NBHWC Exam - Practice Questions And Answers 2022/2023
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NBHWC Exam - Practice Questions And Answers 2022/2023
#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 ...
NBHWC Exam - Practice Questions And Answers
2022/2023
#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
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
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?
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
D. Change Talk
#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.
B. Statins help lower your LDL cholesterol level.
#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?
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
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
C. Double-sided reflection
double sided reflection
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
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
D. Amplified reflection
Amplified Reflection
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
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
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.
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?
Client: Maybe just cutting sugar out while I am at work because knowing I can
still have dessert at night won't make me feel so deprived and I know my
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