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NBHWC Practice Test Questions Study Guide – Expert-Verified 220+ Questions & Answers | Guaranteed Pass, Newest Update

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This document provides the NBHWC Practice Test Questions Study Guide (2025/2026 edition) with 220+ expert-verified questions and 100% correct answers. It covers essential topics including health and wellness coaching competencies, motivational interviewing, behavior change models, ethical guidelines, client-centered care, and effective communication strategies. The content is 100% real and graded A+, fully aligned with the actual NBHWC certification exam.

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NBHWC Practice Test Questions
Study Guide – Expert-Verified 220+
Questions & Answers | Guaranteed
Pass, Newest Update

Question 1
What is the primary purpose of a health and wellness coach’s initial session with a client?
Answer: To establish rapport and clarify the coaching process
Explanation: The initial session focuses on building trust, setting expectations, and explaining
the coaching process to align with the client’s goals, per NBHWC guidelines.



Question 2
What stage of change is a client in if they express doubt about quitting smoking, saying, “I’m not
sure it’s worth it”?
Answer: Contemplation
Explanation: Per Prochaska’s Transtheoretical Model, doubt about change indicates the
contemplation stage, where clients weigh pros and cons.



Question 3
What coaching skill is exemplified when a coach says, “Your planning shows great commitment
to your family”?
Answer: Affirmation
Explanation: Affirmations recognize a client’s strengths or efforts, reinforcing positive
behaviors, as seen in this statement.



Question 4
What ethical violation occurs if a coach advertises “cure your Type II diabetes in 2 weeks”?
Answer: Professional Conduct at Large
Explanation: Making unverified claims violates NBHWC’s Code of Ethics under Professional
Conduct, as coaches cannot promise cures.

,Question 5
When must a coach disclose a commission earned from selling supplements to a client?
Answer: Before coaching begins
Explanation: NBHWC ethics require disclosing conflicts of interest, like commissions, before
the coaching relationship starts.



Question 6
What is the main purpose of familiarizing yourself with a client’s health risk assessment?
Answer: To provide empathy, trust, and understanding
Explanation: Understanding the assessment fosters empathy and builds trust, aligning with
client-centered coaching principles.



Question 7
What is the best approach when a client arrives late and misses sessions without notice?
Answer: Address the behavior nonjudgmentally
Explanation: Coaches should explore barriers to attendance using open-ended questions,
maintaining a supportive stance.



Question 8
What does a coach violate by sharing client names from a private NBHWC group for marketing?
Answer: Confidentiality/Privacy
Explanation: Sharing client information without consent violates NBHWC’s Code of Ethics
under Confidentiality.



Question 9
What is the role of inflammation in chronic diseases?
Answer: It contributes to disease progression
Explanation: Chronic inflammation is linked to conditions like heart disease and diabetes, a key
health and wellness concept.



Question 10
What biometric is most concerning for heart attack risk if a client’s LDL is 175 mg/dl?
Answer: Cholesterol
Explanation: LDL of 175 mg/dl is high, increasing cardiovascular risk, unlike normal blood
pressure or A1C.

,Question 11
What is the best open-ended question for a client in the contemplation stage?
Answer: What might motivate you to take the next step?
Explanation: Open-ended questions encourage exploration of motivations, suitable for the
contemplation stage.



Question 12
What does the NBHWC Code of Ethics emphasize about claiming ownership of material?
Answer: Only claim your own material
Explanation: The Code under Professional Conduct stresses honoring others’ contributions and
avoiding plagiarism.



Question 13
What is the purpose of ringing a bell three times before a coaching session?
Answer: To improve mindfulness
Explanation: This ritual enhances the coach’s focus and presence, aligning with mindfulness
techniques.



Question 14
What should a coach do if a client’s parent requests progress details without consent?
Answer: Refuse to discuss without client consent
Explanation: NBHWC ethics require client confidentiality, prohibiting disclosure without
permission.



Question 15
What is the DASH eating plan designed to do?
Answer: Lower blood pressure
Explanation: The DASH plan limits sodium and promotes nutrient-rich foods to reduce
hypertension.



Question 16
What is the primary focus of motivational interviewing in coaching?
Answer: Eliciting client motivation for change

, Explanation: Motivational interviewing helps clients explore and resolve ambivalence to drive
behavior change.



Question 17
What stage of change is a client in if they are planning to exercise regularly next month?
Answer: Preparation
Explanation: Planning specific actions indicates the preparation stage, per the Transtheoretical
Model.



Question 18
What coaching technique involves restating a client’s words to show understanding?
Answer: Reflective listening
Explanation: Reflective listening mirrors the client’s statements to validate their feelings and
build trust.



Question 19
What is the ethical response if a coach’s beliefs conflict with a client’s values?
Answer: Maintain professionalism and continue coaching
Explanation: NBHWC ethics require coaches to respect client values and avoid bias.



Question 20
What health parameter is most concerning if a client’s HDL is 30 mg/dl?
Answer: Low HDL cholesterol
Explanation: HDL below 40 mg/dl increases cardiovascular risk, requiring coaching focus.



Question 21
What is the purpose of SMART goals in coaching?
Answer: To create specific, achievable objectives
Explanation: SMART goals (Specific, Measurable, Achievable, Relevant, Time-bound) ensure
clarity and success.



Question 22
What should a coach do if a client reports chest pain during a session?
Answer: Refer to a medical professional immediately

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