NBHWC Exam - Prac ce Ques ons 2026 100%
correct answers
59 year old man came to his fi h coaching session with his chronic pain coach. The coach
asks his pain level on a scale of 1-10 to assess his current pain level. The client indicates his
pain is higher than normal so they both agree to work through a process where the coach
guides the client to focus on the warmth he feels in different parts of his body and then
focus on relaxing that part of the body. This relaxa#on technique the coach is using is an
example of which of the following techniques?
A. Guides imagery
B. Bio-feedback assisted relaxa#on
C. Progressive relaxa#on
D. Autogenic training
D. Autogenic training
#262: A coach was invited to give a presenta#on to a group of medical providers. The coach
is an NBC-HWC and has a bachelor of science degree in health science. When asked what
services the coach provides the coach responded that they are able to help pa#ents change
their behaviors through mo#va#onal interviewing, improve nutri#on by focusing on
macronutrient prescrip#on, and improve fitness through high-intensity interval training
prescrip#on.
Which of the following did the coach violate?
A. HIPAA
B. Code of Ethics
C. Job Task Analyses
D. Conflict of Interest
B. Code of Ethics
#261: A client comes in for their 4th coaching session. The client is exploring cooking more
rather than ea#ng out to try and reach her goal of ea#ng healthier. She also comments it
would save her money but she really doesn't know how to cook either. The client is
struggling with ambivalence around this issue.
Which open-ended ques#on would be best for a client in this posi#on?
A. What would have to happen that would signal you that it's #me 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?
,B. What would be some pros and cons of making a change right now?
#260: A client comes to her third session with her coach ready to set some goals. The client
indicates that she wants to get back into running and wants to commit to running 3 days a
week at 6am for 30 minutes for the next 8 weeks and see how it goes.
Coach: "On a scale of 1 to 10, 1 being not confident at all and 10 being very confident that
you can meet your goal of 3 6:00am runs per week, what number do you choose for
yourself?"
Client: "7."
Coach: "Why did you choose a 7 and not a 5?"
Client: Because I used to run 5 days a week and it wasn't that long ago. I feel like I can easily
get back in it.
The client's response is an example of which of the following?
A. Mo#va#onal Interviewing Spirit
B. Sustain Talk
C. Posi#ve Psychology
D. Change Talk
D. Change Talk
#259: A client comes to her first coaching session as a referral from her medical provider. In
the referral, her provider indicated some concerns. The client states "I am taking some sorta
sta#n but not sure what for. My provider confuses me some#mes. Why do I need a sta#n?"
Which of the following coach response is correct?
A. Sta#ns improve your mental health.
B. Sta#ns help lower your LDL cholesterol level.
C. Sta#ns help lower your HDL cholesterol level.
D. Sta#ns improve your hearts ability to func#on.
B. Sta ns help lower your LDL cholesterol level.
#257: A 60-year old woman comes to her fi h coaching session. She has been working with
a coach to improve managing her stress.
Coach: On a scale of 1-10, 1 being no confidence and 10 being 100% confident, where would
you say your level of confidence is at in regards to your goal of going to bed at 9 every night?
Client: I would say 6.
Which of the of the following ques#ons would be the best coach response?
A. What might you do to increase that number?
B. What strengths will you use to reach this goal?
C. What made you chose a 6 and not a 5?
D. What will it take to get you to a 7?
C. What made you chose a 6 and not a 5?
,#256: A 52 year-old man is on his fi h coaching session and has been working with a coach
to manage his chronic pain. He has good days and bad days but recently he has no#ced his
number of bad days has increased. This is mo#va#ng him to explore alterna#ve op#ons for
managing his pain addi#on to all the other things he's been doing.
Coach: How is your chronic pain impac#ng you in this moment?
Client: It's a really bad day.
Coach: Would you describe for me what a really bad day is like for you?
Client: A bad day is realizing I will never not be in pain. It's accep#ng that the pain will likely
increase as I get older and there's not a lot I can do about it. It is what it is. A bad day.
The client's response to the coach's ques#on about what a really bad day is like for the client
is an example of what?
A. Change Talk
B. Sustain Talk
C. Discord
D. Sympathy
B. Sustain Talk
#255: A 45-year old woman comes to her first coaching session to discuss her desire to gain
more energy and be less stressed overall. She wasn't aware that her coach Sam was a man.
She looks upset and states that "No man can possibly understand what women go through. I
am going to need a female coach."
Coach: You're looking for some help but you're not really sure if I'm the right person to
provide it?
The coaches response is an example of what coaching skill?
A. Amplified reflec#on
B. Apprecia#ve inquiry
C. Double-sided reflec#on
D. Sympathy
C. Double-sided reflec on
double sided reflec#on
Reflec#ons that capture both sides of a dilemma that is fostering ambivalence
#254: A female client, age 46, comes to her 7th session frazzled and unseFles. "Things have
been very busy today." The coach asks the client if she wants to do a quick relaxa#on
technique before they get started. The client agrees. The coach takes the client through a
body scan where they focus on the where there is heaviness one the body.
What relaxa#on technique is the coach using?
A. Biofeedback
B. Autogenic Training
, C. Guided Imagery
D. Self-Hypnosis
B. Autogenic Training
#253: A client arrives for his tenth session and is working on stress management. He set a
goal to use stress management techniques during his work day as that is when his stress is
highest.
Client: I just don't see how I can make this a reality. There are deadlines I have that can't be
moved for any reason and there is only so much #me in the day. How is stress management
even possible?
Coach: So you are stuck. There's absolutely nothing you can do about it.
Which skill is the coach demonstra#ng?
A. Double-sided reflec#on
B. Simple reflec#on
C. Sympathy
D. Amplified reflec#on
D. Amplified reflec on
Amplified Reflec#on
A technique that exaggerates what a client has said with the hope that the client will present
the other side of ambivalence
#252: A client is working on becoming a vegetarian and stayed she had "the worst week
ever". She went out with friends twice this week and ended up ea#ng out for dinner with
them and the meals included chicken and red meat. She stated that she is really feeling
horrible about not mee#ng any goals this week and feels like maybe being vegetarian is not
for her.
As a coach it is cri#cal in these moments to:
A. Use double-sided reflec#ons
B. Provide uncondi#onal posi#ve regard
C. Explore why she chose to eat meat
D. Ask her about other friends she may consider ea#ng out with
B. Provide uncondi onal posi ve regard
#251: A coach is hos#ng a group coaching session and has 8 clients in the room. The coach
no#ces another client came in late to the room. The coach states to the late par#cipant:
"Thank you for joining us. Can you stay on a er this group session to reschedule your last
appointment you missed so we can move forward on your goal to lose weight by your
daughter's wedding?"
Which of the following HIPAA basic requirements did Coach violate?
A. Minimum Necessary Rule
correct answers
59 year old man came to his fi h coaching session with his chronic pain coach. The coach
asks his pain level on a scale of 1-10 to assess his current pain level. The client indicates his
pain is higher than normal so they both agree to work through a process where the coach
guides the client to focus on the warmth he feels in different parts of his body and then
focus on relaxing that part of the body. This relaxa#on technique the coach is using is an
example of which of the following techniques?
A. Guides imagery
B. Bio-feedback assisted relaxa#on
C. Progressive relaxa#on
D. Autogenic training
D. Autogenic training
#262: A coach was invited to give a presenta#on to a group of medical providers. The coach
is an NBC-HWC and has a bachelor of science degree in health science. When asked what
services the coach provides the coach responded that they are able to help pa#ents change
their behaviors through mo#va#onal interviewing, improve nutri#on by focusing on
macronutrient prescrip#on, and improve fitness through high-intensity interval training
prescrip#on.
Which of the following did the coach violate?
A. HIPAA
B. Code of Ethics
C. Job Task Analyses
D. Conflict of Interest
B. Code of Ethics
#261: A client comes in for their 4th coaching session. The client is exploring cooking more
rather than ea#ng out to try and reach her goal of ea#ng healthier. She also comments it
would save her money but she really doesn't know how to cook either. The client is
struggling with ambivalence around this issue.
Which open-ended ques#on would be best for a client in this posi#on?
A. What would have to happen that would signal you that it's #me 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?
,B. What would be some pros and cons of making a change right now?
#260: A client comes to her third session with her coach ready to set some goals. The client
indicates that she wants to get back into running and wants to commit to running 3 days a
week at 6am for 30 minutes for the next 8 weeks and see how it goes.
Coach: "On a scale of 1 to 10, 1 being not confident at all and 10 being very confident that
you can meet your goal of 3 6:00am runs per week, what number do you choose for
yourself?"
Client: "7."
Coach: "Why did you choose a 7 and not a 5?"
Client: Because I used to run 5 days a week and it wasn't that long ago. I feel like I can easily
get back in it.
The client's response is an example of which of the following?
A. Mo#va#onal Interviewing Spirit
B. Sustain Talk
C. Posi#ve Psychology
D. Change Talk
D. Change Talk
#259: A client comes to her first coaching session as a referral from her medical provider. In
the referral, her provider indicated some concerns. The client states "I am taking some sorta
sta#n but not sure what for. My provider confuses me some#mes. Why do I need a sta#n?"
Which of the following coach response is correct?
A. Sta#ns improve your mental health.
B. Sta#ns help lower your LDL cholesterol level.
C. Sta#ns help lower your HDL cholesterol level.
D. Sta#ns improve your hearts ability to func#on.
B. Sta ns help lower your LDL cholesterol level.
#257: A 60-year old woman comes to her fi h coaching session. She has been working with
a coach to improve managing her stress.
Coach: On a scale of 1-10, 1 being no confidence and 10 being 100% confident, where would
you say your level of confidence is at in regards to your goal of going to bed at 9 every night?
Client: I would say 6.
Which of the of the following ques#ons would be the best coach response?
A. What might you do to increase that number?
B. What strengths will you use to reach this goal?
C. What made you chose a 6 and not a 5?
D. What will it take to get you to a 7?
C. What made you chose a 6 and not a 5?
,#256: A 52 year-old man is on his fi h coaching session and has been working with a coach
to manage his chronic pain. He has good days and bad days but recently he has no#ced his
number of bad days has increased. This is mo#va#ng him to explore alterna#ve op#ons for
managing his pain addi#on to all the other things he's been doing.
Coach: How is your chronic pain impac#ng you in this moment?
Client: It's a really bad day.
Coach: Would you describe for me what a really bad day is like for you?
Client: A bad day is realizing I will never not be in pain. It's accep#ng that the pain will likely
increase as I get older and there's not a lot I can do about it. It is what it is. A bad day.
The client's response to the coach's ques#on about what a really bad day is like for the client
is an example of what?
A. Change Talk
B. Sustain Talk
C. Discord
D. Sympathy
B. Sustain Talk
#255: A 45-year old woman comes to her first coaching session to discuss her desire to gain
more energy and be less stressed overall. She wasn't aware that her coach Sam was a man.
She looks upset and states that "No man can possibly understand what women go through. I
am going to need a female coach."
Coach: You're looking for some help but you're not really sure if I'm the right person to
provide it?
The coaches response is an example of what coaching skill?
A. Amplified reflec#on
B. Apprecia#ve inquiry
C. Double-sided reflec#on
D. Sympathy
C. Double-sided reflec on
double sided reflec#on
Reflec#ons that capture both sides of a dilemma that is fostering ambivalence
#254: A female client, age 46, comes to her 7th session frazzled and unseFles. "Things have
been very busy today." The coach asks the client if she wants to do a quick relaxa#on
technique before they get started. The client agrees. The coach takes the client through a
body scan where they focus on the where there is heaviness one the body.
What relaxa#on technique is the coach using?
A. Biofeedback
B. Autogenic Training
, C. Guided Imagery
D. Self-Hypnosis
B. Autogenic Training
#253: A client arrives for his tenth session and is working on stress management. He set a
goal to use stress management techniques during his work day as that is when his stress is
highest.
Client: I just don't see how I can make this a reality. There are deadlines I have that can't be
moved for any reason and there is only so much #me in the day. How is stress management
even possible?
Coach: So you are stuck. There's absolutely nothing you can do about it.
Which skill is the coach demonstra#ng?
A. Double-sided reflec#on
B. Simple reflec#on
C. Sympathy
D. Amplified reflec#on
D. Amplified reflec on
Amplified Reflec#on
A technique that exaggerates what a client has said with the hope that the client will present
the other side of ambivalence
#252: A client is working on becoming a vegetarian and stayed she had "the worst week
ever". She went out with friends twice this week and ended up ea#ng out for dinner with
them and the meals included chicken and red meat. She stated that she is really feeling
horrible about not mee#ng any goals this week and feels like maybe being vegetarian is not
for her.
As a coach it is cri#cal in these moments to:
A. Use double-sided reflec#ons
B. Provide uncondi#onal posi#ve regard
C. Explore why she chose to eat meat
D. Ask her about other friends she may consider ea#ng out with
B. Provide uncondi onal posi ve regard
#251: A coach is hos#ng a group coaching session and has 8 clients in the room. The coach
no#ces another client came in late to the room. The coach states to the late par#cipant:
"Thank you for joining us. Can you stay on a er this group session to reschedule your last
appointment you missed so we can move forward on your goal to lose weight by your
daughter's wedding?"
Which of the following HIPAA basic requirements did Coach violate?
A. Minimum Necessary Rule
