NBHWC Practice Test Exam Questions and Answers 2024/2025, Exams of Nursing

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NBHWC Practice Test Exam Questions and Answers Practice Question #102: 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 ANSWER: C Practice Question #103: 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 ANSWER: D Practice Question #104: 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 ANSWER: B Practice Question #105:

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 ANSWER: B Practice Question #106: 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. ANSWER: D Practice Question #107: 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? ANSWER: B Practice Question #108: A 52-year-old woman comes to her 15th session with her coach. Her goal is to reduce her stress st 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. ANSWER: B Practice Question #109: 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 ANSWER: C Practice Question #11: If you as the coach experience a traumatic life event that you feel will effect your ability to coach, per the ICF Standards of Ethical Conduct you should: A. Continue to coach and survey your client at the end to see how you performed B. Ask your client if they would be willing to take a break from coaching C. Suspend or terminate the coaching relationship and refer them to another coach ANSWER: C Practice Question #1: Is the following goal a behavioral goal or an outcome goal? ______ I will lose 10 pounds in two months. A. Behavior Goal B. Outcome Goal ANSWER: B Practice Question #10: A Registered Dietician just passed his RD exam and is now a NBC-HWC. He holds no other certifications. He designed a HIIT program his first client. Is he operating within his ICHWC scope of practice? A. Yes B. No ANSWER: B

Practice Question #100: 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: ANSWER: A Practice Question #101: 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. ANSWER: D Practice Question #110: A 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 ANSWER: B Practice Question #111: 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 ANSWER: C Practice Question #112: 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 ANSWER: C Practice Question #113: 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 ANSWER: B Practice Question #114: 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 ANSWER: A Practice Question #115:

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 ANSWER: C Practice Question #116: 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 ANSWER: B Practice Question #117: 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 ANSWER: B Practice Question #118: F.A.S.T. is the acronym for recognizing signs and symptoms of what? a. Heart attack b. Stroke c. Concussion d. Diabetic shock ANSWER: B Practice Question #119:

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 ANSWER: C Practice Question #12: If a coach promotes losing 20 pounds in one week after taking a supplement daily, the coach is violating: A. ICF Standards of Ethical Conduct B. ACSM Guidelines C. USDA Nutritional Guidelines ANSWER: A Practice Question #120: 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 ANSWER: A Practice Question #121: A client came to his 5th session to work on his stress management. The coach matched her client's energy level and speaking style durging the session which is an intentional strategy to strengthen what between the coach and client? A. Sympathy B. Mindful listening C. Rapport

D. Creativity ANSWER: C Practice Question #122: Your client set the following goal: I will go to bed at 10:00 pm Monday through Friday. Which of the SMART acronym is the client missing? A. Specific B. Measurable C. Time-bound ANSWER: C Practice Question #123: 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 ANSWER: C Practice Question #125: 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 ANSWER: A Practice Question #126: 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. ANSWER: D

Practice Question #127: 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 ANSWER: B Practice Question #127: 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 aks 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 ANSWER: D Practice Question #128: A client has just completed their well-being assessment prior to their first coaching session. The client's biometric information included the following: Male, Self-Employed Age: 58 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 ANSWER: D Practice Question #128: 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? ANSWER: A Practice Question #129: Client: 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 ANSWER: B Practice Question #13: During a coaching session as the coach you are finding yourself checking social media. You are most likely struggling with: A. Building rapport B. Coaching presence C. Empathy ANSWER: B Practice Question #130: 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. ANSWER: A Practice Question #131: 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 ANSWER: B Practice Question #132: 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 relapse occurs, a coach should always start coaching at the precontemplation stage again ANSWER: C Practice Question #133: 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? ANSWER: D Practice Question #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! ANSWER: C Practice Question #135: 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 ANSWER: A Practice Question #136: 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 ANSWER: A Practice Question #137:

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 ANSWER: A Practice Question #138: 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 ANSWER: B Practice Question #139: Ethics are as important in coaching as in any other health profession. Which of the following represents the spirit of nonmaleficence? A. Respect for human freedom and dignity B. Pros must outweigh the cons C. Do no harm D. Fairness ANSWER: C Practice Question #14: Prochaska, Norcross, & DiClemente recommend a nurturing parent style of coaching for those in which stage: A. Action B. Preparation C. Precontemplation ANSWER: C Practice Question #140:

Decisional Balance is a tool coaches may use to explore a client's what? A. Ambivalence B. Self-efficacy C. Discrepancy D. Change talk ANSWER: A Practice Question #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 ANSWER: C Practice Question #142: 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 cl ANSWER: B Practice Question #143:

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 experi ANSWER: D Practice Question #144: 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 ANSWER: A Practice Question #145: A client provided the coach with the following information from a recent health visit. Stress level: low BMI: 24. Blood Pressure: 124/ Physical activity level: high A1C: 4.5% Waist circumference: 32 inches Which of the following might the coach note as a concern or something to check back in on/monitor? (ICHWC content outline links) A. Body Mass Index B. Blood Pressure

C. A1C level D. Waist Circumference ANSWER: B Practice Question #146: Readiness and confidence rulers are often utilized by coaches when they are practicing which coaching technique? (Moore, 80) A. Appreciative inquiry B. Mindfulness C. Motivational Interviewing D. Decisional Balance ANSWER: C Practice Question #147: A coach and a client meet for their second session. After some rapport building the following conversation ensues. Coach: We covered a lot of ground in our last call. Would you mind sharing with me something that is going really well for you right now? Client: Starting this process has definitely helped me discover this new found energy I have for getting healthier. I already started planning out a small yoga routine I want to do every morning. Based on the above conversation, the client is most likely in what Stage of Change in regard to physical activity? (Prochaska, 17) A. Precontemplation B. Contemplation C. Preparation D. Maintenance ANSWER: C Practice Question #148: A coach discovers that the client is bisexual through a public post on Facebook before their first session. The coach cancels their session as a result of this new information as they do not want to coach a bisexual. Which of the following most accurately describes the coaches behavior? (Code of Ethics, 2) A. Unlawful discrimination B. Unconscious bias C. Conflict of interest D. HIPAA violation ANSWER: A Practice Question #149:

Which of the following is a behavioral goal vs. an outcome goal? A. I will reach an HbA1C level below 7 in two months. B. I will lose 25 pounds by the end of the year. C. I will lay my workout clothes out before I go to bed each night for the next 3 months. D. I will increase my HDL by 5 by next month. ANSWER: C Practice Question #15: The driver of a vision statement is one's: A. Beliefs B. Values C. Goals ANSWER: B Practice Question #150: The coach and client meet for their 5th session. Client: I feel so stressed out sometimes I just google vacation at my desk to get away from it all. Coach: Sometimes you are so stressed you need to do things to escape. The coach's response is considered what type of reflection? A. Simple B. One-sided C. Amplified D. Double-sided ANSWER: A Practice Question #151: Which of the following coaching activity is most important in the first coaching session, after the coaching contract has been signed, with a client? A. Setting SMART goals B. Building rapport and trust C. Determining strengths and weaknesses D. Reviewing their health history ANSWER: B Practice Question #152: A client and coach meet for their 8th session. They've been working together for awhile on the clients goals of eating more fruit and vegetables. Client: I can't ever seem to get my vegetables in. I feel like I've tried everything. Coach: Have you tried putting them in smoothies and drinking those for breakfast?

Client: I tried that once but I would rather eat my food. Coach: Perhaps committing to eating a salad every day for lunch could work? Which of the following is the coach engaging in? A. Problem-solving for the client B. Bottom-lining C. Exploring ambivalence D. Exploring the client's weaknesses ANSWER: A Practice Question #153: A 55-year old man speaks to his coach on the phone for his third session. The client has said he came to coaching because his dad died of a heart attack. The man tells the coach he is excited because his HDL level was 65 mg/dL. Which of the following best explains why this client was pleased with this number? A. Lipids are a type of cholesterol found in the blood and are important for heart health. B. The HDL number indicates his pre-diabetes is under control. C. Triglycerides are a fat found in the blood that is an indicator of diabetes risk. D. Lipids are a type of protein found in the blood that indicate heart health ANSWER: A Practice Question #154: A client is on his 9th session with his coach. He has been discussing with you the idea of becoming more physically active on a regular basis. He seems to go back and forth about wanting to become active but describes many barriers to getting started. He has yet to begin exercising. The client is most likely in which stage of change? A. Precontemplation B. Contemplation C. Preparation D. Action ANSWER: B Practice Question #155: A client meets with her coach for their 25th session. Over the course of many months, the client has met and even surpassed many of her goals. Her most recent goal is to add meditation to her daily habits. Client: I have tried every app out there. None of them seem to hold my attention and I just get to busy at work I keep delaying all the reminders I've set up to meditate. And in the mornings when I try I just fall asleep. This goal I just can't seem to reach for some reason yet all the others were no problem.

Coach: You set a goal to meditate, tried many different strategies and you are frustrated because you have met so many other goals you have set for yourself. Which coaching skill is the coach demonstrating? A. Empathy B. Sympathy C. Evoking change D. Summarizing ANSWER: D Practice Question #156: A client is on the phone with her coach for their second session. They have decided to set some short term goals. The coach asks the client "do you feel the goal is within your capabilities?" Which of the SMART acronym is the coach trying to clarify? A. Specific B. Measurable C. Attainable D. Time-bound ANSWER: C Practice Question #157: A client meets with a coach for their first session. Client: I have kids, I am a single-mom, a full-time job, Crohn's disease, and am a caretaker to my father. There is no time to focus on my health. Coach: I feel your pain. I am a single-mom and have all those same challenges. It's so hard. Which of the following is the coach exhibiting? A. Sympathy B. Empathy C. Summarizing D. Self-determination ANSWER: A Practice Question #158: A coach left the following message on his client's voicemail: "Hi James! I am calling to see if you are planning to meet with me to discuss your goals about losing weight. I had us down to our health coaching appointment to start 10 minutes ago. Can you give me a call back? Thanks, bye." Which of the following HIPAA basic requirements did the coach violate? A. Minimum necessary rule B. Authorization rule C. Access rule

D. Coaching contract ANSWER: A Practice Question #159: A coach has her own business and also sells supplements as needed to her clients. At what point must the coach disclose this information to her client per the ethical guidelines of the ICHWC? A. At some point during a coaching session B. Immediately before the sale of the supplements C. At minimum, after the sale of the supplements to the client D. Before any coaching begins ANSWER: D Practice Question #160: Client: I am so frustrated I didn't meet my goal this week! Coach: You met your goal last week and the week before. You have demonstrated the skills to succeed. How can we apply what you did last time to succeed to this new goal? What is the coach trying to increase through her response to the client? A. The client's self-efficacy B. The client's self-compassion C. The client's ambivalence D. The client's discord ANSWER: A Practice Question #161: You see an advertisement for a NBC-HWC coach that states "work with me to cure your Type II diabetes in 2 weeks!" Which of the following Ethical Conduct standards is the coach violating? A. Confidentiality/Privacy B. Professional Conduct at Large C. Conflict of Interest D. Professional Conduct with Clients ANSWER: B Practice Question #162: A client has just completed their well-being assessment prior to their first coaching session. The client's biometric information included the following: Male, Telemarketer Age: 40 Blood Pressure: 120/70 mmHG

Total Cholesterol: 205 ml/dL BMI: 24 Fruits/Vegetables: 9 servings per day Physical activity: Runs for an hour 5x per week 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 ANSWER: B Practice Question #163: Which HIPPA rule requires you to maintain reasonable and appropriate administrative, technical, and physical safeguards for protecting electronic personal health information? A. Privacy Rule B. Security Rule C. Ethics Rule D. Scope of Practice Rule ANSWER: B Practice Question #164: A 42 year-old man speaks with the coach on the phone for his 5th weekly session. His goal is to go to bed every night at 10pm 4 days per week. The client mentions that he has been successful at changing his sleeping habits previously. To increase the client's self-efficacy, which of the following is the most appropriate response by the coach? A. "You are disappointed that you can't improve your sleep habits now because you were successful in in the past." B. "Melatonin may help you be successful." C. "What's happening when you can't get to sleep?" D. "You've succeeded in the past which means you have the skills to make improvements in your sleep today." ANSWER: D Practice Question #164: In what stage of change do clients most likely become more aware of and excited about the pros or benefits of changing but also the cons or drawbacks of changing, causing confusion? A. Precontemplation B. Contemplation C. Action

D. Maintenance ANSWER: B Practice Question #165: A 52 year old male begins his third session with his coach to discuss his drinking habits. Client: I know I drink too much but it helps me be social. I am shy. And it helps me relax at the end of the day. I work long hours and in deserve a drink. And it's not like it's 5 drinks in an hour. The client is exemplifying ________? A. Sustain talk B. Change talk C. Rolling with resistance D. Sympathy ANSWER: A Practice Question #166: Client: I'm feeling disappointed that nothing I am doing seems to be working. Coach: You've had some setbacks and that feels disappointing. The coach's reply is an example of a ___________? A. Simple Reflection B. Complex Reflection C. Affirmation D. Open-ended Question ANSWER: A Practice Question #167: A 32-year old female client comes in for her 2nd session but still is undecided if coaching really what she needs. The coach begins building trust and rapport with the client. The client decides to open up and tells the coach about her eating habits and her love for sugar. The coach responds with "avoiding sugar is hard for you". What type of reflection is this? a. Complex Reflection b. Double-sided Reflection c. Simple Reflection d. Amplified Reflection ANSWER: C Practice Question #168: You as the coach practice the steps of Nonviolent Communication ( NVC ) with your clients for expressing empathy. Which distinction below is NOT part of NVC? A. Express feelings, not thoughts

B. Make requests, not demands C. Identify needs, not strategies D. Identify opportunities, not barriers ANSWER: D Practice Question #169: A 45 year-old woman meets with her coach to discuss her sedentary behavior. The woman is considering trying to sit less throughout the day but her job is very demanding, her father recently passed away, and she suffers from low back pain. Client: I've been through so much lately. I don't know if I want to take this on. Coach: You are a survivor. The coaching skill being demonstrated is: A. Sympathy B. Discord C. Elicit-Provide-Elicit D. Reframing ANSWER: D Practice Question #17: Which of the following best describes the righting reflex? A. Coach gives advice and offers solutions. B. Coach supports the client's right to choose which option they want. C. Coach follows the client's lead. ANSWER: A Practice Question #170: The following post appears on a health coach Facebook group. "Hi Coaches! I've been coaching my client for 6 months and they recently told me that they identify as an atheist. God is at the center of all that I do. I need to end this coaching relationship. Advice on how to do this?" As an NBC-HWC coach, your next step would be: A. Answer the question and help however you can B. Screenshot the post and send to the NBHWC for follow-up on a possible ethics violation C. Do nothing since it doesn't apply to you D. Do nothing since it is in a private Facebook group ANSWER: B Practice Question #171: In health and wellness coaching, coaches often use motivational rulers to gage where their clients are at. It is recommended that if a client answers that their motivation is a 6, on a scale of 1-10,

the next question should explore why their answer was not a 5. This is recommended since the clients answer is most likely to evoke what? A. Empathy B. Sustain Talk C. Resistance D. Change Talk ANSWER: D Practice Question #172: If a health coach owns their own business and contracts with a third party to host their clients health information on their server, the coach must ensure that: A. A signed contract is in place B. The third party abides by HIPAA Security rules C. The third party abides by HIPAA Privacy rules D. All of the above ANSWER: D Practice Question #173: A coach has his NBC-HWC and a degree in psychology. His client describes an ankle injury he recently got running. He says that his ankle is bruised and he can't really run on it anymore and it hurts to even walk, especially down some stairs. Which of the following should the coach recommend next? A. Recommend the client see a medical provider to get it checked out B. Recommend the client use an ACE bandage to help keep it stable C. Recommend the client just walk for the next few days until it feels better and lay off of the running D. Recommend the client rest, ice, compress with a bandage, and elevate his leg for the next week and then try to run again and see how it goes. ANSWER: A Practice Question #174: A client has requested that what she is about to talk to you about not be put in her record, your electronic coaching notes, or even written down. Which response is most appropriate? A. "Your confidentiality is important to me and I will not put anything in your record, in my electronic notes, or write anything down." B. "I am required by HIPAA to keep a record of everything." C. "I am happy to honor your confidentiality but if it is anything do with a health-endangering behavior or something illegal for example I will not be able to keep that private." D. "Everything you say to me is 100% confidential." ANSWER: C

Practice Question #175: When coaches ask about the pros and cons of making a change and the pros and cons of not making a change they are engaging in what coaching activity? A. Growth mindset B. Active listening C. Empathy D. Decisional Balance ANSWER: D Practice Question #176: A 48 year-old, female client is on her fifth coaching session and has made some progress toward her goal to eat a serving of fruit and a serving of vegetables every day at work for lunch. She indicated that she does struggle the most whenever her co-workers go out to lunch because she either has to decline or when she goes with them she ends up not meeting her goal for that day. During the coaching session, a coach would most likely focus on: A. Building the client's willpower B. Listing the reasons why the client should not eat out C. Exploring the benefits of eating alone D. Exploring what the client feels is most important in this situation ANSWER: D Practice Question #177: A 60 year old man is meeting with his coach for their 6th session. The client has been working toward trying to improve his sleep habits but has been struggling. Client: I failed to get to bed before 11:00 pm everyday this week but Wednesday. On Wednesday I got to bed at 10:00. Coach: You went to bed before 11:00 pm on Wednesday. The coach has reframed an evaluative statement to a statement of observation. This technique is considered a tenant of what coaching skill? A. Empathy B. Appreciative Inquiry C. Stages of Change D. Nonviolent Communication ANSWER: D Practice Question #178: A coach is in the middle of a first coaching session and recognizes that his client often makes statements using the words "I won't" or "I can't".