NBHWC practice questions with Answers

NBHWC practice questions with Answers What is the role of inflammation in chronic diseases? A. It helps to fight off infections B. It causes tissue damage in most areas of the body C. It reduces the risk of chronic diseases D. It has no effect on chronic diseases E. Underlying pathophysiological process of chronic disease - ANSWER- E. Underlying pathophysiological process of chronic disease A 48-year-old man comes to the coach's office for his third session with a goal of improving his diet. The coach and the client have established trust and rapport during their previous sessions. Which of the following is the most appropriate next step by the coach? A. Ask the client about his expectations for today's session B. Begin discussing strategies for improving the client's diet C. Offer the client a list of healthy food options to consider D. Present a structured meal plan for the client to follow E. Review the coaching agreement and clarify any question - ANSWER- A. Ask the client about his expectations for today's session During a coaching session, a 38-year-old woman discusses her desire to reduce her daily consumption of sugary beverages. She currently drinks three cans of soda per day and wants to cut down to one. Which of the following is the most appropriate response by the coach to facilitate SMART goal setting? A. "How will you track your progress in reducing your soda intake?" B. "How will you replace the other two cans of soda each day?" C. "Is cutting down to one can of soda per day achievable for you?" D. "What benefits do you anticipate from reducing your soda intake?" E. "Would you like to explore alternative drinks to replace the soda?" - ANSWER- C. "Is cutting down to one can of soda per day achievable for you?" A 35-year old woman comes to their second coaching session indicating she realized her career was not for her and she needs to find a career less stressful. Which of the following is the most appropriate response by the coach? A. Let's explore your values and strengths and help you gain clarity. B. Have you considered taking a career assessment test to help you gain some clarity? C. I know a great career counselor that can help you with this. D. Why is this career so stressful? - ANSWER- A. Let's explore your values and strengths and help you gain clarity. A coach is given the following information about their patient before their first appointment: 55 year-old male Currently going through a divorce Runs 5x per week for 45-minutes each time BMI 29 Blood Pressure 130/92 Diagnosed with sleep apnea High stress job with no health insurance Which of the following could be identified from this patient's profile as a social determinant of health? a. High stress job b. Divorce c. Sleep apnea d. No health insurance - ANSWER- d. No health insurance A 54 year old woman comes to her fourth coaching appointment hoping to continue to work on her goal of reducing her alcohol intake. She set a goal to reduce her intake by 2-3 drinks per week. Client: It hasn't been so hard this week because my friends and I didn't meet up over the weekend. It's when we get together is where I struggle. Coach: How do your friends and family members support you in the goal you have set? The coach's response demonstrates an understanding of which theory? A. Stages of Change Theory B. Social Cognitive Theory C. Self-Determination Theory D. Goal-Setting Theory E. Self-Efficacy Theory - ANSWER- B. Social Cognitive Theory A 39-year-old woman comes to her fourth coaching session to continue to work on improving her sleep by not looking at her phone after 10 p.m. Monday - Friday. She has had the same goal each week for three weeks. Client: I can't seem to reach this goal no matter what I do. I am starting to think this is just not going to happen for me. Coach: Describe for me what you have done to set yourself up for success. Client: I found an app that automatically locks your phone at any time you set it to. It's designed to help people decrease their phone use but I haven't quite figured it out yet. Based on the above scenario, what stage of change is the client most likely in? A. Precontemplation B. Contemplation C. Preparation D. Action E. Maintain - ANSWER- C. Preparation A 52-year old man comes to his 5th coaching session continuing to work on his goal of getting 8 hours of sleep 5 nights a week. Client: I got two days of 8 hours of sleep in this week simply because I fell asleep on the couch. Coach: Do you mean you fell asleep earlier than normal because you were watching TV and just dozed off? Client: Yes. If I hadn't fallen asleep while watching tv I would have had zero days this week getting 8 hours of sleep. Coach: Why do you think you fell asleep so early? Client: Both times the night before I stayed up late on a Netflix binge. Coach: Have you thought about setting an alarm each night to remind you that an hour before bed you should have no screen time? The coach is demonstrating ____? A. Coaching Presence B. Righting Reflex C. Simple Reflection D. Support - ANSWER- B. Righting Reflex A client comes to coaching for their third session. After some mindfulness and rapport building, the following conversation ensues. Coach: So much was covered in our last session. What has stood out to you since then that we talked about? Client: Since our last session, I came to appreciate how much I have done already to reach my goals. I've already hired a babysitter every Thursday starting next month so I can go to Yoga class and bought a planner and bought my yoga membership. The client is most likely in what Stage of Change in regards to doing yoga? A. Precontemplation B. Contemplation C. Preparation D. Action - ANSWER- C. Preparation A client comes to their second coaching session. They just completed a strengths assessment and they shared their annual physical results from their primary care provider. After checking in to see how the client is doing in the moment, the following conversation takes place. Coach: I noticed your primary care provider notes your family's history with type II diabetes. How do you feel about that? Client: I know. It's not great. Coach: Did your provider talk to you about preventing type II diabetes? Client: Yep. They made it clear how can do the right things to make sure I don't get it. Coach: Let's talk a little bit more about that just to be sure you know exactly what to do since your family history is so strong. In the above conversation, which of the following is most accurate? A. It was important for the coach to primarily focus on type II diabetes given the family history. B. It was important for the coach to address type II diabetes immediately. C. It is important in coaching to focus on strengths and follow the client's lead to drive the agenda. D. It is important for the coach to ask about any health assessments first. - ANSWER- C. It is important in coaching to focus on strengths and follow the client's lead to drive the agenda. A coach is meeting their client for their second session. The client tells the coach they have no motivation at all and basically are only do what they are told at work and nothing more. The client also mentions that they are looking for consistency to create motivation. During the pandemic, they were doing yoga as a hobby. Which of the following is most appropriate response by the coach? A. Why don't you take on yoga again? That gave you enjoyment before. B. Tell me more about doing yoga. C. What would it take to get you back into yoga? D. Doing yoga will help you have more energy and take on more responsibility on at work? - ANSWER- B. Tell me more about doing yoga. A coach is an NBC-HWC and also a Registered Nurse. The coach is working with a client to increase their physical activity levels including weight training. The client is also hoping to run a 5k. The coach provided the client with a detailed running and weight training prescription based on the client's BMI . Which of the following is most accurate regarding the coach's scope of practice? A. The coach is operating within their scope of practice. B. The coach is not operating within their scope of practice. C. All NBC-HWC coaches are able to prescribe exercise based on their training from an accredited program. D. As a Registered Nurse using BMI to prescribe exercise is appropriate. - ANSWER- B. The coach is not operating within their scope of practice. A client comes to her fifth coaching session to continue to work on eating more fruits and vegetables. The coach realizes their client may not be making much progress because she keeps interrupting the coach no matter what the coach says. The coach should be concerned because the interrupting: A. Will prevent any progress B. Is frustrating the coach C. Is a sign of discord D. Is a sign of sustain talk - ANSWER- C. Is a sign of discord A client comes to their third coaching session focused on improving sleep hygiene. The person frequently stays up late working to "keep up with all the work demands so I don't get fired. Client: I get that sleep is important but I need a promotion in order to save money for a down payment on a house. If I need to sleep less to reach my goal, even if it makes me more stressed that is just how it goes. Coach: Working late is essential to getting promoted. Which of the following is a summary reflection of the client's situation? A. Sleep doesn't matter as much as money right now. B. You are losing sleep to work later so you can get promoted and you are o.k. with the fact that it might increase your stress level. C. You need sleep but the only way to get promoted is to work longer hours at night. D. Because you work late you lose sleep. - ANSWER- B. You are losing sleep to work later so you can get promoted and you are o.k. with the fact that it might increase your stress level. A client shares that they feel overwhelmed by a recent promotion that increased their salary by 30% and increased their number of direct reports to 10 people. The client states they feel like an imposter, and they are worried that their employer will find out they are not as qualified for the job as they thought. Which of the following would be the most appropriate response from the coach? A. Or perhaps they hired you and they know what they are doing. B. You are only an imposter if you think you are. C. If you think you can, you can; If you think you can't, you can't. D. How does feeling like an imposter effect how you show up for your team? - ANSWER- D. How does feeling like an imposter effect how you show up for your team? A client comes to their first coaching session. The coach reviews some logistic information and generally tries to build rapport with the client. They do some visioning exercises to help the client describe the life they are working toward. Ideally the client stated they envision a life with less stress, more energy, and more presence in their life through mindfulness and less of a life driven by technology. It is time to close out the session.