NBHWC Practice Test (FULL EXAM) Questions And
Answers 2023.
Practice Question #1:
An 18-year old woman comes to her fifth coaching session to discuss her continued
efforts to lose weight and get healthy.
After the session, the coach receives an email from the woman's parents indicating
they are paying for the sessions and would like to discuss their daughter's progress
so far.
What is the best response from the coach?
A. I would be happy to set up some time. Please email me back potential times that
will work for you. Also, your daughter must be present at this meeting.
B. I am not able to discuss anything about my coaching services or any clients
without prior written consent from the client.
C. I will ask your daughter to give me permission and get back to you.
D. I would be happy to set up some time what works for you? - ANSWER B
Practice Question #2:
A coach noticed an advertisement in her local paper for another NBC-HWC certified
health coach's services. The advertisement indicates that if people buy a 60-day
supply of supplements the coach will give them 3 free coaching sessions. In addition,
the advertisement indicates most people lose 30 pounds in 60 days. Which of the
following is the reason why this advertisement violates NBC-HWC Code of Ethics?
A. Coaching sessions are contingent upon purchase of supplemterm-22ents
B. It's impossible to lose 30 pounds in 60 days
C. The coach placed an advertisement in a paper
D. None of the above - ANSWER A
Practice Question #3:
You see an advertisement for a NBC-HWC coach that states "work with me to cure
your Type II diabetes in 2 weeks!"
Which of the following Ethical Conduct standards is the coach violating?
A. Confidentiality/Privacy
B. Professional Conduct at Large
C. Conflict of Interest
D. Professional Conduct with Clients - ANSWER B
Practice Question #4:
A coach owns her own business and specializes in coaching around diet, energy
levels, and weight loss. She is promoting gut biome supplements that will help her
,clients lose 20 pounds in four weeks if they take the supplement daily. The coach is
most likely violating which of the following guidelines:
A. NBC-HWC Code of Ethics
B. HIPAA Laws
C. USDA Nutritional Guidelines
D. Confidentiality/Privacy - ANSWER A
Practice Question #5:
Jamal is a wellness coach and also sells supplemental shakes to his coaching
clients in which he makes a commission. At what point in the coaching relationship
must Jamal disclose this information to his client per the NBC-HWC ethical
guidelines?
A. At some point during the coaching relationship.
B. Before the sale is made to the client.
C. At minimum, after the sale to the client.
D. Before any coaching begins. - ANSWER D
Practice Question #6:
Which of the following best explains nonmaleficence as it relates to ethics in
coaching?
A. Respect for human freedom and dignity
B. Pros must outweigh the cons
C. Do no harm
D. Fairness - ANSWER C
Practice Question #7:
A client has just completed their well-being assessment prior to their first coaching
session. The client's biometric information included the following:
Male
Age: 45
Nurse
Blood Pressure: 110/70 mmHG
Total Cholesterol: 185 ml/dL
BMI: 24
Fruits/Vegetables: 9 servings per day
Physical activity: Runs 2x week for 30 minutes
Which of the following would be the most concerning to the coach in the context of
recommended health guidelines?
A. Blood pressure
B. Total cholesterol
C. Fruits/Vegetable intake
D. Physical activity level - ANSWER D
Practice Question #8:
As part of the coaching agreement, a coach offers an additional 3 coaching sessions
for free if the client purchases a massage package from them as well.
The following scenario is:
,A. Acceptable because the additional coaching sessions are free
B. Unacceptable because the offer is a conflict of interest per the NBHWC Code of
Ethics
C. Acceptable given the 3 free sessions were included as part of the coaching
agreement.
D. Unacceptable as it is a violation of the professional code of conduct at large per
the NBHWC Code of Ethics. - ANSWER B
Practice Question #9:
A client comes to her fourth coaching session to continue working on her intent to
quit smoking someday. She starts out the call by simply saying "I don't know if
quitting is really worth it."
Prochaska & Prochaska would define this as a statement of doubt which often leads
to delay in making any change. The client is most likely in what stage of change?
A. Precontemplation
B. Contemplation
C. Preparation
D. None of the above - ANSWER B
Practice Question #10:
A coach is a member of the exclusive group on Facebook for NBC-HWC coaches.
Only those certified by the NBHWC are permitted in this group.
To help a friend who has developed a new software, the coach downloads the
names of each person in the group and provides them to their friend so that they can
implement a marketing campaign to sell this new software to coaches.
The above scenario is a violation of which part of the NBC-HWC code of ethics?:
A. Professional Conduct at Large
B. Conflict of Interest
C. Professional Conduct with Clients
D. Confidentiality/Privacy - ANSWER A
Practice Question #11:
A client has submitted their wellness assessment to their coach. There biometric
numbers include the following:
Blood Pressure: 110/78 mmHg
BMI: 23
Total Cholesterol: 155 mg/dl
HDL: 30
Which of the following might the coach note as a general concern?
A. Blood pressure
B. BMI
C. Total cholesterol
D. HDL - ANSWER D
Practice Question #12:
, You are approached by a researcher, who has IRB approval, to share your health
coaching data. You provide the data with no identifying information. Under HIPAA
privacy rules, did you need to let your clients know you shared their data? (Muth,
pg.167)
A. Yes
B. No - ANSWER B
Practice Question #13:
A client has requested that what she is about to talk to you about not be put in her
record, your electronic coaching notes, or even written down. Which response is
most appropriate?
A. "Your confidentiality is important to me and I will not put anything in your record, in
my electronic notes, or write anything down."
B. "I am required by HIPAA to keep a record of everything."
C. "I am happy to honor your confidentiality but if it is anything do with a health-
endangering behavior or something illegal for example I will not be able to keep that
private."
D. "Everything you say to me is 100% confidential." - ANSWER C
Practice Question #14:
A coach has his NBC-HWC and a degree in psychology. His client describes an
ankle injury he recently got running. He says that his ankle is bruised and he can't
really run on it anymore and it hurts to even walk, especially down some stairs.
Which of the following should the coach recommend next?
A. Recommend the client see a medical provider to get it checked out
B. Recommend the client use an ACE bandage to help keep it stable
C. Recommend the client just walk for the next few days until it feels better and lay
off of the running
D. Recommend the client rest, ice, compress with a bandage, and elevate his leg for
the next week and then try to run again and see how it goes. - ANSWER A
Practice Question #15:
If a health coach owns their own business and contracts with a third party to host
their clients health information on their server, the coach must ensure that:
A. A signed contract is in place
B. The third party abides by HIPAA Security rules
C. The third party abides by HIPAA Privacy rules
D. All of the above - ANSWER D
Practice Question #16:
The following post appears on a health coach Facebook group.
"Hi Coaches! I've been coaching my client for 6 months and they recently told me
that they identify as an atheist. God is at the center of all that I do. I need to end this
coaching relationship. Advice on how to do this?"
As an NBC-HWC coach, your next step would be:
A. Answer the question and help however you can
Answers 2023.
Practice Question #1:
An 18-year old woman comes to her fifth coaching session to discuss her continued
efforts to lose weight and get healthy.
After the session, the coach receives an email from the woman's parents indicating
they are paying for the sessions and would like to discuss their daughter's progress
so far.
What is the best response from the coach?
A. I would be happy to set up some time. Please email me back potential times that
will work for you. Also, your daughter must be present at this meeting.
B. I am not able to discuss anything about my coaching services or any clients
without prior written consent from the client.
C. I will ask your daughter to give me permission and get back to you.
D. I would be happy to set up some time what works for you? - ANSWER B
Practice Question #2:
A coach noticed an advertisement in her local paper for another NBC-HWC certified
health coach's services. The advertisement indicates that if people buy a 60-day
supply of supplements the coach will give them 3 free coaching sessions. In addition,
the advertisement indicates most people lose 30 pounds in 60 days. Which of the
following is the reason why this advertisement violates NBC-HWC Code of Ethics?
A. Coaching sessions are contingent upon purchase of supplemterm-22ents
B. It's impossible to lose 30 pounds in 60 days
C. The coach placed an advertisement in a paper
D. None of the above - ANSWER A
Practice Question #3:
You see an advertisement for a NBC-HWC coach that states "work with me to cure
your Type II diabetes in 2 weeks!"
Which of the following Ethical Conduct standards is the coach violating?
A. Confidentiality/Privacy
B. Professional Conduct at Large
C. Conflict of Interest
D. Professional Conduct with Clients - ANSWER B
Practice Question #4:
A coach owns her own business and specializes in coaching around diet, energy
levels, and weight loss. She is promoting gut biome supplements that will help her
,clients lose 20 pounds in four weeks if they take the supplement daily. The coach is
most likely violating which of the following guidelines:
A. NBC-HWC Code of Ethics
B. HIPAA Laws
C. USDA Nutritional Guidelines
D. Confidentiality/Privacy - ANSWER A
Practice Question #5:
Jamal is a wellness coach and also sells supplemental shakes to his coaching
clients in which he makes a commission. At what point in the coaching relationship
must Jamal disclose this information to his client per the NBC-HWC ethical
guidelines?
A. At some point during the coaching relationship.
B. Before the sale is made to the client.
C. At minimum, after the sale to the client.
D. Before any coaching begins. - ANSWER D
Practice Question #6:
Which of the following best explains nonmaleficence as it relates to ethics in
coaching?
A. Respect for human freedom and dignity
B. Pros must outweigh the cons
C. Do no harm
D. Fairness - ANSWER C
Practice Question #7:
A client has just completed their well-being assessment prior to their first coaching
session. The client's biometric information included the following:
Male
Age: 45
Nurse
Blood Pressure: 110/70 mmHG
Total Cholesterol: 185 ml/dL
BMI: 24
Fruits/Vegetables: 9 servings per day
Physical activity: Runs 2x week for 30 minutes
Which of the following would be the most concerning to the coach in the context of
recommended health guidelines?
A. Blood pressure
B. Total cholesterol
C. Fruits/Vegetable intake
D. Physical activity level - ANSWER D
Practice Question #8:
As part of the coaching agreement, a coach offers an additional 3 coaching sessions
for free if the client purchases a massage package from them as well.
The following scenario is:
,A. Acceptable because the additional coaching sessions are free
B. Unacceptable because the offer is a conflict of interest per the NBHWC Code of
Ethics
C. Acceptable given the 3 free sessions were included as part of the coaching
agreement.
D. Unacceptable as it is a violation of the professional code of conduct at large per
the NBHWC Code of Ethics. - ANSWER B
Practice Question #9:
A client comes to her fourth coaching session to continue working on her intent to
quit smoking someday. She starts out the call by simply saying "I don't know if
quitting is really worth it."
Prochaska & Prochaska would define this as a statement of doubt which often leads
to delay in making any change. The client is most likely in what stage of change?
A. Precontemplation
B. Contemplation
C. Preparation
D. None of the above - ANSWER B
Practice Question #10:
A coach is a member of the exclusive group on Facebook for NBC-HWC coaches.
Only those certified by the NBHWC are permitted in this group.
To help a friend who has developed a new software, the coach downloads the
names of each person in the group and provides them to their friend so that they can
implement a marketing campaign to sell this new software to coaches.
The above scenario is a violation of which part of the NBC-HWC code of ethics?:
A. Professional Conduct at Large
B. Conflict of Interest
C. Professional Conduct with Clients
D. Confidentiality/Privacy - ANSWER A
Practice Question #11:
A client has submitted their wellness assessment to their coach. There biometric
numbers include the following:
Blood Pressure: 110/78 mmHg
BMI: 23
Total Cholesterol: 155 mg/dl
HDL: 30
Which of the following might the coach note as a general concern?
A. Blood pressure
B. BMI
C. Total cholesterol
D. HDL - ANSWER D
Practice Question #12:
, You are approached by a researcher, who has IRB approval, to share your health
coaching data. You provide the data with no identifying information. Under HIPAA
privacy rules, did you need to let your clients know you shared their data? (Muth,
pg.167)
A. Yes
B. No - ANSWER B
Practice Question #13:
A client has requested that what she is about to talk to you about not be put in her
record, your electronic coaching notes, or even written down. Which response is
most appropriate?
A. "Your confidentiality is important to me and I will not put anything in your record, in
my electronic notes, or write anything down."
B. "I am required by HIPAA to keep a record of everything."
C. "I am happy to honor your confidentiality but if it is anything do with a health-
endangering behavior or something illegal for example I will not be able to keep that
private."
D. "Everything you say to me is 100% confidential." - ANSWER C
Practice Question #14:
A coach has his NBC-HWC and a degree in psychology. His client describes an
ankle injury he recently got running. He says that his ankle is bruised and he can't
really run on it anymore and it hurts to even walk, especially down some stairs.
Which of the following should the coach recommend next?
A. Recommend the client see a medical provider to get it checked out
B. Recommend the client use an ACE bandage to help keep it stable
C. Recommend the client just walk for the next few days until it feels better and lay
off of the running
D. Recommend the client rest, ice, compress with a bandage, and elevate his leg for
the next week and then try to run again and see how it goes. - ANSWER A
Practice Question #15:
If a health coach owns their own business and contracts with a third party to host
their clients health information on their server, the coach must ensure that:
A. A signed contract is in place
B. The third party abides by HIPAA Security rules
C. The third party abides by HIPAA Privacy rules
D. All of the above - ANSWER D
Practice Question #16:
The following post appears on a health coach Facebook group.
"Hi Coaches! I've been coaching my client for 6 months and they recently told me
that they identify as an atheist. God is at the center of all that I do. I need to end this
coaching relationship. Advice on how to do this?"
As an NBC-HWC coach, your next step would be:
A. Answer the question and help however you can
