NBHWC Exam Health Flashcards |
Comprehensive Study Guide | Latest
Update 2026
Question 1: A coach begins each session by taking three deep breaths and
centering herself before contacting the client. This is an example of practicing:
A) Sympathy
B) Mindful listening preparation
C) Reflective silence
D) Clinical assessment
,,,,answer,,,,: B) Mindful listening preparation
Rationale: This practice reflects a core coaching competency of being fully
present and eliminating internal distractions to listen effectively.
Question 2: During an initial session, the client says, "I'm not sure if coaching is
really for me. I've tried everything to lose weight." The coach responds, "You've
put in a lot of effort already, and you're wondering if this will be different." This
response demonstrates:
A) Giving advice
B) Simple reflection
C) Confrontation
D) Agenda setting
,,,,answer,,,,: B) Simple reflection
Rationale: The coach is restating what the client said without judgment, which
shows active listening and builds trust.
,Question 3: A client has missed two sessions without notifying the coach. The
coach's BEST response is to:
A) Terminate the coaching relationship immediately
B) Charge the client a cancellation fee without discussion
C) Share observations, express empathy, and inquire what could make the goals
more of a priority
D) Ignore the missed sessions to avoid conflict
,,,,answer,,,,: C) Share observations, express empathy, and inquire what could
make the goals more of a priority
Rationale: The coach should address attendance issues with curiosity and
empathy, exploring underlying reasons without punishment.
Question 4: The coach asks, "On a scale of 0 to 10, how important is it for you to
make this change?" Which coaching tool is being used?
A) Decisional balance
B) Importance ruler
C) Goal setting
D) Action planning
,,,,answer,,,,: B) Importance ruler
Rationale: This is a motivational interviewing tool to help clients quantify their
motivation and explore the reasons behind their rating.
Question 5: The client states, "I know I should exercise more, but I just can't find
the time." The coach responds, "You want to exercise, and at the same time, your
days are already full." This is an example of:
A) Amplified reflection
B) Double-sided reflection
C) Affirmation
D) Closed-ended question
,,,,,answer,,,,: B) Double-sided reflection
Rationale: This reflection acknowledges both sides of the client's ambivalence,
helping them see the discrepancy without feeling judged.
Question 6: The coach tells a client, "You showed real commitment this week by
preparing your meals in advance despite your busy schedule." This statement is
a(n):
A) Evaluation
B) Open-ended question
C) Affirmation
D) Simple reflection
,,,,answer,,,,: C) Affirmation
Rationale: The coach is recognizing a client's strengths and efforts, which helps
build self-efficacy.
Question 7: The initial coaching session should include all of the following
EXCEPT:
A) Describing the coaching process
B) Determining if coaching is appropriate
C) Diagnosing the client's health condition
D) Clarifying roles and expectations
,,,,answer,,,,: C) Diagnosing the client's health condition
Rationale: Diagnosis is outside the coach's scope of practice. Coaches review
information and clarify roles but do not diagnose.
Question 8: A client tells her coach, "I think I should just quit my job. It's causing
all my stress." The coach responds, "You're considering a major change to reduce
your stress. What would be the pros and cons of that decision?" This response:
A) Violates ethical boundaries
B) Uses decisional balance to explore the decision
, C) Gives direct advice
D) Avoids the client's real issue
,,,,answer,,,,: B) Uses decisional balance to explore the decision
Rationale: This technique helps the client weigh pros and cons without the coach
directing the outcome, supporting client autonomy.
Question 9: 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
your 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
,,,,answer,,,,: C
Rationale: The coach is praising the client's forethought and planning, which is an
affirmation that builds self-efficacy.
Question 10: 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: 0.95; 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
Comprehensive Study Guide | Latest
Update 2026
Question 1: A coach begins each session by taking three deep breaths and
centering herself before contacting the client. This is an example of practicing:
A) Sympathy
B) Mindful listening preparation
C) Reflective silence
D) Clinical assessment
,,,,answer,,,,: B) Mindful listening preparation
Rationale: This practice reflects a core coaching competency of being fully
present and eliminating internal distractions to listen effectively.
Question 2: During an initial session, the client says, "I'm not sure if coaching is
really for me. I've tried everything to lose weight." The coach responds, "You've
put in a lot of effort already, and you're wondering if this will be different." This
response demonstrates:
A) Giving advice
B) Simple reflection
C) Confrontation
D) Agenda setting
,,,,answer,,,,: B) Simple reflection
Rationale: The coach is restating what the client said without judgment, which
shows active listening and builds trust.
,Question 3: A client has missed two sessions without notifying the coach. The
coach's BEST response is to:
A) Terminate the coaching relationship immediately
B) Charge the client a cancellation fee without discussion
C) Share observations, express empathy, and inquire what could make the goals
more of a priority
D) Ignore the missed sessions to avoid conflict
,,,,answer,,,,: C) Share observations, express empathy, and inquire what could
make the goals more of a priority
Rationale: The coach should address attendance issues with curiosity and
empathy, exploring underlying reasons without punishment.
Question 4: The coach asks, "On a scale of 0 to 10, how important is it for you to
make this change?" Which coaching tool is being used?
A) Decisional balance
B) Importance ruler
C) Goal setting
D) Action planning
,,,,answer,,,,: B) Importance ruler
Rationale: This is a motivational interviewing tool to help clients quantify their
motivation and explore the reasons behind their rating.
Question 5: The client states, "I know I should exercise more, but I just can't find
the time." The coach responds, "You want to exercise, and at the same time, your
days are already full." This is an example of:
A) Amplified reflection
B) Double-sided reflection
C) Affirmation
D) Closed-ended question
,,,,,answer,,,,: B) Double-sided reflection
Rationale: This reflection acknowledges both sides of the client's ambivalence,
helping them see the discrepancy without feeling judged.
Question 6: The coach tells a client, "You showed real commitment this week by
preparing your meals in advance despite your busy schedule." This statement is
a(n):
A) Evaluation
B) Open-ended question
C) Affirmation
D) Simple reflection
,,,,answer,,,,: C) Affirmation
Rationale: The coach is recognizing a client's strengths and efforts, which helps
build self-efficacy.
Question 7: The initial coaching session should include all of the following
EXCEPT:
A) Describing the coaching process
B) Determining if coaching is appropriate
C) Diagnosing the client's health condition
D) Clarifying roles and expectations
,,,,answer,,,,: C) Diagnosing the client's health condition
Rationale: Diagnosis is outside the coach's scope of practice. Coaches review
information and clarify roles but do not diagnose.
Question 8: A client tells her coach, "I think I should just quit my job. It's causing
all my stress." The coach responds, "You're considering a major change to reduce
your stress. What would be the pros and cons of that decision?" This response:
A) Violates ethical boundaries
B) Uses decisional balance to explore the decision
, C) Gives direct advice
D) Avoids the client's real issue
,,,,answer,,,,: B) Uses decisional balance to explore the decision
Rationale: This technique helps the client weigh pros and cons without the coach
directing the outcome, supporting client autonomy.
Question 9: 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
your 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
,,,,answer,,,,: C
Rationale: The coach is praising the client's forethought and planning, which is an
affirmation that builds self-efficacy.
Question 10: 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: 0.95; 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
