NBHWC Exam Version 1 Newest 2026 Actual Exam 100
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A 30-year-old woman speaks with the coach on the phone
for her second session because she wants to lose weight.
Which of the following is the most appropriate initial step
by the coach to help the client create a vision for optimal
health?
a) Ask the client if she has ever lost weight before
b) Ask the client to begin journaling how she feels
c) Ask the client to identify a specific goal
d) Ask the client to write down what she eats
e) Ask the client what would be possible if she lost weight -
ANSWER-e
A 26-year-old man comes to the coach's office for his ninth
weekly session. He was diagnosed with metabolic
syndrome 7 months ago. He has been working earnestly
on his goal to decrease his BMI from 32 kg/m2 to less
than 27 kg/m2. He made steady progress in the first 7
weeks, but his weight has plateaued during the past 2
weeks. The client decided to further decrease his caloric
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intake by 200 calories daily. When the coach assesses the
client's confidence about decreasing his caloric intake this
week, using a 10-point scale, in which 0 is "not at all
confident" and 10 is "extremely confident", the client rates
his confidence a 6.
Which of the following is the most appropriate next step by
the coach?
a) Brainstorm alternative actions for the client to achieve
continued weight loss
b) Explore with the client what it would take to increase his
confidence
c) Inquire about the client's accountability plan
d) Inquire if t - ANSWER-b
A 49-year-old woman speaks with the coach on the phone
for her third session to improve her sleep habits. Together,
they have brainstormed steps she can take to improve her
quality of sleep. A section of their conversation is shown:
Coach: You have come up with some great options.
Client: Yes, I am surprised there are so many. I have
already tried a few.
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Coach: What did you find the most helpful?
Client: Waking without an alarm was nice, but I have to get
up for work. Turning off electronics earlier was difficult, but
I saw the benefits. Establishing a routine bedtime was not
as hard as I thought it would be.
Which of the following is the most appropriate response by
the coach?
a) "How about you try a sleep study?"
b) "What could you change in your sleep environment?"
c) "Which option will you be able to sustain?"
d) "Would you be interested in hearing my ideas?" -
ANSWER-c
A 63-year-old woman comes to the coach's office for her
sixth session to work on weight loss. She has type 2
diabetes, and her primary care provider wants her to lose
at least 13.5 kg (30lbs). The client describes herself as a
caregiver for her family and says she has difficulty making
time to exercise and prepare nutritious meals. She says
the needs of others get in the way of her action steps. Last
week, she walked for 20 minutes one day.
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Which of the following is the most appropriate next step by
the coach?
a) Ask the client to reflect on the time she walked
b) Inquire about the client's support system for making
changes
c) Remind the client why it is important for her to lose
weight
d) Share her personal belief about the client's ability to
succeed
e) Suggest the client make a more attainable action step -
ANSWER-a
A 44-year-old woman speaks with the coach on the phone
for her fourth session. Her goal is to transition from her
current job to start her own nutrition consulting business.
During the last session, she set a goal to contact three
medical practices about her services. Today, she reports
that she did not meet that goal. When the coach explores
what prevented her from meeting her goal, the client
keeps referring to her lack of marketing skills and
experience. A section of their conversation is shown:
Client: I have known since the beginning that marketing
my business was going to be the hardest part. I am not