NCE Domain 1: Professional Practice and Ethics Welcome to your NCE Domain 1: Professional Practice and Ethics 1. NCE: Professional Practice and Ethics When a counselor is subpoenaed to provide client records in a court case, and the release could harm the client, what is the most appropriate initial action for the counselor to take? A. Refuse to comply with the subpoena B. Immediately release the records as requested C. Seek consultation from a legal professional D. Destroy the records to protect the client None 2. NCE: Professional Practice and Ethics In a situation where a counselor's personal values conflict with the client's goals, what is the ethical course of action? A. Terminate the counseling relationship immediately B. Refer the client to another counselor without discussion C. Address the value conflict in supervision or consultation before making a referral decision D. Attempt to change the client's goals to align with the counselor's values None 3. NCE: Professional Practice and Ethics Which of the following best describes a counselor's ethical responsibility regarding multicultural competence? A. Focusing only on the cultural backgrounds they encounter most frequently B. Obtaining a basic understanding of all cultures C. Continuously developing awareness, knowledge, and skills in working with a diverse range of clients D. Assuming that multicultural competence is not necessary if the counselor's client base is not diverse None 4. NCE: Professional Practice and Ethics A counselor receives a friend request on a social media platform from a current client. What is the most appropriate response? A. Accept the request to avoid offending the client B. Ignore the request without any explanation C. Decline the request and address the issue in the next counseling session D. Accept the request but set boundaries regarding online interactions None 5. NCE: Professional Practice and Ethics Which scenario most accurately demonstrates an ethical violation of confidentiality? A. Discussing a case with a supervisor without using identifying information B. Sharing client information with a colleague for the purpose of consultation, with client consent C. Revealing client information during a professional presentation, with all identifying information removed D. Discussing details of a client's case with a friend, without client consent None 6. NCE: Professional Practice and Ethics When considering the ethical principle of autonomy in counseling, which of the following is most accurate? A. The counselor should make decisions for the client when the client is unsure B. The counselor respects the client's right to make their own choices and lead their own life C. The counselor prioritizes their own judgment over the client's wishes to ensure the best outcome D. Autonomy only applies to adult clients, not to children or adolescents None 7. NCE: Professional Practice and Ethics What is the most appropriate action for a counselor who realizes they have developed romantic feelings for a client? A. Continue the therapeutic relationship, assuming they can manage their feelings B. Discuss these feelings with the client to find a mutually acceptable way forward C. Terminate the counseling relationship and refer the client to another professional D. Seek supervision or consultation to explore how to proceed ethically None 8. NCE: Professional Practice and Ethics A counselor learns of a client's intention to harm themselves or others. What is the most immediate ethical responsibility? A. Respect the client's confidentiality at all costs B. Seek supervision to discuss potential steps C. Warn the intended victim(s) and take steps to prevent harm D. Wait for concrete evidence before taking any action None 9. NCE: Professional Practice and Ethics What is the primary purpose of ethical codes in the counseling profession? A. To provide a set of rules that must be followed under all circumstances B. To serve as a guideline for professional conduct and decision-making C. To limit the counselor's discretion in handling complex cases D. To ensure that counselors adhere to government regulations None 10. NCE: Professional Practice and Ethics In which scenario is dual relationships considered most ethically permissible? A. When the counselor can benefit financially from the relationship B. When the counselor and client are part of a small community where interaction is unavoidable C. When the counselor has a pre-existing social relationship with the client D. When the client insists that the dual relationship will not affect the therapeutic relationship None 11. NCE: Professional Practice and Ethics How should a counselor ethically handle receiving a gift of significant value from a client? A. Accept the gift to avoid offending the client B. Politely decline the gift, explaining the ethical considerations C. Accept the gift but report it to their supervisor D. Assess the gift's impact on the therapeutic relationship before making a decision None 12. NCE: Professional Practice and Ethics When a counselor discovers that another counselor is acting in an unethical manner, what is the first step they should take according to ethical guidelines? A. Report the behavior to the relevant licensing board immediately B. Confront the colleague directly and demand they stop the behavior C. Document the behavior in detail before taking any further steps D. Attempt to resolve the issue informally if it is safe and appropriate to do so None 13. NCE: Professional Practice and Ethics In the context of ethical decision-making, what is the most appropriate action for a counselor who encounters an ethical dilemma not explicitly addressed by the ethical codes? A. Follow the most closely related ethical guideline available B. Use personal judgment to decide the best course of action C. Seek guidance through professional consultation and supervision D. Default to the legal standards in their jurisdiction None 14. NCE: Professional Practice and Ethics What should a counselor do if they receive a court order to release client records, but the client opposes the release and the counselor believes it could harm the client? A. Refuse to comply with the court order to protect the client B. Release the records as the court order is legally binding C. Seek legal advice to explore options for challenging the order or limiting the information released D. Discuss the situation with the client and let them decide None 15. NCE: Professional Practice and Ethics How should a counselor ethically manage a scenario in which a client's religious beliefs are in direct conflict with the counselor's personal values, but the client's beliefs are central to their identity and counseling goals? A. Refer the client to another counselor immediately B. Attempt to change the client's beliefs to better align with effective counseling strategies C. Explore the counselor's own ability to work with the client without bias or judgment D. Focus solely on non-religious aspects of the client's concerns to avoid conflict None 1 out of 15 Time is Up! Time's up
