NBHWC EXAM – 300+ PRACTICE QUESTIONS AND ANSWERS 2023/2024 COMPLETE SOLUTION

#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 #262: A coach was invited to give a presentation to a group of medical providers. The coach is an NBCHWC 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 #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? #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 #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 wha t 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 . #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 sa y 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 ? #256: A 52 year-old man is on his fifth coaching session and has been working with a coach to manage hi s t 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 th e 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 e 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 exampl of what? A. Change Tal k B. Sustain Talk C. Discord D. Sympathy - B. Sustain Talk #255: A 45-year old woman comes to her first coaching session to discuss her desire to gain more energ y and be less stressed overall. She wasn't aware that her coach Sam was a man. She looks upset and states tha "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 double sided reflection - Reflections that capture both sides of a dilemma that is fostering ambivalence #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 #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 Amplified Reflection - A technique that exaggerates what a client has said with the hope that the client will present the other side of ambivalence #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 #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 #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. #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 153 Comments - C. Affirmation #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 #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 #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 - A. health status of the population #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 #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 #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. #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 #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 #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 ? A. Simple B. Double-sided C. Amplified D. Empathy - A. Simple simple reflection - reflection that contains little or no additional content beyond what the client has said #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 #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 #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 #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 clien t #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 #233: A client fills out a health risk assessment before their first session. The client disclosed that they have been diagnosed with low HDL cholesterol, High blood pressure, and is currently taking prescribed medication for type 2 diabetes. It is most likely the client has: A. Heart disease B. Arthritis C. Metabolic syndrome D. Sleep apnea - C. Metabolic syndrome #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. Sympath y C. Empathy D. Evaluation - B. Sympathy #231: A coach is meeting with his client for their 4th session. The coach is an RD and has his NBCHWC. 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. #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. Precontemplation B. Contemplation C. Preparation D. Action - C. Preparation #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" #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 chang e #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 #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. #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 #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 #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?" #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