NBHWC EXAM LATEST VERSION 2 024-2025 ACTUAL EXAM 350 QUESTION AND CORRECT DETAILED ANSWERS WITH RATIONALES RATED A GRADE. #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 - ANSWER -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 - ANSWER -A. Simple simple reflection - ANSWER -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 - ANSWER -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 - ANSWER -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 - ANSWER -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 - ANSWER -D. Discord between coach and client #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 - ANSWER -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 li kely the client has: A. Heart disease B. Arthritis C. Metabolic syndrome D. Sleep apnea - ANSWER -C. Metabolic syndrome
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