NBHWC Exam Practice Questions and Answers

NBHWC Exam Practice Questions and Answers At which stage of change would it be best to explore best experiences with change in the past and identify positive reasons for behaving a particular way in the future? - ANSWER- Contemplation When is it important to focus on strengths, past accomplishments, values, and vision in TTM? - ANSWER- Contemplation What are some things a coach can do when a client is in pre contemplation? - ANSWER- -Use reflective listening skills -Show empathy and unconditional positive regard -Respect the client's emotions and needs -Help the client find a strong positive source of motivation once they are ready and identify other behaviors they are ready to change *It helps when clients connect to something they really want What stage of change would it be beneficial for a client to write down a formal statement of what they are committing to? - ANSWER- Preparation At what stage is it important for the client to engage in social connections or develop relationships with people with common interests or behavioral goals? - ANSWER- action During the _____ phase, it is important to keep strengths and values at top of mind - ANSWER- action When do we need to reconnect clients to their strengths, values, visions, goals, resources, and motivators and increase motivation to prevent boredom or relapse? - ANSWER- During maintenance During the maintenance phase, if a client experiences a lapse, what can the coach do to assist? - ANSWER- Refocus- set new goals if needed. Reconnect them to their visions, purpose, strengths, etc. Possible sign up for an event or take on a challenge related to the goal (signing up for a 5k, etc.) according to the CDC, what are they key risk factors for heart disease - ANSWER- -high blood pressure -high cholesterol -tobacco use What health conditions increase the risk for stroke? - ANSWER- -high blood pressure -Cardiovascular disease -high cholesterol -diabetes -obesity -sickle cell disease (family hx, genetics, age, gender, and race also increase the risk) What behaviors increase the risk for stroke? - ANSWER- -smoking -excessive alcohol -physical inactivity -poor diet (high in sat fat, trans fat, cholesterol, sodium) According to the CDC, what are the 7 major chronic conditions - ANSWER- Heart disease, stroke, cancer, lung disease, diabetes, Alzheimer's, chronic kidney disease According to the CDC, insufficient sleep has been linked to these 4 health conditions - ANSWER- -obesity -diabetes -heart disease -depression conditions that increase the risk for heart disease - ANSWER- -high blood pressure -high cholesterol and LDL, low HDL -diabetes -overweight/obesity behaviors associated with an increased risk for heart disease - ANSWER- smoking, drinking, poor diet, and physical inactivity Your new client has completed all necessary paperwork to move ahead into a coaching relationship. You have received a signed agreement and a completed wellbeing assessment from them. In reviewing their wellbeing assessment, you observe that they scored themselves quite low in several aspects of their health. They also shared that they have high blood pressure, pre-diabetes, and are currently taking prescribed medication for depression. Which of the following actions, if demonstrated by the coach during a Foundation Session (also referred to as an initial coaching session), may best support a client-centered change process? A. Bring up your concerns with the client about their health and ask them which aspect of their health that they want to fix first. B. Notice the client's energy during the review regarding all the areas of health to help determine priorities. C. Ask the client to tell you what stood out to them the most when filling it out the assessment. D. First discuss any discrepancies that you noted when reviewing the assessment between their stated desires and their health indicators. E. Both B & C F. All of the above - ANSWER- E. Both B & C You are a health and wellness coach who is not a licensed nutritionist, dietitian, or mental health provider. In a coaching session where you are jointly reviewing a client's wellbeing assessment to determine their priorities for coaching, the client mentions that they have had recent struggles with anorexia and bulimia and that their top priority in working with you is to establish healthier eating patterns. What would be the coach's best response to this new client taking into account professionalism and coaching boundaries? a. "I hear that you want to prioritize healthier eating patterns. Which of your eating patterns do you believe are impeding your wellbeing right now?" b. "Alright. That's something we can definitely work on together. Where would you like to start?" c. "Thank you for sharing your history with eating disorders with me. This subject, however, is outside of my scope of practice and I must refer you to the appropriate professional for this subject." d. "That sounds hard, and I commend you for your resiliency and determination to tackle this problem." - ANSWER- C A 55-year old woman comes to her first coaching session with their coach. The session has been set up in a conventional way having enough time to review the welcome packet together. After going over the coaching agreement and helping the client understand what coaching is and is not, the coach and client together review the wellness questionnaire, health risk assessment, and additional worksheets. For what purpose did the coach ask the client to review and discuss these assessments in their initial coaching session? a. The assessments help the client see what parts of the wellness wheel she needs to focus on improving. b. The assessments help the coach figure out where to begin with this client. c. The assessments are a tool coaches use with all clients as part of their scope of practice. d. The assessments help the client reflect on her life and discover aspects of her wellbeing that she would like to focus on improving. e. The coach uses these assessments later in their relationship as a reference to direct the client in goal creation. - ANSWER- D Which of the following should you as a coach do when conducting an initial coaching session with a client? (Select all that apply.) Choose ALL answers that apply. a. Create an action plan for your client. b. Ensure the client fully understands what coaching is and is not. c. Answer client questions. d. Review the coaching agreement, which includes specific parameters to the coaching relationship. - ANSWER- Answers B, C, and D are correct. You are four weeks into coaching a new client. Your client showed so much excitement during the first three sessions. They came to the weekly coaching sessions on time ready to discuss progress and plan additional goals/experiments for the following week. During each of those sessions they demonstrated a good sense of intrinsic motivation and accomplished all their goals 100%. But something seems different in this 4th session with your client. They don't seem to be exhibiting the same level of energy or seem as committed to the process. Read through the following client statement and then determine the coach responses that would best demonstrate the art of "Listening with HEART." (Select all that apply) Client: "I'm finding out that all these goals that I'm trying to meet are pretty big and overwhelming. I'm realizing I really don't have that big of issues I need to fix. I just want to lose a little bit of weight and be generally healthy rather than all the other stuff we talked about." Choose ALL answers that apply. a. "I hear you've been reassessing your action plan because you're feeling overwhelmed. What do you believe is the biggest challenge facing you right now?" b. "I'm hearing - ANSWER- A A client says: "I've been meeting with you every week for a month. I thought I'd be farther along by now. This is way harder than I thought it would be. I thought you'd be helping me out more." What is the best approach that the coach could use at this time to respond to the client's emotions? a. Explore their ambivalence with helping them create a decisional balance table regarding the pros and cons of sticking with coaching. b. Normalize their experiences. Emphasize smaller steps and share your confidence in the process with your client. Finally, assist your client with creating an action plan they find engaging. c. Table the conversation by asking the client to go back and look at their client-coach agreement after the call and review their responsibilities versus yours. d. None of these answers are good coaching approaches. - ANSWER- B In coaching, open-ended questions are an essential tool in the coach's skill set that gets the client to think deeply and explore new possibilities. When are close-ended questions appropriate to use? Choose only ONE best answer. a. To verify information. b. To inquire whether or not the client and coach are on the same page. c. To assess readiness to move forward with a particular goal. d. All of the above. - ANSWER- D According to Deci and Ryan's Self Determination Theory (SDT), self-regulation can best occur when three primary needs are met. What are those three needs? a. Performance, Persistence, and Creativity b. Autonomy, Competence, and Relatedness c. Motivation, Engagement, and Autonomy d. Social Support, Performance, and Engagement - ANSWER- B In Motivational Interviewing (MI), "sustain talk" is best described as: a. Continuing the conversation without pauses b. Repetitive story telling c. A client's resistance to the topic of discussion d. Talk regarding the client's own motivations and verbalizations about favoring the status quo - ANSWER- D A 39-year-old man comes to coaching for support in reducing the amount of sugar that he eats. He claims that he gets really irritable when he doesn't have sugar. He knows that giving up sugar isn't going to be a walk in the park, and he has prepared himself for letting his family know that he's wanting to do this. However, his family isn't really excited about it because they don't think it's a problem. Which of the following client statements indicates "change talk"? a. "I want to get my family on board to support me, but I'm not sure how to do that just yet." b. "I know I will probably return to my old habits if my family doesn't get on board." c. "I'm so overwhelmed by all the ways I'm going to have to change my diet. I'm not sure I can do it." d. Both A and B. - ANSWER- A (Answers B and C both reflect sustain talk) A 45-year old woman wants to work on a lot of aspects of her health that are suffering. She has met with you for about a month and has made progress on improving her sleep, but is having trouble with her goal of increasing her physical activity. She claims that she really wants to feel better, but it's really hard. She has two jobs and she takes care of her parents too. She's realizing that her goal of returning to the gym 3 days per week isn't as realistic as she thought considering the sch