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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. 2:1
B. 3:1
C. 1:2
D. 1:3 ✔Correct Answer-A. 2:1
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. ✔Correct Answer-
A. I am not giving up on sleeping in.
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 ✔Correct Answer-C. 1. Double-sided 2. Simple 3.
Amplified
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 ✔Correct Answer-D. All of the above
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 ✔Correct Answer-B. Complex Reflection
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 ✔Correct Answer-B. Contemplation
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. ✔Correct Answer-D. 2 cups per day is recommended.
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? ✔Correct Answer-B. Would you be open to setting
everything aside and talking with me about your friend?
A 52-year-old woman comes to her 15th session with her coach. Her goal is to reduce her stress
at 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. ✔Correct Answer-B. Your boss seems to
really want you to take your lunch break and not work through it.
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 ✔Correct Answer-C. 3, ten-minute bouts in a day
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 ✔Correct Answer-B. Discover
1. Discover (4): Appreciating and eliciting the best of what is.
Ex: You showed flexibility and focus when training for that race.
a. Best Experience: "What challenges have you been able to overcome in your life"?
b. Core Values: "Im hearing the values of connection of productivity being brought to life!"
c. Generative Conditions: Includes environment, communities, social networks
d. 3 wishes: Discovery phase. "If you had 3 wishes for the future, what would they be?"
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 ✔Correct Answer-D. 2 cups
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 ✔Correct Answer-C.
Explore the client's strengths to find creative ways to meet her goals
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 ✔Correct Answer-B. Emphasizing autonomy
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 ✔Correct Answer-A. Precontemplation
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