NBHWC EXAM PRACTICE QUESTIONS 2025 –
2026 WITH ACTUAL ANSWERS.
At which stage of change would it be best to explore best experiences with change in the past and
identify positive reasons for behaving a particular way in the future? ANSWER : - Contemplation
When is it important to focus on strengths, past accomplishments, values, and vision in TTM? ANSWER
: - Contemplation
What are some things a coach can do when a client is in pre contemplation? ANSWER : - -Use reflective
listening skills
-Show empathy and unconditional positive regard
-Respect the client's emotions and needs
-Help the client find a strong positive source of motivation once they are ready and identify other
behaviors they are ready to change
*It helps when clients connect to something they really want
What stage of change would it be beneficial for a client to write down a formal statement of what they
are committing to? ANSWER : - Preparation
At what stage is it important for the client to engage in social connections or develop relationships with
people with common interests or behavioral goals? ANSWER : - action
During the _____ phase, it is important to keep strengths and values at top of mind ANSWER : - action
When do we need to reconnect clients to their strengths, values, visions, goals, resources, and
motivators and increase motivation to prevent boredom or relapse? ANSWER : - During maintenance
During the maintenance phase, if a client experiences a lapse, what can the coach do to assist?
ANSWER : - Refocus- set new goals if needed. Reconnect them to their visions, purpose, strengths, etc.
,Possible sign up for an event or take on a challenge related to the goal (signing up for a 5k, etc.)
according to the CDC, what are they key risk factors for heart disease ANSWER : - -high blood pressure
-high cholesterol
-tobacco use
What health conditions increase the risk for stroke? ANSWER : - -high blood pressure
-Cardiovascular disease
-high cholesterol
-diabetes
-obesity
-sickle cell disease
(family hx, genetics, age, gender, and race also increase the risk)
What behaviors increase the risk for stroke? ANSWER : - -smoking
-excessive alcohol
-physical inactivity
-poor diet (high in sat fat, trans fat, cholesterol, sodium)
According to the CDC, what are the 7 major chronic conditions ANSWER : - Heart disease, stroke,
cancer, lung disease, diabetes, Alzheimer's, chronic kidney disease
According to the CDC, insufficient sleep has been linked to these 4 health conditions ANSWER : - -
obesity
-diabetes
-heart disease
-depression
, conditions that increase the risk for heart disease ANSWER : - -high blood pressure
-high cholesterol and LDL, low HDL
-diabetes
-overweight/obesity
behaviors associated with an increased risk for heart disease ANSWER : - smoking, drinking, poor diet,
and physical inactivity
Your new client has completed all necessary paperwork to move ahead into a coaching relationship. You
have received a signed agreement and a completed wellbeing assessment from them. In reviewing their
wellbeing assessment, you observe that they scored themselves quite low in several aspects of their
health. They also shared that they have high blood pressure, pre-diabetes, and are currently taking
prescribed medication for depression.
Which of the following actions, if demonstrated by the coach during a Foundation Session (also referred
to as an initial coaching session), may best support a client-centered change process?
A. Bring up your concerns with the client about their health and ask them which aspect of their health
that they want to fix first.
B. Notice the client's energy during the review regarding all the areas of health to help determine
priorities.
C. Ask the client to tell you what stood out to them ANSWER : - E. Both B & C
You are a health and wellness coach who is not a licensed nutritionist, dietitian, or mental health
provider. In a coaching session where you are jointly reviewing a client's wellbeing assessment to
determine their priorities for coaching, the client mentions that they have had recent struggles with
anorexia and bulimia and that their top priority in working with you is to establish healthier eating
patterns. What would be the coach's best response to this new client taking into account
professionalism and coaching boundaries?
a. "I hear that you want to prioritize healthier eating patterns. Which of your eating patterns do you
believe are impeding your wellbeing right now?"
b. "Alright. That's something we can definitely work on together. Where would you like to start?"
2026 WITH ACTUAL ANSWERS.
At which stage of change would it be best to explore best experiences with change in the past and
identify positive reasons for behaving a particular way in the future? ANSWER : - Contemplation
When is it important to focus on strengths, past accomplishments, values, and vision in TTM? ANSWER
: - Contemplation
What are some things a coach can do when a client is in pre contemplation? ANSWER : - -Use reflective
listening skills
-Show empathy and unconditional positive regard
-Respect the client's emotions and needs
-Help the client find a strong positive source of motivation once they are ready and identify other
behaviors they are ready to change
*It helps when clients connect to something they really want
What stage of change would it be beneficial for a client to write down a formal statement of what they
are committing to? ANSWER : - Preparation
At what stage is it important for the client to engage in social connections or develop relationships with
people with common interests or behavioral goals? ANSWER : - action
During the _____ phase, it is important to keep strengths and values at top of mind ANSWER : - action
When do we need to reconnect clients to their strengths, values, visions, goals, resources, and
motivators and increase motivation to prevent boredom or relapse? ANSWER : - During maintenance
During the maintenance phase, if a client experiences a lapse, what can the coach do to assist?
ANSWER : - Refocus- set new goals if needed. Reconnect them to their visions, purpose, strengths, etc.
,Possible sign up for an event or take on a challenge related to the goal (signing up for a 5k, etc.)
according to the CDC, what are they key risk factors for heart disease ANSWER : - -high blood pressure
-high cholesterol
-tobacco use
What health conditions increase the risk for stroke? ANSWER : - -high blood pressure
-Cardiovascular disease
-high cholesterol
-diabetes
-obesity
-sickle cell disease
(family hx, genetics, age, gender, and race also increase the risk)
What behaviors increase the risk for stroke? ANSWER : - -smoking
-excessive alcohol
-physical inactivity
-poor diet (high in sat fat, trans fat, cholesterol, sodium)
According to the CDC, what are the 7 major chronic conditions ANSWER : - Heart disease, stroke,
cancer, lung disease, diabetes, Alzheimer's, chronic kidney disease
According to the CDC, insufficient sleep has been linked to these 4 health conditions ANSWER : - -
obesity
-diabetes
-heart disease
-depression
, conditions that increase the risk for heart disease ANSWER : - -high blood pressure
-high cholesterol and LDL, low HDL
-diabetes
-overweight/obesity
behaviors associated with an increased risk for heart disease ANSWER : - smoking, drinking, poor diet,
and physical inactivity
Your new client has completed all necessary paperwork to move ahead into a coaching relationship. You
have received a signed agreement and a completed wellbeing assessment from them. In reviewing their
wellbeing assessment, you observe that they scored themselves quite low in several aspects of their
health. They also shared that they have high blood pressure, pre-diabetes, and are currently taking
prescribed medication for depression.
Which of the following actions, if demonstrated by the coach during a Foundation Session (also referred
to as an initial coaching session), may best support a client-centered change process?
A. Bring up your concerns with the client about their health and ask them which aspect of their health
that they want to fix first.
B. Notice the client's energy during the review regarding all the areas of health to help determine
priorities.
C. Ask the client to tell you what stood out to them ANSWER : - E. Both B & C
You are a health and wellness coach who is not a licensed nutritionist, dietitian, or mental health
provider. In a coaching session where you are jointly reviewing a client's wellbeing assessment to
determine their priorities for coaching, the client mentions that they have had recent struggles with
anorexia and bulimia and that their top priority in working with you is to establish healthier eating
patterns. What would be the coach's best response to this new client taking into account
professionalism and coaching boundaries?
a. "I hear that you want to prioritize healthier eating patterns. Which of your eating patterns do you
believe are impeding your wellbeing right now?"
b. "Alright. That's something we can definitely work on together. Where would you like to start?"
