NBC-HWC Exam questions with correct
answers
Coach preparation prior to session - verified answers; Coach is calm, present, and emotionally available.
Review available client materials. Logistics.
First Session - verified answers; 1. Describe the coaching process
2. Review information and assessments provided by client.
3. Determine if client is appropriate candidate
4. Clarify roles and expectations
Early (typically 1st or 2nd session) - verified answers; 1. Explore the client's values, vision, purpose and
priorities.
2. Explore understanding of his/her health and wellness.
3. Empower the client to select area that feels important
Routine Ongoing Sessions - verified answers; Pre-determined for a period of weeks/months
Coach asks about current state
Facilitates review of previous action steps
Uses process as appropriate
Supports client in defining new action steps
Reflects client's understanding, perspectives and learning
Articulates new personal discoveries
Program Termination - verified answers; Recognition of progress
Learning and Closure
Establish plan for maintaining progress w/ emphasis on support and resources
,Mindfulness - verified answers; non-judgmental awareness of what's happening in the present moment
Mindful Listening - verified answers; Listen to facts, feelings and needs behind facts, silence own voice
Present - verified answers; 1. Active Listening
2. Building Presence
3. Mindfulness
Most important moment of coaching session - verified answers; Minute right before it starts:
1.Prepare
2. Get Present
3. Get Curious
Logistics - verified answers; Coaching Agreement
Prepare meeting space
Confirm time and location
Simple content reflection - verified answers; paraphrasing-"what I am hearing is"
Double-sided reflection - verified answers; makes sense of discrepant information
Reframe - verified answers; positions clients statement differently
Complex reflection - verified answers; Offers the coaches interpretation of emotion or meaning-"So
what I am hearing is that you feel frustrated when..."
Amplified Reflection - verified answers; A non-judgmental but gentle exaggeration of the reason to
sustain behavior in order to evoke the other side of the ambivalence.
,open-ended questions - verified answers; questions that allow respondents to answer however they
want
Evocative Questions - verified answers; strategic open questions the natural answer to which is change
talk
Brainstorming - verified answers; coming up with as many solutions to a problem as possible in a short
period of time with no censoring of ideas
closed-ended questions - verified answers; Questions that can be answered in short or single word
responses.
Bottom Lining - verified answers; -Helps person get to the heart of the matter (client avoiding difficult
convo)
-Helps coach not talk too much
-Less words
-Essence of message
again, focusing and refocusing
Scaling Questions - verified answers; A solution-focused therapy intervention used when presenting
problems are vague and goals are difficult to specify. The therapist asks clients to rate on a scale of zero
to ten, how they are currently feeling compared to an earlier time. If they report feeling better, the
therapist asks them how they achieved the improvement. They might also be asked to rate how
confident they are that they will be able to maintain their resolve to change a behavior and to identify
what they might do to improve their chances of making progress toward their goals.
SMART Goals - verified answers; 1. Specific
2. Measurable
3. Attainable/Achieveable
4. Realistic/Relavant
5. Timely
, Transtheoretical Model - verified answers; Model of behavior change that identifies six distinct stages
people go through in altering behavior patterns; also called the stages of change model
Stages of Change - verified answers; precontemplation, contemplation, preparation, action,
maintenance
Precontemplation - verified answers; Client does not exercise and is not planning to start exercising
within 6 months.
Contemplation stage of change - verified answers; Thinking about it, ready to change w/in 6 months
Preparation stage of change - verified answers; making small changes in preparation for a change in the
next month
action stage - verified answers; The stage of change in the TTM where individuals have made specific,
overt modifications in their lifestyle within the past 6 months.
Maintenance stage of change - verified answers; sustained change over time; begins 6 months after
action has started and continues indefinitely
Termination/adoption stage - verified answers; stage of change in which people have eliminated an
undesirable behavior or maintained a positive behavior for more than six months
Patient Activation Measure (PAM) - verified answers; Measures client activation level. Pts with higher
scores are better able to engage in their health and have better health outcomes and lower HC costs.
Lower scores- more likely to feel overwhelmed with managing their health; less likely to understand or
have confidence. By understanding a pts level of activation, can create individualized care plans to
increase activation and engagement.
Visualizing - verified answers; The act of imagining and seeing pictures in the mind
answers
Coach preparation prior to session - verified answers; Coach is calm, present, and emotionally available.
Review available client materials. Logistics.
First Session - verified answers; 1. Describe the coaching process
2. Review information and assessments provided by client.
3. Determine if client is appropriate candidate
4. Clarify roles and expectations
Early (typically 1st or 2nd session) - verified answers; 1. Explore the client's values, vision, purpose and
priorities.
2. Explore understanding of his/her health and wellness.
3. Empower the client to select area that feels important
Routine Ongoing Sessions - verified answers; Pre-determined for a period of weeks/months
Coach asks about current state
Facilitates review of previous action steps
Uses process as appropriate
Supports client in defining new action steps
Reflects client's understanding, perspectives and learning
Articulates new personal discoveries
Program Termination - verified answers; Recognition of progress
Learning and Closure
Establish plan for maintaining progress w/ emphasis on support and resources
,Mindfulness - verified answers; non-judgmental awareness of what's happening in the present moment
Mindful Listening - verified answers; Listen to facts, feelings and needs behind facts, silence own voice
Present - verified answers; 1. Active Listening
2. Building Presence
3. Mindfulness
Most important moment of coaching session - verified answers; Minute right before it starts:
1.Prepare
2. Get Present
3. Get Curious
Logistics - verified answers; Coaching Agreement
Prepare meeting space
Confirm time and location
Simple content reflection - verified answers; paraphrasing-"what I am hearing is"
Double-sided reflection - verified answers; makes sense of discrepant information
Reframe - verified answers; positions clients statement differently
Complex reflection - verified answers; Offers the coaches interpretation of emotion or meaning-"So
what I am hearing is that you feel frustrated when..."
Amplified Reflection - verified answers; A non-judgmental but gentle exaggeration of the reason to
sustain behavior in order to evoke the other side of the ambivalence.
,open-ended questions - verified answers; questions that allow respondents to answer however they
want
Evocative Questions - verified answers; strategic open questions the natural answer to which is change
talk
Brainstorming - verified answers; coming up with as many solutions to a problem as possible in a short
period of time with no censoring of ideas
closed-ended questions - verified answers; Questions that can be answered in short or single word
responses.
Bottom Lining - verified answers; -Helps person get to the heart of the matter (client avoiding difficult
convo)
-Helps coach not talk too much
-Less words
-Essence of message
again, focusing and refocusing
Scaling Questions - verified answers; A solution-focused therapy intervention used when presenting
problems are vague and goals are difficult to specify. The therapist asks clients to rate on a scale of zero
to ten, how they are currently feeling compared to an earlier time. If they report feeling better, the
therapist asks them how they achieved the improvement. They might also be asked to rate how
confident they are that they will be able to maintain their resolve to change a behavior and to identify
what they might do to improve their chances of making progress toward their goals.
SMART Goals - verified answers; 1. Specific
2. Measurable
3. Attainable/Achieveable
4. Realistic/Relavant
5. Timely
, Transtheoretical Model - verified answers; Model of behavior change that identifies six distinct stages
people go through in altering behavior patterns; also called the stages of change model
Stages of Change - verified answers; precontemplation, contemplation, preparation, action,
maintenance
Precontemplation - verified answers; Client does not exercise and is not planning to start exercising
within 6 months.
Contemplation stage of change - verified answers; Thinking about it, ready to change w/in 6 months
Preparation stage of change - verified answers; making small changes in preparation for a change in the
next month
action stage - verified answers; The stage of change in the TTM where individuals have made specific,
overt modifications in their lifestyle within the past 6 months.
Maintenance stage of change - verified answers; sustained change over time; begins 6 months after
action has started and continues indefinitely
Termination/adoption stage - verified answers; stage of change in which people have eliminated an
undesirable behavior or maintained a positive behavior for more than six months
Patient Activation Measure (PAM) - verified answers; Measures client activation level. Pts with higher
scores are better able to engage in their health and have better health outcomes and lower HC costs.
Lower scores- more likely to feel overwhelmed with managing their health; less likely to understand or
have confidence. By understanding a pts level of activation, can create individualized care plans to
increase activation and engagement.
Visualizing - verified answers; The act of imagining and seeing pictures in the mind