NBHWC Practice Test Questions (Answered)

NBHWC Practice Test Questions (Answered) Practice Question #1: 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 Practice Question #2: 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 supplemterm-22ents 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 Practice Question #3: You see an advertisement for a NBC-HWC coach that states "work with me to cure your Type II diabetes in 2 weeks!" Which of the following Ethical Conduct standards is the coach violating? A. Confidentiality/Privacy B. Professional Conduct at Large C. Conflict of Interest D. Professional Conduct with Clients B Practice Question #4: 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 Practice Question #5: 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 Practice Question #6: 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 Practice Question #7: 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 Practice Question #8: 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 Practice Question #9: 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. Precontemplation B. Contemplation C. Preparation D. None of the above B Practice Question #10: 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 Practice Question #11: 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 D Practice Question #12: You are approached by a researcher, who has IRB approval, to share your health coaching data. You provide the data with no identifying information. Under HIPAA privacy rules, did you need to let your clients know you shared their data? (Muth, pg.167) A. Yes B. No B Practice Question #13: A client has requested that what she is about to talk to you about not be put in her record, your electronic coaching notes, or even written down. Which response is most appropriate? 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." C Practice Question #14: 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. A Practice Question #15: 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 D Practice Question #16: 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 B Practice Question #17: Coach Cherie waited 10 minutes for her client Jamal to call for his wellness coaching appointment. After 10 minutes, Coach Cherie called Jamal and left this message: "Hi Jamal! It is Cherie your wellness coach. I had us down to meet at 2:00pm today to discuss your challenges with smoking at work. Let me know if you would like to reschedule." Which of the following HIPAA basic requirements did Coach Cherie violate? A. Minimum Necessary Rule B. Impermissible Uses and Disclosures Rule C. Authorization Rule D. Access Rule A Practice Question #18: Which HIPPA rule requires you to maintain reasonable and appropriate administrative, technical, and physical safeguards for protecting electronic personal health information? A. Privacy Rule B. Security Rule C. Ethics Rule D. Scope of Practice Rule B Practice Question #19: A coach has her own business and also sells supplements as needed to her clients. At what point must the coach disclose this information to her client per the ethical guidelines of the ICHWC? A. At some point during a coaching session B. Immediately before the sale of the supplements C. At minimum, after the sale of the supplements to the client D. Before any coaching begins D Practice Question #20: A coach left the following message on his client's voicemail: "Hi James! I am calling to see if you are planning to meet with me to discuss your goals about losing weight. I had us down to our health coaching appointment to start 10 minutes ago. Can you give me a call back? Thanks, bye." Which of the following HIPAA basic requirements did the coach violate? A. Minimum necessary rule B. Authorization rule C. Access rule D. Coaching contract A Practice Question #21: A coach discovers that the client is bisexual through a public post on Facebook before their first session. The coach cancels their session as a result of this new information as they do not want to coach a bisexual. Which of the following most accurately describes the coaches behavior? (Code of Ethics, 2) A. Unlawful discrimination B. Unconscious bias C. Conflict of interest D. HIPAA violation A Practice Question #22: The coach and client meet to discuss the wellness assessment the client just completed. After a little rapport building, the coach turns to the assessment. Coach: I noticed that you have a strong family history of heart disease and according to the assessment you also have a lot of risk factors. How do you feel about that? Client: It's definitely scary. It's probably pretty likely I'll have a heart attack just like my Dad did two years ago. Coach: Has your medical provider ever discussed this with you? Client: At my last physical, she brought it up. She told me I need to eat better. Coach: Tell me more about your doctors appointment. How did you feel after you left? In the above conversation, which of the following does NOT exemplify the coach approach when reviewing a health assessment? (Moore, 119) A. Asking about family history of disease B. Having a client think back on a negative experience C. Not asking their opinion about the assessment they took D. Starting the assessment review talking about family history of disease D Practice Question #23: A coach is a NBC-HWC and is also a registered dietician (RD). The coach is helping a client change his diet to be more healthy. The coach also is analyzing his diet to make sure it includes enough protein and carbs given his frequent participation in weight training. Which of the following is most accurate regarding the coach's scope of practice? A. The coach is operating within their scope of practice. B. The coach is not operating within their scope of practice. C. All NBC-HWC coaches are able to recommend specific grams of protein and carb intake for a variety of clientele with unique situations and conditions. D. None of the above A Practice Question #24: You've had a great client that has made tremendous progress. After working with her for the last 18 months she has lost 50 pounds. At your last session she