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NBHWC EXAM - PRACTICE QUESTIONS & ANSWERS
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NBHWC EXAM - PRACTICE QUESTIONS & ANSWERS
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NBHWC EXAM - PRACTICE QUESTIONS & ANSWERS#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 what 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. - Answers- B. Statins help lower your
LDL cholesterol level.
#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 - Answers- D. Autogenic training
#262: A coach was invited to give a presentation to a group of medical providers. The
coach is an NBC-HWC 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 - Answers- 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? - Answers- 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 - Answers- D. Change Talk
#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 say 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? - Answers- 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 his 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 the 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 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 example of what?
A. Change Talk
,B. Sustain Talk
C. Discord
D. Sympathy - Answers- B. Sustain Talk
#255: A 45-year old woman comes to her first coaching session to discuss her desire to
gain more energy and be less stressed overall. She wasn't aware that her coach Sam
was a man. She looks upset and states that "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 - Answers- C. Double-sided reflection
double sided reflection - Answers- 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 - Answers- 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 - Answers- D. Amplified reflection
Amplified Reflection - Answers- 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 - Answers- 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 - Answers- 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. - Answers- 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?
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