MB NBHWC Study Questions: A Comprehensive Guide to Wellness Coaching, Exams of Nursing

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MB NBHWC STUDY QUESTIONS MB NBHWC STUDY QUESTIONS WITH GUARANTEED ACCURATE ANSWERS |VERIFIED A coaches ratio of reflections to number of questions is one simple way of assessing a coaches skills. According to Miller & Rollnick (pg. 326), the ratio of reflections to questions should be around____? A. 2: B. 3: C. 1: D. 1:3 - Accurate Answers✔✔✔ A. 2: Which of the following is the best example of change talk you might hear from a client? A. I am not giving up on sleeping in. B. My doctor is helping me with that.

C. I'm doing the best I can. D. I think I can manage my stress, it is just a matter of making up my mind. - Accurate Answers✔✔✔ A. I am not giving up on sleeping in. Using reflections is a common way to respond to patient/client discord. Example Client Discord: How old are you? How can you possibly understand me? Coach's Possible Reflective Responses:

1. You're looking for some help, and you're not really sure if I'm the right person to provide it?
2. You're wondering if I'll really be able to help you.
3. It seems like there's no chance at all that I could help you. Identify the type of reflection for each response listed above. (Miller & Rollnick, pg. 209) A. 1. Amplified 2. Simple 3. Double-sided B. 1. Simple 2. Double-sided 3. Amplified C. 1. Double-sided 2. Simple 3. Amplified D. 1. Double-sided 2. Amplified 3. Simple - Accurate Answers✔✔✔ C.
4. Double-sided 2. Simple 3. Amplified Sleep timing and duration affect a number of endocrine, metabolic, and neurological functions that are critical to the maintenance of individual health. If left untreated, sleep disorders and chronic short sleep are associated with an increased risk of:

A. Heart disease B. High blood pressure C. Diabetes D. All of the above - Accurate Answers✔✔✔ D. All of the above Client: I'm feeling pretty depressed today. Coach: Something has changed since we last talked. The coach's reply is an example of a ___________? (Miller & Rollnick, pg. 58) A. Simple Reflection B. Complex Reflection C. Affirmation D. Open-ended Question - Accurate Answers✔✔✔ B. Complex Reflection The Drs. Prochaska (pg. 15) often talk about the "two Ds" or Doubt and Delay when client's most often ask themselves "Is change really worth it?". These "two Ds" are most likely to appear in which stage of change? A. Precontemplation B. Contemplation C. Preparation

D. Action E. Maintenance - Accurate Answers✔✔✔ B. Contemplation Your client, a 45 year old man, has agreed to let you share with him some information about the number of servings of fruit recommended per day according to myplate.gov. Which of the following is an appropriate recommendation? A. Focus on eating berries as they are the healthiest. B. Eat bananas sparingly has they are high in sugar. C. Half your plate should be fruit. D. 2 cups per day is recommended. - Accurate Answers✔✔✔ D. 2 cups per day is recommended. You are meeting with your client for your 5th session and your client lets you know that his best friend was in a bad car accident this past week and he is crying. What is the appropriate response? A. Let's reschedule until you are ready to talk about your goals. B. Would you be open to setting everything aside and talking with me about your friend? C. I have a great counselor I can refer you to after our session today that you should go see. D. Oh no! What caused the accident? - Accurate Answers✔✔✔ B. Would you be open to setting everything aside and talking with me about your friend?

A 52-year-old woman comes to her 15th session with her coach. Her goal is to reduce her stress at work and improve her relationship with her boss. She mentions that her boss is always nagging her to not eat her lunch at her desk while she works. To reframe the client's perception, which of the following is the most appropriate response? A. Your boss sounds annoying. B. Your boss seems to really want you to take your lunch break and not work through it. C. Your boss is stressing you out. D. You don't like it when your boss nags you like that. E. I would not want to work for your boss either. - Accurate Answers✔✔✔ B. Your boss seems to really want you to take your lunch break and not work through it. According to the American College of Sports Medicine, to meet the minimum recommendation for physical activity of 150 minutes of moderate intensity per week, you can split up the physical activity bouts into: A. 5, six-minute bouts in a day B. 6, five-minute bouts in a day C. 3, ten-minute bouts in a day D. 10, three-minute bouts in a day - Accurate Answers✔✔✔ C. 3, ten- minute bouts in a day

55-year old male begins his 5th coaching session. He is decided that one of his goals was to eat more healthfully while he travels for work. He states that "eating healthy while traveling is so much harder than trying to eat healthy while he is at home." Coach responds: Tell me about a time when you were traveling for work where you were able to eat healthy. What technique of appreciative inquiry 5-D cycle is the coach demonstrating? A. Define B. Discover C. Dream D. Design E. Destiny - Accurate Answers✔✔✔ B. Discover

1. Discover (4): Appreciating and eliciting the best of what is. Ex: You showed flexibility and focus when training for that race. a. Best Experience: "What challenges have you been able to overcome in your life"? b. Core Values: "Im hearing the values of connection of productivity being brought to life!" c. Generative Conditions: Includes environment, communities, social networks d. 3 wishes: Discovery phase. "If you had 3 wishes for the future, what would they be?"

What is the MyPlate recommendation for fruit intake for a woman age 31-50: A. 1/2 cup B. 1 cup C. 1 1/2 cups D. 2 cups - Accurate Answers✔✔✔ D. 2 cups A 38-year old woman speaks with the coach on the phone for her second session. The client has a goal to improve her sleep habits to reduce her overall stress level. Prior to this session, she took a strengths assessment. Her top five strengths were fairness, creativity, integrity, humility, and humor. Her five lowest categories were perseverance, hope, bravery, leadership, and gratitude. Which of the following is the most appropriate approach for this client? A. Encourage the client to engage in a gratitude practice B. Encourage the client to explore watching funny videos to reduce her stress C. Explore the client's strengths to find creative ways to meet her goals D. Suggest the client work on improving one of her lowest categories - Accurate Answers✔✔✔ C. Explore the client's strengths to find creative ways to meet her goals Client: I really don't want to drink water. Water is so boring!

Coach: Yep. It is your choice. No one can make you drink water. In this scenario, the coach is demonstrating what skill? A. Emphasizing self-efficacy B. Emphasizing autonomy C. Evoking change talk D. Reframing - Accurate Answers✔✔✔ B. Emphasizing autonomy Selma is a 48 year old woman who is chatting with her coach during the third coaching session. She has stayed several times "I can't make weight loss work ever". She has conveyed that weight loss has never worked for her several times and considers it "pointless". Coach: I really hear that you have tried weight loss many times and feel it hasn't worked for you and are just over it. I am not hear to force you to change. How would you feel if we spent more time understanding you and your vision as it relates to what is happening in your life right now? Based on the above scenario, it is most likely the client is in what stage of change? A. Precontemplation B. Contemplation C. Preparation D. Action - Accurate Answers✔✔✔ A. Precontemplation Brainstorming is a key skill in wellness coaching.

For brainstorming to be most effective which of the following strategies are best? A. Go slow, deliberate, and be thoughtful B. Create 5 strong, detailed responses C. Be bold, visual, and go for quantity D. Have the client do 10 ideas, then coach - Accurate Answers✔✔✔ C. Be bold, visual, and go for quantity. Brainstorm: the focus is on generating ideas rather than evaluating the quality of any particular idea.

• Asking permission to contribute ideas.
• Set a time limit.
• Take turns contributing, combining/expanding ideas and building on the possibilities. Your client Stuart is a 42 year old male that came to wellness coaching to help reduce his stress. It is his second session and the coach notices that Stuart has a waist circumference of 38 inches. according to his last healthcare visit paperwork. Which classification of risk for heart attack or stroke is Stuart in? a. Low risk b. Intermediate risk c. High risk

d. Very high risk - Accurate Answers✔✔✔ b. Intermediate risk Waist Circumference M/F: o Low Risk: 37/31.5" o Intermediate Risk: 37-39/31-34" o High Risk: >40/>35" Lucia is a 62 year-old Latina woman who has a BMI of 24. She has a sister with Type II diabetes and was diagnosed with prediabetes. Which of the choices below is NOT a risk factor for Lucia for getting Type 2 Diabetes? A. Age B. BMI C. Ethnicity D. Sister with Type II Diabetes - Accurate Answers✔✔✔ B. BMI BMI: o Underweight: <18. o Healthy: 18.5-24. o Overweight: 25- o Obese: > F.A.S.T. is the acronym for recognizing signs and symptoms of what?

a. Heart attack b. Stroke c. Concussion d. Diabetic shock - Accurate Answers✔✔✔ b. Stroke Facial Dropping Arm Weakness Speech Time A client came to her 5th session describing how completely fed up she is with her life. She describes being stressed, overwhelmed, and completely exhausted. The coach responds stating "in my last year of college I felt this same way; I totally get what you are saying". The coach's response would be best described as an example of what? A. Unconditional positive regard B. Rolling with resistance C. Sympathy D. Role modeling - Accurate Answers✔✔✔ C. Sympathy A client came to her 3rd session telling her coach she is ready to set some goals to "deal with her sweet tooth". Coach: Where would you like to start?

Client: Well I don't think that my eating habits are really that big of a problem. I think in that area of my life I am doing just fine even though I don't like to cook and do love my sweets. I eat whatever I want and it's all good-I haven't had any problems. The client's response is an example of which of the following? A. Sustain talk B. Change talk C. Ambivalence D. Reframing - Accurate Answers✔✔✔ A. Sustain talk Sustain talk: Uses language against change. A client came to his 5th session to work on his stress management. The coach matched her client's energy level and speaking style during the session which is an intentional strategy to strengthen what between the coach and client? A. Sympathy B. Mindful listening C. Rapport D. Creativity - Accurate Answers✔✔✔ C. Rapport

A client indicated in her wellness assessment that she plans to start exercising in the next thirty days. This client is most likely in what stage of change within the Transtheoretical Model of Behavior Change? A. Precontemplation B. Contemplation C. Preparation D. Action - Accurate Answers✔✔✔ C. Preparation Often coaches will include assessments for clients that measure how the client is doing in all dimensions of their wellness. If using the Six Dimensions of Wellness (Hettler, 1976), all six dimensions include: A. Emotional, occupational, physical, spiritual, intellectual, social B. Emotional, occupational, physical, environmental, financial, social C. Emotional, environmental, physical, religious, intellectual, social - Accurate Answers✔✔✔ A. Emotional, occupational, physical, spiritual, intellectual, social Know this one In expressing empathy within Nonviolent Communication, it is important to express feelings, not thoughts. Doing so staves off the tendency to judge, exaggerate, criticize, etc. Which of the following is an example of expressing a feeling?

A. I feel like a failure. B. I feel it is useless. C. I feel that my boss in controlling. D. I feel frustrated. - Accurate Answers✔✔✔ D. I feel frustrated. A client is reviewing his goals from last week with his coach. He states that he didn't accomplish a single goal because his wife nagged him every day to do chores around the house so he couldn't get anything else done. The coach asks him "how come you didn't just talk to your wife about how important your goals are to you"? The coach response is mostly to evoke what in the client? A. Pity B. Motivation C. Re-focus on goals D. Resistance - Accurate Answers✔✔✔ D. Resistance At the end of the third coaching session, the coach asks her client "on a scale of 1-10, 1 being absolutely no motivation and 10 being extremely motivated, how motivated are you to accomplish the goal you set". The client answers that she is at a 5. Which of the following responses is most appropriate? A. What makes you a 5 and not a 4?

B. What makes you a 5 and not a 6? C. Why is your motivation not higher? D. What can I do to get you to a 6? - Accurate Answers✔✔✔ A. What makes you a 5 and not a 4? 1 step: Always ask ask at least 2 numbers below chosen number first. This elicits change talk FIRST and supports behavior change. 2 step: Ask 1-2 numbers above. What would it take to get you to 6 to an 8? A client came to her fifth coaching session very upset. She stated: "I am so freaking mad at my boss. He wants me to work 10 hour days just because he does. I'll never be able to get up early and meal prep." The coach responds: "You could meal prep at night." The coach is engaging in what strategy? A. Mindfulness B. Problem solving C. Unconditional positive regard D. Educating - Accurate Answers✔✔✔ B. Problem solving A client has just completed their well-being assessment prior to their first coaching session. The client's biometric information included the following:

Male. Age: 58 Self-Employed Blood Pressure: 126/78 mmHG Total Cholesterol: 189 ml/dL BMI: 24 Fruits/Vegetables: 9 servings per day Physical activity: 2 days a week, walking to work, 20 minutes per day Which of the following would be the most concerning to the coach in the context of recommended health guidelines? A. Blood pressure B. Total cholesterol C. Fruits/Vegetable intake D. Physical activity level - Accurate Answers✔✔✔ D. Physical activity level I just don't get it. Eat carb; don't eat carb. Fats are good and fats are bad. It's so confusing. Coach: Sifting through all the information is confusing. Where seems reasonable to focus first? Client: I want to get my head around carbs, can you tell me if I should eat them? Coach: Carbohydrates are an important part of a healthy diet. There are complex carbohydrates and and simple carbohydrates. It is better to eat

more complex carbohydrates that includes fiber. Does that make sense? What else can I tell you about it? Which of the following motivational interviewing technique is the coach demonstrating? A. Developing Discrepancy B. Elicit-Provide-Elicit C. Increasing Change Talk D. Rolling with Resistance - Accurate Answers✔✔✔ B. Elicit-Provide- Elicit You've had a great client that has made tremendous progress. After working with her for the last 18 months she has lost 50 pounds. At your last session she admitted that basically she kept her caloric intake under 800 calories per day and that is why she's been so successful. She didn't tell you because she knew you wouldn't approve. Which of the following represents the most appropriate next step for the coach? A. Refer her to an appropriate professional that has expertise in eating disorder/food issues. B. Let her know what you will need to refer her to another health & wellness coach. C. Keep coaching her as there are always things to work on. D. Keep coaching her as you can help her increase her caloric intake. - Accurate Answers✔✔✔ A. Refer her to an appropriate professional that has expertise in eating disorder/food issues.

A 52 year old man comes to the coach's office for his 11th session. He set a goal each week to focus on increasing his water intake. Client: I reached my goal this week and got all my water in. Coach: You worked really hard and succeeded at figuring out how to incorporate drinking more water into your day. What coaching skill is the coach demonstrating? A. Open-ended questioning B. Affirmations C. Sympathy D. Visioning - Accurate Answers✔✔✔ B. Affirmations Which of the following is correct regarding Prochaska's stages of change model? A. A person always moves from each stage in a linear fashion B. Each stage takes approximately 4 weeks before one can move on C. A person can be in one stage for one health behavior change and a different stage for another health behavior change D. If relaps occurs, a coach should always start coaching at the precontemplation stage again - Accurate Answers✔✔✔ C. A person can be in one stage for one health behavior change and a different stage for another health behavior change

Transtheoretical Model (stages of change): 6 stages of change Muhammad is a 62 year old male who hired a coach to help him eat better. He is on his 8th coaching session and stated that he felt "defeated that he has not met a single goal set in a month" and was "too embarrassed to even tell his partner". Which of the following most exemplifies the coach approach? A. Let's try the goals for one more week and see how it goes. B. Let's change these goals. They obviously are not working. C. Why do you think you are not succeeding? D. What have you learned from this past month that might help you moving forward? - Accurate Answers✔✔✔ D. What have you learned from this past month that might help you moving forward? 134 Which of the following would be most likely to evoke change talk? A. Why do you think you haven't been successful? B. Why not just take the next step? C. What is the best experience you have had with your desired future behavior? D. You are doing a great job! - Accurate Answers✔✔✔ C. What is the best experience you have had with your desired future behavior? o DON'T use the word WHY!

o USE: How, what, when or where. Stella is a 43 year old woman who came to coaching to help manager her stress and build up her confidence. She indicates during her 5th session she mentions that her colleague told her to apply for a new leadership position in the company. Coach: What do you think about what your colleague suggested. Stella: It's ridiculous to suggest I apply for it. I have a very long history of failure and zero confidence in my leadership. What stage of change as it relates to her applying for a new leadership role in her company? A. Precontemplation B. Contemplation C. Preparation D. Action - Accurate Answers✔✔✔ A. Precontemplation A coach is a NBC-HWC and is also a registered dietician (RD). The coach is helping a client change his diet to be more healthy. The coach also is analyzing his diet to make sure it includes enough protein and carbs given his frequent participation in weight training. Which of the following is most accurate regarding the coach's scope of practice? A. The coach is operating within their scope of practice. B. The coach is not operating within their scope of practice.

C. All NBC-HWC coaches are able to recommend specific grams of protein and carb intake for a variety of clientele with unique situations and conditions. D. None of the above - Accurate Answers✔✔✔ A. The coach is operating within their scope of practice. According to Healthy People 2020 goals, Americans should try to limit their intake of which of the following? A. Added sugar B. Low-fat milk C. Caloric-dense foods D. Olive oils - Accurate Answers✔✔✔ A. Added sugar Coach: Hi James. In our past few sessions you have talked about quitting smoking, working on your sleep, and your stress. Would you like to discuss one of these or is something else on your mind? James: I've been putting off talking about my smoking. My employer is getting really strict about it and it's probably going to increase my insurance costs. Coach: So on one hand your employer is encouraging employees to quit smoking but on the other hand it is up to you really. What do you really want to do? Which of the following skills is the coach exemplifying? A. Explaining

B. Honoring Autonomy C. Rapport Building D. Sympathy - Accurate Answers✔✔✔ B. Honoring Autonomy Ethics are as important in coaching as in any other health profession. Which of the following represents the spirit of non-maleficence? A. Respect for human freedom and dignity B. Pros must outweigh the cons C. Do no harm D. Fairness - Accurate Answers✔✔✔ C. Do no harm Decisional Balance is a tool coaches may use to explore a client's what? A. Ambivalence B. Self-efficacy C. Discrepancy D. Change talk - Accurate Answers✔✔✔ A. Ambivalence

• Exercise that entails building awareness in the driving forces that propel a person toward their goal, as well as those restraining forces that impede forward movement.
• Focused exploration of discrepancies/Ambivalence

141 Which of the following is least likely to occur in the first coaching session? (ICHWC study guide and Moore, 126-129) A. Explaining the coaching process B. Establish coaching agreement C. Set at least one SMART goal D. Establish rapport - Accurate Answers✔✔✔ C. Set at least one SMART goal In session #2, the coach and the client decide to explore the client's vision of his/her optimal health. Coach: Do you want to create a vision for your future health? Client: That sounds good. Coach: O.K. Great! I would like you to close your eyes and sit quietly for a minute. After a minute, I am going to guide you through a visualization activity while you still have your eyes closed. Client: So I keep my eyes closed the whole time? Coach: Yes. And don't say anything out loud just keep focused on what I am saying. Client: O.K. Coach: Are you ready and comfortable? Client: Yes. In the above conversation, which of the following does NOT exemplify the coach approach of honoring the client's autonomy. (Muth, 76)

A. Exploring a vision statement during the second session B. Not asking permission to do the visualization activity C. Asking if the client wanted to create a vision D. Allowing the client to ask questions abo - Accurate Answers✔✔✔ B. Not asking permission to do the visualization activity The coach and client meet to discuss the wellness assessment the client just completed. After a little rapport building, the coach turns to the assessment. Coach: I noticed that you have a strong family history of heart disease and according to the assessment you also have a lot of risk factors. How do you feel about that? Client: It's definitely scary. It's probably pretty likely I'll have a heart attack just like my Dad did two years ago. Coach: Has your medical provider ever discussed this with you? Client: At my last physical, she brought it up. She told me I need to eat better. Coach: Tell me more about your doctors appointment. How did you feel after you left? In the above conversation, which of the following does NOT exemplify the coach approach when reviewing a health assessment? (Moore, 119) A. Asking about family history of disease B. Having a client think back on a negative experience C. Not asking their - Accurate Answers✔✔✔ B. Having a client think back on a negative experience

The client and coach are engaged in a discussion about goals that were set last month. Coach: Which goal do you want to discuss first? Client: We can start with the one I didn't meet: nutrition. I didn't eat any more fruit then I normally do since I set the goal. In fact, I've never met the fruit goal. I just can't seem to find a fruit that I like that is convenient. Coach: Tell me more about what you mean by convenient. Client: There are no fruits that don't make a total mess that I can easily grab and go that I actually like. Bananas have a horrible texture and oranges are so messy. Coach: If that's not working for you, what would you rather do instead? Which of the following coaching techniques is the coach utilizing (Jordan, 114)? A. Self-monitoring B. Visualization C. Evoking dissonance. D. Simple reflections - Accurate Answers✔✔✔ A. Self-monitoring A client provided the coach with the following information from a recent health visit. Stress level: low BMI: 24.3