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NSHC Exam Questions With 100% Correct Answers 2024 HC Delivery Trends - Correct Answer-telephonic coaching has edged out face-face health coaching. NSHC's Code of Ethics & Standards of Practice - Correct Answer-maintain strict level of privacy and confidentiality, ensures client fully understands terms of coaching relationship, truthfully identify health coaching qualifications, non judgemental of client's beliefs, (etc.) Communication Styles - Correct Answer-Direct: talker, expresses opinions, fast speech, impatient vs Indirect: Listens, reserved, slow speech, patient Supporting: shares feelings, informal speech, contact oriented, active facial expressions vs Controlling: Limited sharing of feelings, formal speech, non-contact preferred, few facial expressions RELATER (Supporting/Indirect) SOCIALIZER (Supporting/Dire
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HC Delivery Trends - Correct Answer-telephonic coaching has edged out face-face health coaching. NSHC's Code of Ethics & Standards of Practice - Correct Answer-maintain strict level of privacy and confidentiality, ensures client fully understands terms of coaching relationship, truthfully identify health coaching qualifications, non judgemental of client's beliefs, (etc.) Communication Styles - Correct Answer-Direct: talker, expresses opinions, fast speech, impatient vs Indirect: Listens, reserved, slow speech, patient Supporting: shares feelings, informal speech, contact oriented, active facial expressions vs Controlling: Limited sharing of feelings, formal speech, non- contact preferred, few facial expressions
RELATER (Supporting/Indirect) SOCIALIZER (Supporting/Direct) THINKER (Controlling/Indirect) DIRECTOR (Controlling/Direct) Tendencies That Should be Modified & How - Correct Answer- RELATER (resistance to see new opportunities, need to be involved, avoidance of risks) SOCILIZER (need for approval, tendency to dream, jumping activities) THINKER (focus on weakness, need for perfection) DIRECTOR (need to control, low tolerance of other's feelings) Pitfalls to Avoid - Correct Answer-1. Not finding out what the client already knows
Cause of a Wandering Mind & How to Avoid - Correct Answer- We only use "evaluative" listening in day-to-day communication. There is too much time for distraction during converstation. Practice "active listening" by making a conscious effort. Strategies When Becoming Distracted - Correct Answer-1. Strive to be interested
What is Important A/B Teach Back - Correct Answer-Used to gauge or assess the client's comprehension of instruction or health coaching guidance gained from the session. Better accountability, better identification of barriers to communication. Reasons Why People Don't Change Behavior - Correct Answer- Their values don't support it, they don't think it's important, don't think they can, no plan, no support Stages of Change - Correct Answer-Pre-contemplation Contemplation Preparation Action Maintenance Termination/Relapse Identifying Stages of Change With Client - Correct Answer-Pre contemplation: Not considering Contemplation: Thinking about within next 6 months Preparation: Ready within next month Action: Started within last 6 months
Maintenance: Preventing relapse 6 months and beyond Termination/Relapse: Success vs. relapse General Influences On Behavior - Correct Answer-Great or Silent Generation(1922-45): not wasteful, values honesty Baby Boomers(1946-64): loyal to work, enjoys climbing success ladder Generation X(1965-80): Tech generation, takes fastest route to results GenerationnY(1981-1994): Wants immediate results, skips steps to achieve what they want Cultural Competence - Correct Answer-Ability to interact effectively with people of different cultures without bias. Behavior patterns, social curcumstance, and environmental exposure have significant influence. Effective communication depends on understanding the influence of culture on health decisions. Why Open-Ended Questions are Helpful? - Correct Answer- Helps guide the agenda to use clinical experience and expertise to help your client determine the scope of your work together.
Facts About Establishing Goal Detail That Often Help Clients Achieve Results? - Correct Answer-Specific: States what the client wants to achieve Measurable: Gauge what is accomplished Agreed upon: Confirm the client's willingness and ability to work toward the goal Realistic: Guide the client to select goals that are safe and obtainable Time-sensitive: Establish a reasonable and specific timeframe to have reached the goal (check detail took resource online) History of Motivational Interviewing - Correct Answer- Developed in early 80's to treat alcohol addiction. Transition From Do As I Say Approach - Correct Answer-MI is collaborative, evocative, and one that honors individual's autonomy. The conversation fosters the partnership between both parties, instead of being based primarily on the healthcare provider's agenda.
What the Client Thinks About Changing - Correct Answer- Desire: what the client wants or prefers Ability: what the client believes he/she can do Reason: why the client wants to change Need: why the client feels it's important or necessary to change Commitment: client is committed to change Activation: client's language suggests he/she may or may not be fully committed to change Taking steps: Client has already taken steps of some type toward change Ambivalence - Correct Answer-The result of conflicting feelings, the result of not knowing whether to move or stay put. Ex: client feels one way about an issue, but on the other hand, feels the opposing way. Purpose of Each Part of O.A.R.S - Correct Answer-Open-ended responses: Require client to think in order to respond Affirmation: helps validate steps that an individual is taking to reach the goal Reflection: Made as statements, not questions (declarative statement)
Summarizing: brief overview of converstation allows you to reiterate the main points and validate your interest in concerns expressed. OARS vs Neutral Response - Correct Answer-Neutrality is when the coach consciously decides to avoid influencing the direction in which ambivalence is resolved. The health coach remains neutral on the client's issue or refrains from guiding the client in a particular direction. The goal is to move the client toward making a decision. Recognize Righting Reflex and How To Avoid - Correct Answer- Healthcare workers by nature want to "fix, or right" people. To make them well or to help restore them to their optimal level of health. If we try to make a correction to the client's current state of behavior, the client will resist more. Avoid: convincing individuals they have a problem, arguing for the benefits of change, telling someone how to change, warning them of consequences of not changing. How to Empower - Correct Answer- Identifying Resistance - Correct Answer-
Managing Resistance - Correct Answer- Evidence-Based Practice Interventions - Correct Answer- Assessment: readiness to lose, height and weight, bmi, waist circumference, co-morbidity risk Management: meal plan flexibility, caloric intake, regular meal rhythm, use of evidence-based dietary guidlelines Behavior Therapy: self monitoring, shaping, stimulus control, social support, stress management Key Considerations in Health Coaching - Correct Answer-- Describe what has led to your decision to lose weight -Tell me about aby stressors you are dealing with now -How much weight do you want to lose? -Describe how you feel after you have eaten because of stress -What goals are important to you? -What support can you rely on to help Facts A/B W&P - Correct Answer- Why Standards of Care are Critical - Correct Answer-Defined as somethin established for use as a rule or basis of
comparison in measuring or judging capacity, content value, or quality. Provides consistency in care interventions. It ensures that all clients are receiving the same level of care for conditions. How to Review Clinical Practice Guidelines - Correct Answer- How to Develop Standares of Care in Health Coaching - Correct Answer-Standards of care are specific care interventions, based on research and clinical experience that have been found to enhance practice efficiency withan an organization and to produce optimal outcomes. The goal of developing the best practice interventions is to provide clinicians with a standardized approach to care management Outcomes vs Goals - Correct Answer-An outcome is the result of care rendered, or responses, and feelings of care provided. A goal is what one desires to obtain. An outcome is what one actually attains. Benchmarking - Correct Answer-Use of a point of reference by which others are judged. Internal benchmarking is used to compare outcome results within an organization. External
benchmarking is used to compare outcomes to those of an external body. How to Select Outcomes to Measure - Correct Answer- How to Calculate Outcome Metrics - Correct Answer-