Part 2: Think You Can Ace This DSM-5-TR Quiz? Let’s See.
Think you’re ready for a deeper challenge? This DSM-5-TR (Part 2) quiz takes it up a notch, pushing you to apply diagnostic knowledge with sharper distinctions and more advanced clinical nuance. You’ll test your ability to spot subtle differences, identify key specifiers, and recognize patterns that trip people up on the NCE—and in real-world assessments. Stay focused, trust your training, and use this as a chance to strengthen the areas that matter most. Let’s dive in.
Think you’ve got a solid handle on diagnostic criteria and clinical distinctions? This DSM-5-TR (Part 1) quiz will put your knowledge to the test. You’ll review core features, duration requirements, and differentiating symptoms across a variety of disorders—just like you’ll see on the NCE and in real clinical practice. Take your time, trust what you know, and notice where you might want a little more review. Let’s get started.
Once you’re finished with Part 1, move on to Part 2. If you’re studying for the NCE, you may also want to consider taking the free NCE 2025-2026 Practice Exam.
This is Part 6 in a six-part series covering the major content areas on the National Counselor Exam. The questions in this section are drawn from the 2025–2026 Mometrix Test Prep Flashcards, the Encyclopedia of Counseling (3rd Edition), and the DSM-5-TR. You don’t need to buy pricey prep materials—I already did. I’m sharing the information here for free. This is one of the most comprehensive free NCE prep resources available. For best results, watch all the videos in the series and then take the practice exam. There’s also a free tracking sheet you can download to record any questions you miss. It’ll help you see exactly where you need to spend more study time. Feel free to share this series with others who are studying for the exam, and use it with your study group if it’s helpful.
Section 1:
Section 2:
View all the videos in the free NCE study guide series for 2025-2026 and test you knowledge with the free practice exam:
Welcome to the fifth post in my free NCE study series. Each post focuses on one major topic area you’ll see on the exam and includes short, guided practice. Start by watching the videos in order—pause after each question to think through your answer, then hit play to check your reasoning. Once you’ve finished all videos, test yourself with the interactive multiple-choice quiz to expand on what you learned.
This post focuses on intake, assessment, and diagnosis and the theories that guide them—domains that show up frequently on the NCE.
View the other free NCE 2025-2026 study guides in this series and take the 175-question practice exam:
Your goal is not just a score — it’s identifying your weak content areas.
This exam does not measure your ability to help people. It measures recall under stress. Every point you improve is progress. You’re training your brain to think like a test-taker—not a therapist.
You’re building skill. You’re moving forward. You’ve got this.
Consider viewing the free NCE Study Guide Series (videos with question and answer slides):
The Modified Angoff Method is the standard-setting process used to determine the passing score on the NCE. It’s how the exam decides what score counts as “passing” for that specific test form.
How It Works
A panel of licensed counseling experts reviews each test question before the exam is given.
For every question, each expert estimates the percentage of minimally competent entry-level counselors who would answer that question correctly.
Not struggling counselors.
Barely-qualified-but-acceptable counselors.
Not good counselors.
Those percentage ratings across all questions are averaged and totaled.
That total becomes the cut score (aka the minimum passing score).
The final passing score may be slightly adjusted for fairness depending on exam difficulty.
Why This Matters
The passing score is not a fixed number like “You need 70%.”
Different test versions can have slightly different cut scores.
This ensures the exam is fair, even if one version is harder than another.
NCE Content Breakdown
CACREP Domain
Approx % on Exam
Professional Orientation & Ethics
10–12%
Human Growth & Development
12–14%
Social & Cultural Diversity
10–12%
Helping Relationships
14–16%
Group Work
9–10%
Career Development
12–14%
Assessment
10–12%
Research & Program Evaluation
5–7%
When you review missed questions, match them back to these domains.
For this practice NCE, a 70% is required to pass.
Test-Day Strategy Tips
1. Don’t spend more than 60–90 seconds on a single question
2. Trust your first instinct unless you misread the question
3. Look for what the question is actually asking—many are about ethics + least restrictive + client safety
4. If stuck, eliminate two answers first, then choose
Common NCE Trick Question Patterns (How to Outsmart Them)
When two answers are correct, choose the one that is least restrictive and most client-centered.
If safety is involved, stabilize before insight.
On ethics questions, consult + document is almost always there for a reason.
If one answer is judgmental, harsh, or punitive → it’s wrong. Counseling answers prioritize rapport, safety, and dignity.
When in doubt, choose the answer that builds the relationship. Connection first, intervention second.
The “too obvious” answer is usually (but not always) a trap. The correct answer often includes one clarifying detail.
Don’t overthink pharmacology questions. Keep it surface-level: purpose + side effect = enough.
Disclaimer: This practice exam is an independently created study aid and is not affiliated with, endorsed by, or sponsored by the National Counselor Examination (NCE), NBCC, or any commercial test preparation publisher. All questions have been paraphrased, reworded, and/or newly created based on general counseling knowledge and do not reproduce proprietary test questions. This resource is for educational purposes only and should be used as a supplemental study tool—not as a replacement for official preparation materials.
Did you take the exam recently? Share your experience or any content areas you’d like a deeper breakdown of. Your feedback helps me make the next practice exam even better.
Welcome to the fourth post in my NCE study series. Each post focuses on one major topic area you’ll see on the exam and includes short guided practice. Watch the videos in order—pause after each question to think through your answer, then hit play to check your reasoning. Once you’ve finished all videos in the free NCE study guide series, test yourself with the interactive multiple-choice quiz that expands on the material you’ve just learned.
Welcome to the third post in my NCE study series. Each post focuses on one major topic area you’ll see on the exam and includes short guided practice. Watch the videos in order—pause after each question to think through your answer, then hit play to check your reasoning. Once you’ve finished all videos in the free NCE study guide series, test yourself with the interactive multiple-choice quiz that expands on the material you’ve just learned.
Welcome to the second post in my NCE study series. Each post focuses on one major topic area you’ll see on the exam and includes short guided practice. Start by watching the videos in order—pause after each question to think through your answer, then hit play to check your reasoning. Once you’ve finished all videos, test yourself with the interactive multiple-choice quiz to lock in what you learned.
This post focuses on diagnosis and areas of clinical focus—two domains that show up frequently on the NCE.
By the end of Part 2, you should be able to:
Identify early signs and presentations of neurodevelopmental disorders such as Autism Spectrum Disorder, Down syndrome, Tourette’s syndrome, and intellectual disabilities.
Distinguish between life-course-persistent vs. adolescence-limited conduct disorders.
Describe the core features, diagnostic criteria, and clinical courses of anxiety disorders, including panic disorder, agoraphobia, specific phobias, GAD, selective mutism, PTSD, and social anxiety disorder.
Explain major learning and cognitive models of phobia and anxiety development (e.g., classical conditioning, operant conditioning, social learning theory, Mowrer’s two-factor model, Beck’s cognitive triad, Seligman’s learned helplessness, Rehm’s self-control model).
Recognize how trauma, attachment ruptures, and unresolved emotional conflict may contribute to substance use disorders from an object-relations or psychoanalytic lens.
Understand the disease model and behavioral models of addiction, including biological predisposition and reinforcement cycles.
Interpret commonly used substance use screening and withdrawal assessment tools (MAST, CAGE, CIWA) and apply scoring guidelines to determine risk and treatment needs.
Describe the effects and abuse potential of narcotics and steroids.
Differentiate among race, ethnicity, worldview, acculturation, social identity, ethnic identity, privilege, stigma, prejudice, discrimination, stereotypes, and oppression.
Discuss how social power structures shape access, opportunity, and well-being for marginalized groups.
Explain socioeconomic status as a determinant of experience and resource access.
Outline political and rational approaches to social policy development and the concept of lesser eligibility.
Describe permanency planning within child welfare systems and long-term placement options.
Distinguish between developmental crises (associated with normal maturation) and situational crises (triggered by life events).
PART 2: SECTION 1
PART 2: SECTION 2
PART 2: SECTION 3
PART 2: SECTION 4
Click here for Part 1 of the free NCE study guide series!
Click here for Part 3 of the free NCE study guide series!
Welcome to the first post in my NCE study series. Each post focuses on one major topic area you’ll see on the exam and includes short guided practice. Start by watching the videos in order—pause after each question to think through your answer, then hit play to check your reasoning. Once you’ve finished both videos, test yourself with the interactive multiple-choice quiz to lock in what you learned.
This post focuses on research design and professional ethics—two domains that show up frequently on the NCE and can easily trip you up if you’re only memorizing definitions instead of understanding the logic behind them.
By the end, you should be able to:
Distinguish between research designs and sampling methods
Identify when to use descriptive vs. experimental methods
Recognize ethical responsibilities and boundaries in counseling practice
Apply ethical decision-making to real exam-style scenarios
Take your time. Think it through. And remember: learning how to reason through a question is more valuable than just getting it right.
