NBHWC Exam Questions And Verified Detailed
Answers 100% Pass 2024-2025
SMART acronym-Answer specific, measurable, action oriented/achievable, relevant,
and time bound
behavioral vs outcome goal, and what we are looking for- We want to make behavioral
goals
behavioral: focused on behaviors or actions you are taking
outcome: focused on the end result
TTM stages of change-Answer 1. precontemplation
2. contemplation
3. preparation
4. action
5. maintenance
6. termination
what is decisional balance in coaching conversations- weighing pros and cons
self efficacy - Answer situation-specific confidence that people can cope with high-risk
situations without relapsing to former behaviors
- high self efficacy is central to behavior maintenance
Characteristics of individuals with high self-efficacy - Answer Like to overcome
challenges, not limited by setbacks/disappointments
,Characteristics of individuals with low self-efficacy - Answer Avoid challenges, don't do
things they don't think they can do, cannot overcome setbacks/disappointments
4 Major Sources of Self Efficacy - Answer 1. Mastery experiences
2. Social modeling
3. Social persuasion
4. Psychological state
3 constructs of Self Determination Theory (what does motivation stem from?) - Answer
competence-feeling of doing a good job - effective behavior
autonomy-having control over what you do - voluntary behavior
relatedness-meaningful relationships
Reciprocal Determinism - Answer Bandura's idea that though our environment affects
us, we also affect our environment-social cognitive theory
4 Categories of Social Cognitive Theory -Answer 1. Psychological Determinants of
Behavior
2. Observational Learning
3. Environmental Determinants
4. Self Regulation
What are the levels of the Social Ecological Model? -Answer individual, interpersonal,
organizational, community, public policy
According to the Social Ecological Model, what influences behavior change? -Answer
The more levels used in coaching, the stronger the likelihood the behavior will last
5 Principles of Appreciative Inquiry - Answer 1. Poetic Principle (Positive Attention in the
Present)
,2. Anticipatory Principle (Positive Anticipation of the Future)
What is the poetic principle (5 Principles of Appreciative Inquiry)? - Answer
Confirmation bias: we keep seeing what we choose to see
Ex. I feel like I am a bad eater healthy, only see the negative stuff that I eat
What is the anticipatory principle? 5 Principles of Appreciative Inquiry - Answer Having
powerful vision for future
What is the simultaneity principle? 5 Principles of Appreciative Inquiry - Answer
Studying and asking questions about system will change a system itself
Ex. asking client Qs will have an effect on the client (good + bad)
Constructivist principle: 5 Principles of Appreciative Inquiry - Answer There's always
more than 1 perception of an experience
Positive principle: 5 Principles of Appreciative Inquiry - Answer Change is hard;
requires a HIGH level of positivity and emotion
Change wont happen if you negative about it
5 D's of Appreciative Inquiry - Answer 1. Define the Topic
2. Discover "the best of what is
3. Dream "what might be"
4. Design "what will be"
5. Destiny -- sustain the developments
, Patient Activation - Response having the knowledge, skills, and experience/confidence
to manage one's health
People who score high in patient activation typically have. - Response better health
outcomes
4 stages of patient activation - Response 1. believing the patient role is important
2. having the confidence/knowledge necessary to take action
3. taking action to maintain + manage one's health
4. staying the course, even under stress
4 concepts of the spirit of motivational interviewing - Response 1. Partnership
2. Acceptance
3. Compassion
4. Evocation
Define Partnership in terms of Spirit of MI - Response Client is the driver, coach is the
passenger
Wait to be prompted to provide info, resources, etc
Define acceptance in terms of spirit of MI - Response coach conveys absolute worth,
accurate empathy, autonomy and affirmations to client
absolute worth-Response client is valuable just as they are
accurate empathy-Response counselor can actually comprehend what the client is
experiencing/feeling
autonomy-Response freedom of choice/life
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