NBC-HWC practice exam questions (C&S)| 170 questions| with complete solution, Exams of Nursing

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NBC-HWC practice exam questions (C&S)|

170 questions| with complete solution

Practice Question #277: A coach is reviewing a client's health history. The client has been eating 9 servings of fruits and vegetables most days of the week but indicated to you that their new goal is to run a 5k. The client has signed up for a couch to 5k class and has attended once a week for 6 weeks. Which stage of change is the client most likely in as it pertains to her new goal of running a 5k? A. Maintenance B. Action C. Preparation D. Contemplation E. Precontemplation - Practice Question #278: A client came to her first session, from their providers office, with a list of their biometrics. Blood pressure: 118/72mmHg LDL: 75 mg/dl Waist-to-hip ratio: 0. Physical activity: yoga/strength training, 60-minutes 3x per week and running, 30-minutes 5x per week A1C: 7.2%

Which of the following is most concerning as it increases her risk for chronic disease? A. Blood pressure B. Cholesterol C. Waist-to-hip ratio D. Physical activity level E. A1C - Practice Question #276: A 65-year-old woman comes to her fifth session. She is working with her coach to increase her overall caloric intake to help her gain weight. Client: I really want to gain about 20 pounds and I have gained some weight by adding one more egg at breakfast. Coach: Have you ever thought about trying protein shakes. Client: I don't like the taste of those. The coach response is an example of what? A. Coaching presence B. The Coach's agenda C. The Client's agenda D. Amplified Reflection - Practice Question #274: P Coaches are often taught to use the client's strengths and values in their coaching process. Using the client's strengths and emphasizing their values increases their ______________?

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 - Practice Question #271: 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. Pre-contemplation B. Contemplation C. Preparation D. Action

E. Maintenance - Practice Question #270: 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 - Practice Question #275: A client comes to their 3rd session and has been working on managing his emotions. During this session, the client is focused on strategies for increasing his mindfulness. Coach: How's your energy level today?

Practice Question #265: 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 - Practice Question #264: 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 reflection - Practice Question #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 - Practice Question #260:

D. Statins improve your hearts ability to function. - Practice Question #258: A client came to her first session, from their providers office, with a list of their biometrics. LDL: 99 mg/dl Waist-to-hip ratio: 0. Physical activity: yoga, 60-minutes 3x per week and running, 30- minutes 5x per week, strength training 2x per week all major muscle groups. Blood pressure: 132/72mmHg A1C: 5.0% The client was likely referred to the coach due to her blood pressure because it is in which of the following categories according to the 2017 guidelines? A. Optimal blood pressure B. Low blood pressure C. Elevated blood pressure D. High blood pressure - Practice Question #267: 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 - Practice Question #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

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 - Practice Question #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 -

Practice Question #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 - Practice Question #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

Diagnosed high total cholesterol Eats in alignment with MyPlate recommendations High stress job Pre-diabetic The client has three key risk factors for heart disease. These three key risk factors are: A. High BMI, high blood pressure, pre-diabetes B. MyPlate diet, high BMI, high total cholesterol C. High blood pressure, high cholesterol, current smoker D. Current smoker, high BMI, high blood pressure - Practice Question #247: An NBC-HWC coach is part of a regional group that offers support and community with each other. The group has a google doc they share for all their contact information and meeting dates. A student approaches the coach regarding anyone they know she could interview for a class project she is doing on coaching. The coach shares with the student the google doc with the list of names and contact info of the coaches in the region. Which of the following has the coach violated? A. HIPAA B. Code of Ethics C. Protected Health Information D. NBC-HWC Coach Values Statement - Practice Question #246:

A 55-year old man is working with his coach on improving his intake of healthy fats, fruits and vegetables, and reducing the amount of alcohol he consumes. The coach decided to use the decisions balance took to help the client. What is most likely the reason for choosing the decisional balance tool? A. Client is showing some discord B. Client needs some sympathy C. Client is demonstrating change talk D. Client is ambivalent about making the change - Practice Question #245: There is a wide variation of opioid prescription rates across states. Studies suggest that regional variation in use of prescription opioids CANNOT be explained by: A. health status of the population B. access to healthcare C. population size D. number of surgeries per capita Hint: don't forget about the addendum to the content outline 😉 - Practice Question #243: Coaches are often taught to allow for a longer than normal silence after asking a question to a client. This is sometimes referred to as the pregnant pause. Which of the following is the main reason why the pregnant pause is recommended? A. It gives the coach time to take a small break

C. Providing information D. Expressing empathy - Practice Question #240: A client submits her health risk assessment before their first coaching session. The coach reviews the following information: Blood Pressure 112/ BMI 24. Diet low in saturated fat 1 alcoholic drink per day Walks 30 minutes 2x per week Which of those listed above may be of concern for increasing their risk for chronic disease in general? A. Blood Pressure B. BMI C. Diet D. Physical activity E. Alcohol use - Practice Question #239: A client comes to their 5th session and has been working on eating healthier and getting more sleep. During this session, the client is focused on strategies for improving their vegetable intake. Coach: What went well for you this week regarding your goal of increasing your vegetable intake?

Client: I got vegetables in for lunch 4 times last week. It's so hard to plan. It seems like without planning vegetables don't naturally happen. Coach: You got vegetables in your lunch 4 times last week and are recognizing it takes effort. What type of reflection did the coach use? B. Double-sided C. Amplified D. Empathy - Practice Question #237: A client and coach are meeting for their third session. They've been discussing at length the client's desire to get higher quality sleep and more sleep overall each night. Client: I've tried using over the counter medications and sleep apps on my phone but they don't seem to be working for me. Coach: Tell me more about those two things. How are you implementing them? Client: I take unison an hour before bed each night and then when I go to bed I try to look for and find a sleep meditations in my headspace app. Coach: Have you thought about using just soft relaxing music instead? This last statement made by the coach is an example of which of Thomas Gordon's 12 ways of being that do not demonstrate a coach approach: A. Interpreting B. Praising