Exam (elaborations)
HC EXAM PREP QUESTIONS AND ANSWERS GRADED A+
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Exam of 56 pages for the course HWC at HWC (HC EXAM PREP)
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HC EXAM PREPA 29-year-old man comes to coaching for his 4th session. He has been working with his
coach on increasing his positive self-talk.
Coach: Describe for me what it feels like when you have positive self-talk anytime
during the day.
Client: It feels freeing and empowering. Like I could do anything that day.
Coach: On a scale of 1-10, 1 being not confident at all to 10 being 100 perecent
confident, how confident are you that you can meet your goal of positive self-talk at
least twice per day.
Client: I would say a 7.
Coach: Why a 7 and not a 6?
What is the coach trying to elicit from the client with their questions?
A. Identifying strengths
B. Change talk
C. Empathy
D. Ability to change - answerB. Change talk
With a client's permission, a coach starts the coaching session with an activity that
included having the client pick up an object and with a beginner's mind and use their
senses to explore the object.
The activity the coach is doing is designed to increase what?
A. Stress
B. Self-efficacy
C. Mindfulness
D. Empathy - answerC. Mindfulness
A 35-year old woman comes to her 2nd coaching session. She has been exploring with
her coach which areas of her health she wants to focus on. Her partner and medical
provider keep encouraging her to go to health coaching because of her poor eating
habits.
Client: It seems like I really just need to work on everything.
Coach: Let's explore what is most important to you. If you were to look forward 1 year
from now what change would you most like to see happen for yourself.
Client: I have no idea. I just can't change my eating habits. I find most vegetables
repulsive and fruit is so sticky.
Which stage of change is the client most likely in?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
E. Maintenance - answerA. Precontemplation
,A 52-year-old man meets with his coach for his 3rd session. He has been struggling
with low energy levels and made a commitment to try a yoga class.
Client: I went to a class and I was the only guy. I felt really out of place and
embarrassed. It was hard.
Coach: I am so sorry you had to experience that. How embarrassing for you.
Client: yeah, thanks.
Coach: Well, at least you got that out of the way.
Client: That's true.
The coaches first response demonstrates which of the following?
A. Expert trap
B. Sympathy
C. Discord
D. Double-sided reflection
E. Empathy - answerB. Sympathy
A 35-year old client comes to her 5th coaching session to continue to work on managing
her stress and improving her water intake.
Client: This week I had so much stress, I noticed my heart racing at work 3 times. I can't
live like this anymore.
Coach: It is important to you to decrease your stress level.
Client: Well, yeah but it's not like I can change my deadlines for projects at work. I really
don't have any control, so it is what it is. My boss moves up deadlines, I get stressed,
and I can't change that.
Coach: You believe you can't live with this level of stress anymore yet you believe there
is not a lot you can do about it. It's out of your control.
Which of the following technique is the coach demonstrating?
A. Increasing Change Talk
B. Empathy
C. Developing Discrepancy
D. Rolling with Resistance
E. Elicit-Provide-Elicit - answerC. Developing Discrepancy
A 52-year old, male client just submitted their well-being assessment prior to their first
coaching session. The client's information includes the following:
Self-employed
Lives with young son
On medication for High Blood Pressure and Chronic Pain
Sleep: Insufficient sleep 19 out of the last 30 days
Blood Pressure: 112/64
Total Cholesterol: 170mg/dl
BMI: 23
Physical Activity: Runs 40 minutes 5 times per week, strength training 3x per week all
major muscle groups
Fruits/Vegetables: 10 servings per day
Which of the following would the coach possibly note for follow-up per recommended
health guidelines?
,A: Sleep
B. Blood Pressure
C. Total Cholesterol
D. BMI
E. Physical Activity - answerA: Sleep
A 48-year-old man comes to his second coaching session with the goal of improving his
diet. Specifically, he is trying to drink more water and eat more vegetables. He has
indicated he struggles with these two goals mainly during the week when he is working.
Client: At work I just love eating candy to keep me focused since I am in a cubicle.
Coach: Tell me more about how candy keeps you focused.
Client: I don't know if it's about keeping me focused or if it's just simply craving candy. I
feel like I crave it at least 3 times a day whether I am at work or home.
Coach: Do you think you are a sugar addict? Do you feel like you are addicted to sugar?
Client: I am not sure.
Which of the following traps of engagement did the coach fall into?
A. Labeling
B. Expert
C. Premature Focus
D. Question/Answer
E. Blaming - answerA. Labeling
A 35 year old woman comes to her ninth coaching session to continue to work on
incorporating mindfulness into her life and some gentle yoga to reduce stress.
Client: I don't have time to change my clothes and do the yoga and change back into my
work clothes like I thought I would on my hour lunch break.
Coach: There is just no way to engage in any type of yoga on your lunch break.
What type of reflection is the coach demonstrating?
A. Feeling Reflection
B. Shifted-Focus Reflection
C. Amplified Reflection
D. Double-sided reflection - answerC. Amplified Reflection
A 49-year old man came to his 7th coaching session to continue to work with his coach
on tobacco cessation. The client is struggling to make any progress on his quit plan that
his doctor and partner helped him develop.
Client: I just can't seem to follow through. It just seems like smoking is a part of my life.
It is what it is.
Coach: You are feeling like it's a part of you.
Client: Yeah it's been over 20 years ya know. My partner reminds me every morning
why it's important to quit. And at night we review the day together. Every. Single. Day.
Coach: It seems like you don't really want to do this and it's more about your partners
wants and needs.
Which technique is the coach using to establish trust and rapport?
A. Under-promising and Over-delivering
B. Honestly sharing observations
, C. Honoring confidentiality
D. Being humble in sharing advice - answerB. Honestly sharing observations
A 34-year old woman comes to coaching for her 6th session. The client is focused on
trying to quit smoking. She has smoked for 10 years and wants to quit for her girlfriend
but has never tried before until now. She has researched smoking cessation by reading
several books on the topic and has been seeing her coach for guidance.
Client: I tried so hard this week not to smoke in the evening before bed because I
thought this time a day would be easiest. And in the books I read it often said this is a
good place to begin the process of quitting.
Coach: What did go well with choosing that time of day?
Client: Nothing much but I didn't smoke before bed on Tuesday.
Coach: You commitment to reading those books helped you discover one way you
might explore quitting and you were successful on Tuesday.
What skill is the coach demonstrating in their last statement?
A. Amplified reflection
B. Affirmations
C. Empathy
D. Simple ref - answerB. Affirmations
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 - answerD. Autogenic training
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 - answerB. Code of Ethics
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
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