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NBHWC Practice Test Questions And
Correct Answers
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
Practice Question #213:
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 Practice Question #219:
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
Practice Question #221:
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
Practice Question #223:
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
Practice Question #224:
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
Practice Question #226:
E. The coach can refer to these assessments later in their relationship to help move the client forward with her goals - ANSWER>>D
Practice Question #220:
Please LIKE the ANSWER when posted to ensure more people see it. At the beginning of each coaching session, before contacting the client, a coach rings a small bell three times. This is an example of an activity to improve what coaching technique? a. Mindfulness b. Perceptive Reflections c. Appreciate Inquiries d. Affirmations - ANSWER>>A
Practice Question #218:
What is the main purpose of familiarizing yourself with your client's health risk assessment? A. To offer education and insight into their current health status B. To provide empathy, trust and greater understanding of their present life C. To assist in making goals around any biometric numbers that may need work D. To offer immediate referrals for any high risk behaviors - ANSWER>>B
Practice Question #217:
A 32-year old woman comes to her third coaching session to co to use to work on her eating habits. Specifically, the client is concerned about her sugar intake. Client: I plan to quit sugar. I am going to give it up completely for the next 6 months. Coach: Have you thought about taking a more gradual approach. What if you just decreased your sugar intake by a little bit each week? The coach is demonstrating what? A. Empathy B. Appreciative Inquiry C. Simple Reflection D. Righting Reflex - ANSWER>>D
Practice Question #216:
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
Practice Question #215:
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
Practice Question #214:
Practice Question #212:
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
Client: It feels incredible! I got 8 hours of sleep each day last week. I slept 4 hours each night and the. Was able to sneak in several power naps throughout the day and since they were power naps they added up to an additional 4 hours. Coach: Do you mean you took several naps the next day after sleep 4 hours the night before and those naps totaled an additional 4 hours. Client: Yep! I took a 1.5 hour nap at 10am and then a quick 30 minute power nap at 2pm which counts for double the time since it was a power nap and then another nap at 5pm for about 1. hours. Coach: You can't do that. We know from - ANSWER>>B
Practice Question #208:
A coach noticed an advertisement in her local paper for another NBC-HWC certified health coach's services. The advertisement indicates that if people buy a 60-day supply of supplements the coach will give them 3 free coaching sessions. In addition, the advertisement indicates most people lose 30 pounds in 60 days. Which of the following is the reason why this advertisement violates NBC-HWC Code of Ethics? A. Coaching sessions are contingent upon purchase of supplements B. It's impossible to lose 30 pounds in 60 days C. The coach placed an advertisement in a paper D. None of the above - ANSWER>>A
Practice Question #207:
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
Practice Question #200: Jamal is a wellness coach and also sells supplemental shakes to his coaching clients in which he makes a commission. At what point in the coaching relationship must Jamal disclose this information to his client per the NBC-HWC ethical guidelines? A. At some point during the coaching relationship. B. Before the sale is made to the client. C. At minimum, after the sale to the client. D. Before any coaching begins. - ANSWER>>D
Practice Question #199:
Coaches are often encouraged to make observations not evaluations. For example, "you drank 1 glass of water each day last week" is an observation vs. the evaluation of "you failed at meeting your goal of drinking 3 glasses of water a day". This tenet of observation vs. evaluation is an example of: A. Non-violent Communication B. Sympathy C. Stages of Change D. Self Determination Theory - ANSWER>>A
Practice Question #198:
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: You set a goal and have tried many strategies to set yourself up for success and are feeling defeated because you did not meet the goal one time. Which coaching skill is the coach demonstrating? A. Empathy B. Amplif - ANSWER>>D
Practice Question #192:
A 40 year old man comes to the coach's office for his 11th session to help him reach his goal of getting more and higher quality sleep. He set a goal each week to focus on decreasing his screen time at night. Client: I reached my goal this week and reduced my screen time by 50%. Coach: You worked really hard and succeeded at reaching your goal. What coaching skill is the coach demonstrating? A. Open-ended questioning B. Affirmations C. Empathy D. Strengths-based coaching - ANSWER>>B
Practice Question #191:
Which of the following questions would be most appropriate to ask first when exploring the topic of accountability regarding an action step a client set for themselves and was not able to accomplish? A. What did you learn from this experience? B. What do you think went wrong? 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:
Prochaska & Prochaska would define this as a statement of doubt which often leads to delay in making any change. The client is most likely in what stage of change? A. Precontemplation B. Contemplation C. Preparation D. None of the above - ANSWER>>B
Practice Question #182:
A coach is a member of the exclusive group on Facebook for NBC-HWC coaches. Only those certified by the NBHWC are permitted in this group. To help a friend who has developed a new software, the coach downloads the names of each person in the group and provides them to their friend so that they can implement a marketing campaign to sell this new software to coaches. The above scenario is a violation of which part of the NBC-HWC code of ethics?: A. Professional Conduct at Large B. Conflict of Interest C. Professional Conduct with Clients D. Confidentiality/Privacy - ANSWER>>A
Practice Question #181:
A client has submitted their wellness assessment to their coach. There biometric numbers include the following: Blood Pressure: 110/78 mmHg BMI: 23 Total Cholesterol: 155 mg/dl 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. "Your confidentiality is important to me and I will not put anything in your record, in my electronic notes, or write anything down." B. "I am required by HIPAA to keep a record of everything." C. "I am happy to honor your confidentiality but if it is anything do with a health-endangering behavior or something illegal for example I will not be able to keep that private." D. "Everything you say to me is 100% confidential." - ANSWER>>C
Practice Question #173:
A coach has his NBC-HWC and a degree in psychology. His client describes an ankle injury he recently got running. He says that his ankle is bruised and he can't really run on it anymore and it hurts to even walk, especially down some stairs. Which of the following should the coach recommend next? A. Recommend the client see a medical provider to get it checked out B. Recommend the client use an ACE bandage to help keep it stable C. Recommend the client just walk for the next few days until it feels better and lay off of the running D. Recommend the client rest, ice, compress with a bandage, and elevate his leg for the next week and then try to run again and see how it goes. - ANSWER>>A
Practice Question #172:
If a health coach owns their own business and contracts with a third party to host their clients health information on their server, the coach must ensure that: A. A signed contract is in place B. The third party abides by HIPAA Security rules C. The third party abides by HIPAA Privacy rules 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:
