Question 1
What term describes what the counselor believes must transpire from a psychotherapeutic standpoint?
Correct Answer:
Recommendations
Explanation:
In psychotherapy, the plan for what should happen next is captured by the recommendations. These are the concrete actions, strategies, and steps the counselor believes the client should follow to move toward the treatment goals—like homework, skill practice, or referrals. Norms are general standards of behavior, not a treatment plan. Prognosis describes the expected course or outcome of the condition, not the required steps in therapy. Aggression is a behavior, not a plan for therapeutic action. So recommendations best describe what the counselor believes must transpire in psychotherapeutic work.
Question 2
The relationship between the therapist and client in reality therapy is most like which of the following?
Correct Answer:
A friend who asks what is wrong
Explanation:
In reality therapy, the relationship is built on collaboration, warmth, and respect. The therapist works like a supportive friend who asks questions to help the client uncover what they want and how their current actions are helping or hindering that aim. This stance keeps the focus on present choices and personal responsibility, guiding the client toward practical plans that meet their needs without coercion or judgment. A distant professional authority or a parent-figure would undermine the sense of partnership and autonomy that reality therapy relies on, while an investigator would feel detached and impersonal. The friend-like approach, by contrast, invites honest conversation and joint problem-solving, which is why it best fits how reality therapy frames the therapist–client relationship.
Question 3
The process by which a conditioned response weakens when the CS is no longer paired with the US is called:
Correct Answer:
Extinction
Explanation:
Extinction is the process where the conditioned response fades away when the conditioned stimulus is repeatedly shown without the unconditioned stimulus. The idea is that the CS loses its predictive value—the organism learns that this cue no longer signals the US, so the response weakens over time. This differs from acquisition, which is the initial learning of the CS–US connection; generalization, which is responding to stimuli similar to the CS; and spontaneous recovery, which is the reappearance of the extinguished response after a rest period. Remember, extinction doesn’t erase the original learning completely; the association can reappear under certain conditions.
Question 4
Freud's theory speaks of Eros and Thanatos. A client who threatens a self-destructive act is being ruled primarily by
Correct Answer:
Thanatos
Explanation:
Freud proposed two basic drives: Eros, the life instinct that fuels self-preservation and growth, and Thanatos, the death instinct that pushes toward self-destruction and a return to inanimate states. When a client threatens a self-destructive act, the dominant force at play is Thanatos—the impulse driving toward ending tension through self-harm. Eros would push toward preserving life and seeking safer, constructive actions, while the reality and ego mechanisms work to manage impulses, and the superego imposes moral constraints. But the immediate power behind a self-destructive threat is the death instinct, not the life instinct or regulators.
Question 5
All of the following statements about reality therapy are true except:
Correct Answer:
The client's childhood is explored.
Explanation:
Reality therapy concentrates on what a person is doing now and what they can do differently, not on digging into childhood issues. It’s based on Choice Theory and emphasizes present behavior and choices, with a clear aim: help the client take responsibility for their actions and develop concrete plans to change. The process uses planning and evaluating present behavior, guiding the client toward feasible steps that can improve their ability to meet needs. Because of this focus on the present and on responsibility, the idea that the client’s childhood is explored does not fit reality therapy. The other statements describe core aspects of reality therapy.
Question 1
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Prepare with the NCE Purple Book Practice Test practice quiz. This question bank includes 10 questions covering term, client, reality, therapy, and response. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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NCE Purple Book Practice Test

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