NBC-HWC practice exam questions (C&S) Complete Exam (100% Guaranteed Pass)

Practice Question #277: A coach is reviewing a client's health history. The client has been eating 9 servings of fruits and vegetables most days of the week but indicated to you that their new goal is to run a 5k. The client has signed up for a couch to 5k class and has attended once a week for 6 weeks. Which stage of change is the client most likely in as it pertains to her new goal of running a 5k? A. Maintenance B. Action C. Preparation D. Contemplation E. Precontemplation B. Action Practice Question #278: A client came to her first session, from their providers office, with a list of their biometrics. Blood pressure: 118/72mmHg LDL: 75 mg/dl Waist-to-hip ratio: 0.95 Physical activity: yoga/strength training, 60-minutes 3x per week and running, 30-minutes 5x per week A1C: 7.2% Which of the following is most concerning as it increases her risk for chronic disease? A. Blood pressure B. Cholesterol C. Waist-to-hip ratio D. Physical activity level E. A1C E. A1C Practice Question #276: A 65-year-old woman comes to her fifth session. She is working with her coach to increase her overall caloric intake to help her gain weight. Client: I really want to gain about 20 pounds and I have gained some weight by adding one more egg at breakfast. Coach: Have you ever thought about trying protein shakes. Client: I don't like the taste of those. The coach response is an example of what? A. Coaching presence B. The Coach's agenda C. The Client's agenda D. Amplified Reflection B. The Coach's agenda Practice Question #274: P Coaches are often taught to use the client's strengths and values in their coaching process. Using the client's strengths and emphasizing their values increases their ______________? A. Ability to set goals B. Internal motivation C. Growth mindset D. Self-compassion B. Internal motivation Practice Question #273: A 29-year-old man comes to coaching for his 4th session. He has been working with his coach on increasing his positive self-talk. Coach: Describe for me what it feels like when you have positive self-talk anytime during the day. Client: It feels freeing and empowering. Like I could do anything that day. Coach: On a scale of 1-10, 1 being not confident at all to 10 being 100 perecent confident, how confident are you that you can meet your goal of positive self-talk at least twice per day. Client: I would say a 7. Coach: Why a 7 and not a 6? What is the coach trying to elicit from the client with their questions? A. Identifying strengths B. Change talk C. Empathy D. Ability to change B. Change talk Practice Question #272: *********************************** With a client's permission, a coach starts the coaching session with an activity that included having the client pick up an object and with a beginner's mind and use their senses to explore the object. The activity the coach is doing is designed to increase what? A. Stress B. Self-efficacy C. Mindfulness D. Empathy C. Mindfulness Practice Question #271: A 35-year old woman comes to her 2nd coaching session. She has been exploring with her coach which areas of her health she wants to focus on. Her partner and medical provider keep encouraging her to go to health coaching because of her poor eating habits. Client: It seems like I really just need to work on everything. Coach: Let's explore what is most important to you. If you were to look forward 1 year from now what change would you most like to see happen for yourself. Client: I have no idea. I just can't change my eating habits. I find most vegetables repulsive and fruit is so sticky. Which stage of change is the client most likely in? A. Pre-contemplation B. Contemplation C. Preparation D. Action E. Maintenance A. Pre-contemplation Practice Question #270: A 52-year-old man meets with his coach for his 3rd session. He has been struggling with low energy levels and made a commitment to try a yoga class. Client: I went to a class and I was the only guy. I felt really out of place and embarrassed. It was hard. Coach: I am so sorry you had to experience that. How embarrassing for you. Client: yeah, thanks. Coach: Well, at least you got that out of the way. Client: That's true. The coaches first response demonstrates which of the following? A. Expert trap B. Sympathy C. Discord D. Double-sided reflection E. Empathy B. Sympathy Practice Question #275: A client comes to their 3rd session and has been working on managing his emotions. During this session, the client is focused on strategies for increasing his mindfulness. Coach: How's your energy level today? Client: I am feeling pretty good. Yesterday instead of getting really frustrated at my 5 year old I was able to step away for 15 seconds and come back in a more mindful state. Coach: You were able to control your emotions by stepping away. What type of reflection did the coach use? A. Simple B. Double-sided C. Amplified D. Empathy A. Simple Practice Question #266: A 35 year old woman comes to her ninth coaching session to continue to work on incorporating mindfulness into her life and some gentle yoga to reduce stress. Client: I don't have time to change my clothes and do the yoga and change back into my work clothes like I thought I would on my hour lunch break. Coach: There is just no way to engage in any type of yoga on your lunch break. What type of reflection is the coach demonstrating? A. Feeling Reflection B. Shifted-Focus Reflection C. Amplified Reflection D. Double-sided reflection A. Feeling Reflection Practice Question #265: A 49-year old man came to his 7th coaching session to continue to work with his coach on tobacco cessation. The client is struggling to make any progress on his quit plan that his doctor and partner helped him develop. Client: I just can't seem to follow through. It just seems like smoking is a part of my life. It is what it is. Coach: You are feeling like it's a part of you. Client: Yeah it's been over 20 years ya know. My partner reminds me every morning why it's important to quit. And at night we review the day together. Every. Single. Day. Coach: It seems like you don't really want to do this and it's more about your partners wants and needs. Which technique is the coach using to establish trust and rapport? A. Under-promising and Over-delivering B. Honestly sharing observations C. Honoring confidentiality D. Being humble in sharing advice B. Honestly sharing observations Practice Question #264: A 34-year old woman comes to coaching for her 6th session. The client is focused on trying to quit smoking. She has smoked for 10 years and wants to quit for her girlfriend but has never tried before until now. She has researched smoking cessation by reading several books on the topic and has been seeing her coach for guidance. Client: I tried so hard this week not to smoke in the evening before bed because I thought this time a day would be easiest. And in the books I read it often said this is a good place to begin the process of quitting. Coach: What did go well with choosing that time of day? Client: Nothing much but I didn't smoke before bed on Tuesday. Coach: You commitment to reading those books helped you discover one way you might explore quitting and you were successful on Tuesday. What skill is the coach demonstrating in their last statement? A. Amplified reflection B. Affirmations C. Empathy D. Simple reflection B. Affirmations Practice Question #263: A 59 year old man came to his fifth 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 relaxation technique the coach is using is an example of which of the following techniques? A. Guides imagery B. Bio-feedback assisted relaxation C. Progressive relaxation D. Autogenic training D. Autogenic training Practice Question #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. Motivational Interviewing Spirit B. Sustain Talk C. Positive Psychology D. Change Talk D. Change Talk Practice Question #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 statin but not sure what for. My provider confuses me sometimes. Why do I need a statin?" Which of the following coach response is correct? A. Statins improve your mental health. B. Statins help lower your LDL cholesterol level. C. Statins help lower your HDL cholesterol level. D. Statins improve your hearts ability to function. B. Statins help lower your LDL cholesterol level. Practice Question #258: A client came to her first session, from their providers office, with a list of their biometrics. LDL: 99 mg/dl Waist-to-hip ratio: 0.70 Physical activity: yoga, 60-minutes 3x per week and running, 30-minutes 5x per week, strength training 2x per week all major muscle groups. Blood pressure: 132/72mmHg A1C: 5.0% The client was likely referred to the coach due to her blood pressure because it is in which of the following categories according to the 2017 guidelines? A. Optimal blood pressure B. Low blood pressure C. Elevated blood pressure D. High blood pressure D. High blood pressure Practice Question #267: A 48-year-old man comes to his second coaching session with the goal of improving his diet. Specifically, he is trying to drink more water and eat more vegetables. He has indicated he struggles with these two goals mainly during the week when he is working. Client: At work I just love eating candy to keep me focused since I am in a cubicle. Coach: Tell me more about how candy keeps you focused. Client: I don't know if it's about keeping me focused or if it's just simply craving candy. I feel like I crave it at least 3 times a day whether I am at work or home. Coach: Do you think you are a sugar addict? Do you feel like you are addicted to sugar? Client: I am not sure. Which of the following traps of engagement did the coach fall into? A. Labeling B. Expert C. Premature Focus D. Question/Answer E. Blaming A. Labeling Practice Question #262: A coach was invited to give a presentation 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 patients change their behaviors through motivational interviewing, improve nutrition by focusing on macronutrient prescription, and improve fitness through high-intensity interval training prescription. 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 Practice Question #257: A 60-year old woman comes to her fifth 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 questions 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? Practice Question #256: A 52 year-old man is on his fifth 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 noticed his number of bad days has increased. This is motivating him to explore alternative options for managing his pain addition to all the other things he's been doing. Coach: How is your chronic pain impacting 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 accepting 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 question 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 Practice Question #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 reflection B. Appreciative inquiry C. Double-sided reflection D. Sympathy C. Double-sided reflection Practice Question #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 time 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 demonstrating? A. Double-sided reflection B. Simple reflection C. Sympathy D. Amplified reflection D. Amplified reflection Practice Question #251: A coach is hosting a group coaching session and has 8 clients in the room. The coach notices another client came in late to the room. The coach states to the late participant: "Thank you for joining us. Can you stay on after 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 B. Impermissible Uses Rule C. Access Rule D. Professional Code of Conduct A. Minimum Necessary Rule Practice Question #250: A coach has his NBC-HWC and is an LPN. His client describes his diet and states that he knows he is getting too much saturated fat in his diet. He also says he eats too much sugar and lots of energy drinks. The client states that he also exercises very little and sits at his job all day. Which of the following is most appropriate response from the coach that is within their scope of practice? A. Recommend the client see a medical provider. B. Recommend the client try a ketogenic diet. C. Explore with the client potential changes in their diet and exercise habits they want to make. D. Discuss a personalized nutrition plan you can create for the client by doing a diet analysis. C. Explore with the client potential changes in their diet and exercise habits they want to make. Practice Question #248: A coach is reviewing their clients health risk assessment before their first meeting. The client's health profile is the following: BMI 27 Current smoker Exercise 150 min/week, moderate intensity Strength trains 2x per week, all major muscle groups Diagnosed high blood pressure Diagnosed high total cholesterol Eats in alignment with MyPlate recommendations High stress job Pre-diabetic The client has three key risk factors for heart disease. These three key risk factors are: A. High BMI, high blood pressure, pre-diabetes B. MyPlate diet, high BMI, high total cholesterol C. High blood pressure, high cholesterol, current smoker D. Current smoker, high BMI, high blood pressure C. High blood pressure, high cholesterol, current smoker Practice Question #247: An NBC-HWC coach is part of a regional group that offers support and community with each other. The group has a google doc they share for all their contact information and meeting dates. A student approaches the coach regarding anyone they know she could interview for a class project she is doing on coaching. The coach shares with the student the google doc with the list of names and contact info of the coaches in the region. Which of the following has the coach violated? A. HIPAA B. Code of Ethics C. Protected Health Information D. NBC-HWC Coach Values Statement B. Code of Ethics Practice Question #246: A 55-year old man is working with his coach on improving his intake of healthy fats, fruits and vegetables, and reducing the amount of alcohol he consumes. The coach decided to use the decisions balance took to help the client. What is most likely the reason for choosing the decisional balance tool? A. Client is showing some discord B. Client needs some sympathy C. Client is demonstrating change talk D. Client is ambivalent about making the change D. Client is ambivalent about making the change Practice Question #245: There is a wide variation of opioid prescription rates across states. Studies suggest that regional variation in use of prescription opioids CANNOT be explained by: A. health status of the population B. access to healthcare C. population size D. number of surgeries per capita Hint: don't forget about the addendum to the content outline A. health status of the population Practice Question #243: Coaches are often taught to allow for a longer than normal silence after asking a question to a client. This is sometimes referred to as the pregnant pause. Which of the following is the main reason why the pregnant pause is recommended? A. It gives the coach time to take a small break B. It gives the client an opportunity to process the question and connect to the answer at a deeper level C. It gives the coach time to decide on the next evocative question to ask D. It helps the client address their sustain talk B. It gives the client an opportunity to process the question and connect to the answer at a deeper level Practice Question #242: An NBC-HWC is a member of a large, private Facebook group for health coaches. A member of the group, who is also an NBC-HWC, posted a client's protected health information within a question they posed to the group. The BEST, first step for the NBC-HWC is to: A. Report the violation to the accredited academic program that the coach attended. B. Do nothing since the Facebook group is private. C. Immediately message the coach and ask them to delete the message. D. Ask the Facebook group moderator to remove the member from the group. C. Immediately message the coach and ask them to delete the message. Practice Question #241: A coach and client have been working together for the past few months. The coach noticed in the past few sessions the client is short in their answers to questions and there appears to be some conflict. The coach decides to ask the client directly if there is conflict and approaches the question with genuine curiosity. By asking this question the coach is: A. Expressing sympathy B. Building rapport and trust C. Providing information D. Expressing empathy B. Building rapport and trust Practice Question #240: A client submits her health risk assessment before their first coaching session. The coach reviews the following information: Blood Pressure 112/68 BMI 24.3 Diet low in saturated fat 1 alcoholic drink per day Walks 30 minutes 2x per week Which of those listed above may be of concern for increasing their risk for chronic disease in general? A. Blood Pressure B. BMI C. Diet D. Physical activity E. Alcohol use D. Physical activity Practice Question #239: A client comes to their 5th session and has been working on eating healthier and getting more sleep. During this session, the client is focused on strategies for improving their vegetable intake. Coach: What went well for you this week regarding your goal of increasing your vegetable intake? Client: I got vegetables in for lunch 4 times last week. It's so hard to plan. It seems like without planning vegetables don't naturally happen. Coach: You got vegetables in your lunch 4 times last week and are recognizing it takes effort. What type of reflection did the coach use? B. Double-sided C. Amplified D. Empathy A. Simple Practice Question #237: A client and coach are meeting for their third session. They've been discussing at length the client's desire to get higher quality sleep and more sleep overall each night. Client: I've tried using over the counter medications and sleep apps on my phone but they don't seem to be working for me. Coach: Tell me more about those two things. How are you implementing them? Client: I take unison an hour before bed each night and then when I go to bed I try to look for and find a sleep meditations in my headspace app. Coach: Have you thought about using just soft relaxing music instead? This last statement made by the coach is an example of which of Thomas Gordon's 12 ways of being that do not demonstrate a coach approach: A. Interpreting B. Praising C. Cautioning D. Making suggestions D. Making suggestions Practice Question #231: A coach is meeting with his client for their 4th session. The coach is an RD and has his NBC-HWC. The client has set many goals around improving their fitness level. During the 4th session, the client asks the coach to help him develop a detailed workout plan that includes additions to his current HIgh Intensity Interval Training regimen. Which of the following is the best response from the coach? A. I would be happy to help. What are you currently doing for your workouts? B. I would encourage you to get clearance from your medical provider first and then I can help you develop a HIIT program. C. I would be happy to refer you to an exercise professional as this is out of my scope of practice. D. I would be happy to refer you to an occupational therapist. This would be a great place to start. C. I would be happy to refer you to an exercise professional as this is out of my scope of practice. Practice Question #230: A client comes to their third coaching session. The client is focused on improving their ability to manage stress, especially at work. Coach: Tell me more about how long you have been thinking about making this change. Client: I've always struggled with managing my stress but with my new job it seems to be getting worse. I realize that now is the time to make a focused effort. I will improve my stress management skills. It is time. I just need to talk it out. Coach: I can hear in your voice that you have found something to really focus on. Based on the above coaching conversation, which stage of change is the client most likely in? A. Pre-contemplation B. Contemplation C. Preparation D. Action C. Preparation Practice Question #229: A coach has made the decision to not collect health risk assessment data or personal wellness information prior to the first session. Some coaches choose to do this because this information may increase which of the following? A. The likelihood that the client reschedules B. The likelihood that the coach uses the "expert hat" C. The likelihood that the client builds rapport with the coach faster D. The likelihood that the coach uses closed-ended questions B. The likelihood that the coach uses the "expert hat" Practice Question #228: When using the decisional balance tool, which of the following will most likely lead to change talk? A. Describing the benefits of staying the same B. Describing the benefits of making a change C. Listing concerns about making a change D. Listing concerns about staying the same B. Describing the benefits of making a change Practice Question #227: Abdominal fat comes in two different forms: subcutaneous and visceral fat. Abdominal visceral fat is considered more dangerous to someone's health when compared to abdominal fat that is subcutaneous because: A. Abdominal subcutaneous fat is located around the organs B. Abdominal subcutaneous fat is linked to overactivity of the body's stress response mechanisms, which raise blood pressure, blood sugar levels, and cardiac risk. C. Abdominal visceral fat cells release their metabolic products directly into the stomach D. Abdominal visceral fat cells release their metabolic products directly into the portal circulation, which carries blood straight to the liver D. Abdominal visceral fat cells release their metabolic products directly into the portal circulation, which carries blood straight to the liver Practice Question #226: 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? B. I am not able to discuss anything about my coaching services or any clients without prior written consent from the client. Practice Question #225: 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. Use of Positive Psychology D. Righting Reflex C. Use of Positive Psychology 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 D. Limiting trans and saturated fats 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?" A. "What makes the protocol feel hard and impossible?" 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 D. Limiting trans and saturated fats Practice Question #222: A 55-year old woman comes to her first coaching session having completed several wellness assessments. The coach asked the client to work on these assessments at the end of their first session for what purpose? A. An assessments help the client see what parts of the wellness wheel she needs to focus on improving B. Assessments help the coach figure out where to begin with this client C.Assessments are a tool coaches use with all clients as part of their scope of practice D. Assessments help the client reflect on her life and discover aspects of her wellbeing E. The coach can refer to these assessments later in their relationship to help move the client forward with her goals D. Assessments help the client reflect on her life and discover aspects of her wellbeing 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 C. Share your observations, express empathy, and inquire as to what could make their vision and goals more of a priority Practice Question #220: 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 A. Mindfulness 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 C. Affirmation 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 B. To provide empathy, trust and greater understanding of their present life 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 D. Righting Reflex 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 A. Professional Conduct at Large 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: 0.95 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 B. Cholesterol C. Waist-to-hip ratio Check this answer and the reasoning! Practice Question #214: 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? B. What would be some pros and cons of making a change right now? 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 C. Telling people what to do 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 B. Sustain Talk C. Decisional Balance D. Empathy A. Change Talk 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 progress he has made. e. Affirm the client's strengths B. Refer the client to a mental health professional Practice Question #210: Which of the following is NOT a CDC recommendation for proper sleep hygiene? A. Be consistent. Go to bed at the same time each night and get up at the same time each morning, including on the weekends B. Make sure your bedroom is quiet, dark, relaxing, and at a comfortable temperature C. Remove electronic devices, such as TVs, computers, and smart phones, from the bedroom D. Avoid eating or drinking anything before bedtime E. Get some exercise. Being physically active during the day can help you fall asleep more easily at night. D. Avoid eating or drinking anything before bedtime Practice Question #209: A 29-year-old man comes to his 4th coaching session ready to discuss the progress he has made on getting more sleep overall in the past two weeks. The following conversation ensues: Client: I knocked my first goal out of the park. Coach: What does that feel like; knocking a goal out of the park? 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 1.5 hours. Coach: You can't do that. We know from sleep science researchers that it is best if the 8 hours of sleep is continuous for the most part. You need to try to sleep 8 hours in a row. Client: Oh. So it doesn't even count then. Shoot, I totally thought I made my goal. What aspect of the conversation above would NOT be considered the coach approach? A. Asking what meeting the goal felt like B. Not asking permission before giving advice C. Talking 3 times as much as the client D. Asking clarifying questions B. Not asking permission before giving advice 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 A. Coaching sessions are contingent upon purchase of supplements 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 quite 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 cold turkey could affect relationships in your life, and what you will do during the early days of quitting. The last statement by the coach is an example of what coaching skill? A. Appreciative inquiry B. Summary reflection C. Affirmations D. Increasing self-efficacy B. Summary reflection 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 D. Mindful listening Practice Question #269: A 35-year old client comes to her 5th coaching session to continue to work on managing her stress and improving her water intake. Client: This week I had so much stress, I noticed my heart racing at work 3 times. I can't live like this anymore. Coach: It is important to you to decrease your stress level. Client: Well, yeah but it's not like I can change my deadlines for projects at work. I really don't have any control, so it is what it is. My boss moves up deadlines, I get stressed, and I can't change that. Coach: You believe you can't live with this level of stress anymore yet you believe there is not a lot you can do about it. It's out of your control. Which of the following technique is the coach demonstrating? A. Increasing Change Talk B. Empathy C. Developing Discrepancy D. Rolling with Resistance E. Elicit-Provide-Elicit C. Developing Discrepancy Practice Question #268: A 52-year old, male client just submitted their well-being assessment prior to their first coaching session. The client's information includes the following: Self-employed Lives with young son On medication for High Blood Pressure and Chronic Pain Sleep: Insufficient sleep 19 out of the last 30 days Blood Pressure: 112/64 Total Cholesterol: 170mg/dl BMI: 23 Physical Activity: Runs 40 minutes 5 times per week, strength training 3x per week all major muscle groups Fruits/Vegetables: 10 servings per day Which of the following would the coach possibly note for follow-up per recommended health guidelines? A: Sleep B. Blood Pressure C. Total Cholesterol D. BMI E. Physical Activity A: Sleep Practice Question #261: A client comes in for their 4th coaching session. The client is exploring cooking more rather than eating out to try and reach her goal of eating 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 question would be best for a client in this position? 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? B. What would be some pros and cons of making a change right now? Practice Question #254: A female client, age 46, comes to her 7th session frazzled and unsettles. "Things have been very busy today." The coach asks the client if she wants to do a quick relaxation 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 relaxation technique is the coach using? A. Biofeedback B. Autogenic Training C. Guided Imagery D. Self-Hypnosis B. Autogenic Training Practice Question #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 eating out for dinner with them and the meals included chicken and red meat. She stated that she is really feeling horrible about not meeting any goals this week and feels like maybe being vegetarian is not for her. As a coach it is critical in these moments to: A. Use double-sided reflections B. Provide unconditional positive regard C. Explore why she chose to eat meat D. Ask her about other friends she may consider eating out with B. Provide unconditional positive regard Practice Question #249: A 32-year old man comes to his coach for their 4th session. The man decided to try coaching to get some help with trying to quit eating so much sugar. He has a self-proclaimed "sweet tooth". Client: Whenever I try to give up sugar I seem to crave it more. Coach: You really notice when you focus on sugar you want even more sugar. Client: Yeah. I think I need to just cut back a little at a time. Coach: What would cutting back a little look like for you? Client: Maybe just cutting sugar out while I am at work because knowing I can still have dessert at night won't make me feel so deprived and I know my coworkers will be on board to help me. Coach: You have very strong self-awareness of your needs and environment. The last statement by the coach is an example of what coaching skill? A. Appreciative inquiry B. Summary reflection C. Affirmation D. Double-sided reflection C. Affirmation Practice Question #244: Which of the following is best for assessing visceral fat? A. Skin calipers B. BMI C. Waist circumference D. Waist-to-hip ratio C. Waist circumference Practice Question #238: A health coach MUST disclose a client or patient's protected health information in which of the following scenarios? A. A researcher requests the info for data analysis B. When the client or patient asks for it C. When a healthcare provider asks for it D. A local public health official makes a formal request B. When the client or patient asks for it Practice Question #236: A client comes to coaching for their fourth session. The client is focused on eating more fruits and vegetables for lunch each workday. Client: I tried so hard to eat vegetables this week and I only got one serving in on Tuesday and one on Wednesday. Seriously I couldn't have tried any less. Coach: I hear your disappointment in not eating more vegetables this past week. Tell me about how you made such good choices on Tuesday and Wednesday. The coach is demonstrating what coaching skill? A. Amplified reflection B. Positive reframing C. Empathy D. Affirmations B. Positive reframing Practice Question #235: A coach has been working with a client for about 5 weeks. The coach notices that the client often interrupts them when they are talking. Frequent interruptions from the client may be considered a sign of what? A. Sustain talk B. Change talk C. Low client self-efficacy D. Discord between coach and client D. Discord between coach and client Practice Question #234: In general, coaches let the clients always take the lead and choose the focus of any coaching session, protecting client's autonomy. This strategy benefits the client because it: A. Increases the likelihood the client will be successful reaching their goals B. Decreases client sustain talk C. Increases the likelihood a client will participant in a satisfaction survey regarding their coach D. Decreases the likelihood the coach will use simple reflections A. Increases the likelihood the client will be successful reaching their goals Practice Question #232: A client meets with their coach for a 5th session. The client is working on improving their relationship with their partner. The following conversation occurs: Client: I am having a difficult time connecting with my partner this week. He seems to be upset by everything I do and really short with me. Coach: I totally get it. My partner was so short with me last week and I felt like I was to blame for everything. I have definitely been there. The coaches response is an example of which of the following? A. Pity B. Sympathy C. Empathy D. Evaluation B. Sympathy Practice Question #279: A client and a NBC-HWC were working together for 8 months. At the end of the coaching relationship, the coach discloses to the client that the herbal supplements they purchased as part of their coaching package included a small commission. The coach is in violation of the NBC-HWC ethics guidelines because: A. The commission was not disclosed directly after the sale of the coaching package B. The commission was not disclosed directly after the client began taking the supplements. C. The commission was not disclosed immediately after signing the coaching agreement. D. The commission was not disclosed before the sale of the coaching package. D. The commission was not disclosed before the sale of the coaching package. Practice Question #280: A client comes to their 5th coaching session with a focus on improving their sleep. Coach: Tell me what went well this week with your sleep schedule you designed. Client: I made all my deadlines at work so that was a huge win for me but I didn't get to bed by 10pm a single time and I really struggled with focusing all week. I need to not struggle so much at work focusing it's beginning to get noticeable. Coach: You stated in your second session that getting more sleep is your top priority but you were not able to get to bed by 10 pm a single day this week. The skill the coach is demonstrating is: A. Open-ended questioning B. Identifying discrepancies C. Simple reflections D. Resistance management B. Identifying discrepancies 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 A. Defending 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 C. Waist circumference 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? E. What would have to happen that would signal you that it's time to start thinking about changing? 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. NBC-HWC Code of Ethics B. HIPAA Laws C. USDA Nutritional Guidelines D. Confidentiality/Privacy A. NBC-HWC Code of Ethics Practice Question #201: A client is a 40 year-old Latino man who has a BMI of 24. He has a sister recovering from cancer and was diagnosed was recently diagnosed with anxiety. Which of the is considered a risk factor for your client for type 2 diabetes? A. Age B. BMI C. Ethnicity D. Sister with cancer C. Ethnicity 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. D. Before any coaching begins. 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 tenant of observation vs. evaluation is an example of: A. Non-violent Communication B. Sympathy C. Stages of Change D. Self Determination Theory A. Non-violent Communication 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: Lets 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 D. Exploring decisional balance 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 B. Elicit-Provide-Elicit 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 C. Do no harm 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: Its 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 you ready and comfortable? Client: Yes. Which part of the above conversation exemplifies the coach approach of honoring the client's autonomy. (Muth, 76) A. Exploring creating a vision during the second session B. Asking permission to do the visualization activity C. Asking open-ended questions D. Guiding the visualization activity. B. Asking permission to do the visualization activity 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 D. Physical activity level D. Physical activity level Practice Question #193: A client meets with her coach for their 15th session. Over the course of the past year, the client has met and even surpassed many of her goals. Her most recent goal is to wake up early twice per week to have the time to prepare a healthy breakfast. Client: I have tried every tip I can think of. I've stated to go to bed earlier, I have all the ingredients I needed purchased ahead of time, I asked my partner to get the kids in the morning so I can have to time to cook breakfast and none of it has worked. I hit snooze each time for the past 4 weeks and didn't once wake up early. I am not making any progress at all and I've met every other goal. Seriously, how lazy can I get? 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. Amplified Reflection C. Evoking change D. Summary reflection D. Summary reflection 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 hetit f 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 B. Affirmations 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? A. What did you learn from this experience? 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. B. Unacceptable because the offer is a conflict of interest per the NBHWC Code of Ethics 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 C. Confidentiality, Responsibilities and Expectation of the Coach, Responsibilities and Expectations of the Client 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 Source: B. 2300 mg 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 =11 B. She walks 2x per week for 20 minutes C. Drinks 1 glass of wine each day/5days per week D. Does not use tobacco Which of these health behaviors is most concerning as it relates to increasing ones risk for hypertension? B. She walks 2x per week for 20 minutes 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 C. Change talk Practice Question #185: Please Comment Your Answer Below. Answer posted 24 hours later. Look for the . 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 B. Self-determination Practice Question #184: Please choose the best answer from the list. Goal setting in very common in coaching because research supports that those who set goals increase their ability to: A. Persist B. Focus on goal-irrelevant activities C. Be ambivalent D. Be compassionate toward others A. Persist Practice Question #183: A client comes to her fourth coaching session to continue working on her intent to quit smoking someday. She starts out the call by simply saying "I don't know if quitting is really worth it." 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. Pre-contemplation B. Contemplation C. Preparation D. None of the above B. Contemplation 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 A. Professional Conduct at Large Practice Question #181: A client has submitted there 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 D. HDL 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 stat