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NBHWC EXAM ACTUAL EXAM QUESTIONS AND
CORREC T DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |AGRADE
A 39-year old man comes to his coach for their 4th session. The man is working on reducing the amount of sugar that he eats. Client: I get so irritable when I don't have sugar. Coach: Giving up sugar is causing some unpleasant side effects. Client: Yeah, I knew it wasn't going to be a walk in the park and prepared myself for that by letting my family know my plan and trying to take it nice and slow so I don't cause them to move out. Coach: Your skill in really thinking this all through and thinking about how this change will affect your family exemplifies you're commitment. The last statement by the coach is an example of what coaching skill? A: Amplified reflection B. Righting Reflex C. Affirmation D. Open-ended questioning - ANSWER>>C
About half way through your coaching agreement with a client, the coach notices that the client is arriving to the coaching calls late and has missed a couple of sessions without notifying you in advance. Which of the following approaches would be BEST to pursue with your client?: a. Explore what's working, revisit client's strengths, and create a plan for improvement b. Explore why coaching isn't working and get feedback on what specific things they don't like c. Share your observations, express empathy, and inquire as to what could make their vision and goals more of a priority d. Confront client, assess readiness for change, and discuss whether coaching is appropriate at this time - ANSWER>>C
A client comes to their 5th coaching session and has made progress in improving their sleep but is having trouble with their goal of increasing their physical activity. Client: "I really want to feel better...but it's just too hard. I've got two jobs and I take care of my parents too."
Which of the following coach responses is NOT a response that would increase change talk? a. "What makes the protocol feel hard and impossible?" b. "What changes have you made in your life that felt frustrating and impossible and yet you achieved them?" c. "Let's pretend that making this change is possible and that it's not hard. What might work?" d. "What small step might be possible and not feel as hard?" - ANSWER>>A
Which of the following is recommended by MyPlate as part of a healthy diet: A. Total carbohydrate consumption should be less than 20g per day B. Total fat consumption should be less than 20% of daily caloric intake C. Eat a vegetarian diet 80% of the time D. Limiting trans and saturated fats - ANSWER>>D
An 18-year old woman comes to her fifth coaching session to discuss her continued efforts to lose weight and get healthy. After the session, the coach receives an email from the woman's parents indicating they are paying for the sessions and would like to discuss their daughter's progress so far. What is the best response from the coach? A. I would be happy to set up some time. Please email me back potential times that will work for you. Also, your daughter must be present at this meeting. B. I am not able to discuss anything about my coaching services or any clients without prior written consent from the client. C. I will ask your daughter to give me permission and get back to you. D. I would be happy to set up some time what works for you? - ANSWER>>B
A 42-year old man comes to his 5th coaching session eagerly working toward his goal of improving his relationship with his boss. Client: I tried to reason with her three times this week but my boss just didn't get it. She doesn't live in a world with reason and logic. She twice called me out in front of the group and on Friday told me I needed to step up my game AFTER I reached a major sales goal. Coach: A lot happened this week that seems frustrating. What is one thing that happened during the week between you and your boss that was an improvement from last month? The coach is demonstrating the use of what coaching technique? A. Empathy B. Amplified Reflection
C. Simple Reflection D. Righting Reflex - ANSWER>>D
In the NBHWC Code of Ethics, there is mention of the "importance of recognizing and honoring the efforts and contribution of others and only claiming ownership of your own material." This component falls under which section of the code of ethics? A. Professional Conduct at Large B. Conflicts of Interest C. Professional Conduct with Clients D. Confidentiality - ANSWER>>A
A client came to her first session, from their providers office, with a list of their biometrics. Blood pressure: 118/72mmHg LDL: 175 mg/dl Waist-to-hip ratio: 0. Physical activity: yoga, 60-minutes 3x per week and running, 30-minutes 5x per week A1C: 5.0% Which of the following is most concerning as it increases her risk for a heart attack? A. Blood pressure B. Cholesterol C. Waist-to-hip ratio D. Physical activity level E. A1C - ANSWER>>B
Which open-ended question would be best if your client is in the stage of contemplation? A. What would have to happen that would signal you that it's time to start thinking about changing? B. What would be some pros and cons of making a change right now? C. What has worked for you in the past? D. Why make this change? - ANSWER>>B
A 28-year-old female client is on her fourth coaching session. She has been struggling with stress as she does not get along with her current roommate. Client: I just don't know whether to move out or not. Coach: You should do whatever you think is best. Which of the 12 Thomas Gordon's Roadblocks to Communication did the coach demonstrate?
A. Warning B. Shaming C. Telling people what to do D. Interpreting - ANSWER>>C
A 35-year-old woman is on her fourth coaching session and has been working with a coach to manage her arthritis. She frequently gets flare-ups that set her back for up to a week. Coach: How is your arthritis impacting you today? Client: I have good days and bad days and today is a bad day. Coach: What does a bad day look like? Client: I had a flare up but I was able to repeat what I did last week and do some gently yoga and I felt much better. I know if I did more yoga I would probably feel better most days. The client's response to the coach's question about what does a bad day look like is an example of what? A. Change Talk B. Sustain Talk C. Decisional Balance D. Empathy - ANSWER>>A
Practice Question #211:
A 54-year-old man is on his ninth coaching session and has been working with a coach to manage his overall stress. He has made steady progress each week incorporating several stress management techniques such as deep breathing, keeping a consistent morning schedule, and doing more enjoyable things on the weekend such as reading. During his ninth session, he indicates he is having trouble concentrating and doesn't feel like eating much. When you ask how his reading on the weekends is going to help manage his stress he indicates that reading is not that fun for him anymore. Which of the following is the appropriate next step for the coach? a. Help the client explore other options for incorporating enjoyable things on the weekend. b. Refer the client to a mental health professional c. Explore reasons why he may be having trouble concentrating d. Reframe the situation and note all the amazing pr - ANSWER>>B
Practice Question #210:
Which of the following is NOT a CDC recommendation for proper sleep hygiene?
A 42-year old man comes to his coach for their 3rd session. The man decided to try coaching to get some help with trying to quit smoking cigarettes. Client: Whenever I try to quit I get really hard to live with. I'm not very nice. Coach: You really get irritable when you're withdrawing from nicotine. Client: Yeah. I know there's that gum that can ease ya down but I am thinking just doing to cold turkey and get it all over with. Coach: That's what fits you best. How could you do that? Client: I definitely need a plan for those early days. I think I'd need to be away form people for a couple of weeks in the wilderness (laughs).Coach: So you don't irritate other people. Client: For my protections actually. I still want to be married and have friends when this is all over. Coach: So overall you are not sure about getting through the really rough withdrawal part, you are worried that quitting col - ANSWER>>B
Practice Question #206:
A 38-year-old woman comes to her fifth session. She is working with her coach to reduce the overall stress in her life. The coach and client get into a lengthy exploration of how the client starts her day. During this conversation the coach becomes aware that she is thinking about what to say next while the client is talking. The coach makes a quick note to practice more _____________? A. Sympathy B. Open-ended questions C. Amplified reflections D. Mindful listening E. Empathy - ANSWER>>D
Practice Question #205:
A client is on their 5th session and has set the goal to get better sleep in general most days of the week. Client: I slept horrible all week. Coach: Tell me about it. Client: I am very stressed at work and anyone with my stress wouldn't sleep well. Coach: Stress is the primary reason you didn't sleep well this week. Client: Yep. And anyone else that had the week I had would have done the same things. Coach: There was one behavior you zeroed in on last week which was no social media before bed to help with that too. How did that go?
Client: There is no way I had any other choice. When work is this stressful using social media at night helps relax me. Discord may appear during a coaching session. Which of the following best categorizes the type of discord the client may be exhibiting? A. Defending B. Interrupting C. Disengagement D. Questioning - ANSWER>>A
Practice Question #204:
Your client is going to be assessed for obesity at his next visit. The ______ measurement is best for assessing visceral fat. A. Abdominal skinfold B. BMI C. Waist circumference D. Hip circumference - ANSWER>>C
Practice Question #203:
A client comes to you as part of their company's insurance benefit program. They receive a reduction on their premium if they attend five coaching sessions. The client was referred to the program because their health risk assessment indicated they are a current cigarette smoker. Your client is very clear they have no interest in quitting at this time. Which open-ended question would be best given the clients lack of interest in quitting? A. Tell me about the last time you tried to quit and what didn't work for you? B. What would be some positive aspects of changing right now? C. What does your life look like as a non-smoker? D. What are some positive aspects of not changing right now? E. What would have to happen that would signal you that it's time to start thinking about changing? - ANSWER>>E
Practice Question #202:
A coach owns her own business and specializes in coaching around diet, energy levels, and weight loss. She is promoting gut biome supplements that will help her clients lose 20 pounds in four weeks if they take the supplement daily. The coach is most likely violating which of the following guidelines:
A client is in their third session and is indicating some ambivalence about making a change to eat healthier. Coach: Would you be open to exploring all sides of this? Client: You bet. Coach: Let's talk through the pros and cons of changing and the pros and cons of staying the same. Where would you like to start? Client: Let's start with the pros and cons of trying to eat healthier. The skill the coach is demonstrating is: A. Enhancing self-efficacy B. Double-sided reflections C. Appreciative inquiry D. Exploring decisional balance - ANSWER>>D
Practice Question #197:
Client: All food is bad depending on what you read. First coffee is good then it's bad for you. Everything gives you cancer. It is all so crazy. Coach: Sifting through all the information is confusing and it's hard to know what is true. Where seems reasonable to focus first? Client: I want to get my head around how much fat to eat. How much should I eat in a day? Coach: Woukd it be ok if I shared some specifics? Client: Sure Coach: Fats are an important part of a healthy diet. There are different types of fats and some are better than others. It is better to eat more unsaturated fat vs. saturated fat. Does that make sense? What else can I tell you about it? Which of the following motivational interviewing technique is the coach demonstrating? A. Developing Discrepancy B. Elicit-Provide-Elicit C. Increasing Change Talk D. Rolling with Resistance - ANSWER>>B
Practice Question #196:
Which of the following best explains nonmaleficence as it relates to ethics in coaching? A. Respect for human freedom and dignity B. Pros must outweigh the cons C. Do no harm D. Fairness - ANSWER>>C
Practice Question #195:
In session #2, the coach and the client decide to explore the client's vision of his/her optimal health. Coach: Have you ever thought about what your future might look like? Client: No not really. Coach: What is your understanding about creating a vision? Client: It's like setting some goals for the future. Coach: It's kinda like that but more just creating a picture in your head of what something may look like that you want to create for yourself. Do you want to create a vision for your future health? Client: That sounds good. Coach: I would like you to close your eyes and sit quietly for a minute. After a minute, I am going to guide you through an activity where we look toward the future and try to visualize what that looks like. Client: So I keep my eyes closed the whole time? Coach: Yep. I just want you to try to see in your mind what the future might look like. Client: O.K. Coach: Are y - ANSWER>>B
Practice Question #194:
A client has just completed their well-being assessment prior to their first coaching session. The client's biometric information included the following: Male Age: 45 Nurse Blood Pressure: 110/70 mmHG Total Cholesterol: 185 ml/dL BMI: 24 Fruits/Vegetables: 9 servings per day Physical activity: Runs 2x week for 30 minutes Which of the following would be the most concerning to the coach in the context of recommended health guidelines? A. Blood pressure B. Total cholesterol C. Fruits/Vegetable intake
C. What were the barriers that caused this failure? D. How do you think you need to change your behaviors since you did not accomplish your goal? - ANSWER>>A
Practice Question #190:
As part of the coaching agreement, a coach offers an additional 3 coaching sessions for free if the client purchases a massage package from them as well. The following scenario is: A. Acceptable because the additional coaching sessions are free B. Unacceptable because the offer is a conflict of interest per the NBHWC Code of Ethics C. Acceptable given the 3 free sessions were included as part of the coaching agreement. D. Unacceptable as it is a violation of the professional code of conduct at large per the NBHWC Code of Ethics. - ANSWER>>B
Practice Question #189:
While coaching agreements can vary, most coaching agreements include which of the following? A. Confidentiality, Client's Vision, Client's goals B. Logistics, Client's Biometric Measurements, Appointment Cancellation Policy C. Confidentiality, Responsibilities and Expectation of the Coach, Responsibilities and Expectations of the Client D. Client's Biometric Measurements, Client's goals, Coach Fee Structure - ANSWER>>C
Practice Question #188:
The DASH eating plan helps individuals lower their blood pressure. One of the ways it does this is by limiting sodium intake. Which of the following is the recommended maximum sodium intake per day recommended? A. 2500 mg B. 2300 mg C. 1800 mg D. 1200 mg - ANSWER>>B
Practice Question #187:
A client is reviewing her wellness assessment with her coach. The client's health behaviors includes the following: A. Servings of veg and fruit per day = B. She walks 2x per week for 20 minutes C. Drinks 1 glass of wine each day/5 days per week D. Does not use tobacco Which of these health behaviors is most concerning as it relates to increasing ones risk for hypertension? - ANSWER>>B
Practice Question #186:
A client is on his 5th coaching session. The coach and client have spent the last 5 minutes exploring the client's desire to work on changing his eating habits specifically around portion sizes. Coach: "You seem really energized whenever you talk about be mindful of your portion sizes. Tell me more about that." Client: "Working on portion sizes seems like a realistic first step I can make. I've gotten familiar with what reasonable portion sizes look like and have already gotten familiar with reading labels in regards to their portion sizes. Plus I have the time to dedicate to this change". The client's response to the coach's question is most likely an example of what? A. Sympathy B. Bottom-lining C. Change talk D. Motivational ruler - ANSWER>>C
Practice Question #185:
A coach centers their practice around supporting their client's autonomy, building competence, and social-support/connection. This coach is most likely centering their practice on what theory? A. Stages of Change B. Self-determination C. Appreciative Inquiry D. Social-cognitive - ANSWER>>B
Practice Question #184:
Please choose the best ANSWER from the list.
HDL: 30
Which of the following might the coach note as a general concern? A. Blood pressure B. BMI C. Total cholesterol D. HDL - ANSWER>>D
Practice Question #180:
A 35 year old woman comes to her third coaching session. She has set a goal to lose 20 pounds in 6 weeks. The woman is clearly upset with herself for not losing any weight so far, especially now that she has hired a health coach. Client: I haven't lost a single pound in three weeks. Coach: That's frustrating. Client: No kidding! I am so frustrated. There is just no time. Coach: Tell me more about not having time. Client: I have no time to work out or meal prep. It's just not possible right now. Which of the following would be amplified reflection in response to this last statement by the client? A. There is just no time. B. You don't have time but yet you have these goals you've set. C. You will never have the time to meal prep or workout so it's likely losing weight will not be possible. D: Finding time to be healthy is hard. - ANSWER>>C
Practice Question #179:
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 - ANSWER>>B
Practice Question #178:
A coach is in the middle of a first coaching session and recognizes that his client often makes statements using the words "I won't" or "I can't". It is likely this client is in what stage of change? A. Precontemplation B: Contemplation C. Preparation D. Maintenance - ANSWER>>A
Practice Question #177:
A 60 year old man is meeting with his coach for their 6th session. The client has been working toward trying to improve his sleep habits but has been struggling. Client: I failed to get to bed before 11:00 pm everyday this week but Wednesday. On Wednesday I got to bed at 10:00. Coach: You went to bed before 11:00 pm on Wednesday. The coach has reframed an evaluative statement to a statement of observation. This technique is considered a tenant of what coaching skill? A. Empathy B. Appreciative Inquiry C. Stages of Change D. Nonviolent Communication - ANSWER>>D
Practice Question #176:
A 48 year-old, female client is on her fifth coaching session and has made some progress toward her goal to eat a serving of fruit and a serving of vegetables every day at work for lunch. She indicated that she does struggle the most whenever her co-workers go out to lunch because she either has to decline or when she goes with them she ends up not meeting her goal for that day. During the coaching session, a coach would most likely focus on: A. Building the client's willpower B. Listing the reasons why the client should not eat out C. Exploring the benefits of eating alone D. Exploring what the client feels is most important in this situation - ANSWER>>D
Practice Question #175:
D. All of the above - ANSWER>>D
Practice Question #171:
In health and wellness coaching, coaches often use motivational rulers to gage where their clients are at. It is recommended that if a client ANSWERs that their motivation is a 6, on a scale of 1-10, the next question should explore why their ANSWER was not a 5. This is recommended since the clients ANSWER is most likely to evoke what? A. Empathy B. Sustain Talk C. Resistance D. Change Talk - ANSWER>>D
Practice Question #170:
The following post appears on a health coach Facebook group. "Hi Coaches! I've been coaching my client for 6 months and they recently told me that they identify as an atheist. God is at the center of all that I do. I need to end this coaching relationship. Advice on how to do this?" As an NBC-HWC coach, your next step would be: A. ANSWER the question and help however you can B. Screenshot the post and send to the NBHWC for follow-up on a possible ethics violation C. Do nothing since it doesn't apply to you D. Do nothing since it is in a private Facebook group - ANSWER>>B
Practice Question #169:
A 45 year-old woman meets with her coach to discuss her sedentary behavior. The woman is considering trying to sit less throughout the day but her job is very demanding, her father recently passed away, and she suffers from low back pain. Client: I've been through so much lately. I don't know if I want to take this on. Coach: You are a survivor. The coaching skill being demonstrated is: A. Sympathy B. Discord C. Elicit-Provide-Elicit D. Reframing - ANSWER>>D
Practice Question #168:
You as the coach practice the steps of Nonviolent Communication ( NVC ) with your clients for expressing empathy. Which distinction below is NOT part of NVC? A. Express feelings, not thoughts B. Make requests, not demands C. Identify needs, not strategies D. Identify opportunities, not barriers - ANSWER>>D
Practice Question #167:
A 32-year old female client comes in for her 2nd session but still is undecided if coaching really what she needs. The coach begins building trust and rapport with the client. The client decides to open up and tells the coach about her eating habits and her love for sugar. The coach responds with "avoiding sugar is hard for you". What type of reflection is this? a. Complex Reflection b. Double-sided Reflection c. Simple Reflection d. Amplified Reflection - ANSWER>>C
Practice Question #166:
Client: I'm feeling disappointed that nothing I am doing seems to be working. Coach: You've had some setbacks and that feels disappointing. The coach's reply is an example of a ___________? A. Simple Reflection B. Complex Reflection C. Affirmation D. Open-ended Question - ANSWER>>A
Practice Question #165:
A 52 year old male begins his third session with his coach to discuss his drinking habits. Client: I know I drink too much but it helps me be social. I am shy. And it helps me relax at the end of the day. I work long hours and in deserve a drink. And it's not like it's 5 drinks in an hour. The client is exemplifying ________? A. Sustain talk B. Change talk
