NBHWC Practice Test Questions with Complete Solutions, Exams of Nursing

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NBHWC Practice Test Questions with

Complete Solutions

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 - Correct Ans: C 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 coaching is appropriate at this time

• Correct Ans: C

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 increase change talk? a. "What makes the protocol feel hard and impossible?" b. "What changes have you made in your life that felt frustrating and impossible 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?" - Correct Ans: A 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 - Correct Ans: D Practice Question #226: An 18-year old woman comes to her fifth coaching session to discuss her continued efforts to lose weight and get healthy. After the session, the coach receives an email from the woman's parents indicating they are paying for the sessions and would like to discuss their daughter's progress so far. What is the best response from the coach? A. I would be happy to set up some time. Please email me back potential times that will work for you. Also, your daughter must be present at this meeting.

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 - Correct Ans: A 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 - Correct Ans: B Practice Question #217: A 32-year old woman comes to her third coaching session to co to use to work on her eating habits. Specifically, the client is concerned about her sugar intake. Client: I plan to quit sugar. I am going to give it up completely for the next 6 months. Coach: Have you thought about taking a more gradual approach. What if you just decreased your sugar intake by a little bit each week? The coach is demonstrating what? A. Empathy B. Appreciative Inquiry C. Simple Reflection D. Righting Reflex - Correct Ans: D

Practice Question #216: In the NBHWC Code of Ethics, there is mention of the "importance of recognizing and honoring the efforts and contribution of others and only claiming ownership of your own material." This component falls under which section of the code of ethics? A. Professional Conduct at Large B. Conflicts of Interest C. Professional Conduct with Clients D. Confidentiality - Correct Ans: A Practice Question #215: A client came to her first session, from their providers office, with a list of their biometrics. Blood pressure: 118/72mmHg LDL: 175 mg/dl Waist-to-hip ratio: 0. 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 - Correct Ans: B Practice Question #214: Which open-ended question would be best if your client is in the stage of contemplation?

C. Decisional Balance D. Empathy - Correct Ans: A 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 manage his stress he indicates that reading is not that fun for him anymore. Which of the following is the appropriate next step for the coach? a. Help the client explore other options for incorporating enjoyable things on the weekend. b. Refer the client to a mental health professional c. Explore reasons why he may be having trouble concentrating d. Reframe the situation and note all the amazing pr - Correct Ans: B Practice Question #210: Which of the following is NOT a CDC recommendation for proper sleep hygiene? A. Be consistent. Go to bed at the same time each night and get up at the same time each morning, including on the weekends B. Make sure your bedroom is quiet, dark, relaxing, and at a comfortable temperature C. Remove electronic devices, such as TVs, computers, and smart phones, from the bedroom D. Avoid eating or drinking anything before bedtime E. Get some exercise. Being physically active during the day can help you fall asleep more easily at night.

• Correct Ans: D Practice Question #209: A 29-year-old man comes to his 4th coaching session ready to discuss the progress he has made on getting more sleep overall in the past two weeks. The following conversation ensues:

Client: I knocked my first goal out of the park. Coach: What does that feel like; knocking a goal out of the park? Client: It feels incredible! I got 8 hours of sleep each day last week. I slept 4 hours each 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 - Correct Ans: B 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 - Correct Ans: A 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?

A. Defending B. Interrupting C. Disengagement D. Questioning - Correct Ans: A Practice Question #204: 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 - Correct Ans: C Practice Question #203: A client comes to you as part of their company's insurance benefit program. 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? - Correct Ans: E 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 - Correct Ans: A 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 - Correct Ans: C 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 relationship 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. - Correct Ans: D 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:

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 - Correct Ans: B 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 - Correct Ans: C 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 y - Correct Ans: B 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 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 - Correct Ans: D Practice Question #193: A client meets with her coach for their 15th session. Over the course of the past year, the client has met and even surpassed many of her goals. Her most recent goal is to wake up early twice per week to have the time to prepare a healthy breakfast. Client: I have tried every tip I can think of. I've stated to go to bed earlier, I have all the ingredients I needed purchased ahead of time, I asked my partner to get the kids in the morning so I can have to time to cook breakfast and none of it has worked. I hit snooze each time for the past 4 weeks and didn't once

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. - Correct Ans: B 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 Policy C. Confidentiality, Responsibilities and Expectation of the Coach, Responsibilities and Expectations of the Client D. Client's Biometric Measurements, Client's goals, Coach Fee Structure - Correct Ans: C 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 - Correct Ans: B

Practice Question #187: A client is reviewing her wellness assessment with her coach. The client's health behaviors includes the following: A. Servings of veg and fruit per day = B. She walks 2x per week for 20 minutes C. Drinks 1 glass of wine each day/5 days per week D. Does not use tobacco Which of these health behaviors is most concerning as it relates to increasing ones risk for hypertension? - Correct Ans: B Practice Question #186: A client is on his 5th coaching session. The coach and client have spent the last 5 minutes exploring the client's desire to work on changing his eating habits specifically around portion sizes. Coach: "You seem really energized whenever you talk about be mindful of your portion sizes. Tell me more about that." Client: "Working on portion sizes seems like a realistic first step I can make. I've gotten familiar with what reasonable portion sizes look like and have already gotten familiar with reading labels in regards to their portion sizes. Plus I have the time to dedicate to this change". The client's response to the coach's question is most likely an example of what? A. Sympathy B. Bottom-lining C. Change talk D. Motivational ruler - Correct Ans: C Practice Question #185: A coach centers their practice around supporting their client's autonomy, building competence, and social-support/connection. This coach is most likely centering their practice on what theory?

To help a friend who has developed a new software, the coach downloads the names of each person in the group and provides them to their friend so that they can implement a marketing campaign to sell this new software to coaches. The above scenario is a violation of which part of the NBC-HWC code of ethics?: A. Professional Conduct at Large B. Conflict of Interest C. Professional Conduct with Clients D. Confidentiality/Privacy - Correct Ans: A Practice Question #181: A client has submitted their wellness assessment to their coach. There biometric numbers include the following: Blood Pressure: 110/78 mmHg BMI: 23 Total Cholesterol: 155 mg/dl HDL: 30 Which of the following might the coach note as a general concern? A. Blood pressure B. BMI C. Total cholesterol D. HDL - Correct Ans: D Practice Question #180: A 35 year old woman comes to her third coaching session. She has set a goal to lose 20 pounds in 6 weeks. The woman is clearly upset with herself for not losing any weight so far, especially now that she has hired a health coach. Client: I haven't lost a single pound in three weeks. Coach: That's frustrating.

Client: No kidding! I am so frustrated. There is just no time. Coach: Tell me more about not having time. Client: I have no time to work out or meal prep. It's just not possible right now. Which of the following would be amplified reflection in response to this last statement by the client? A. There is just no time. B. You don't have time but yet you have these goals you've set. C. You will never have the time to meal prep or workout so it's likely losing weight will not be possible. D: Finding time to be healthy is hard. - Correct Ans: C Practice Question #179: A client is working on quitting smoking and has indicated he's had a really hard week. He went out with friends twice this week and ended up smoking with his friends. As a coach it is critical in these moments to: A. Use double-sided reflections B. Provide unconditional positive regard C. Discuss why he chose to smoke with his friends D. Ask him about other friends he has in his life - Correct Ans: B 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". It is likely this client is in what stage of change? A. Precontemplation B: Contemplation C. Preparation D. Maintenance - Correct Ans: A Practice Question #177: