NBHWC Practice Test Questions with Complete Solutions, Exams of Nursing

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NBHWC Practice Test Questions with complete solution

1. Practice Question #219:

A 39-year old man comes to his coach for their 4th session. The man is working on reducing the amount of sugar that he eats. Client: I get so irritable when I don't have sugar. Coach: Giving up sugar is causing some unpleasant side effects. Client:Yeah, I knew it wasn't going to be a walk in the park and prepared myself for that by letting my family know my plan and trying to take it nice and slow so I don't cause them to move out. Coach: Your skill in really thinking this all through and thinking about how this change will affect your family exemplifies you're commitment. The last statement by the coach is an example of what coaching skill? A: Amplified reflection

B. Righting Reflex

C. Affirmation

D. Open-ended questioning: C

2. Practice Question #221:

About half way through your coaching agreement with a client, the coach notices that the client is arriving to the coaching calls late and has missed a couple of sessions without notifying you in advance. Which of the following approaches would be BEST to pursue with your client?:

a. Explore what's working, revisit client's strengths, and create a plan for

improvement

b. Explore why coaching isn't working and get feedback on what specific things

they don't like

c. Share your observations, express empathy, and inquire as to what could make

their vision and goals more of a priority

d. Confront client, assess readiness for change, and discuss whether coach- ing is

appropriate at this time: C

3. Practice Question #223:

A client comes to their 5th coaching session and has made progress in improving their sleep but is having trouble with their goal of increasing their physical activity. Client: "I really want to feel better...but it's just too hard. I've got two jobs and I take care of my parents too." Which of the following coach responses is NOT a response that would in- crease change talk?

a. "What makes the protocol feel hard and impossible?"

b. "What changes have you made in your life that felt frustrating and impossi- ble and

yet you achieved them?"

c. "Let's pretend that making this change is possible and that it's not hard. What

might work?"

d. "What small step might be possible and not feel as hard?": A

4. Practice Question #224:

Which of the following is recommended by MyPlate as part of a healthy diet:

A. Total carbohydrate consumption should be less than 20g per day

B. Total fat consumption should be less than 20% of daily caloric intake

C. Eat a vegetarian diet 80% of the time

D. Limiting trans and saturated fats: D

5. Practice Question #226:

D. Righting Reflex: C

7. Practice Question #222:

A 55-year old woman comes to her first coaching session having completed several wellness assessments. The coach asked the client to work on these assessments at the end of their first session for what purpose?

A. An assessments help the client see what parts of the wellness wheel she needs to

focus on improving

B. Assessments help the coach figure out where to begin with this client

C.Assessments are a tool coaches use with all clients as part of their scope of practice D. Assessments help the client reflect on her life and discover aspects of her wellbeing E. The coach can refer to these assessments later in their relationship to help move the client forward with her goals: D

8. Practice Question #220:

Please LIKE the answer when posted to ensure more people see it. At the beginning of each coaching session, before contacting the client, a coach rings a small bell three times. This is an example of an activity to improve what coaching technique?

a. Mindfulness

b. Perceptive Reflections

c. Appreciate Inquiries

d. Affirmations: A

9. Practice Question #218:

What is the main purpose of familiarizing yourself with your client's health risk assessment?

A. To offer education and insight into their current health status

B. To provide empathy, trust and greater understanding of their present life

C. To assist in making goals around any biometric numbers that may need work

D. To offer immediate referrals for any high risk behaviors: B

10. Practice Question #217:

Physical activity: yoga, 60-minutes 3x per week and running, 30-minutes 5x per week A1C: 5.0% Which of the following is most concerning as it increases her risk for a heart attack?

A. Blood pressure

B. Cholesterol

C. Waist-to-hip ratio

D. Physical activity level

E. A1C: B

13. Practice Question #214:

Which open-ended question would be best if your client is in the stage of contemplation?

A. What would have to happen that would signal you that it's time to start thinking

about changing?

B. What would be some pros and cons of making a change right now?

C. What has worked for you in the past?

D. Why make this change?: B

14. Practice Question #213:

A 28-year-old female client is on her fourth coaching session. She has been struggling with stress as she does not get along with her current roommate. Client: I just don't know whether to move out or not. Coach: You should do whatever you think is best. Which of the 12 Thomas Gordon's Roadblocks to Communication did the coach demonstrate?

A. Warning

B. Shaming

C. Telling people what to do

D. Interpreting: C

15. Practice Question #212:

A 35-year-old woman is on her fourth coaching session and has been working with a coach to manage her arthritis. She frequently gets flare-ups that set her back for up to a week. Coach: How is your arthritis impacting you today? Client: I have good days and bad days and today is a bad day. Coach: What does a bad day look like? Client: I had a flare up but I was able to repeat what I did last week and do some gently yoga and I felt much better. I know if I did more yoga I would probably feel better most days. The client's response to the coach's question about what does a bad day look like is an example of what?

A. Change Talk

B. Sustain Talk

C. Decisional Balance

D. Empathy: A

16. Practice Question #211:

A 54-year-old man is on his ninth coaching session and has been working with a coach to manage his overall stress. He has made steady progress each week incorporating several stress management techniques such as deep breathing, keeping a consistent morning schedule, and doing more enjoyable things on the weekend such as reading. During his ninth session, he indicates he is having trouble concentrating and doesn't feel like eating much. When you ask how his reading on the weekends is going to help

night and the. Was able to sneak in several power naps throughout the day and since they were power naps they added up to an additional 4 hours. Coach: Do you mean you took several naps the next day after sleep 4 hours the night before and those naps totaled an additional 4 hours. Client: Yep! I took a 1.5 hour nap at 10am and then a quick 30 minute power nap at 2pm which counts for double the time since it was a power nap and then another nap at 5pm for about 1.5 hours. Coach: You can't do that. We know from sleep science researchers that it is best if the 8 hours of sleep is continuous for the most part. You need to try to sleep 8 hours in a row. Client: Oh. So it doesn't even count then. Shoot, I totally thought I made my goal. What aspect of the conversation above would NOT be considered the coach approach?

A. Asking what meeting the goal felt like

B. Not asking permission before giving advice

C. Talking 3 times as much as the client

D. Asking clarifying questions: B

19. Practice Question #208:

A coach noticed an advertisement in her local paper for another NBC-HWC certified health coach's services. The advertisement indicates that if people buy a 60-day supply of supplements the coach will give them 3 free coaching sessions. In addition, the advertisement indicates most people lose 30 pounds in 60 days. Which of the following is the reason why this advertisement violates NBC-HWC Code of Ethics?

A. Coaching sessions are contingent upon purchase of supplements

B. It's impossible to lose 30 pounds in 60 days

C. The coach placed an advertisement in a paper

D. None of the above: A

20. Practice Question #207:

A 42-year old man comes to his coach for their 3rd session. The man decided to try coaching to get some help with trying to quit smoking cigarettes. Client: Whenever I try to quit I get really hard to live with. I'm not very nice. Coach: You really get irritable when you're withdrawing from nicotine. Client: Yeah. I know there's that gum that can ease ya down but I am thinking just doing to cold turkey and get it all over with. Coach: That's what fits you best. How could you do that? Client: I definitely need a plan for those early days. I think I'd need to be away form people for a couple of weeks in the wilderness (laughs).Coach: So you don't irritate other people. Client: For my protections actually. I still want to be married and have friends when this is all over. Coach: So overall you are not sure about getting through the really rough with- drawal part, you are worried that quitting cold turkey could affect relationships in your life, and what you will do during the early days of quitting. The last statement by the coach is an example of what coaching skill?

A. Appreciative inquiry

B. Summary reflection

C. Affirmations

D. Increasing self-efficacy: B

21. Practice Question #206:

A 38-year-old woman comes to her fifth session. She is working with her coach to reduce the overall stress in her life. The coach and client get into a lengthy exploration of how the client starts her day. During this conversation the coach becomes aware that she is thinking about what to say next while the client is talking. The coach makes a quick note to practice more?

Your client is going to be assessed for obesity at his next visit. The measurement is best for assessing visceral fat.

A. Abdominal skinfold

B. BMI

C. Waist circumference

D. Hip circumference: C

24. Practice Question #203:

A client comes to you as part of their company's insurance benefit pro- gram. They receive a reduction on their premium if they attend five coaching sessions. The client was referred to the program because their health risk assessment indicated they are a current cigarette smoker. Your client is very clear they have no interest in quitting at this time. Which open-ended question would be best given the clients lack of interest in quitting?

A. Tell me about the last time you tried to quit and what didn't work for you?

B. What would be some positive aspects of changing right now?

C. What does your life look like as a non-smoker?

D. What are some positive aspects of not changing right now?

E. What would have to happen that would signal you that it's time to start thinking

about changing?: E

25. Practice Question #202:

A coach owns her own business and specializes in coaching around diet, energy levels, and weight loss. She is promoting gut biome supplements that will help her clients lose 20 pounds in four weeks if they take the supplement daily. The coach is most likely violating which of the following guidelines:

A. NBC-HWC Code of Ethics

B. HIPAA Laws

C. USDA Nutritional Guidelines

D. Confidentiality/Privacy: A

26. Practice Question #201:

A client is a 40 year-old Latino man who has a BMI of 24. He has a sister recovering from cancer and was diagnosed was recently diagnosed with anxiety. Which of the is considered a risk factor for your client for type 2 diabetes?

A. Age

B. BMI

C. Ethnicity

D. Sister with cancer: C

27. Practice Question #200:

Jamal is a wellness coach and also sells supplemental shakes to his coaching clients in which he makes a commission. At what point in the coaching rela- tionship must Jamal disclose this information to his client per the NBC-HWC ethical guidelines?

A. At some point during the coaching relationship.

B. Before the sale is made to the client.

C. At minimum, after the sale to the client.

D. Before any coaching begins.: D

28. Practice Question #199:

Coaches are often encouraged to make observations not evaluations. For example, "you drank 1 glass of water each day last week" is an observation vs. the evaluation of "you failed at meeting your goal of drinking 3 glasses of water a day". This tenet of observation vs. evaluation is an example of:

Sure Coach: Fats are an important part of a healthy diet. There are different types of fats and some are better than others. It is better to eat more unsaturated fat vs. saturated fat. 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: B

31. Practice Question #196:

Which of the following best explains nonmaleficence as it relates to ethics in coaching?

A. Respect for human freedom and dignity

B. Pros must outweigh the cons

C. Do no harm

D. Fairness: C

32. Practice Question #195:

In session #2, the coach and the client decide to explore the client's vision of his/her optimal health. Coach: Have you ever thought about what your future might look like? Client: No not really. Coach: What is your understanding about creating a vision? Client: It's like setting some goals for the future. Coach: It's kinda like that but more just creating a picture in your head of what

something may look like that you want to create for yourself. Do you want to create a vision for your future health? Client: That sounds good. Coach: I would like you to close your eyes and sit quietly for a minute. After a minute, I am going to guide you through an activity where we look toward the future and try to visualize what that looks like. Client: So I keep my eyes closed the whole time? Coach: Yep. I just want you to try to see in your mind what the future might look like. Client: O.K. Coach: Are you ready and comfortable? Client: Yes. Which part of the above conversation exemplifies the coach approach of honoring the client's autonomy. (Muth, 76)

A. Exploring creating a vision during the second session

B. Asking permission to do the visualization activity

C. Asking open-ended questions

D. Guiding the visualization activity.: B

33. Practice Question #194:

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: 45 Nurse Blood Pressure: 110/70 mmHG Total Cholesterol: 185 ml/dL BMI: 24 Fruits/Vegetables: 9 servings per day Physical activity: Runs 2x week for 30 minutes

his goal of getting more and higher quality sleep. He set a goal each week to focus on decreasing his screen time at night. Client: I reached my goal this week and reduced my screen time by 50%. Coach: You worked really hard and succeeded at reaching your goal. What coaching skill is the coach demonstrating?

A. Open-ended questioning

B. Affirmations

C. Empathy

D. Strengths-based coaching: B

36. Practice Question #191:

Which of the following questions would be most appropriate to ask first when exploring the topic of accountability regarding an action step a client set for themselves and was not able to accomplish?

A. What did you learn from this experience?

B. What do you think went wrong?

C. What were the barriers that caused this failure?

D. How do you think you need to change your behaviors since you did not

accomplish your goal?: A

37. Practice Question #190:

As part of the coaching agreement, a coach offers an additional 3 coaching sessions for free if the client purchases a massage package from them as well. The following scenario is:

A. Acceptable because the additional coaching sessions are free

B. Unacceptable because the offer is a conflict of interest per the NBHWC Code of

Ethics

C. Acceptable given the 3 free sessions were included as part of the coaching

agreement.

D. Unacceptable as it is a violation of the professional code of conduct at large per the

NBHWC Code of Ethics.: B

38. Practice Question #189:

While coaching agreements can vary, most coaching agreements include which of the following?

A. Confidentiality, Client's Vision, Client's goals

B. Logistics, Client's Biometric Measurements, Appointment Cancellation Pol- icy

C. Confidentiality, Responsibilities and Expectation of the Coach, Responsi- bilities

and Expectations of the Client

D. Client's Biometric Measurements, Client's goals, Coach Fee Structure: C

39. Practice Question #188:

The DASH eating plan helps individuals lower their blood pressure. One of the ways it does this is by limiting sodium intake. Which of the following is the recommended maximum sodium intake per day recommended?

A. 2500 mg

B. 2300 mg

C. 1800 mg

D. 1200 mg: B

40. Practice Question #187:

A client is reviewing her wellness assessment with her coach. The client's health behaviors includes the following: