NCE-ABE Dumps With Exact Questions and Answers

In the Assessment and Testing core area, CACREP requires that counselors understand:

The use of diagnostic classification systems (such as DSM),

The difference between identity or behavior and a mental disorder, and

The central role of distress or impairment in making a diagnosis.

For gender dysphoria, diagnostic criteria emphasize that:

A person may experience incongruence between their experienced/expressed gender and assigned sex,

However, this incongruence alone is not sufficient for a mental health diagnosis,

A diagnosis is appropriate only when the experience is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Evaluating the options:

A. Considering surgical reassignment – Not required for diagnosis. Many individuals with gender dysphoria may never seek surgery.

B. Strong dislike for their anatomy – This can be one feature, but by itself does not justify a diagnosis without associated distress or impairment.

C. Desire for secondary sexual characteristics of another gender – Again, this can be part of the experience but is not sufficient alone to meet diagnostic criteria.

D. There was clinically significant distress. – This is the essential condition across DSM diagnoses: the symptoms must cause clinically significant distress or impairment. Without that, a formal diagnosis of gender dysphoria should not be made.

Therefore, the counselor would only diagnose gender dysphoria if D (there was clinically significant distress) is present.

Within the Counseling and Helping Relationships core area, CACREP highlights the importance of empathy and the counselor’s ability to be fully present with the client. Empathic attunement refers to:

Deeply tuning in to the client’s emotional experience,

Staying present with the client without judging, fixing, or overanalyzing,

Conveying understanding and acceptance of the client’s internal world.

Active listening (option B) involves attending behaviors and reflective responses, but empathic attunement specifically emphasizes nonjudgmental presence and emotional resonance with the client’s experience. Interpretation (option A) involves analyzing or offering meanings, which is the opposite of simply sitting with the experience. Integration (option C) refers more broadly to combining insights or aspects of the self, not this particular stance.

Within the Assessment and Testing core area, counselors are expected to understand and correctly use basic statistical concepts, including measures of central tendency and variability.

The median is defined as the score that divides a distribution into two equal halves, with 50% of the scores falling above it and 50% below it. This is exactly what the question is asking: the value that separates the top half of the scores from the bottom half.

The mode is the most frequently occurring score in a distribution and does not necessarily divide the distribution into equal halves.

The mean is the arithmetic average of the scores and can be influenced by extreme scores; it does not, by definition, guarantee that half the scores are above and half below.

The semi-interquartile range is a measure of variability (spread), not a measure of central tendency. It represents half the distance between the first and third quartiles.

Because the median is the statistic that separates the upper 50% of scores from the lower 50%, A (Median) is the correct answer.