NBHWC Exam Questions With 100%
Verified Answers
SMART acronym - answerspecific, measurable, action oriented/achievable, relevant, and time
bound
behavioral vs outcome goal, and what we are looking for - answerwe want to make behavioral
goals
behavioral: centered around actions you take
outco...
SMART acronym - answer✔specific, measurable, action oriented/achievable, relevant, and time
bound
behavioral vs outcome goal, and what we are looking for - answer✔we want to make behavioral
goals
behavioral: centered around actions you take
outcome: focus on end result
what is decisional balance in coaching conversations - answer✔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)
3. Simultaneity Principle (Positive Qs + Reflections)
4. Constructionist Principle (Positive Conversations + Interactions)
5. Positive Principle (Positive Energy + Emotion)
What is the poetic principle (5 Principles of Appreciative Inquiry)? - answer✔Confirmation bias:
we continue to see what we choose to focus on
Ex. I believe I am bad at eating healthy, I only see the bad stuff I eat
What is the anticipatory principle (5 Principles of Appreciative Inquiry)? - answer✔Having a
powerful vision for the future
What is the simultaneity principle (5 Principles of Appreciative Inquiry)? - answer✔Studying
and asking questions about a system will change a system itself
Ex. asking client Qs will affect the client (good + bad)
What is the constructionist principle (5 Principles of Appreciative Inquiry)? - answer✔There's
always more than 1 perception of an experience
What is the positive principle (5 Principles of Appreciative Inquiry)? - answer✔Change is hard;
requires a HIGH level of positivity and emotion
Change won't happen if you're negative about it
5 Ds 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 - answer✔having the knowledge, skills, and experience/confidence to manage
one's health
People who score high in patient activation typically have... - answer✔better health outcomes
4 stages of patient activation - answer✔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 - answer✔1. Partnership
2. Acceptance
3. Compassion
4. Evocation
Define Partnership in terms of Spirit of MI - answer✔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 - answer✔coach conveys absolute worth, accurate
empathy, autonomy, and affirmations to client
absolute worth - answer✔client is worthy exactly how they are
accurate empathy - answer✔counselor can truly understand what the client is feeling or
experiencing
autonomy - answer✔control over choices/life
affirmation - answer✔affirm/acknowledge what client is going through without cheerleading
define compassion in terms of spirit of MI - answer✔coach has general concern for client's
welfare + wellbeing, compassion for all the things that have shaped the client into who they are +
what they struggle with
define evocation in terms of spirit of MI - answer✔- asking the appropriate Qs that allow the
client to discover their motivation for change from within themselves
- drawing the wants, themes, info from client
- elicit motivation from the client
4 Processes of MI - answer✔Engaging, focusing, evoking, planning
Engage (Process of MI) - answer✔Build trust and rapport
Listen 2x as much as you talk
Focus (Process of MI) - answer✔Invite the client to select a topic to work on
Evoke (Process of MI) - answer✔Find out why they have not been successful in the past (tried
methods, barriers, struggles, etc)
Figure out if client is making right steps at right time
Plan (Process of MI) - answer✔In line with best practices, realistic, etc
What are the microskills of MI? - answer✔OARS
Open-ended Qs
Affirmations
Reflections
Summaries
How can open-ended questions benefit client communication? - answer✔They can garner
meaningful and thoughtful responses from the client and enhance their sense of autonomy.
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