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Understanding what is on the NBCC National Certified Counselor exam is crucial step in preparing for the exam. You will need to have an understanding of the testing domain (topics covered) to be sure you are studing the correct information.

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NBCC National Certified Counselor Exam Blueprint

Understanding the exact breakdown of the NBCC National Certified Counselor test will help you know what to expect and how to most effectively prepare. The NBCC National Certified Counselor has 200 multiple-choice questions The exam will be broken down into the sections below:

NBCC National Certified Counselor Exam Blueprint
Domain Name
Human Growth and Development
Social and Cultural Diversity
Helping Relationships
Group Work
Career Development
Assessment
Research and Program Evaluation
Professional Orientation and Ethical Practice

NBCC National Certified Counselor - Exam Topics Sample Questions

Of the following, which subcortical brain region is associated with Huntington’s disease?

Correct Answer:
basal ganglia


the correct answer to this question is the basal ganglia. the basal ganglia are a group of structures located deep within the cerebral hemispheres of the brain. they are primarily involved in processing information on movement and coordination, as well as various aspects of behavior and emotion. the basal ganglia include several important nuclei, such as the caudate nucleus, putamen, globus pallidus, substantia nigra, and subthalamic nucleus.

huntington’s disease is a genetic disorder that causes the progressive breakdown of nerve cells in the brain. it has a significant impact on a person's functional abilities and usually results in movement, cognitive, and psychiatric disorders. one of the hallmarks of huntington’s disease is its effect on the basal ganglia. this region of the brain is crucial for coordinating movement, and the degeneration of neurons within the basal ganglia is what leads to the characteristic motor symptoms of the disease.

the motor abnormalities linked to dysfunction in the basal ganglia, as seen in huntington's disease, do not typically include paralysis. instead, they manifest as coordination and rhythm of movement problems. these are known as "extrapyramidal syndromes." symptoms can include involuntary jerking or writhing movements (chorea), muscle rigidity, and slow, fine motor difficulties. these motor symptoms are a direct consequence of the loss of neurons in the basal ganglia, which disrupts the normal regulation of motor control.

it is important to differentiate the basal ganglia from other subcortical structures like the hippocampus, amygdala, and brain stem, which have different functions. the hippocampus is primarily involved in memory and learning; the amygdala in emotion processing; and the brain stem in controlling basic functions such as breathing, heart rate, and sleep cycles. none of these regions are primarily associated with the motor symptoms typical of huntington’s disease, making the basal ganglia the correct answer in relation to the question asked.

With Maslow's hierarchy, the lowest level is considered physiological. Which of the levels
would be considered the highest level?
 

Correct Answer:
self-actualization
the correct answer is self-actualization. *p in maslow's hierarchy of needs, a psychological theory proposed by abraham maslow in 1943, needs are organized into a hierarchy that is often depicted as a pyramid. this hierarchy is divided into five main levels, each representing a different set of needs. at the base of the pyramid are the most fundamental needs, and as one ascends the pyramid, the needs become increasingly psychological and self-fulfilling. *p starting from the bottom, the first level is physiological needs, which include basic necessities such as food, water, warmth, and rest. the next level is safety needs, encompassing security and protection from physical and emotional harm. the third level is love/belonging, which involves interpersonal relationships such as friendships, romantic attachments, and family. the fourth level is esteem, which includes feelings of accomplishment and recognition from others. *p the highest level in maslow's hierarchy is self-actualization. this level represents the fulfillment of personal potential and self-fulfillment. it is the realization of one's talents, capacities, and the most creative desires. self-actualization is characterized by feelings of growth, achieving one’s own goals, and finding meaning in life beyond the basic needs. it is considered the pinnacle of psychological development. *p therefore, based on maslow's hierarchy of needs, the highest level is self-actualization, not love/belonging, safety, or any other level. this stage is reached when an individual has met all the lower level needs and can focus on personal growth and achieving their fullest potential.