NBHWC Practice Questions with complete solutions 2023

NBHWC Practice Questions with complete solutions 2023A 40-year-old man speaks with the coach on the phone as part of a lifestyle management program to decrease his stress. During today's session, the client sets a goal of practicing relaxation exercises that consist of deep breathing, light stretching, and visualization for at least 15 minutes daily. Based on his goal, the coach asks the client to rate his confidence. A 10-point scale is used, in which 0 is "not confident" and 10 is "extremely confident." The client says "6." Which of the following is the most appropriate response from the coach? A. "Are you sure you can achieve that goal?" B. "What are you going to do to increase your confidence from a 6 to a 10?" C. "How come you rated yourself a 6 and not an 8?" D. "Why did you rate your confidence a 6 and not a 4?" Answer: D Focus: Scaling ruler. They are testing your knowledge of using one, and how to evoke change talk. Distractor: Age, gender, details on relaxation exercises. NOTE: It is important to practice the style of test questions and how they are created. What are the true questions and what is extra information not critical to the answer. You want to focus on specifics of the question and not extra information that is irrelevant. In preparing to set up your business you must mandatorily have key information in your coaching agreement. Which of the following is mandatory to include? A. Area of Specialty B. Training programs you completed C. Guarantee of client outcomes D. Client testimonials with approved consent E. Client and coach responsibilities Answer: E Focus: Coaching Agreement Key Word: Mandatory Distractor: A & B: A coaching agreement may include the coach's areas of specialty or training programs they completed, but these are not required. Distractor: C: A coaching agreement would not include guarantee of client outcomes. A 55-year-old man comes to the coach's office for his 18th weekly session. He has improved his sleep hygiene and stated he has decreased his level of daily stress. He now wants to lose weight. A part of their session conversation is below: Client: I have struggled with being overweight since childhood and have suffered verbal judgment from peers. Coach: That must be very upsetting and disheartening. What skill is the coach most likely demonstrating? A. Pausing B. Bottom-lining C. Patience D. Summarizing E. Empathizing Answer: E Type of question: Case Study Question. Focus: Coaching Skill Distractors: Pausing, summarizing are distractors and not the skill being demonstrated. Distractor: Patience "could" be an answer. Distractor: Age, gender and session # are not relevant to the specific question. NOTE: Many questions will be related to client sharing and Coach response, as a large percentage of the test is on the coaching process, as stated on NBHWC.org exam prep. A 60-year-old woman meets with her male coach at the clinic for her first session. The client says, "My provider sent me for health coaching for my diabetes because my blood sugar level is up, but I really believe everything is okay. I do not have any diabetes in my family and I feel awesome!" This client is in which stage of change? A. Maintenance B. Denial C. Preparation D. Action E. Precontemplation Answer: E Focus: Testing you on stages of change. Focus: Key is focusing on what the client said. Distractor: Gender and age were not relevant. Session number did not influence answer. A client comes in for his 10th weekly session and he just had his 50th birthday. His goal is to do exercise for 20 minutes 4 times a week. His wife keeps reminding him to get up off the couch and exercise and it annoys the client. What could the coach answer to reframe the client's perception of his wife?" A. "Your wife sounds as if she is a record player that goes round and round." B. "You wife seems to truly care about your well-being and health. C. "You don't like being annoyed by your wife?" D. "Your plan was to get 80 minutes of exercise in each week." E. "Do you still want to stay with this goal?" Answer: B Focus: What is client's perception and how can that be reframed? The answer will apply to reframing. Distractor: D (nothing to do with reframing) Distractor: A & C (reflections). A 60-year-old man speaks with the coach on the phone for his 5th session. The client has a goal to improve his overall health; he is not satisfied with how his clothes fit due to gaining weight and he is tired and lacks daily motivation. He lost his job five years ago due to the company closing and had to take early retirement. He does not know how to spend his time and does not have any energy to do things. When he was thinking about his past job, he knew he was good at organizing materials, tracking assignments, networking and creative marketing for sales. What is the next best approach to guide the client to move forward? A. Tell client to start participating in activities that he can be around more people and discuss his desire to work again. B. Suggest the client to track times of the day he is tired and when he has energy and see if his food intake is related to fatigue. C. Explore the client's past success in his job and strengths to see how they could relate to his goal. D. Ask the client to journal out his thoughts and feeling about his forced retirement. Answer: C Focus here is: Skill Recognition by coach to highlight strengths. Distractor: A, B & C are all coach led and prescribed. A coach would not do this. Your client came to her session and was confused about information from her Physician. She has just found out she has diabetes and the doctor wants to monitor her A1c. She has no idea what that is and has found herself more anxious at times during the day. She wants to know what A1c means. What is the most appropriate response? A. Tell your client it is not a priority and provide with her deep breathing exercises that she can do to help her remain calm throughout the day. B. It is your average blood sugar level over time. C. It is your average hemoglobin level at the time you get up in the morning. D. It is your average cholesterol level after you eat. Answer: B Type of question: Definition Focus: What is the key question, client wants to know what her A1c is. Distractor: Client is confused and anxious. A Coach is certified to sell nutritional supplements through a well-known company and has disclosed this on the initial session. He fails to share that he is part owner of the company. During the client's 3rd session, she states that her fatigue is increasing and she is not sure what to do. The coach elicits from her that she has tried reducing coffee and getting more sleep. The coach then provides her with a brochure of the supplements that he sells and recommends the top three for reducing fatigue. He then asks her which one she would like to purchase? In accordance with the NBHWC code of ethics, what ethical principle is being violated? A. Consent to purchase B. Scope of Practice C. Confidentiality D. Conflict of Interest E. Licensure Answer: D. Focus: What is the question? It is about the code of ethics. Focus: What is being violated. Distractor: Certified to sell nutritional supplements and disclosure of this. Distractor: Eliciting information, providing her with recommendations and giving her a choice A client stated that his nurse measured his height and weight to determine his level of body fat during his standard physical. He has a history of diabetes in his family and heart disease. They are setting him up for a 6-week wellness plan and want to have accurate information. What screening metric takes into account measurements of height and weight? A. Diabetic screening metric B. Cardiovascular rhythm metric C. Body Mass Index D. Body Circumference Measurement E. Skinfold Measurement Answer: C Type of question: Definition Focus: Screening metric for Body Mass Index Distractor: Diabetic and cardiovascular history.