in crisis situations, employing self-disclosure techniques appropriately, exploring the influence of family dynamics in counseling, and identifying group therapy themes.
For instance, a question might ask about the most appropriate intervention for a specific client situation, or the best way to establish rapport and a therapeutic alliance with a client from a certain cultural background. Other questions might delve into how to deal with transference or countertransference in therapy, or how to apply certain therapeutic techniques like cognitive-behavioral therapy, motivational interviewing, or solution-focused brief therapy in specific situations.
Furthermore, this domain emphasizes the practical application of theories, models, and techniques, so questions may present complex client scenarios and ask test takers to identify the best approach or intervention based on the given information. Thus, a deep understanding of various therapeutic models and interventions, client-therapist dynamics, and ethical guidelines is crucial to answering these questions correctly.
Sample Counseling Skills and Interventions Question
Maria, a new client, comes to you expressing feelings of overwhelming sadness, hopelessness, and loss of interest in activities she previously enjoyed. She mentions that these feelings have persisted for over two weeks. As a counselor, your best initial approach would be to:
- Immediately start Maria on cognitive-behavioral therapy.
- Assess Maria for potential suicidal ideation.
- Encourage Maria to engage in activities that she used to enjoy.
- Refer Maria to a psychiatrist for medication.
The correct answer is B. Assess Maria for potential suicidal ideation.
Explanation:
Given Maria’s symptoms of persistent sadness, hopelessness, and anhedonia (loss of interest in activities), these suggest a potential diagnosis of major depressive disorder. A crucial part of initial evaluation in such a situation involves assessing for safety and risk, including suicidal ideation, to ensure the immediate well-being of the client.
A. Starting Maria on cognitive-behavioral therapy immediately is not the best initial step. While this type of therapy can be very effective for depression, it is crucial to assess Maria’s safety (i.e., suicidal ideation) before proceeding with treatment planning.
C. While encouraging Maria to engage in activities she used to enjoy can be a part of behavioral activation (a component of cognitive-behavioral therapy), it is not the most appropriate initial step given the severity of Maria’s symptoms. Furthermore, without assessing for suicide risk, this could potentially overlook a serious safety issue.
D. Referring Maria to a psychiatrist for medication is not the best immediate step. While medication can be a part of the comprehensive treatment plan for major depressive disorder, the counselor’s first responsibility is to assess for immediate risks, including suicidal ideation. Furthermore, as counselors, it’s important to first understand the client’s symptoms, preferences, and needs before making a referral for medication.
6. Core Counseling Attributes
The Core Counseling Attributes domain of the National Counselor Examination (NCE) focuses on the behavioral, trait, and dispositional aspects of effective counselors. Questions in this domain are designed to assess your capacity for empathy, your ability to respond appropriately to a range of client emotions and situations, and your respect for and acceptance of diversity.
You might encounter scenarios where you’re asked to choose the most empathetic response to a client’s statement or situation. Alternatively, you may be asked to identify the most appropriate course of action in a scenario involving a client from a different cultural or social background. Understanding the fundamental principles of effective counseling, such as active listening, empathy, non-judgment, and respect for diversity, will be crucial to answering these questions correctly.
Sample Core Counseling Attributes Question
A client tells you they are struggling with feelings of isolation and loneliness since they moved to a new city for a job. They express a willingness to try new things to overcome their feelings of isolation. Which of the following is the most appropriate response to the client’s situation?
- “That’s a positive attitude to have. Joining a club or activity group in your city could be a good way to meet new people.”
- “I can understand why you feel that way. It must be challenging to adapt to a new city and not have familiar faces around.”
- “You should try to be more outgoing and social. That might help you make friends.”
- “Maybe you should consider moving back to where you came from if you’re not happy here.”
The correct answer is A.
Explanation:
In this example, the most appropriate response is A. The client has indicated a willingness to try new things to overcome their feelings of isolation, making it appropriate to suggest a practical solution like joining a club or activity group. In this context, choice B, while empathetic, does not take into account the client’s willingness to take action. Choice C assumes that the client is not outgoing or social, which may not be accurate or helpful. Choice D is not appropriate as it suggests that the client made a mistake by moving, rather than offering a supportive or constructive response.
To sum up, the NCE covers six key areas of counseling. First, it looks at how well you understand professional practices and ethics, such as confidentiality rules and client records. Second, it tests your skills in the intake, assessment, and diagnosis of clients. This includes conducting mental health evaluations and understanding different aspects of mental health.
The exam also dives into specific areas of clinical focus. Here, you might be asked about different client concerns, from bullying to sleep issues. In another section, the test looks at your ability to create effective treatment plans for your clients. You’ll need to show an understanding of potential barriers to treatment and how to collaborate with other healthcare providers.
Additionally, the exam tests your practical counseling skills and interventions. This includes your ability to create a safe and supportive space for your clients, handle crisis situations, and work with families and groups. Finally, the exam measures your core counseling attributes. It’s important to show empathy, respect diversity, and maintain a positive regard for your clients.
NCE Exam Preparation Strategies
Preparing for the National Counselor Examination (NCE) can seem daunting, but with the right strategies and resources, you can approach the exam with confidence. This guide will provide you with a series of comprehensive steps to help you effectively prepare for the exam. Remember, the key to success is a solid understanding of the exam content and format, combined with consistent and focused preparation.
- Understand the Exam Structure: The NCE is a 200-item multiple-choice examination. Out of the 200 questions, 160 are scored and the remaining 40 are unscored. The test covers six main domains: Professional Practice and Ethics, Intake, Assessment, and Diagnosis, Areas of Clinical Focus, Treatment Planning, Counseling Skills and Interventions, and Core Counseling Attributes.
- Get the Right Study Materials: Obtain a reputable NCE study guide. There are a number of them available, so choose one that best suits your learning style. Some people prefer a comprehensive guide, while others opt for a quick review.
- Plan Your Study Time: Plan your study schedule several months before the exam. Break down the content into manageable sections and assign them to specific days or weeks.
- Focus on the Six Domains: Spend time studying each of the six domains. Understand what each domain covers and focus on the areas where you feel least confident.
- Practice Tests: Take full-length practice tests to gauge your understanding of the material and get comfortable with the format of the test. Analyze your performance to identify weak areas.
- Review Ethics: The ethics portion of the exam is crucial. Make sure you thoroughly understand the American Counseling Association’s Code of Ethics.
- Form a Study Group: If possible, form a study group with other candidates. It’s a great way to gain different perspectives and to ensure that you’re understanding the material correctly.
- Rest Before the Exam: The night before the test, try to relax and get a good night’s sleep. You’ve done the work, and now your mind needs time to rest before the big day.
- Test Day Strategy: Arrive at the testing center early, bring proper identification, and remember to read each question carefully before selecting your answer.
- Follow-Up: If you don’t pass the first time, don’t get discouraged. Analyze where you went wrong, adjust your study strategy, and try again. You are allowed three attempts before your application is closed.
In conclusion, preparing for the NCE involves a combination of understanding the exam structure, acquiring the right study materials, creating and sticking to a study plan, practicing with mock tests, and maintaining a positive attitude. Remember to take care of your physical and mental health throughout the preparation process. With diligence and perseverance, you can achieve a successful outcome on the NCE.
Test Features
The Purpose of the NCE Exam
The National Counselor Examination (NCE) is a standardized exam that aspiring counselors need to pass to meet some of the certification requirements for national certification and state licensure. The exam is designed to assess the knowledge, skills, and abilities that are essential for providing effective counseling services. It covers a broad range of counseling topics and areas of expertise.
Here are some specific purposes of the NCE:
- National Certification: The NCE is one of the examination requirements for the National Certified Counselor (NCC), the most recognized counseling certification in the United States, offered by the National Board for Certified Counselors (NBCC).
- State Licensure: Many U.S. states use the NCE as part of their licensure requirements for professional counselors. Passing the NCE can help individuals meet the requirements to become Licensed Professional Counselors (LPCs) or Licensed Mental Health Counselors (LMHCs), depending on the specific licensure titles used in their state.
- Assessment of Knowledge and Skills: The NCE evaluates a candidate’s understanding of core counseling areas, such as counseling and helping relationships, group counseling and group work, career development, assessment and testing, research and program evaluation, and more.
- Standardization: The NCE provides a standardized measure of key aspects of the counseling profession, which helps ensure that certified counselors across the country meet a consistent and recognized level of knowledge and competency.
Remember, while the NCE is a significant step towards becoming a certified or licensed counselor, it’s typically just one of several requirements. Other requirements might include completing a master’s degree in counseling, obtaining a certain amount of supervised clinical experience, and adhering to ethical guidelines and standards of the profession.
Test Fast Facts (tl;dr)
- Administered by the National Board for Certified Counselors (NBCC)
- Represents 8 original content areas of the Council for Accreditation of Counseling and Related Educational Programs (CACREP)
- Requires a graduate-level degree or higher from a CACREP-accredited program
- Consists of 200 multiple-choice questions
- 160 out of 200 questions are scored
- 40 out of 200 questions are unscored field-test items
- Maximum possible score is 160
- Includes a 15-minute scheduled break after question #100
- Exam completion time is 225 minutes
Common names for the NCE Test
The NCE Test, or National Counselor Examination, is also commonly referred to as:
- National Counselor Exam
- NCE Counseling Exam
- NBCC Exam (as it is administered by the National Board for Certified Counselors, or NBCC)
However, it’s important to note that the official name is the National Counselor Examination. Other names are typically variations or abbreviations used informally.
How do I register for the NCE?
To register for the National Counselor Examination (NCE), follow these steps:
- You have two options when it comes to registering for the NCE:
- You can register as part of the National Certified Counselor (NCC) application. This method allows you to get a head start on earning your professional credentials.
- You can register for the examination on its own, independent of a certification application. For more information on that process, review the candidate handbook at nbcc.org/assets/exam/handbooks/nce.pdf.
- Candidates must register online using their Credentialing Gateway account as part of the NCC application. Navigate to nbcc.org and choose “Login,” located in the top right corner of the screen. This will take you to a log-in screen where you can either log in or create a Credentialing Gateway account. The Credentialing Gateway can also be accessed directly at my.nbcc.org.
- After you have successfully registered with NBCC via the NCC application in your Credentialing Gateway account and have been approved to schedule your examination appointment, you will receive an Authorization to Test email from Pearson VUE with your candidate ID number. This email will arrive 2 to 3 weeks prior to the opening of the examination window. You may either schedule an appointment for the examination online or by telephone.
- To schedule online, retrieve the Candidate ID number from the Authorization to Test email received from Pearson VUE. Navigate to pearsonvue.com/nbcc and select “Create Account.” Follow step-by-step instructions to select the examination program and register for an examination. Then, select a test appointment time.
- If you are taking the examination with approved special examination accommodations, you must schedule your examination appointment by phone.
Please note that all online payments for the NCC application, including examination fees, must be made by credit card (VISA, MasterCard, or American Express) and are not refundable or transferable.
Who is Eligible?
To qualify for the NCE, you must have a graduate-level degree or higher from a counseling program accredited by CACREP or administered by an institutionally accredited college or university. Your counseling degree program should contain courses in the following eight requirement areas:
- Human Growth and Development Theories in Counseling
- Social and Cultural Foundations in Counseling
- Helping Relationships in Counseling
- Group Counseling Theories and Processes
- Career Counseling and Lifestyle Development
- Assessment in Counseling
- Research and Program Evaluation
- Professional Orientation to Counseling
What’s the Format?
The NCE is a 200-question, multiple-choice examination. It is not sectioned, and you will have a total test session of 255 minutes (4 hours and 15 minutes) to complete it. Here’s how the time is broken down:
- Time to complete the Test Administration and Confidentiality Agreement: 5 minutes
- Time to complete the testing tutorial (including sample case study): 10 minutes
- Time to complete the examination: 225 minutes
- One scheduled break (after question #100): 15 minutes
What’s on the Exam?
The NCE covers eight CACREP domains:
- Professional Counseling Orientation and Ethical Practice
- Social and Cultural Diversity
- Human Growth and Development
- Career Development
- Counseling and Helping Relationships
- Group Counseling and Group Work
- Assessment and Testing
- Research and Program Evaluation
Each version of the NCE contains different questions, but the content areas and the respective numbers of questions representing those areas are consistent. Out of the 200 questions, 160 are scored, and each of these contributes one score point. The maximum possible score you can achieve is 160. The remaining 40 items are unscored field-test items, included to gather statistics for future examinations.
Results Scale and Interpretations
Navigating the intricacies of the National Counselor Examination (NCE) can seem daunting, but having a solid understanding of the scoring system and its interpretation can significantly aid your preparation.
Firstly, it’s crucial to know that the NCE doesn’t have a universally known passing score. The passing range varies depending on the form of the exam, and it usually lies between 56% and 67%. This information isn’t published ahead of time, but most test-takers who score between 58% and 70% on full-length practice exams reportedly pass the actual test.
The NCE consists of 200 questions, 160 of which are scored. The remaining 40 are known as “Item Analysis” questions, which are not scored and are used to test questions for possible use in upcoming exams. If you answer an Item Analysis question correctly, it will be marked as incorrect to ensure it doesn’t contribute to your final score. Your total score is calculated based on the number of correct answers out of 160.
Your score report will provide a breakdown of your performance in six specific work domains:
- Professional Practice and Ethics
- Intake, Assessment, and Diagnosis
- Areas of Clinical Focus
- Treatment Planning
- Counseling Skills and Interventions
- Core Counseling Attributes
Each domain corresponds to a certain percentage of scored items on the exam. For instance, “Professional Practice and Ethics” and “Intake, Assessment, and Diagnosis” each make up 12% of the exam, equating to 19 scored items each. The largest domain is “Counseling Skills and Interventions,” which represents 30% of the exam or 48 scored items.
Each domain assesses different areas of a counselor’s knowledge and skills. For example, “Professional Practice and Ethics” gauges understanding of administrative and clinical protocols, while “Intake, Assessment, and Diagnosis” evaluates the ability to conduct client intake, assessment, and diagnosis. “Counseling Skills and Interventions” focuses on a counselor’s ability to apply specific techniques to facilitate client change, and “Core Counseling Attributes” assesses core qualities such as warmth, respect, empathy, and genuineness.
The NCE also aligns with the eight CACREP (Council for Accreditation of Counseling and Related Educational Programs) curriculum educational standards, including Professional Counseling Orientation and Ethical Practice, Social and Cultural Diversity, Human Growth and Development, and more.
Please note that while this information provides a good overview of the scoring and interpretation of the NCE, there may be additional nuances or changes that aren’t covered here, as the exam can vary. It’s always a good idea to refer to the most recent materials and guides provided by the National Board for Certified Counselors (NBCC) and the Center for Credentialing & Education (CCE) for the most accurate and up-to-date information.
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NCE Exam FAQs
The National Counselor Examination (NCE) is a 200-item, multiple-choice examination designed to assess knowledge, skills, and abilities determined to be important for providing effective counseling services.
There is no fixed passing score for the NCE. The passing scores can range from 56% to 67% depending on the form of the exam. Every form of the exam has its own passing score which is not published ahead of time. Some customers reported to NCEExamPrep.com that they were scoring between 58% and 70% on full-length practice exams and passed the actual exam.
The NCE is scored based on the number of correct answers out of 160. Although there are 200 questions on the exam, 40 of these are “item analysis” questions which are unscored. If you answer these correctly, they are marked as incorrect so they do not factor into your final score.
The NCE is divided into eight CACREP curriculum educational standards: Professional Counseling Orientation and Ethical Practice, Social and Cultural Diversity, Human Growth and Development, Career Development, Counseling and Helping Relationships, Group Counseling and Group Work, Assessment and Testing, and Research and Program Evaluation2. It is also divided into six defined work behavior domains: Professional Practice and Ethics, Intake, Assessment, and Diagnosis, Areas of Clinical Focus, Treatment Planning, Counseling Skills and Interventions, and Core Counseling Attributes.
The exam consists of 200 questions, 160 of which are scored and 40 of which are unscored item analysis questions. The scored questions are distributed among the six work behavior domains, with the largest sections being Areas of Clinical Focus and Counseling Skills and Interventions.
The NCE is a 3.5-hour exam.
To prepare for the NCE, you can review study materials organized around the eight CACREP areas and the six work behavior domains. You can also take practice exams to familiarize yourself with the exam format and types of questions asked.
To register for the National Counselor Examination (NCE), you can either register as part of the National Certified Counselor (NCC) application or independently of a certification application. For the NCC application, you must register online using your Credentialing Gateway account. After successful registration and approval, you’ll receive an Authorization to Test email from Pearson VUE with your candidate ID number. This email will arrive 2 to 3 weeks prior to the opening of the examination window. You can then schedule an appointment for the examination online or by telephone.
The National Counselor Examination (NCE) is administered twice a year, in spring and fall. Candidates will have a 5-week window to sit for the examination during an administration. The examination is not offered on holidays.
Candidates have the choice to take the NCE in-person at a Pearson VUE test center or online through Pearson VUE’s OnVUE platform. Pearson VUE, NBCC’s computer-based testing partner, has test centers across the globe and also offers an internet-based (online) administration through their OnVUE platform. The examination may be taken on a computer at home or in a private setting with a strong internet connection and webcam. Strict security protocols are in place to ensure the integrity and security of the testing process and examination content.
If a candidate is unsuccessful in their examination attempt, they may retake the examination during the next available examination administration cycle by reregistering in their Credentialing Gateway account. Those candidates who do not pass the NCE must wait a minimum of 90 days to retake the examination and cannot test more than once within the same certification examination cycle. If they are taking the examination as part of their NCC application, they are allowed three examination attempts in a 2-year period. If the candidate is unable to pass the examination within the 2-year period, their NCC application will automatically close. A separate reregistration fee will be required for each examination reregistration.
Yes, during the National Counselor Examination (NCE), you are allowed to skip questions and come back to them later. The examination presents one question at a time and you may change your answer as many times as you wish before the examination time limit. Reviewing questions is permitted if needed. It’s encouraged to provide an answer for every examination question before ending the examination because there is no penalty for guessing.
After completing the National Counselor Examination (NCE), you will receive your unofficial score report, which includes your photograph. Within 30 days after the end of the administration window for the month, the Center for Credentialing & Education (CCE) will report official scores to each test taker’s licensing organization after verifying that individual test takers have abided by testing policies and procedures during the administration of the examination. Please note that passing the examination does not guarantee licensure.
NCE Exam Tips
Here are some tips for those preparing to take the National Counselor Examination (NCE) based on quotes from users who have successfully passed the exam:
Tip 1: Plan Your Exam Schedule Wisely
Choosing the right time to take your exam is crucial. Consider scheduling your exam a few months out to give yourself ample time to study and to accommodate any unforeseen issues that may arise. Avoid scheduling your exam around significant events like weddings, family events, or other commitments that could disrupt your study schedule or add unnecessary stress. One NCE taker, Jodie, shared her success: “I just got my scores back from the NCE…I scored a 128”. Be like Jodie. Give yourself the best chance to succeed by choosing an optimal exam time.
Tip 2: Learn to Say ‘No’
During your study period, you need to prioritize your exam preparation. This might mean saying ‘no’ to requests from friends, family, or your employer that could distract you from your study time. Inform them about your study plan and needs so they can support you during this time. This can be challenging, but remember, it’s temporary, and it’s for a significant cause – your future.
Tip 3: Take Time Off to Study
Allow yourself the time you need to study effectively. This might mean taking a few hours or even days off work to focus on preparing for the exam. Value this time and use it efficiently to review the study material and practice exam questions. One user shared their experience, saying, “I highly recommend [studying effectively] to anyone who wants to be prepared for these exams”.
Tip 4: Create a Realistic Study Plan
Don’t underestimate the power of a solid study plan. Create a visible, adjustable study plan that you can follow and check off each day. Break down your study material into manageable chunks and assign them to different weeks leading up to your exam. This will keep you focused and ensure you cover all the material before your exam date.
Tip 5: Don’t Ignore Mock Exam Questions
Practicing with mock exam questions is a vital part of your study plan. These questions will familiarize you with the exam format and improve your test-taking skills. Use them throughout your study period rather than just a few days before your exam.
Tip 6: Attend a Study Workshop
Participating in a study workshop can be a helpful supplement to your study plan. Workshops can teach you strategies to improve your test-taking skills. You can attend these workshops in person or virtually, depending on what suits your learning style best.
Tip 7: Care for Your Well-being
Eat well the night before your exam and aim for a good night’s sleep. On the day of your exam, have a light breakfast and arrive at the exam site at least 15 minutes early. Taking care of your physical health can positively impact your mental performance.
Tip 8: Utilize Test-Taking Strategies
The NCE is a 200-question exam with a 4-hour time limit. Pace yourself and aim to be halfway through the exam at the halfway mark. Answer all questions, as unanswered ones are marked wrong. Trust your first instinct, and remember that for some questions, there might be more than one correct choice. Use logical strategies like considering “all of the above” if multiple choices seem correct or opting for choices that contain “sometimes”, “probably”, or “some”.
Tip 9: Keep a Positive Mindset
The NCE is a challenging exam, and it’s normal to feel unsure or anxious during and after the test. But remember, many test takers have had similar feelings and still passed with flying colors. One user shared, “I have previously taken the test THREE times and failed! I took the test again this week after using a prep course for less than a week and passed with plenty points to spare”. If you don’t pass on your first attempt, don’t lose heart. Take it as a learning experience that prepares you better for your next attempt.
Tip 10: Use the Right Resources
Last but not least, make use of resources that can assist you in your preparation. Many online platforms offer study guides, practice tests, and other helpful resources to prepare for the NCE. Use these tools to your advantage and don’t hesitate to seek help if you need it. A testimonial from another successful NCE taker reads, “I passed my second licensure test, the NCE, by 30+ points! The prep really helped, and I will recommend it to my friends”.
Remember, preparing for the NCE is a marathon, not a sprint. It’s important to maintain a steady study schedule and take care of your mental health along the way. Good luck on your exam!
Administration
Let’s walk through the administrative process of taking the National Counselor Examination (NCE Exam).
- Test Location: The NCE Exam can be taken either in-person at a Pearson VUE test center or online through Pearson VUE’s OnVUE platform. The choice is yours.
- Test Schedule: The NCE Exam is administered twice a year, in spring and fall. You will have a 5-week window to sit for the examination during an administration. Please note that examinations are not offered on holidays.
- Test Format: The NCE is administered via computer-based testing, both in-person at a physical Pearson VUE test center and online via internet-based, online-proctored testing. There is no paper-based option for the NCE.
- Test Materials: Pen and paper will be provided to you during check-in at the test center.
- Cost: The cost of the NCE Exam is part of your application fee for National Certified Counselor (NCC) certification.
- Retake Policy: If you do not pass the NCE Exam, you must wait a minimum of 90 days to retake the examination and cannot test more than once within the same certification examination cycle. If you are taking the examination as part of your NCC application, you are allowed three examination attempts in a 2-year period. If you are unable to pass the examination within the 2-year period, your NCC application will automatically close.
Test Provider
The National Counselor Examination (NCE) is administered by the National Board for Certified Counselors (NBCC), a non-profit organization established in 1982 to set and promote high-quality credentialing standards for counseling. The NBCC also provides various services like ethical and legal support, advocacy, and resources for continuing education. In addition to the NCE, the NBCC administers other assessments like the National Clinical Mental Health Counseling Examination (NCMHCE).
Pearson VUE, a global leader in computer-based testing, plays a crucial role in administering these exams by providing a network of test centers and handling scheduling, registration, and delivery of the exam. As of 2021, the NBCC’s exams are primarily available in the U.S., with expanding services worldwide through the NBCC International division.
The Center for Credentialing & Education (CCE) is an affiliate of the National Board for Certified Counselors (NBCC). It assists in the application and registration process for international candidates taking the National Counselor Examination (NCE) and offers other related credentials and certifications.
Information Sources
- National Board for Certified Counselors (NBCC)
- Pearson VUE
- Center for Credentialing & Education (CCE)
Disclaimer – All the information and prep materials on iPREP are genuine and were created for tutoring purposes. iPREP is not affiliated with the National Board for Certified Counselors (NBCC), which is the owner of the NCE, or with any of the companies mentioned above.
Free NCE Exam practice test: Welcome to the NCE Free Sample Questions section! As you prepare for the National Counselor Examination (NCE), practicing with sample questions is an invaluable way to familiarize yourself with the exam format and content.
This section contains a selection of questions that mirror the topics and question types you’ll encounter on the actual exam. Whether you’re assessing your knowledge or identifying areas for improvement, these questions will serve as an essential tool in your test preparation journey. Let’s dive in and get started!
Question 1 of 12
Which of the following actions should a counselor take when faced with an ethical dilemma between following a law and adhering to the professional code of ethics?
- Always prioritize the law over the code of ethics.
- Consult with a supervisor or colleague for guidance.
- Ignore the code of ethics as it is just a guideline.
- Choose whichever option is the easiest to follow.
The correct answer is B.
A. While laws are important, automatically prioritizing them without considering the ethical implications is not the best practice. B. Consulting with a supervisor or colleague helps in making an informed decision considering both legal and ethical aspects. C. Ignoring the code of ethics is not appropriate as ethics are crucial in counseling practice. D. Choosing the easiest option does not take into account the responsibilities and obligations of a counselor.
Question 2 of 12
A counselor receives a gift from a client. What is the most appropriate action for the counselor to take?
- Accept the gift without any discussion.
- Politely decline the gift.
- Accept the gift but discuss the implications and context with the client.
- Report the client for attempting to give a gift.
The correct answer is C.
Explanation:
A. Accepting the gift without discussion does not consider potential ethical implications. B. Declining the gift could potentially harm the therapeutic relationship if the gift is of cultural significance. C. Discussing the implications and context allows for a consideration of the ethical aspects while acknowledging the client’s gesture. D. Reporting the client is unnecessary and could harm the therapeutic relationship, as gifts are not inherently unethical.
Question 3 of 12
A new client comes to you expressing difficulty in concentrating, fatigue, and feeling sad most of the time. Which assessment tool is most appropriate for initially evaluating whether the client might be experiencing depression?
- Minnesota Multiphasic Personality Inventory (MMPI).
- Beck Depression Inventory (BDI).
- Myers-Briggs Type Indicator (MBTI).
- Rorschach Inkblot Test.
The correct answer is B.
Explanation:
A. The MMPI is used for personality assessment and psychopathology, not specifically for depression. B. The BDI is specifically designed to assess the severity and symptoms of depression. C. The MBTI is a personality assessment tool and does not assess depression. D. The Rorschach Inkblot Test is a projective test mainly used to analyze personality structure and is not specific to depression.
Question 4 of 12
During an initial intake interview, a client reports experiencing severe anxiety attacks. What is the most appropriate next step for the counselor to take?
- Immediately refer the client to a psychiatrist for medication.
- Conduct a thorough assessment to understand the context and severity of the anxiety attacks.
- Suggest the client to try deep breathing and relaxation techniques without further assessment.
- Cancel future appointments as the counselor is not equipped to handle severe cases.
The correct answer is B.
A. Immediate referral for medication is premature without a thorough assessment. B. Conducting a thorough assessment helps in understanding the context and severity, and informs the subsequent course of action. C. Suggesting techniques without understanding the context might not address the underlying issues. D. Canceling future appointments without assessment is not client-centered and does not consider the client’s needs.
Question 5 of 12
A client with a history of trauma is experiencing flashbacks and nightmares. Which therapeutic approach is particularly effective in treating clients with Post-Traumatic Stress Disorder (PTSD)?
- Cognitive Processing Therapy (CPT).
- Reality Therapy.
- Person-Centered Therapy.
- Existential Therapy.
The correct answer is A.
A. CPT is specifically designed for treating PTSD and involves helping clients to reframe and process thoughts related to trauma. B. Reality Therapy focuses on fulfilling needs and making better choices, but is not specifically for PTSD. C. Person-Centered Therapy emphasizes the therapeutic relationship but does not specifically address trauma processing. D. Existential Therapy addresses issues of existence and meaning but does not focus on trauma processing.
Question 6 of 12
A couple comes to you seeking help for communication issues in their relationship. Which therapeutic approach is most effective for working with couples to improve communication and resolve conflicts?
- Play Therapy.
- Dialectical Behavior Therapy (DBT).
- Emotionally Focused Therapy (EFT).
- Psychodynamic Therapy.
The correct answer is C.
A. Play Therapy is primarily used for children to express themselves through play and is not specifically for couples. B. DBT is mainly used for individuals with emotional regulation issues and not specifically for couples. C. EFT is designed for couples and focuses on attachment and bonding, which are key to improving communication and resolving conflicts. D. Psychodynamic Therapy focuses on unconscious processes and is not specifically aimed at couples’ communication issues.
Question 7 of 12
A client is diagnosed with Generalized Anxiety Disorder (GAD). Which of the following is an important component to include in the treatment plan for this client?
- Cognitive restructuring techniques.
- Analysis of past life events.
- Exposure to feared objects or situations.
- Improving social status and financial standing.
The correct answer is A.
A. Cognitive restructuring techniques are important for addressing negative thinking patterns, which are common in GAD. B. Analysis of past life events is more aligned with psychodynamic therapy and is not a primary component for treating GAD. C. Exposure therapy is mainly used for specific phobias and not for GAD. D. Improving social status and financial standing are not direct components of treatment for GAD.
Question 8 of 12
When creating a treatment plan for a client with depression, what should be an initial short-term goal?
- Complete elimination of depressive symptoms within two weeks.
- Help the client to secure a fulfilling job.
- Improvement in daily functioning and engagement in activities.
- Ensure the client forms at least three new close friendships.
The correct answer is C.
A. Complete elimination of depressive symptoms in two weeks is unrealistic as a short-term goal. B. Securing a fulfilling job is a long-term goal and not directly related to treating depression. C. Improving daily functioning and engagement in activities are attainable short-term goals and crucial for clients with depression. D. Forming new close friendships is not a primary treatment goal for depression and may be unrealistic as an initial short-term goal.
Question 9 of 12
A counselor is working with a client who frequently interrupts and talks over the counselor. Which of the following interventions would be most appropriate for addressing this behavior in session?
- Ignore the interruptions and continue speaking.
- Raise voice to talk over the client.
- End the session early because of the interruptions.
- Set boundaries and communicate the importance of mutual respect in conversation.
The correct answer is D.
A. Ignoring the interruptions does not address the issue and can lead to miscommunication. B. Raising voice to talk over the client can escalate the situation and harm the therapeutic relationship. C. Ending the session early without addressing the issue is not client-centered and may damage rapport. D. Setting boundaries and communicating the importance of mutual respect is a proactive approach that addresses the issue while maintaining rapport.
Question 10 of 12
A client is struggling with decision-making and often seeks the counselor’s advice on personal matters. What is the most appropriate intervention for promoting the client’s autonomy in decision-making?
- Provide direct advice on all decisions.
- Encourage the client to make decisions based on intuition.
- Have the client write a pros and cons list for each decision.
- Facilitate exploration of values, goals, and options to support informed decision-making.
The correct answer is D.
A. Providing direct advice does not promote autonomy and can create dependency on the counselor. B. Making decisions based on intuition alone may not consider all factors involved. C. While writing a pros and cons list can be helpful, it doesn’t necessarily address underlying values and goals. D. Facilitating exploration of values, goals, and options empowers the client to make informed decisions aligned with their personal values and objectives.
Question 11 of 12
Which of the following is considered a core attribute of an effective counselor?
- Ability to solve clients’ problems directly.
- Empathy and understanding toward clients’ experiences.
- Being highly directive and controlling in sessions.
- Expressing personal opinions on clients’ life choices.
The correct answer is B.
A. The counselor’s role is not to solve clients’ problems directly, but to facilitate clients’ personal growth and problem-solving skills. B. Empathy and understanding are essential attributes that help in building rapport and understanding the client’s perspective. C. Being highly directive and controlling is not conducive to client autonomy and self-exploration. D. Expressing personal opinions on clients’ life choices may impose the counselor’s values and is not client-centered.
Question 12 of 12
In counseling, what is the term used for the counselor’s ability to communicate understanding, acceptance, and respect, thereby enabling the client to express thoughts and emotions freely?
- Positive regard.
- Countertransference.
- Reflection.
- Unconditional positive regard.
The correct answer is D.
A. Positive regard is showing acceptance, but the term “unconditional” is important for indicating that this acceptance is not based on conditions. B. Countertransference refers to the counselor’s emotional reactions to the client, which can be based on the counselor’s own experiences. C. Reflection is a communication skill used by counselors to mirror the client’s thoughts or feelings. D. Unconditional positive regard refers to the counselor’s acceptance and valuing of the client without any conditions, enabling the client to express themselves freely.
Well done!
You have completed the Sample Questions section.
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