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NBHWC COMPREHENSIVE PRACTICE EXAM | 189 QUESTIONS WITH 100% CORRECT
ANSWERS
Is the following goal a behavioral goal or an outcome goal? Comment below with your answer. "I will lose 10 pounds in two months." Correct Answer: Outcome goal A client is working on quitting smoking and has indicated he's had a really hard week. He went out with friends twice this week and ended up smoking with his friends. As a coach it is critical in these moments to: A. Use double-sided reflections B. Provide unconditional positive regard C. Discuss why he chose to smoke with his friends D. Ask him about other friends he has in his life Correct Answer: A Which type of reflection is the following statement. "It's sounds like you are saying getting more sleep is important to you but you are not willing to give up video games at night." A. Simple reflection B. Amplified reflection C. Double-sided reflection Correct Answer: C Which of the following is true about brainstorming sessions? a. Brainstorming sessions last as long as they need to. b. Very specific answers c. No evaluation of quality of answers d. All of the above Correct Answer: C Turn the following statement into a simple reflection. Next, turn it into an amplified reflection. Comment either one below. "I don't see the point of trying to get more fit. Everything I've tried never works" Correct Answer: Simple reflection- You're feeling discouraged because nothing you've tried to get fit has worked. Amplified reflection - so you believe there's absolutely no way for you to ever get fit, no matter what you try. Which of the following is not considered a major risk factor for cardiovascular disease? A. Physical inactivity B. Smoking C. Stress
D. Alcohol-use Correct Answer: D Which of the following behavior change technique is considered most collaborative? A. Motivational Interviewing B. Health Education C. Prochaska's Stages of Change D. Cognitive Behavioral Therapy Correct Answer: A At which coaching session is it best to set SMART goals? A. First session B. Second session C. 6th session D. After at least 2 months Correct Answer: B The following description is the definition of which term? "the feeling that you understand and share another person's experiences and emotions" *See pg. 29 of CPM under Show Empathy - first sentence "Traditionally" A. Sympathy B. Empathy C. Rapport D. Coaching Relationship Correct Answer: B Which of the following is not one of the five principles of Appreciative Inquiry? A. Empathetic B. Positive C. Anticipatory D. Poetic Correct Answer: A A Registered Dietician just passed his RD exam and is now a NBC-HWC. He holds no other certifications. He designed a HIIT program for his first client. Is he operating within his ICHWC scope of practice? YES/NO Correct Answer: No If you as the coach experience a traumatic life event that you feel will affect your ability to coach, per the ICF Standards of Ethical Conduct you should: A. Continue to coach and survey your client at the end to see how you performed B. Ask your client if they would be willing to take a break from coaching C. Suspend or terminate the coaching relationship and refer them to another coach Correct Answer:
C. Missions D. Affirmations Correct Answer: D The core skills of motivational interviewing are often described through the acronym OARS. What does the A stand for? A. Assistance B. Acceptance C. Affirming Correct Answer: C Which of the following is NOT a change statement? A. I know it is really hard. B. I am going to do something I just don't know what. C. I can take control of this. D. If I don't stop, something bad will probably happen. Correct Answer: A If a coach gets a client to begin advocating for their own change, this is called: A. Reframing B. Evoking C. Structuring D. Zooming Correct Answer: B Goal-setting theory includes four mechanisms for behavior change. Which of the following is not a mechanism of goal-setting theory? A. Directed attention B. Persistence C. Motivation D. Strategy Correct Answer: D What should you as a coach always do before providing advice? A. Wait until the end of the session. B. Make sure the client is in the right stage of change. C. Ask permission. Correct Answer: C When the interaction of skill and challenge are matched you are said to be experiencing ____? A. Fulfillment B. Well-being C. Flow
Correct Answer: C If the client is largely resistant to change they are most likely in which stage of change? A. Precontemplation B. Contemplation C. Preparation D. Maintenance Correct Answer: A Which of the following is NOT a domain of emotional intelligence? A. Self-Awareness B. Self-Management C. Self-Fulfillment D. Social Awareness Correct Answer: C Which of the following is an example of an unbiased question? A. Where might you start? B. Have you considered hiring a personal trainer? C. Can you set a goal to complete next week? D. Have you thought about keeping a food log? Correct Answer: A Which open-ended question would be best if your client is not ready to change at all? A. What would have to happen that would signal you that it's time to start thinking about changing? B. What would be some positive aspects of changing right now? C. What has worked for you in the past? D. What are some positive aspects of not changing right now? Correct Answer: A Self-disclosure on the part of the coach is often not advised. Which of the following reason would make self-disclosure appropriate? A. To let your client know you've experienced something similar B. To promote trust C. To give your client time to think D. To show sympathy Correct Answer: C Coaches are sometimes called "guides on the side". This means: A. You provide only helpful suggestions. B. You are comfortable not knowing what is best for your client. C. You provide education at each session. Correct Answer: B
Your client has had success in improving his stress management skills and resiliency. He is now focusing on his water consumption. Client: I remember for about 2 days and then get busy and forget to drink my water and then start all over again. I've tried apps, different types of water bottles, and adding flavor. Nothing seems to work. Coach: That must be very frustrating. Which of the following skills is the coach most likely using? (ICHWC practice question reworked just for fun!) A. Being patient B. Bottom-lining C. Eliciting motivation D. Empathizing E. Summarizing Correct Answer: D Coaching programs often teach that asking WHY questions are not ideal because it puts clients on the defensive (Arlo ski pg. 121). Please rewrite the question below to avoid using WHY. What is another way you can ask this question? "Why don't you just try to exercise?" "Tell me about a time when you were successful with an exercise routine." Correct Answer: What type of exercise has been successful for you in the past? What would need to happen for you to consistently participate in some exercise? You are on your second session with your client and she tells you she is not satisfied with her stress levels. It stresses her out just thinking about it. Her goals are to reduce her stress levels to increase her energy. Prior to this session, she took a strengths assessment. Her strengths included bravery, humor, and fairness. Her lowest categories in the strengths assessment were gratitude, prudence, and creativity. Which of the following is the most appropriate approach for this client? (Coaching Psychology Manual, pg. 50, 107). A. Encourage the client to explore her artistic side. B. Encourage the client to use a gratitude journal. C. Establish a schedule to set aside listening to the meditation app Headspace. D. Explore the client's strengths to find ways to meet her goals. Correct Answer: D Based on your client's health history she has been exercising regularly (biking) for three years maintaining 175 minutes per week. She indicated to you her new goal is to complete a triathlon and she has already started adding some running and swimming to her weekly routine. Which stage of change is the client most likely in as it pertains to her new goal of completing a triathlon? (Prochaska & Prochaska pp. 1-33) A. Maintenance
B. Action C. Preparation D. Contemplation E. Precontemplation Correct Answer: B Your client is going to be assessed for obesity at his next visit. The _____ measurement is most common and the ______ measurement is best for assessing visceral fat. (Health Harvard Link in Study Guide) A. Waist-to-hip; Skinfolds B. Skinfolds; BMI C. BMI; Waist-to-Hip D. MRI; Skinfolds Correct Answer: C A coach sees his client in the grocery store with what appears to be her mother standing next to her. He approaches his client and tells her what a great job she has been doing with her weight loss and smoking cessation. According to the ICHWC Code of Ethics, which of the following ethical principles is most likely being violated by this coach's actions? A. Confidentiality B. Conflict of interest C. Consent D. Professional boundaries E. Scope of practice Correct Answer: A Client: My boss drives me crazy. I've tried talking with her, going above and beyond when asked, staying late, and being overly positive and no matter what all she does is critique my work and tell me to try harder. I am not sure what else I can do. Coach: You've tried several things to appease your boss and nothing seems to be working and you feel at a loss at what to do next. Which of the following skills is the coach most likely demonstrating? A. Being patient B. Double-sided reflection C. Eliciting motivation D. Summarizing Correct Answer: D Your client set the following goal: She will exercise 3 days a week on Monday, Wednesday, and Friday at 4pm for the next 8 weeks beginning today. Note: She has consistently exercised two days a week for 6 months and her overall vision includes enhanced fitness and increased energy. Which of the following SMART component is she missing from her goal?
A Coach and Client are working on goal-setting. The Coach asks the question: "Is this goal within your capabilities?" and "Does this goal depend on anyone else's choices?" Which of the letters in the SMART acronym is the coach trying to clarify? A. Specific B. Measurable C. Attainable D. Relevant E. Time-Specific Correct Answer: C "My doctor says I have high blood pressure, high CHO, and I am pre-diabetic. I just don't even know where to start." Respond below with an Open-Ended question in response to this statement your client made to you. Correct Answer: What's important to you about working on these health markers? That's a lot to take in. What's your understanding of these health markers? You are overwhelmed with all of this new information. What about the information troubles you the most? Client: "I have 3 kids and a full-time job and am taking care of my aging father-in-law. I have no time for healthy eating. Coach: I completely understand. I have kids and am a caretaker too. It is so frustrating but I am getting through it and so can you. Which of the following is the coach exhibiting? A. Pity B. Sympathy C. Empathy Correct Answer: B Research indicates positive affect and emotion can not only affect mental health but also physical health by: A. Decreasing pain B. Enhancing immune function C. Increased longevity D. All of the above Correct Answer: D Discord may appear during a coaching session. Which of the following is NOT a sign of discord in the client-coach relationship? (ACE textbook) A. Defending B. Interrupting C. Disengagement D. Questioning Correct Answer: D
Client: I know that if I got a gym membership I would definitely increase my physical activity but I am so worried about looking dumb or getting injured. Which stage of change is this client most likely in? (Prochaska, Page 15). A. Precontemplation B. Contemplation C. Preparation D. Never gonna do it. Correct Answer: B Your client has just set goals. You then ask "On a scale of 1-10, how confident are you that you will be successful with that goal?" What is this technique called? (Coaching Psychology Manual pg. 86-87) Correct Answer: Confidence Ruler Client: As a result of coaching I have learned to listen to my inner voice. What type of outcome is this as a result of participating in coaching? A. Product Outcome B. Biometric Outcome C. Process Outcome Correct Answer: C Your client developed a pro - con list for quitting smoking. The cons outweighed the pros two to one. Which stage of change is your client most likely in when it comes to quitting smoking? (Prochaska, pg.36) A. Precontemplation B. Contemplation C. Preparation D. Action Correct Answer: B Positive psychology continues to be a focus within the wellness coaching discipline. Fredrickson contends that happiness that includes people not only feeling good but doing good is defined as: _____? (Coaching Manual pg. 64) A. Positivity B. Mindfulness C. Flourishing D. Positivity Core Correct Answer: C Coach Cherie waited 10 minutes for her client Jamal to call for his wellness coaching appointment. After 10 minutes, Coach Cherie called Jamal and left this message: "Hi Jamal! It is Cherie your wellness coach. I had us down to meet at 2:00pm today to discuss your challenges with smoking at work. Let me know if you would like to reschedule."
Client: I did so well last week and basically blew off every goal this week. I am so pissed at myself. Coach: You are frustrated because you know how successful you can be. Tell me what went well this week despite not meeting your goals. A. Positive reframing B. Confidence assessment C. Affirmations D. Perceptive reflections Correct Answer: A Coaches often use the following phrases during coaching sessions. What technique do these phrases represent? "Say more about that" "What's behind that?" "How do you feel about that" "Tell me more" A. Positive reframing B. Nonviolent communication C. Probing questions D. Appreciative inquiry Correct Answer: C You see an advertisement for an NBC-HWC. The advertisement reads "work with me to lose 30 pounds in 30 days". Which of the following ICF standards of ethical conduct might the coach be violating? (Coaching Psychology Manual, pg. 23) A. Professional Conduct at Large B. Conflicts of Interest C. Professional Conduct with Clients D. Confidentiality/Privacy Correct Answer: C Coach: Tamar I hear you saying that Fitness is your top priority but you have not found time to Exercise in the past three weeks. Which technique is the coach using? A. Resistance management B. Open-ended questioning C. Simple reflection D. Identifying discrepancies Correct Answer: D According to our resource by Dr. Jordan (pg. 73) there is one particular time that closed- ended questions are appropriate. Correct Answer: For Check-Ins Setting goals is a primary task of wellness coaching and is grounded in science. Which of the following statements is NOT a purpose of goal-setting with your clients? (Coaching Psychology, pg.133)
A. Goals serve as a way to direct a client's attention. B. Setting goals improves self-efficacy. C. Goals positively affect persistence. D. Goals are energizing. Correct Answer: B. Setting goals improves self-efficacy A 28-year-old woman speaks with the coach on the phone for her third session. The client has a goal to improve her health and appearance; she is not satisfied with her appearance due to weight gain. She went through a difficult divorce five years ago which has left her feeling resentful and cautious about relationships. She also "generally feels run down" because of work. Prior to this session, she took a strengths assessment. Her top five strengths were fairness, creativity, integrity, humility, and prudence. Her five lowest categories were perseverance, zest, bravery, capacity to love, and gratitude. Which of the following is the most appropriate approach for this client? (ICHWC practice Question). A. Encourage the client to engage in more social interactions B. Encourage the client to use a gratitude journal C. Establish a schedule to set aside regular time for deep breathing exercises D. Explore the client's strengths Correct Answer: D Exploring client’s personal motivation Show empathy Identify discrepancies Roll with resistance Assist self-efficacy The above are principles of what coaching technique? (Jordan, pg. 72) A. Appreciative Inquiry B. Motivational Interviewing C. Non-violent Communication D. Positive Psychology Correct Answer: B The following scenario represents the coach utilizing which of the 5 Ds in the cycle of appreciative inquiry? (Coaching Psychology, pg. 68) Coach: Tell me about a time where you did really well managing your stress during finals week? Client: I did well last spring semester when I was living by myself. A. Define B. Discover C. Dream D. Design E. Destiny Correct Answer: B
James is a 65 - year-old male. He has a high stress job and has sleep apnea. James lives in a food desert and often doesn't feel safe in his neighborhood. He has a BMI of 31 and is pre- diabetic. He is physically inactive and lacks self-confidence because he was never good at sports. James is coming to you because he wants to lose weight, walk more, stop drinking soda and learn how to improve his sleep. Which factors would be included as a social determinant of health? A. Pre-diabetic/BMI of 31 B. Food desert/safety C. Food desert/physically inactive D. Stressful job/sleep apnea Correct Answer: B Your client Sara is working to improve her sleep habits. Little progress has been made toward this goal in the past month. Sara frequently changes the subject during your coaching sessions about a verbally abusive ex-partner to the point where it is dominating every session. In this situation which of the following methods would be best to help Sara to move forward? (Coaching Psychology pg. 20). A. Continue to ask open-ended questions B. Tell Sara you noticed she is frequently bringing the topic of her ex's behavior up C. Refer Sara to a counseling professional D. Express empathy for the difficult situation she was once in Correct Answer: C Client: I can never find the time to be always drinking water. My husband hates water too. Coach: This sounds like quite a challenge. I remember you telling me how healthy you ate in college and exercised and even drank water. Tell me about that time in your life. Which of the following reflection was the coach using? (Coaching Psychology pg. 85) A. Simple B. Amplified C. Double-sided D. Shifted-focus Correct Answer: D Coach Kamil has a list of words next to his computer in his office where he does all his coaching. The list includes: Serenity Interest Hope Inspiration Awe Amusement Gratitude Joy Pride
Love What does this list of words represent? A. Ways to exemplify coaching presence B. Concepts of the wellness continuum C. A list of positive emotions that increase well-being D. Components of the wellness wheel Correct Answer: C The readiness to change ruler is a self-report scale from 0 to 10 that helps a coach gauge when a client might be ready to change. Which of the following questions would be best for someone who answers in the middle (e.g. a 5 or a 6)? (Muth, pg. 49) A. What might put the mark a little higher on the scale? B. What qualities in yourself are important to you? C. How will you know when it is time to think about changing? Correct Answer: A Martin Seligman, the founder of positive psychology, describes happiness as having a pleasant life. But the notion of a full life must include a pleasant life, a _______ life, and a _______ life. (Muth pg. 29) A. Creative; Spiritual B. Loving; Protective C. Engaged; Meaningful D. Optimistic; Engaged Correct Answer: C Coaches are often taught to use strength-based and value-based curricula in their coaching practice. Evidence supports using the client's strengths and emphasizing their values increases their ______________? (Muth, pg. 37). A. Ability to set goals B. External motivation C. Internal motivation D. Positivity mindset Correct Answer: C John is a 58 - year-old male living in Sarasota, Florida. You noticed on this health history that he wrote "I am taking some sort of station but not sure what for." Which of the following responses to John is correct? (CDC website on statins). A. Statins improve your overall health. B. Statins help lower your LDL (bad) cholesterol level C. Statins help lower your HDL (good) cholesterol level D. Statins improve your hearts ability to function. Correct Answer: B
C. Implement a strengths assessment D. Revisit the goal and whether it is still SMART Correct Answer: D Expressing empathy is a skill. One example of demonstrating empathy is to make observations and not evaluations as a coach. "You failed to drink 5 cups of water each day last week" is an example of a ___________ vs "You drank 5 cups of water on Monday and Tuesday last week" is an example of a ___________. (Coaching Psychology, pg. 59, NVC) A. Evaluation; observation B. Observation; evaluation C. Evaluation; evaluation D. Observation; observation Correct Answer: A As a coach you have noticed a pattern where your client tends to be overzealous and unrealistic in his goals (e.g. gain 5 pounds of muscle in two weeks). Which of the following suggestions exemplifies the "coach approach"? A. Develop more realistic goals for your client and discuss with them at the next session. B. Carefully monitor the goals set to help clients keep them realistic. C. Work on goal setting, even if it is the whole discussion that session, to make sure they can accomplish every goal. Correct Answer: B You've had a great client that has made tremendous progress. After working with her for the last 18 months you have noticed she seems to be no longer benefiting from your coaching relationship. According to the ICF code of ethics, what should you consider doing? A. Refer her to another coach. B. Let her know what you are noticing and suggest you end the coaching relationship at this time. C. Keep coaching her as there are always things to work on. Correct Answer: B Empathy, affirmation, zest, playfulness, authenticity, courage, calm and warmth are all examples of what skills? A. Being skills B. Self-compassion skills C. Trust skills D. Goal-setting skills Correct Answer: B Your client’s employer makes them attend three coaching sessions in order to get a $10 co- pay vs. a $40 co-pay. At your first session, you open the call by asking your client what was
the best part of his day so far. He responds, "only two more of these and I get to pay $ less for my co-pay". Which of the following would be an example of an amplified reflection? A. "You only need to chat with me two more times to get a better co-pay." B. "You are coming to these coaching sessions just to get the discount for your co-pay." C. "The best part of your day is checking this coaching session off your list." Correct Answer: B Which of the following is a controllable risk factor for high blood pressure? A. Physical inactivity B. Ethnicity C. Genetics D. Age Correct Answer: A Which of the following client is not meeting minimum guidelines for cardiovascular exercise according to the American College of Sports Medicine/CDC? Maylin runs for 45 minutes a day Monday through Thursday. Celissa climbs stairs for 10 minutes 3 times per day at her office building Monday through Friday. Donald bikes at soul cycle for 60 minutes every Saturday and Sunday and takes a 60 - minute dance class on Wednesday evenings. Sara walks to work every day Monday through Friday and takes the bus home. Walking to work takes her 20 minutes. A. Maylin B. Celissa C. Donald D. Sara Correct Answer: D Which of the following is the best question to ask at the very beginning of a standard follow- up coaching session? A. Are you having a good day? B. How did you do on your goals? C. What is the best thing that has happened since we last talked? D. How's it going? Correct Answer: C Client: I thought red wine was supposed to be good for your heart. That is why I drink it each night. Coach: You are right-it does look like there are some benefits to drinking red wine along with some risks. The motivational interviewing technique the coach demonstrated was: A. Simple reflection B. Agreement with a twist
