ACE Health Coach Practice Questions with 100% Correct Answers | Verified | Latest Update, Exams of Advanced Education

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ACE Health Coach Practice Questions

with 100% Correct Answers | Verified |

Latest Update

Which of the following aptitudes related to health improvement involves creating a sense of autonomy, competence, and relatedness to life? a. The ability to enjoy b. The ability to choose c. The ability to keep developing d. The ability to see meaning - Correct Answer-C From a coaching perspective, what is often a major limitation for client success? a. A client's inner critical voice b. A client's listening skills c. A client's lack of knowledge d. A client's schedule - Correct Answer-A Which of the following terms represents the ability to recognize one's own feelings, as well as the feelings of others? a. Psychological intelligence b. Emotional intelligence c. Behavioral intelligence d. Interpersonal intelligence - Correct Answer-B Which of the following components of emotional intelligence involves understanding the emotions, needs, and concerns of others? a. Self-awareness b. Self-regulation c. Empathy d. Social skills - Correct Answer-C Jason is a successful health coach who enjoys a very full schedule working with a variety of clients. When asked about why they think Jason is so good at his job, his clients often report that Jason communicates clearly, makes them feel like they are part of a cooperative team, and inspires them to work hard. These characteristics describe which competency within the arena of emotional intelligence? a. Self-awareness b. Self-regulation c. Empathy d. Social skills - Correct Answer-D

When Susan meets with her health coach, Matthew, she appreciates how Matthew summarizes what she says and then asks if there is anything that was misunderstood in his summary. What communication skill is Matthew using in this situation? a. Active listening b. Motivational interviewing c. Positive listening d. Empathetic questioning - Correct Answer-A If a client perceives changing his or her eating habits as unbearable because of the feeling of having to give everything up at once, he or she is likely suffering from a type of cognitive style called _______________. a. Full-preference thinking b. Dissociative disorder c. Neuro-linguistic programming d. Absolutistic demanding - Correct Answer-D Which of the following fields of practice is most similar to what health coaches offer to clients in their services? a. Personal/life coaching b. Family counseling c. Sports performance coaching d. Behavioural counselling - Correct Answer-A Which response best describes a health coach's role in facilitating behavioral change? a. A health coach directs the behavior to be changed b. A health coach develops the plan of action for change c. A health coach creates the environment to foster change d. A health coach manages the rewards and consequences as a result of change - Correct Answer-C If a client has an uncontrolled chronic condition (such as diabetes) or a history of diet failures or weight-cycling, a referral to which of the following healthcare professionals would be most appropriate? a. Registered dietitian b. Licensed behavioral specialist c. Nutritionist d. Occupational therapist - Correct Answer-A Renee is a health coach who works with many clients who have chronic health conditions. She communicates regularly with her clients' physicians to keep them informed of their progress in her programs. In her communications, Renee is careful to document client measurements and any noticeable symptoms, which are characteristics of what element of the SOAP note? a. Subjective b. Objective c. Assessment

d. Plan - Correct Answer-B If, for whatever reason, the client-health coach relationship must be discontinued, which of the following responses represents the best exit strategy for the health coach? a. Hiring a lawyer to communicate with the client that the business relationship is no longer tenable for the parties b. Stating upfront that if certain landmarks are not achieved within a particular agreed- upon timeframe, the relationship may need to be terminated c. Providing a full refund for any services rendered to the client in exchange for future referrals to the health coach's business d. Recommending that the client seek his or her own professional help elsewhere due to an inability to resolve conflict - Correct Answer-B Knowing your own capabilities, having integrity, taking responsibility for results, and having a clear intent are components of what kind of trust when developing the foundation of a relationship? a. Relationship trust b. Self-trust c. Character trust d. Rapport trust - Correct Answer-B Which of the following communication components involves creating a carefully constructed message so that the intent of the communication is understood? a. Planning b. Encoding c. Decoding d. Offering feedback - Correct Answer-B Tory is a new client who enjoys helping others and is not comfortable making quick decisions. During your initial interview with Tory, she reveals that she is very focused on her relationships with her family and friends and that she spends much of her free time helping them in various ways. Which personality type best describes Tory? a. Dominant b. Cautious c. Inspiring d. Supportive - Correct Answer-D Abbey is a research scientist at a chemical company. Upon hiring a health coach to help her manage her weight and improve her eating habits, she explains that she is skeptical of most weight-loss programs and would like to see any peer-reviewed research that supports the health coach's recommendations. Which personality type best describes Abbey? a. Dominant b. Cautious c. Inspiring d. Supportive - Correct Answer-B

According to early research on factors involved when conveying a message, approximately what total percentage of the message communicated is made up of nonverbal language? a. 17 b. 38 c. 55 d. 90 - Correct Answer-D During the initial goal-setting process, Danny asks his client, Sarah, the following questions: "How have things changed for you because of your weight? What do you believe will happen if you continue as you are now? If things were to improve, what needs to be different? What do you believe are the costs of changing and the benefits of changing?" What type of investigatory technique is Danny using to evoke thoughtful responses from Sarah? a. Motivational interviewing b. Funnel-type questioning c. Empathetic interviewing d. Leading questioning - Correct Answer-A When health coaches encourage clients to engage in regular physical activity, make healthy nutrition choices, and properly manage emotional stress, they are facilitating a reduced risk of _______________. a. Behavioral relapses b. Musculoskeletal injuries c. Nutritional deficiencies d. Hypokinetic diseases - Correct Answer-D Within the medical fitness field's continuum of care, at what point does the health coach typically begin to work with a client? a. Before the client receives any medical attention b. When the client initiates primary care with a physician c. During the period when the client is seeing a physical therapist d. When the client is ready for post-rehabilitation or post-medical care services - Correct Answer-D Which of the following factors of operant conditioning heavily influences behavioral outcomes and occurs after a behavior is executed? a. Antecedents b. Response consequences c. Stimulus control d. Social support - Correct Answer-B The cornerstone of cognitive behavioral therapy is that a client's ____________ determine how he or she behaves, not the external events that actually take place. a. Actions

b. Demographics c. Attitudes d. Beliefs - Correct Answer-D Jim has been hearing a lot from his friend, Mike, about Mike's new health coach. Currently, Jim engages in a sporadic walk, or even a visit to the gym, but he is very inconsistent with physical activity. Jim often asks Mike about specifics for creating his own plan. Mike suggests that Jim set up an appointment with his health coach to investigate weight-loss programs, health clubs, and planning how a diet and/or exercise program can fit into his lifestyle and schedule. Jim tells Mike he will arrange to meet with Mike's health coach. In what stage of change is Jim? a. Precontemplation b. Contemplation c. Preparation d. Action - Correct Answer-C During a brief encounter at a health fair where Elizabeth is promoting her services as a health coach, she asks her potential new client, Jack, "On a scale of 1 to 10, how ready do you believe you are to make this change or adopt this healthy behavior?" Jack answers, "I'd say about a 3." Based on his answer, in which stage of change would you categorize Jack? a. Precontemplation b. Contemplation c. Preparation d. Action - Correct Answer-A Which of the following strategies would be most appropriate for a client who has been working on incorporating physical activity into his lifestyle and has made it to the maintenance stage of behavior change? a. Plan for potential lapses b. Reiterate the long-term benefits of adherence c. Explain and personalize the inherent risks of physical activity d. Help the client identify social support - Correct Answer-A _______________ can act as both a determinant and an outcome of behavioral change. a. Self-determination b. Self-esteem c. Self-efficacy d. Self-confidence - Correct Answer-C Before shopping, Jessica makes a grocery list and avoids purchasing non-listed items, with the intent that if poor quality food is not in the house, it will not be eaten. Jessica is using which of the following strategies to facilitate healthy eating? a. Shaping b. Stimulus control

c. Goal-setting d. Extrinsic feedback - Correct Answer-B When Jack was in elementary school, he participated in physical education activities only because he had to, simply to avoid punishment. Today, Jack has a career as a health coach and participates in daily exercise because he truly enjoys the way it makes him feel while he is doing it. Which of the following types of motivation best describes Jack's physical-activity experiences when he was a child? a. Integrated regulation b. Identified regulation c. Introjected regulation d. External regulation - Correct Answer-D Paul, a very busy accountant, has a goal of incorporating exercise into his daily schedule. When tax season approaches, Paul knows his schedule will become even more hectic and as each day wears on, his work-related list of responsibilities typically gets longer. Based on available research conducted on the topic of self-control, which of the following responses would be the best approach to help Paul stick to his exercise plan? a. Plan to block out the lunch hour and reserve it for daily workouts b. Schedule daily workouts at the fitness center on the way home from work c. Plan to fit in "mini" exercise sessions between meetings with clients throughout the day d. Schedule daily morning exercise sessions, before the workday starts - Correct Answer-D Which of the following statements is least accurate regarding an individual's self- control? a. Self-control is a limited resource b. The force of habit requires a high level self-control c. Coping with stress requires a certain level of self-control d. Self-control appears to be renewed daily - Correct Answer-B _______________ is the most common reason that people abandon their plans to change behavior. a. A busy schedule b. Stress c. Depression d. Lack of knowledge - Correct Answer-B Which of the following lifestyle-modification strategies deals specifically with helping clients achieve success early in their programs by setting realistic goals that they can reasonably accomplish? a. Strengthen autonomous motivation to change b. Increase readiness to change c. Encourage clients to modify environmental cues

d. Look for ways to increase self-efficacy - Correct Answer-D Janna has said in the past, "I must be perfect in my weight-control behaviors." Recently, she has been guided by a health coach to rephrase such thoughts as, "Nobody is perfect. I am making improvements in several areas, such as drinking more water and stretching daily, and I am getting healthier and stronger every day." What behavior- modification technique did the health coach use in this instance? a. Problem-solving b. Self-assessment c. Cognitive restructuring d. Negative mood management - Correct Answer-C In which stage of behavior change do clients experience the highest levels of self- efficacy, and thus self-reliance? a. Contemplation b. Preparation c. Action d. Maintenance - Correct Answer-D Within which of the following spheres of the social-ecological model does a health coach have the most influence over his or her clients? a. Community b. School c. Interpersonal d. Individual - Correct Answer-C Patricia realizes that for her client, Rick, to feel motivated he needs to experience a connection with other people with similar interests. Thus, Patricia identifies other people in the fitness center where she works who are interested in the same kind of walking program that Rick is. Ultimately, she helps to form a walking club on the weekends for Rick and the other members. This is an example of which strategy for establishing self- reliance in clients? a. Establish self-efficacy through goal-setting b. Encourage clients to practice behaviors on their own c. Help clients find and implement a support system d. Help clients create or maintain an environment that fosters success - Correct Answer- C Todd has hired Matt as his health coach to help him make better nutrition choices. Todd confided in Matt that he often finds himself snacking on junk food during the workday and while at home watching television. Which of the following approaches would be the most appropriate first step for Matt to suggest to help Todd create an environment that fosters success? a. Ask Todd to identify those places or cues that encourage unhealthy behaviors by taking an inventory of his home and workspace

b. Recommend that Todd to throw out all of his junk food he has stored at work and at home c. Suggest that Todd place a note that says "get up and walk" on his refrigerator at home d. Educate Todd about healthy snaking versus eating junk food and ask him to keep a food log for one week - Correct Answer-A A primary difference between disaccharides, oligosaccharides, and polysaccharides is _______________. a. The number of sugar compounds linked together that make up the molecule b. The number of calories per gram of the carbohydrate in which the molecule is found c. That each different molecule is found in different types of caloric sweeteners d. That each different molecule is found in different types of non-caloric sweeteners - Correct Answer-A Why do food manufacturers tend to favor high-fructose corn syrup over other types of caloric sweeteners for use in their products? a. Decreased cost of production b. Increased feelings of satiety c. Reduced risk of insulin resistance d. Decreased amount of "empty calories" - Correct Answer-A Which of the following terms represents a positive nitrogen balance, in which the body produces more protein than it breaks down and which occurs in times of growth such as childhood, pregnancy, recovery from illness, and in response to resistance training when overloading the muscles promotes protein synthesis? a. Catabolism b. Anabolism c. Hypermetabolism d. Hypometabolism - Correct Answer-B Which of the following types of fatty-acid structures represents the chemical form in which most fat exists in food as well as in the body? a. Adipocytes b. Phospholipids c. Cholesterol d. Triglycerides - Correct Answer-D Which of the following structures of the gastrointestinal tract represents the site of the majority of food digestion and absorption in the human body? a. Mouth b. Stomach c. Small intestine d. Large intestine - Correct Answer-C

In which of the following nutrients might a client become deficient if he or she has a medical condition or is taking a medication that impairs fat absorption? a. Folate b. Calcium c. Vitamin C d. Vitamin A - Correct Answer-D The latest hydration recommendations for the average adult exerciser are to __________. a. Drink 8 ounces of fluids before, during, and after most types of exercises b. Follow individualized hydration regimens and let thirst be the guide - if thirsty, drink water c. Avoid over-hydration (hyponatremia) by limiting fluid intake until after an exercise session d. Reduce the risk of dehydration by drinking enough fluids while exercising to gain weight during the exercise session - Correct Answer-B Jeffery is a 65-year-old retiree who has hypertension and is currently limiting his sodium intake to 2,300 mg per day. According to the 2015-2020 Dietary Guidelines for Americans, to what amount could Jeffery limit his daily sodium intake for even greater blood pressure reduction? a. 1000mg b. 1500mg c. 2000mg d. 1800mg - Correct Answer-B For the first time since their inception, the 2010 Dietary Guidelines for Americans explicitly recommend that Americans _______________. a. Limit fat intake b. Reduce sodium c. Minimize trans fatty acids d. Eat less - Correct Answer-D Review the nutrition information below. Which of the following represents the percentage of calories from carbohydrate, protein, and fat in a serving of this food item? Nutrition Information Serving size: 3 tablespoons (30 g), Servings per container: About 22, Amount per serving, Calories: 217, Total fat: 21 g, Saturated fat: 2 g, Trans fat: 0 g, Cholesterol: 0 mg, Sodium: 0 mg, Total carbohydrate: 3 g, Dietary fiber: 2 g, Sugars: 1 g, Protein: 4 g, a. 6% carbohydrate; 7% protein; 87% fat b. 10% carbohydrate; 15% protein; 75% fat c. 13% carbohydrate; 17% protein; 70% fat d. 20% carbohydrate; 25% protein; 55% fat - Correct Answer-A

John is a 175-pound, healthy, recreational exerciser. According to the American Dietetic Association (Academy of Nutrition and Dietetics) and the American College of Sports Medicine, how much daily protein intake is appropriate for John? a. 30 to 48 g b. 50 to 68 g c. 70 to 88 g d. 90 to 108 g - Correct Answer-C According to the ACE Position Statement on Nutritional Supplements, what should a health coach do if he or she works at a place of business that expects the health coach to promote or sell nutritional supplements? a. Consider changing employers to find a location that does not require health coaches to sell nutritional supplements b. Take a continuing education course to add the credential of "nutritionist" to the health coach's qualifications c. Before selling any nutritional supplements to clients, inform them that the federal government does not regulate these items d. Ensure that the health coach's employer possesses adequate insurance coverage for him or her should a problem arise - Correct Answer-D Which of the following snacks would be most beneficial for post-exercise fueling to replenish glycogen stores and facilitate muscle repair? a. Whole-grain toast with peanut butter b. Plain white bagel with cream cheese c. Carrots, celery, and raisins d. Bowl of mixed berries - Correct Answer-A Which of the following strategies would contradict the National Eating Disorders Association's recommendations for dealing with a client who is suspected of having, or who has been diagnosed with, an eating disorder? a. Suggest weekly body-weight checks to ensure the client is staying on track b. Do not assume that reducing body fat or weight will improve performance c. Help other fitness professionals recognize the signs of eating disorders d. Emphasize the health risks of low weight - Correct Answer-A Which of the following tools for understanding a client's current dietary habits makes it LEAST likely that the client will forget to include foods in the process? a. Food diary b. Food record c. 24-hour recall d. Food-frequency questionnaire - Correct Answer-D Which of the following responses represents the two overarching concepts put forth by the 2010 Dietary Guidelines for Americans? a. Maintain calorie balance to achieve and sustain a healthy weight and focus on nutrient-dense foods and beverages

b. Prevent a gradual age-related weight gain and prevent decreases in metabolism over time c. Consult a healthcare provider about weight-loss strategies and ensure appropriate management of chronic conditions d. Choose more nutrient-dense foods and reduce foods or food components consumed in excessive amounts - Correct Answer-A Which of the following activities would be outside the scope of practice for a health coach working with clients? a. A health coach refers her overweight and obese clients to a website known for healthy recipes b. After determining his morbidly obese client needs to lose significant weight, a health coach gives the client advice on a very-low-calorie diet c. A health coach gives a competitive athlete eating strategies for pre- and post- exercise nutrition d. After being hired at a health club, a health coach develops and implements a lecture series educating members on weight-loss physiology - Correct Answer-B Kerry is 5'7" and weighs 190 lb. What is her BMI? a. 19 kg/m b. 25 kg/m c. 30 kg/m d. 35 kg/m2 - Correct Answer-C Obesity that occurs later in life is associated with _______________. a. An increase in the number of adipocytes b. An enlargement of the existing fat cells c. A pear-shaped body-fat distribution pattern d. More fat distributed in the extremities versus the trunk - Correct Answer-B Which of the following nutrients is the most metabolically costly to convert and store as fat in the body (i.e., which nutrient takes the most energy to break down and store as body fat if there is an excess of this type of nutrient present)? a. Carbohydrate b. Fat c. Protein d. Alcohol - Correct Answer-C What component of human daily energy expenditure contributes the least amount of energy to the overall daily total? a. Resting metabolic rate b. Basal metabolic rate c. Thermic effect of food d. Activity thermogenesis - Correct Answer-C

Which of the following hormones is produced by the pancreatic ß-cells and secreted in response to elevated blood glucose levels? a. Insulin b. Leptin c. Ghrelin d. Cholecystokinin - Correct Answer-A What hormone has been found in obese children and adults to circulate in direct proportion to adipose tissue mass when weight is stable, in amounts four times higher than in lean individuals? a. Insulin b. Leptin c. Ghrelin d. Cholecystokinin - Correct Answer-B Which of the following environmental factors is independently associated with obesity? a. The presence of supermarkets in one's neighborhood b. Working near many fast-food restaurants c. Living more than 25 miles away from the workplace d. Living in a low-income neighborhood - Correct Answer-D Over the past year, Cynthia has gained 15 pounds. Assuming this weight gain is the result of excess energy intake, how many total extra calories has Cynthia consumed beyond her body's average daily needs to create the added weight over the past year? a. 35,000 calories b. 46,500 calories c. 52,500 calories d. 60,000 calories - Correct Answer-C Which type of diet has been shown (more than the others listed) to promote satiety and thermogenesis? a. Carbohydrate-restricted diet b. High-fat diet c. High-protein diet d. Detoxification diet - Correct Answer-C Which of the following statements about the glycemic index is true? a. The glycemic index of a food reflects its overall nutritional value b. The glycemic index of a food is affected by cooking, ripeness, protein and fat content, and handling c. A high-glycemic food is less nutritious than a low-glycemic food d. Low-glycemic foods cause a spike in blood glucose may lead to overeating and subsequent weight gain - Correct Answer-B Which of the following statements about programming for weight loss is most accurate?

a. Fasting allows an individual to lose weight rapidly and is appropriate for kick-starting long-term weight loss b. Carbohydrate-restricted diets appear to be best eating plan for both short- and long- term weight loss c. In general, bariatric surgery is the most effective tool for helping people lose weight and keep it off long-term d. Increasing activity, with a modest restriction in calories, is the most advisable way to tip the scale toward weight loss - Correct Answer-D Which of the following medical symptoms of untreated anorexia nervosa (AN) is directly related to arrythmias of the heart? a. Low potassium levels b. Atrophy of the gut c. Diminished peristalsis d. Osteopenia or osteoporosis - Correct Answer-A What psychological problem is most frequently suffered both by individuals with anorexia nervosa and bulimia nervosa? a. Obsessive-compulsive disorder b. Post-traumatic stress disorder c. Schizophrenia d. Depression - Correct Answer-D What are the three symptoms associated with the female athlete triad? a. Dysmenorrhea, anorexia nervosa, and osteoporosis b. Amenorrhea, disordered eating, and osteoporosis c. Oligomenorrhea, disordered eating, and osteopenia d. Amenorrhea, bulimia nervosa, and osteopenia - Correct Answer-B Which of the following statements about self-efficacy is most accurate? a. If a client's self-efficacy is high, he or she will be more likely to drop out b. Client self-efficacy levels should be evaluated for the first time about midway through a lifestyle-management program c. Self-efficacy is a dynamic construct, meaning that it can change from day to day d. Clients with low self-efficacy should be challenged with vigorous-intensity workouts at the very beginning of their exercise programs - Correct Answer-C Which of the following responses represents a factor that can erroneously lead clients to put the responsibility of program success on the health coach, removing their own personal responsibility from the equation? a. Lack of rapport b. Decreased self-efficacy c. Past experience d. Unclear expectations - Correct Answer-D

When interviewing clients, Stacey matches their gestures, facial expressions, and body positioning to promote a strong connection. What approach for enhancing rapport is Stacey demonstrating when she mirrors her clients in this way? a. Nonverbal communication b. Active listening c. Empathy d. Mimicry - Correct Answer-A Which of the following components of communication is a learned skill that is demonstrated by showing concern and genuine interest? a. Active listening b. Empathy c. Open-ended questioning d. Sympathy - Correct Answer-B The psychological environment of the client-health coach relationship is most related to _______________. a. Customer service b. Communication c. First impressions d. Personality - Correct Answer-A Conducting an initial full session of body measurements and strength and cardiovascular tests on a new, overweight client could be disadvantageous because _______________. a. Newcomers to a lifestyle-modification program are essentially going to "fail" most assessments, which may be harmful to self-efficacy, rapport, or program enthusiasm b. New clients should not be charged for a session of assessments since there is no program progress being made in the allotted time c. Assessments should be conducted one per session so that the time for exercise is not drastically reduced d. The time spent discussing the results and explaining how they relate to the client's goals will typically take more time than the session allows - Correct Answer-A Which of the following statements about self-help weight-loss programs is true? a. The safety, effectiveness, and quality of self-help approaches are consistent across most programs b. In general, in self-help programs, one basic approach is recommended for everyone, with little or no individualization c. Most self-help weight-loss programs are associated with commercial-based franchise, with coaches available as resources d. Self-help programs are typically run as an outpatient track associated with a hospital or university - Correct Answer-B The Department of Consumer Affairs of New York City was the first agency to introduce a "Truth-in-Dieting" regulation as a result of the _______________.

a. High cost associated with weight-loss programs b. Large number of consumers who were participating in weight-loss program c. Increased opportunity to tax rapid-weight-loss centers' earnings d. Deceptive practices of many rapid-weight-loss centers - Correct Answer-D According to the Institute of Medicine's stepped levels of care for obesity treatment in Weighing the Options: Criteria for Evaluating Weight-Management Programs, in which step is it appropriate to introduce a very-low-calorie diet? a. Step 1 b. Step 2 c. Step 3 d. Step 4 - Correct Answer-D Based on the Institute of Medicine's stepped levels of care for obesity treatment in Weighing the Options: Criteria for Evaluating Weight-Management Programs, in which step can a health coach begin to promote lifestyle change through education, support, and structure? a. Step 1 b. Step 2 c. Step 3 d. Step 4 - Correct Answer-A Which of the following pencil-and-paper assessments is limited by its lack of detail, which may overlook important health conditions, medications, and past injuries? a. Physical Activity Readiness Questionnaire (PAR-Q) b. American College of Sports Medicine (ACSM) coronary artery disease risk factor stratification c. Exercise history and attitude questionnaire d. Weight-loss readiness quiz - Correct Answer-A Based on Jeremy's health data below, which assessment results would you mark as positive risk factors (+1) using the ACSM atherosclerotic cardiovascular disease risk factor thresholds? Jeremy is a 45-year-old restaurateur who works 60 hours or more each week. His physical activity consists of the time he spends walking through his restaurant meeting and greeting customers. The following data are Jeremy's assessment results from his latest visit with his physician. Body weight: 240 lb, Height: 5' 10", LDL cholesterol: 150 mg/dL, HDL cholesterol: 45 mg/dL, Blood pressure: 140/90 mmHg a. LDL cholesterol, HDL cholesterol, and blood pressure b. Age, sedentary lifestyle, BMI, LDL cholesterol, and blood pressure c. Age, body weight, LDL cholesterol, and HDL cholesterol d. Sedentary lifestyle, BMI, HDL cholesterol, and blood pressure - Correct Answer-B

Based on the number of positive risk factors determined in the previous question, which of the following intensity recommendations is most appropriate for Jeremy to start with at this time? a. Exercise intensity equivalent to 40-60% VO2max b. Exercise intensity equivalent to 50-70% VO2max c. Exercise intensity equivalent to 55-75% VO2max d. Exercise intensity equivalent to 75-85% VO2max - Correct Answer-A Cynthia is a client who struggles with her choices and portions when she eats out for lunch, which she does almost daily. This type of behavior, which Cynthia would like to change, is labeled _______________. a. Behavioural disintegration b. Behavioural laxity c. Behavioural excess d. Behavioural deficit - Correct Answer-C Harvey has unsuccessfully tried to lose weight in the past. He hires a health coach to help him achieve his weight-loss goals this time. Harvey says his pursuit to lose weight is always brought on by suggestions from his wife and his physician, who are both concerned about his health. He doesn't share their enthusiasm, but is willing to try it again. Which term best describes Harvey's motivation to change his weight? a. Intrinsic motivation b. Extrinsic motivation c. Self-motivation d. Familial motivation - Correct Answer-B Clients who pursue lifestyle behavioral change for their own personal achievement and enjoyment are more likely to _______________. a. Fail b. Drop out c. Persist d. Relapse - Correct Answer-C Which of the following responses best represents the two main characteristics that are most effective when setting small goals? a. Small goals must be meaningful to the client and be within immediate reach b. Small goals should be set by the health coach and achievable within a short time period c. Small goals will be more effective if they are initially general and chosen by the client d. Small goals must be relevant to the health coach's program and be achieved within one year - Correct Answer-A Nick, Liza's new health coach, asks her to write down the advantages and disadvantages of a lifestyle behavior she would like to change. Liza decides she would like to exercise more, so she writes down all of her positive and negative perceptions about exercise, which ultimately helps her connect with the benefits of change and

remove barriers to change. What tool did Nick use to help Liza realize the pros and cons of changing her behavior? a. Exercise history and attitude questionnaire b. Physical-activity preferences worksheet c. Personal-belief questionnaire d. Decisional balance worksheet - Correct Answer-D Which of the following terms best describes bodily fat that is necessary for normal functioning and is incorporated into the nerves, brain, heart, lungs, liver, and mammary glands? a. Triglycerides b. Essential fat c. Nonessential fat d. Adipocytes - Correct Answer-B John's circumference measurements are 42 inches at the waist and 36 inches at the hips. Based on these results, which of the following statements is true? a. John exhibits gynoid obesity b. John's waist-to-hip ratio places him in the "average" category c. John exhibits android obesity d. John's waist-to-hip ratio places him in the "good" category - Correct Answer-C Individuals with "normal-weight obesity" reinforce the concept that which of the following health measures can be inherently inaccurate? a. Waist-to-hip ratio (WHR) b. Skinfold measurements c. Body mass index (BMI) d. Bioelectrical impedance analysis (BIA) - Correct Answer-C Christina is a 60-year-old woman who weighs 190 pounds (86 kg) and has an estimated body fat of 36%. Her goal is to reduce her body fat to 23%. What will her corresponding body weight be when she reaches her goal of 23% body fat? a. 138 lb b. 148 lb c. 158 lb d. 168 lb - Correct Answer-C Which of the following body-composition estimation methods requires the technician to practice the skill many times before becoming proficient at the technique? a. Skinfold measurements b. Circumference measurements c. Bioelectrical impedance analysis (BIA) d. Near infrared interactance (NIR) - Correct Answer-A

During John's first exercise session with his new health coach, Mitch, he learns how to find his pulse for heart-rate monitoring. Mitch teaches him to palpate his wrist below the palm on the same side as his thumb. Which pulse site is Mitch teaching John to use? a. Carotid artery b. Radial artery c. Ulnar artery d. Femoral artery - Correct Answer-B After several minutes of sitting and talking with his new client, Terry takes an estimation of his client's resting heart rate (RHR). Peter, Terry's client, appears to have a RHR of 120 bpm. Which of the following terms best represents an accurate description of Peter's RHR at this instance? a. Bradycardia b. Normal sinus rhythm c. Tachycardia d. Junctional rhythm - Correct Answer-C The initial evaluation with a deconditioned 35-year-old male client reveals that his RHR is 75 bpm. What is his target heart rate (THR) range at 50-70% of heart-rate reserve (HRR)? a. 120 to 141 bpm b. 130 to 151 bpm c. 140 to 161 bpm d. 150 to 171 bpm - Correct Answer-B Jody is Clara's new obese client. After her first blood pressure assessment on Jody, Clara realized that she used a standard-sized blood pressure cuff instead of the appropriate size cuff for the measurement. What was the likely result of this first measurement? a. A blood pressure reading with amplified Korotkoff sounds b. A blood pressure reading void of Korotkoff sounds c. A falsely elevated blood pressure reading d. A falsely low blood pressure reading - Correct Answer-C Which one of the following statements is true about the use of ratings of perceived exertion (RPE)? a. Initially, very active individuals may find it difficult to use RPE charts b. The 0 to 10 scale should be used to gauge intensity only when the health coach needs to measure heart rate via the RPE c. Men tend to underestimate exertion, while women tend o overestimate exertion d. Conditioned individuals may overrate their exercise intensity if they focus on the muscular tension requirement of the exercise rather than cardiorespiratory effort - Correct Answer-C

During the administration of the talk test to her new client, Teresa, Lisa stops the test when Teresa claims that reciting the Pledge of Allegiance is becoming uncomfortable and breathing is getting more difficult. At what point did Lisa stop the test? a. First ventilator threshold (VT1) b. Second ventilator threshold (VT2) c. Third ventilator threshold (VT3) d. Fourth ventilator threshold (VT4) - Correct Answer-A Sherry is a successful full-time hair stylist who is seeking a health coach to help her strengthen her postural muscles to ease the aches and pains she feels as a result of holding her arms up throughout the day as she works on her clients. During a static postural assessment, you notice that Sherry has slightly exaggerated kyphotic and lordotic spinal curves. In which of the following planes of motion does Sherry's spinal deviation occur? a. Sagittal b. Frontal c. Coronal d. Transverse - Correct Answer-A Which of the following tests is designed to specifically assess static balance with the removal of visual sensory perception? a. Stork-stand balance test b. Sharpened Romberg test c. Trunk extensor endurance test d. Modified hurdle-step test - Correct Answer-B Which of the following terms best represents a lack of core and gluteal muscle strength to counteract the force of the hip flexors and erector spinae during the squat movement? a. Glute dominance b. Hamstrings dominance c. Quadriceps dominance d. Lumbar dominance - Correct Answer-D During the overhead reach mobility test, Amy reported feeling it mainly in the shoulders, was able to keep her back relatively flat on the mat, and could touch her left thumb to the floor. Which of the following statements best interprets Amy's results on the overhead reach test? a. Amy lacks appropriate shoulder mobility and core stability b. Amy shows appropriate left-shoulder mobility and core stability c. Amy displays adequate right-shoulder mobility and lacks core stability d. Amy exhibits good shoulder mobility and core stability - Correct Answer-B For individuals who are obese, each pound of excess body weight translates to an additional _______________ of stress on the knee. a. 2lb

b. 3lb c. 4lb d. 5lb - Correct Answer-C Amanda's health and fitness goals include losing body fat and becoming more aerobically fit. She is interested in engaging in a physical-activity program of light to moderate intensity on most days of the week. Based on this information, to which of the following phases of the cardiorespiratory fitness-training portion of the ACE Integrated Fitness Training Model will Amanda most likely progress and then stay? a. Aerobic-base training (phase 1) b. Aerobic-efficiency training (phase 2) c. Anaerobic-endurance training (phase 3) d. Anaerobic-power training (phase 4) - Correct Answer-B In general, with regard to stability and mobility programming for the body's kinetic chain, _______________. a. Distal stability facilities distal mobility b. Proximal stability facilitates proximal mobility c. Distal stability facilitates proximal mobility d. Proximal stability facilitates distal mobility - Correct Answer-D Which of the following responses BEST represents the two main program components that have been shown to be successful for sustained weight loss in overweight and obese individuals? a. Modest reductions in energy intake and adequate levels of physical activity b. Severe reductions in energy intake and modest levels of physical activity c. Significant reductions in energy intake and high levels of physical activity d. Minimal reductions in energy intake and significant levels of physical activity - Correct Answer-A According to the ACE IFT Model, which of the following responses BEST represents the characteristics of training that occurs in phase 1 of cardiorespiratory training? a. Fitness assessments are required prior to exercise in this phase b. Intervals in the upper end of zone 2 (RPE of 6) are introduced in this phase c. The client is progressed to phase 2 once he or she can sustain steady-state cardiorespiratory exercise for 20 to 30 minutes d. The focus is on helping clients to perform seven or more hours of cardiorespiratory exercise per week - Correct Answer-C Beth has been involved in a walking program for the past six months, which has allowed her to achieve her initial weight-loss goal of 10% of her former body weight. She is now expressing an interest in increasing the intensity of her aerobic workouts and wants to try jogging. Currently, she has no problem walking for 45 continuous minutes most days of the week. Which of the following ratio intervals (jog:walk) would be an appropriate place for Beth to begin the next phase of her cardiorespiratory program? a. 3:

b. 1:1 c. 1:2 d. 1:3 - Correct Answer-D Jason is a competitive cyclist who is getting ready for his next event in three months. In general, how much time should Jason spend training at intensities just below the first ventilatory threshold (VT1)? a. 70-80% b. 40-50% c. 15-20% d. 5-10% - Correct Answer-A Jim is an obese client who experiences chronic pain in his back and knees, which reduces his mobility and makes it uncomfortable for him to transition from the floor to a standing position. He has been cleared by his physician for exercise and is ready to begin his training program with John, a health coach. What can John do to help Jim most successfully engage in a program of stability and mobility training, which necessarily involves exercises in the supine and prone positions? a. Recommend that Jim perform aerobic exercise for initial weight loss before he engages in stability and mobility training b. Allow Jim to perform floor exercises on an elevated platform or on a sturdy athletic training table c. Recommend that Jim perform all stability and mobility exercises in a seated position on a chair with a sturdy back rest d. Allow Jim to perform all stability and mobility exercises in a standing position in front of a corner wall - Correct Answer-B Which of the following movements is most closely associated with the human gait pattern (e.g., walking)? a. Body-weight squat b. Tandem balance on both feet c. Static balance on a single leg d. Hip-hinge progressions - Correct Answer-C A client who has just finished her first month of resistance training using selectorized weight machines is ready to progress the intensity of her strength-training program. She currently uses 100 lb on the leg press machine. Which of the following responses represents the most appropriate increase in resistance for the leg press exercise for her next workout? a. 105-110lb b. 110-120lb c. 120-125lb d. 130-150lb - Correct Answer-A The main criteria the judicial system will utilize when addressing a potential complaint regarding independent contractor status is the _______________.

a. Nature of the work b. Number of clients the contractor sees c. Control over work-related matters d. Intention of the parties involved - Correct Answer-C Travis and his client, Angie, agree to meet twice weekly for one hour so that Angie can receive health-coaching services from Travis. Angie will pay Travis $75 per session. In terms of legal contracts, which of the following responses represents the money exchanged for services in this scenario? a. An offer b. An acceptance c. A consideration d. A negotiation - Correct Answer-C Which of the following documents is designed to formally warn individuals about the potential dangers and specific risks of participating in physical activity? a. Agreement to participate b. Informed consent c. Liability waiver d. Behavioral contract - Correct Answer-B Within the context of a liability waiver (or release), what is an exculpatory clause? a. A statement included in an agreement that limits the time allotted to sue for damages, which allows the health coach adequate time to defend against potential litigation if it occurs b. A portion of a contract that allows the client to have something done to him or her (e.g., strength test or flexibility assessment) by the health coach c. A portion of an agreement that states that the health coach will keep all client health information protected and confidential d. Language included in an agreement that bars clients from seeking damages for injuries caused by the inherent risk of activities and by the ordinary negligence of the health coach - Correct Answer-D Which legal term BEST describes a health coach's actions if he or she failed to properly spot a client while performing a bench press exercise? a. Fraud b. Vicarious liability c. Negligence d. Respondeat superior - Correct Answer-C Rebecca is an independent contractor who works as a health coach in a fitness facility. She often takes her client, Stacy, into an unoccupied group fitness room for Stacy's boot-camp style interval workout. On one of the hottest days of the summer, Rebecca enters the room and notices that the air conditioning is not working properly in that space and the temperature is 88 degrees Fahrenheit. What is the most appropriate action for Rebecca to take in this situation?

a. Rebecca should notify the facility's management and void that area until it has been addressed b. Rebecca should continue with the planned exercise session, but at a lower than normal intensity c. Rebecca should cancel the session with Stacy and ask her to come back at another time when the temperature is more appropriate d. Rebecca should continue with the planned exercise session and open the facility's doors and place fans in the room for additional airflow - Correct Answer-A The American Council on Exercise recommends retaining at least _______________ in professional liability coverage, in the event that a personal injury occurs as a result of a training session. a. $100,000 b. $1 million c. $250,000 d. $2 million - Correct Answer-B Which of the following legal activities do organizations such as the American Society of Composers, Authors, and Publishers (ASCAP), Broadcast Music, Inc. (BMI), and the Society of European Stage Authors and Composers (SESAC) oversee? a. Marketing activities b. Financial transactions c. Risk management d. Copyright issues - Correct Answer-D Which of the following risk-management strategies involves keeping a certain risk in place if removing the risk would eliminate a potential benefit? a. Avoidance b. Transfer c. Reduction d. Retention - Correct Answer-D (Refer to case 1) Which of the following recommendations are the BEST initial approach to help Jenna reach her weight-loss goal? a. Maintain daily caloric intake and increase physical activity to include 60 to 90 minutes of moderate to vigorous aerobic exercise 5 days per week b. Maintain current activity level and reduce daily caloric intake to 1800 calories c. Reduce daily caloric intake by approximately 250 calories and increase physical activity to include 30 minutes of moderate exercise most days of the week d. Reduce daily caloric intake by 500 calories and introduce a multivitamin - Correct Answer-C (Refer to case 1) Which of the following recommendations is the MOST appropriate regarding this client's nutritional choices? a. Decrease consumption of sugary beverages and incorporate more fruits and vegetables into the diet

b. Limit carbohydrate consumption and introduce protein-fortified meal replacement bars and shakes c. Decrease refined sugar intake and increase the consumption of iced tea and black coffee to increase energy d. Incorporated red meat and beans into the diet to enhance iron consumption and increase energy throughout the day - Correct Answer-A (Refer to case 1) Which of the following food items, if eliminated or reduced from Jenna's diet, would make the MOST beneficial caloric and nutritional change? a. Chocolate peanut better "energy" bar b. Animal cookies c. Café mocha d. Alcohol - Correct Answer-C (Refer to case 1) What is the MOST appropriate time frame for Jenna to reach her weight-loss goal? a. 3 to 6 weeks b. 8 to 12 weeks c. 3 to 5 months d. 6 to 8 months - Correct Answer-C Jim has been a participant in your group weight-loss program for three months. He recently confided to you his concerns about his tendency to miss exercise classes during vacations, holidays, or times of increased work or family pressures. Which of the following statements would be the MOST appropriate recommendation for Jim? a. "I understand that missing exercise classes is a concern for you. Let's plan ahead and prepare a home-based workout for the times you can't make it to the gym." b. "Missing your exercise classes must be difficult for you. The next time it happens, feel free to call me and we can discuss your options at that time." c. "I hear you saying that you're concerned about missing your exercise classes. Would you like to choose another class format that you might enjoy more?" d. "The exercise classes are an important part of your weight-loss program. You need to make the classes a priority on your schedule" - Correct Answer-A Which of the following responses BEST describes the type of information found in the "objective" section of a client's SOAP notes a. Exercises occasionally and is unhappy about her weight b. 35-year-old female, 260lb (118.2kg), married, no children c. Client is basically healthy, inactive, has obesity d. Eat three vegetable servings per day - Correct Answer-B You are working with a new client who is sedentary and wants to lose weight. When asking him about his exercise history, he tells you about his years of competitive swimming and describes himself as a "swimmer" and would like to incorporate swimming into his program. To this client, swimming provides what type of motivation? a. Introjected regulation

b. Identified regulation c. External regulation d. Integrated regulation - Correct Answer-D A new client you are working with has type 1 diabetes. She has agreed to check her blood glucose level and share this information with you before and after each exercise session. As you prepare to begin the first workout, she informs you that her blood glucose has dropped too low. What would be the MOST appropriate course of action for this client? a. Suggest that she increase her insulin dosage prior to the upcoming workout session b. Ask her to wait 15 minutes and then check her blood glucose level again c. Recommend that she inject insulin into primary muscle groups that will be used during the upcoming exercise session d. Suggest that she consume simple carbohydrates and check her blood glucose level again prior to exercise - Correct Answer-D A client is struggling with after-dinner snacking and claims that he is not necessarily hungry when snacking but has a hard time resisting the urge. What would be the BEST problem-solving approach to help him make a lasting behavioral change to avoid or minimize snacking at night? a. Suggest that he stay out of the kitchen after dinner to avoid the temptation to snack b. Recommend that he keep track of the factors that precede and follow after-dinner snacking c. Ask him to record the amount and types of foods he prefers to snack on after dinner d. Recommend that he eat more calories at dinner so that he is full and has less desire to snack afterward - Correct Answer-B A client shows you a food label from one of his favorite mid-afternoon snacks. Use the nutrition information from the food label provided below to determine which of the following statements is MOST accurate. Amount per serving Calories 90 Total fat 3 g Saturated fat 0 g Trans fat 0 g Cholesterol 0 mg Sodium 300 mg Total carbohydrate 13 g Dietary fiber 3 g Sugars 3 g Protein 3 g a. The protein content of this food item accounts for 30% of its total calories b. 30% of the total calories in this food item are from fat c. The dietary fiber content of this food item accounts for 10% of its total calories