Bundle
BUNDLE FOR HEALTH AND WELLNESS COACHING,VERIFIED
8 Items
Health Coaching Introduction (Ch. 1) questions with correct answers, graded A+
What is coaching? Coaching is a vehicle for helping people to achieve a higher level of well being and performance in life and work, when change is hard. ... [Show More] It is a partnership with clients in a thought provoking and active process that inspires and supports them to maximize their personal and professional potential. Coaches responsibilities -Discover, clarify and align with what the client wants to achieve -Encourage client self discovery -Elicit collaborative and client generated solution and strategies -Hold the client responsible and accountable Outcomes of coaching include -Increase self awareness and self knowledge -Increase personal responsibility -Attainment of new knowledge and professional goals -Sustainable behavior change -Increased life satisfaction and self efficacy -Developed sense of purpose and meaning -Becoming ones best self Why we need health and wellness coaching? -Chronic negative emotions impair the brain's ability to learn and change present moment, accelerate the onset of chronic disease and early death. - Most people think they need assistance in reforming their self-care or mastering their health wellness. Expert approach VS. Coach approach Expert: Authority, feels responsible for client health, focuses on whats wrong, interrupts if off topic, wrestles with client Coach: Partner, client is responsible for health, focuses on whats right, learns from clients stories, dance with clients Not coach like approaches -Ordering or directing -Warning or threatening -Giving direct advice or solutions -Sympathizing -Persuading with logic/arguing -Disagreeing, judging or criticizing Empathizing VS. Sympathizing Don't sympathize In a effective functioning coaching relationship: - Clients are working at least as hard as the coach - Let clients find the answers for themselves - Clients are talking more than the coach is - Ask permission to give expert advice - Speak less and speak simply -Think before you speak - Balance questions with reflections - If clients want to acquire new knowledge or skills, help them to locate the resources **you are not the resource** Health and Wellness Coaching Research Health and wellness coaching research at an early stage showed that coaching improves health outcome for several chronic disease including diabetes, heart disease, obesity and on cancer survivors. Characteristics of coaching -A process that is fully or partially patient centered - Includes patient determined goals - Encourages accountability for behavioral goals - Addresses a wide spectrum of health and wellness needs from childhood to end of life How Coaching Works - Discuss coaching relationship - Provide background info of client - Assist the client in setting a goal; clients should confirm that they are willing to change - 3 month goals are reviewed and agreed in detail by client - Review progress in each subsequent session - Explore a key topic and resolve it - Ideal session is 30-45 minute. Longer session may required - After a few weeks of coaching sessions clients start to see early wins and subsequent rewards. This is what motivates them to change. Sessions can be: -Face to Face - Telephone or video conferencing What is coaching Psychology? Self determination: The end game of coaching Three dimensions of social environment can facilitate self determination (Deci and Ryan,1985) 1.Structure: developing clear, realistic expectation and achievable goal 2. Autonomy support: acknowledging clients opinion/choice regarding behavior 3. Involvement: understand quality of relationship and perception What comes of Self determination - Greater persistence - More flexibility and creativity - Better physical, mental health and well being - More interest and enjoyment - Higher quality of close personal relationships Coaching Mechanism of Action 4 mechanisms 1.) Growth promoting relationship 2.) Elicit self motivation 3.) Build confidence ( self efficacy) 4.) Process of change Growth promoting relationship Mechanism 1 -Clients are too focused on what's wrong and lack full capacities -Skilled coaches help their clients to figure out what they need given a safe nonjudgmental challenging and invigorating space. Elicit self motivation Mechanism 2 There are two general types of motivation: -External: someone other than ourselves tells us what to do/ internalize the external idea; I should or I ought to do. This works only short term. - Autonomous: Leads to sustainable motivation. Build confidence Mechanism 3 - A little success will improve motivation and confidence and get clients started on an upward spiral. Process of change Mechanism 4 - The simplest approach is a regular progress report, perhaps weekly, monthly or quarterly. Learning to be a Coach - Practice being a client before being a coach - Create a professional development plan - Select a training program carefully Coaching VS. Therapy - Therapists are licensed to treat diagnosable disorders which includes all currently recognized disorders in mental health. - Coaches are not clinical diagnosticians and coaches do not focus directly in improving a clinically diagnosed conditions. - It is important that coaches are vigilant in noticing issues that may require the support of a licensed mental health provider. [Show Less]
- Class Notes
- $10.45
- 0
- 85
Health and wellness coach exam with complete top solutions
The world health organization definition of health encompasses All of the following except Absence of chronic disease Health involves Being free o... [Show More] f symptoms of disease and paying as much as possible The tendency for body systems To interact and maintain a constant physiological state is called homeostasis vital statistics Our data on the degree of illness and the numbers of deaths, The surest way to prevent headaches is to Identify and eliminate source of stress Before the era Of modern medicine, most deaths were caused by Infectious diseases Today most of the serious illnesses among Americans are caused by Personal life styles The leading cause of death at the turn of the 20th century were Infectious diseases such as tuberculosis And pneumonia Lifestyle factors that may cause heart disease include all of the other following except Microbial agents For every 20% increase in weight, the chance of diabetes Doubles Which of the following our health issues for college students Substance use and abuse, food and weight and health care Parasympathetic activity tends to Decrease heart rate and increase digestion activity The ANS derives it's name from the fact that Activities normally operate without conscious control Hormones can do all of the following increase particular feelings, regulate specific biological functions and tell the body how to respond to stimuli Belief is a cure for disease None of these The healing power of faith Is overlooked by modern-day religious and spiritual leaders. The technique of focusing the mind on an internal sound or image is called Meditation A visual symbol that is focused on during meditation is called Mandala Who is most susceptible to the power of suggestion? A small child Mental imagery can be used for which of the following purposes All of the above A stressor is a(n) event or situation that causes stress Stress is the form of positive life changes Aka eustress Warning signs of stress includes Trouble falling asleep, difficulty staying asleep and waking up feeling tired Harm and loss situations include Death of a family member, physical injury and loss of self esteem A situation that produces stress is called stressor Which of the following is not among the most stressful life changes (high LCUs) ? The birth of a grandchild The fight-or-flight response Occurs without conscious control and involves hormones only fight or flight response initiates which of the following reactions? increased blood pressure The fight-or-flight reaction is evoked in the brain when a person is: Threatened The hormone ACTH is released from the ________________ in response to stress. Pituitary gland General Adaptation Syndrome (GAS) a three-stage physiological response that appears regardless of the stressor that is encountered The most effective lifestyle change for dealing with stress is to replace stressful ways of living with beliefs, attitudes, and behaviors that promote mind-body harmony. Which of the following will assist you in handling overload? Keep a to-do list Human beings have 2 main kinds of needs: Psychological needs and love needs Which of the following is not a basic coping strategy? Altering your diet to include low fiber diets common defense mechanisms to prevent emotional upset are: Projection and Displacement Agoraphobia is a fear of: open spaces or crowds Mysophobia fear of germs Individuals who experience periods of depression followed by periods of euphoria suffer from: bipolar disorder Suicide is the 3rd leading cause of death for : Young people ages 15-24 If a close friend tells you that he/she is contemplating suicide, the best response is: Tell me more about why you want to kill yourself Dreaming occurs during REM sleep Which of the following is not true about REM sleep? REM sleep dominates sleep time in the last half of the night My plate was designed to encourage consumers to: All of the above The quantity of protein that most adults need is about: 45-60 grams per day About 20% of a person's body mass is: Protein Complex carbohydrates come primarily from Grains and legumes Which of the following is a complex carbohydrate? starch All of the following are examples of saturated fats except: Olive oil Deficiency of folic acid is responsible for all of the following except Spina bifida The amount of sodium needed in your body each day is approximately ___________ grams 3 grams Fast food contains large amounts all of the following except; Vitamins Body fat is composed of: Essential fat and storage fat A measure of overweight that is calculated by dividing weight in kilograms by the square of height in meters is called: BMI Risks to health increase in those whose wrist-to-hip ratio is over _______ for women and ________for men. 0.8, 0.95 Which of the following is not a behavioral factor in overeating? Vigorous physical activity Sensible weight loss would include which of the following? Shopping when stomach is full successful weight loss and permanent weight control requires: Permanently changing one's lifestyle Which of the following is not a means of helping you control your weight? Never shop for food on an empty stomach Body image is a person's: Mental picture of herself/himself body Extreme over eating followed by self induced vomiting is characterized by Bulimia A measure of the amount of energy expended per day over and above that required for basal or resting metabolism is PAL ( physical activity level) FITT stands for Frequency, Intensity, Time, Type Which of the following are cardiovascular benefits of regular exercise? Increase blood flow to the heart walking briskly Every day for at least 30 minutes is a good way to Improve health When beginning a physical fitness program, it is best to choose: An activity you enjoy Training effects refers to: Changes in physiology resulting from Aerobic exercise An advantage of strength training is that it: Helps reduce body fat The goal of yoga is to: Bring the body, mind, and spirit into healthy harmony Exercising the body beyond its biological limits: Leads to overuse syndrome Any organism that can produce a disease is called: pathogen Etiology refers to cause of disease The reduction of infectious diseases in the United States was due largely to Sanitation, public health programs, and sterile technique's A disease caused by the bite of a tech is Lyme disease Immune system cells are transported to all parts of the body through The lymphatic system The principal agents of immune responses are antibodies and lymphocytes The response of the B-cells is called: humoral immunity What childhood vaccinations are recommended by the centers for disease control and prevention? Polio, diphtheria, pertussis, Hepatitis B, measles, mumps and rubella Severe allergic reactions can produce Anaphylactic shock Autoimmune diseases are the result of Antibodies attacking the bodies on cells Which auto immune disease affects the central nervous system? Multiple sclerosis(MS) A person with type a blood can I donate blood to a person who has to be blood because Type A Blood will stimulate production of anti-a antibodies, which will then destroy blood cells. A tumor that is non-cancerous is said to be Benign The cells of a malignant tumor Grow rapidly and invade other cells Low doses of ionizing radiation Increase the possibility of cancer if they occur over a long period of time Women should have a mammogram every two years starting at what age? 40-50 years A variety of conditions that damage the heart or the coronary arteries is known as cardiovascular disease Among the factors that are attributed to the overall decline in cardiovascular disease in the United States is Reduction in the number of smokers in the population, public awareness and more active lifestyles The sinoaterial node is The heart's pacemaker varicose veins are a result of Defects in the vein valves Erratic contraction of the heart is: Fibrillation angina pectoris refers to anterior chest pain or paroxysms of pain (sudden attack) Coronary artery bypass surgery Involves replacing disease coronary arteries with healthy arteries Stroke is the result of damage to the Artery supplying blood to the brain Which is not a controllable risk factor for a stroke? Heredity A normal blood pressure reading for young adult would be 100/70 To maintain the health of heart and arteries, the best nutritional course to follow is Eat a variety of natural, uncooked fruits and vegetables aspirin helps... Thin the blood Down syndrome is caused by an extra 21st chromosome A congenital disease that results when the vertebrae of the spinal cord do you know if used properly is Spina bifida The synthetic Hormone that caused abnormalities in the daughters of women who took the drug is DES ____________is a teratogens that Should be eliminated during pregnancy Cigarette smoking Fetal cell growth in a laboratory and tested for bio chemical and genetic abnormalities is the process of Amniocentesis When a human embryo develops to the point where it contains several hundreds of cells it is called Blastocyst Antibiotics work by inhibiting some cellular process within the bacterium. Unintended drug actions are called side effects Most drugs remain active in the body for a few hours Using any drug to the point where Health is adversely Affected or the ability to function is impaired is Drug abuse Drug abuse is defined in terms of The extent to which the drug is being used to cope with life's problems Repeated use of a drug to the point that the person is consumed with the behavior is called Addiction Habituation occurs when Occurs with hallucinogenic drugs Habituation Is also called Psychological dependence The principal psychoactive ingredient in marijuana is delta-9-tetrahydrocannabinol (THC) PCP produces More unwanted and dangerous symptoms of drug intoxication than any other psycho active substance. On average, each pack of cigarettes sold cost Americans almost $_________And smoking related health expenditures 4 Most of the psychological affects of tobacco smoking or attributable to Nicotine Any substance that can cause cancer is carcinogen There are _______ Chemicals in tobacco smoke 4,000 Emphysema is: the result of the destruction of alveoli Exposing Healthy volunteers to secondhand smoke for 30 minutes can cause Changes in the coronary arteries that are usually found in habitual Smokers Tobacco companies Supports smoking cessation programs Prohibition was instituted in the United States by Herbert Hoover The type of alcohol present in alcoholic beverages is ______________ alcohol l. Ethyl An 80 proof whiskey contains ___________ % of alcohol 40 Most standard portions of alcoholic drinks contain 1/2 ounce of Ethanol What will increase the rate of detoxification? nothing can increase the rate of detoxification The fastest way to sober up is to Take a cold shower, drink black coffee, exercise or none of the above. These listed are remedies- Does not accelerate the rate of which deliver remove the alcohol from the body. The liver detoxifies alcohol at a rate of 1/2 ounce per hour Approximately how many college students drink and drive? 48% One of the psychological effects of alcohol is Irritation of the G.I. track Alcoholism usually develops: in three phases: the warning phase, the crucial phase, and the chronic phase Which of the following is not true? Help for alcoholics are nonexistent because there is no way to overcome physical dependence on a drug. The task of the national Center for complementary and alternative medicine is to Legally defend those who choose to practice alternative medicine Which of the following is not an Ayurvedic element? Wind Chiropractic medicine was founded by Daniel David Palmer in 1895; 20 years after the foundation of osteopathy. Osteopaths have a license that allows them to Perform surgery, prescribe drugs, and perform surgery as do physicians. However practitioners of osteopath rely primarily and physical manipulation and exercises For their patients conditions. chiropractic medicine Deals with the relationship between the spinal column and tissues and organs Channels where energy flows within the body are Meridians Most people in the United States view old age as A time of sickness, disability, loneliness, and inactivity. Some people take_____________ as an anti-aging agent Human growth hormone Reactive molecules in the cells that result from exposure to radiation and chemicals are Free radicals Through HRT May prevent the on-site of osteoporosis It may increase the risk of heart attack and stroke Elizabeth Kubler-Ross is known for Research on death and dying Which is one criticism of the Kubler-Ross model of death and dying? Some dying patients may feel obligated to go through the stages as described All of the following characterize hospice care except The use of heroic Measures to extend life Eating poorly, being physical in active, smoking, and drinking too much can prematurely aid you by ___________ years 12 One niche of a personal or life coaching is Emotional intelligence Coaching When a client states I don't have what it takes to succeed or change is frightening to me the client is expressing Self limiting beliefs A coaching process that involves moving the client from intention to action and then toy word sustainable change is called Action centered partnership Coaching is a therapy and dwells on the pass to discover root causes of a person psychological and retention on dysfunctions False [Show Less]
- Exam
- $14.95
- 0
- 95
HSC 440 Midterm questions with rated solutions, graded A+
Health and Wellness Coaches are: credentialed health, fitness, and health professionals individuals that talk to clients about physical activity, nutriti... [Show More] on, weight, stress, life satisfaction provide expert guidance in their areas of professional credentialing all of the above all of the above Scientific evidence has shown that HWC has shown improvements in the following conditions: diabetes and weight management medication management cardiovascular disease all of the above all of the above Our coaching model uses a four-stage process. In this module, we focused on reviewing behavioral health theories and models that attempt to explain people's health-related behaviors. Those theories are used through the coaching process in ALL stages identified above. True False True Maslow's Hierarchy of Needs is usually used as a framework to understand human needs. Eventhour Maslow didn't intend for his teaching to be in a pyramid form, such teaching interpreted in such a manner. From the bottom up, what is the order of needs usually presented in the pyramid? *Physiological, Safety, Social, Esteem, Self-Actualization *Safety, Esteem, Social, Self-Actualization, Physiological *Physiological, Esteem, Social, Safety, Self-Actualization *Self-Actualization, Esteem, Social, Safety, Physiological Physiological, Safety, Social, Esteem, Self-Actualization As health and wellness coaches (HWC) assist clients in becoming their best, they frequently collaborate with other professionals in the field. These health care professionals frequently collaborate and practice integrated care with HWC: Mental health providers Health care providers Nutritionist & Dietitians All of the above plus more All of the above plus more During a follow-up appointment, a patient action plan to walk during lunch with her co-worker for 20 minutes, four days per week, is reviewed; the client reports that, for the past month, she had consistently walked twice a week; however, she is frustrated that she did not achieve the goal she said for herself. Which of the following would be the best first step to build the client's self-efficacy to support her ongoing lifestyle changes? *Revise the action plan to something more realistic. *encourage the patient to establish a system of accountability. *Discussed and affirm the progress the patient has made thus far. *Reflect the patient's frustration of not meeting the established goal. Discussed and affirm the progress the patient has made thus far. A 38-year-old man has been meeting with a telephonic coach for his fifth coaching session. The coaching partner has been working on increasing his level of physical activity to 3 times a week and perceives little success after six weeks. He has consistently met his goal of increasing cardiovascular exercise at least one time a week-- 30 minutes of physical activity every Wednesday. The coach senses the frustration and states: "I feel bad for you. It is like you can't find a way to increase your level of physical activity. Let me tell you what works best!...." What do you hear in the novice coach's response? *An expert approach *A coach approach *An empathetic response *A motivating response An expert approach Coach: So the doctor wants you to go on medication to lower your cholesterol, but you do not want to. What is making you apprehensive?Coaching Partner: Well! I do not like to put unnatural things into my body, I am not on any medication at this point, and I do not want to start.Coach: Medication is not unnatural; there are many chemicals in the foods that we eat.Coaching Partner: I do not eat junk food, I buy healthy and natural foods, and I think doctors prescribe too much medication. Also, I do not want to have to pay the co-pays-my parents are on medications and they spend a lot of money on them.Coach: What insurance do you have? The co-pay should not be that much!Coaching Partner: Well! It is just the idea of being on medication. It makes me feel old.Coach: I understand. There seem to be many barriers in the way you are taking this medication recommendation. I hope you will reconsider. Can we talk about this more in the next session? This section of the session was not very "coaching-like"! Select the best behavior change theory or concept that would have allowed the coach to understand the coaching partner better and make progress in the session. Self-Perception Theory- evoke the benefits of change or the treatment plan The coach should evoke reasons to change rather than continue to validate the barriers, the patient could have moved to pass them. If you want someone to believe or feel something about themselves, first allow the space to explore how to do it. Stages of Change from Transtheoretical Model-help the client to create a plan to address change barriers Self-Efficacy from Social Cognitive Theory-address confidence about making a change or following a treatment plan Perceived Control from Theory of Planned Behavior-explore how others around the client influence his/her behavior Self-Perception Theory- evoke the benefits of change or the treatment plan For the last four months, a 52-year-old coaching partner with anxiety and chronic pain has successfully adhered to her plan of practicing yoga 30 minutes per day, 4 days a week before work. According to the transtheoretical model of change, which of the following best describes the client's current stage of change? contemplation preparation action maintenance action A 33-year-old patient with endometriosis shares that she regularly drinks three to four glasses of wine a night after work. After reading a magazine about the adverse effects of alcohol consumption on reproductive health, she has decided that she is ready to stop drinking since she and her husband would like to start a family. Which of the following constructs of the health belief model best describes the woman's decision to quit drinking? Social learning Cues to action Stimulus control Counterconditioning cues to action Coach: How important do you think it is that you should quit smoking? Coaching Partner: Oh! I think it is crucial for my health. My asthma has gotten much worse. Coach: So you know all the dangers of smoking. Coaching Partner: Yes, of course, I do! Coach: Well, it is probably the most important thing you can do for your health. Coaching Partner: Yes! It would be really good for me. Coach: So, when are you going to quit? Coaching Partner: I have to find the right time. This segment of the coaching session was not "coaching like"! Select the best behavior change theory or concept that would have allowed the coach to understand the coaching partner better and make progress in the session. Self-Efficacy from Social Cognitive Theory-address confidence about making a change or following a treatment plan Stages of Change from Transtheoretical Model-help the client to create a plan to address change barriers Self-Perception Theory- evoke the benefits of change or the treatment plan Because the patient knows reasons to change and that it is important -the coach would have made more progress by addressing confidence levels. Perceived Control from Theory of Planned Behavior-explore how others around the client influence his/her behavior Self-Efficacy from Social Cognitive Theory-address confidence about making a change or following a treatment plan A 45-year-old woman is interested in working with a health and wellness coach. Her friend has positively spoken about her coaching experiences, and she decides to reach out to a health and wellness coach. In their initial conversation, the coach explains the coaching process and establishes a coaching agreement. What are the main components of a coaching agreement? Guidelines and parameters of the coaching relationship. Definition of the responsibilities for both the coaching partner and the coach. Definition of details of fees, scheduling, and confidentiality. Understanding details of the type of coaching relationship. All of the above All of the above Charlie is a 57- year- old man that meets with a coach for his first coaching sessions in the office of his internal medicine provider. During the last year, Charlie has had high levels of LDL cholesterol. After introducing each other, what is the most appropriate next step by the coach? Provide Charlie a detailed eating plan to help him control his bad cholesterol. Talk to the internal medicine doctor to obtain clear guidance on the expectations for the coaching session. Explain that coaching sessions focus on the client and not on the medical treatment for his high cholesterol. Share stories about how coaching has benefitted several clients with high cholesterol levels. Explain that coaching sessions focus on the client and not on the medical treatment for his high cholesterol. During a follow-up visit, a 31-year old patient with obesity shares that she has been consuming more vegetables and whole grains for the past two weeks, resulting in feeling more energized and her clothes fitting more comfortably. Upon recognizing and celebrating her progress, the coaching partner appears discouraged and says: " I've lost weight initially with the other diets I've tried, but then I gain it right back. I know that's going to happen this time, too." Which of the following is the best response to support the woman in reframing this non-productive thinking? "Who will be your support system this time?" "Besides gaining all the weight right back, what are some other possible outcomes of your health changes?" "How important is it to you to lose weight?" "What would be a good next step toward long-term weight loss?" Besides gaining all the weight right back, what are some other possible outcomes of your health changes?" During an initial visit with a client recently diagnosed with type 2 diabetes, the physical activity component of the wellness assessment indicates that she is not currently meeting established physical activity guidelines. Using the 5A's framework for coaching clients towards behavior change, which of the following is the best next step in helping the patient increase her physical activity? Assist the client in identifying specific strategies to increase physical activity, such as attending group fitness classes. Advise, with permission, the coaching partner on the current physical activity guidelines and the benefits of regular physical activity in treating and reversing type 2 diabetes. Agree to co-create an exercise for a prescription that includes specific activities that are are in alignment with the client's current fitness level. Arrange for a qualified exercise professional referral to devise a specific exercise plan to help the coaching partner reach her personal health goals. Advise, with permission, the coaching partner on the current physical activity guidelines and the benefits of regular physical activity in treating and reversing type 2 diabetes. During an initial consultation, a 24-year-old patient with hypertension and obesity states she would like to focus on managing her stress. Which of the following responses best exemplifies a 'coach' role in helping the client change her desired behavior? How helpful do you think it would be to try meditation using an app? I recommend practicing yoga, as many patients find it helpful in managing stress. Did you know that research shows chronic stress can lead to weight gain? What are your top three reasons for wanting to manage your stress? What are your top three reasons for wanting to manage your stress? Match the correct behavioral theory/model/techniques to either its constructs or the brief description. Cognitive Behavioral and Meta-Cognitive Processes our responses to our life situations, both behavioral and emotional, are influenced by our thinking about these situations. Positive Psychology is the scientific study of the strengths and virtues that enable individuals and communities to thrive. Self-Determination Theory maintains that an understanding of human motivation requires a consideration of innate psychological needs forcompetence,autonomy, andrelatedness. Patient Activation Measure® (PAM) Assessment is an instrument that assesses patient knowledge, skills, and confidence for disease self-management. Shared Decision Making (SDM) ... Coaching is a growth-fostering relationship that enables clients to reach their goals and fulfill their visions. True False True The difference between empathy and sympathy is that when you are empathetic, you seek to put yourself in someone else's shoes and try to understand their experience fully; while being sympathetic, you identify with someone else's experience. True False true A 32- year- old man meets with his worksite health and wellness coach for the first time. He tells the coach, "As the year starts, I have a resolution...I am finally ready to lose 11 kg (25 lbs)!" The coach states, "You are motivated and want to use your strength of self-determination to lose weight! In our coaching process, we will work together to develop a whole vision of your health and wellbeing while encouraging you to use your innate resources to foster your success." The coach response is consistent with a coach that: Is responsive to individual coaching partner preferences, needs, and values Uses a client-centered and strength-based approach Provides support to enhance self-awareness, motivation, and self-efficacy Note that the coach mostly uses a client-centered and strength-based approach. The coach talks about searching from within for intrinsic motivation and fostering success which is in accordance with a patient-centered approach. Provides guidance for learning and change All of the above Uses a client-centered and strength-based approach Coaching presence requires one essential ingredient that cannot be taught: caring not only for external results but for the person being coached. True False true Coaching Partner: "I am so angry! My boss told me that I have to work a 10-hour shift this week, which means that I can't do my evening walk, and there is no way that I'll be able to eat healthily." Coach: "You are angry and disappointed because you've been so proud of yourself for being consistent with your exercise and eating plans. You are frustrated because you are having difficulty thinking of strategies maintaining this when your schedule changes. What else are you feeling?" Which one of the nine Being Skills in coaching is best represented in this scenario? Affirmation The coach presents empathy and understanding of the situation and that builds connection-empathy means acknowledging and affirming someone's emotional state. Please note that even though the coach affirms the feelings expressed by the client the coach mainly attempts to make an emotional connection by acknowledging and affirming what goes on in the coaching partner's life. Affirming: Smiling, nodding, or brief verbal affirmations like "I see" and "mm hmm" Playfulness Empathy Mindfulness Empathy Your client states the following: "I have been working so hard in keeping my motivation and exercise at least 3-4 times a week. Unfortunately, I cannot meet my goal some weeks, as my boyfriend wants us to watch sports on TV, sometimes even live-if we find tickets! I want to share activities that are important to him." The masterful coach synchronizes with the client, affirms, and highlights strengths in her/his reflections. Select the best strength-based affirmations/reflections revealed in the statement above. Select all that apply. "Your sense of curiosity keeps you moving forward." "Your sense of perspective helps you in selecting activities that are important in this moment in your life." "Your persistence in keeping focus in your goal helps you to achieve your goal most weeks even if at times your schedule changes." "Your humor is noticeable in this situation and certainly helps you to move forward " none of these are appropriate affirmations *Your sense of perspective helps you in selecting activities that are important in this moment in your life." *"Your persistence in keeping focus in your goal helps you to achieve your goal most weeks even if at times your schedule changes." A 38-year-old man visits the coach's office after being diagnosed with anxiety. During the session, the client says: "My work pace is accelerated; everything has a sense of urgency. I become impatient and preoccupied with the many things I need to do. My doctor prescribed anxiety medication. I read somewhere that breathing exercises work as well as medication. If I can breathe deeply and softly for a few moments, allowing my attention to follow my breath away from the demands of my work, I should be OK." Which of the following statements is the most appropriate step by the coach? Assist the client in finding information about anxiety. Explore the client's beliefs about seeking a second opinion. Assist the client in the creation of a wellness vision and goals related to his diagnosis. Mindfully listen to the client and provide empathy. Mindfully listen to the client and provide empathy. A coach receives a phone call from a friend. The coach finds out that her best friend had a car accident and is in the hospital. The coach finds herself unable to focus and emotionally distraught. In an email the previous day, her next client stated that she has been looking forward to her next coaching session. "I have many wonderful news to share!" Which of the following is the most appropriate for the coach to consider when deciding whether to reschedule the next session? Coach presence Coach ability to mindfully listen Coach ability to reflect Coach energy and zest Coach curiosity coach presence Before a coach provides expert advice s/he needs to Use several relationship skills such as silence to elicit deeper thinking. Make sure the coach is working very hard and talking a lot. Ask lots of questions but make sure that the client doesn't feel interrogated. Make sure that the client understands how to find the best answers. Use several relationship skills such as silence to elicit deeper thinking. Mel is an athletic trainer who has recently become interested in credentialing as a health and wellness coach. In the first practice coaching session, Mel educated the client by going through each assessment item by item and responding/educating the client on health risks by saying "that's good" or "that's something you will want to work on." Mel also often cited relevant statistics on related morbidity, provided a list of ideas for changes in diet and physical activity, and then asked the client to choose what they would like to do first to turn their risk around. Which of the following best describes principles of health and wellness coaching that are violated by this approach? The coach is a facilitator, not the expert. Individuals with health or personal issues are seen as complete and "ok' human beings just as they are, nothing to be fixed or to be treated. Every person is resourceful and capable of finding unique and creative strategies and solutions. All of the above principles (A, B, C) of coaching were violated in this scenario. Based on the scenario all the options are correct Only A and C above were violated Question 131 / 1 pts Michael is 40 years old and lives in a large city. He is single All of the above principles (A, B, C) of coaching were violated in this scenario. Michael is 40 years old and lives in a large city. He is single and lives in an apartment, works the late shift as a hospital medical assistant five days a week, where he eats lunch daily. He walks a couple of blocks to work. Other than that, he uses his car for transportation to the grocery store, doctor's appointments, etc. Michael weighs approximately 320 pounds and has previously lost and regained weight. Michael periodically complains of memories of a poor relationship with his mother and working with a highly critical shift manager that disturbs him and interferes with thoughts about himself daily. He describes himself as a hard worker and recognizes that he is constantly looking for approval. In his fifth coaching session, he states that others tell him that he needs to lose weight, and he agrees. Which of the following is a "being" skill that is most important in working with Michael? Using courage to provide a list of psychotherapists in the community for a referral. Using playfulness when defining the coaching relationship and expectations. Using warmth when providing a list of websites for healthy eating. Using empathy to express caring not only for external results but for the person being coached. Using empathy to express caring not only for external results but for the person being coached. Select the open-ended questions (choose all that apply): What were your best experiences this past week? Last week, did you have a great experience? Did you enjoy the information we shared during our last session? What do you think will happen if you share the information we shared last week? Have you been exercising and eating your fruits and veggies every day? Tell me about your smoking history. *What were your best experiences this past week? *What do you think will happen if you share the information we shared last week? *Tell me about your smoking history. What is mindfulness? Conscious awareness of the need to fix the problems of others (righting reflex). Non-judgmental awareness of what is happening in the present moment. Conscious awareness that aims for an empty or blank mind where no thoughts are present. A mental state that encourages being calm and in a meditative state. A religious practice that encourages awareness and compassion that is within us. Non-judgmental awareness of what is happening in the present moment. Which of the following are the three (3) Core Coaching Skills for the health and wellness coach described by Moore and colleagues? Mindful listening/coaching presence Active listening through guided or open-ended inquiry Perceptive reflections Patience Trust Beginner's mind Self-confidence Broad-based knowledge on health and wellness Professional boundaries Health and wellness coach training certification 40 hours of supervised coaching practice NBHWC ethics competency Mindful listening/coaching presence Active listening through guided or open-ended inquiry Perceptive reflections Which of the following describes the HAIL metaphor used as a guide for developing trust and rapport? Harmony, Arrange, Initiate, Laugh Hero, Authority, Interrogate, Labor Honesty, Authenticity, Integrity, Love Hopeful, Answer, Intimate, Language Honesty, Authenticity, Integrity, Love Which of the following does NOT reflect the principles of health coaching? Health and wellness coaching only occurs as an ongoing relationship with a co-credentialed coach and trained in specific behavior change, communication, and motivational skill. Attend to the client's state of being (mood/affect/presence). The coaching relationship requires establishing strong trust and rapport to generate a productive and fulfilling change process. Expressing "empathy" means having a respectful understanding of another person's experience, including his or her feelings, needs, and desires. Health and wellness coaching only occurs as an ongoing relationship with a co-credentialed coach and trained in specific behavior change, communication, and motivational skill. Which of the following does not recognize the client's autonomy, creativity, and decision-making capability? Coach encourages the creation of a dream/vision for what could be. Coach inquires about what has been helpful or worked well in the past. Coach offers to join the client in a brainstorming session regarding multiple paths for achieving a goal. Coach prioritizes problems and needs for change. Coach prioritizes problems and needs for change. Which of the following is NOT an example of coaching competency? The coach provides a list of websites for improving wellbeing. The coach is confident working with strong emotions and can self-regulate. The coach is fully present and flexible during the coaching process. The coach accepts not knowing the answer and willingness to take appropriate risks. The coach provides a list of websites for improving wellbeing. According to Moore and colleagues, some of the most relevant coaching competencies are: Establishing trust and intimacy, active listening and powerful questioning Holding unconditional regard, showing empathy, being a humble model, slowing down, paying full attention, under-promising and over-delivering, allowing the client to find the answers, keeping confidentiality, honesty Mindfulness Using reflections, positively reframing, using silence, giving advice, using humor, championing, soliciting input and suggestions All of the above all of the above Lisa, a 25 -year-old engineer, visits her worksite wellness coach for a third coaching session. Lisa has been making goals around time management skills, as she frequently feels overwhelmed about her inability to complete essential tasks. Lisa states: "This week has been crazy! Sunday, I sat down and completed a list of tasks that I needed to complete during the week. I even prioritized the activities and made affirmations about my abilities. Monday comes about, my boss asks me to work in a new "priority," and my plan goes without fulfillment. Today is Friday, I looked at my list, and I only got one thing accomplished! It is so annoying to work in such an unpredictable environment!" Which coach reflection denotes the BEST use of non-violent communication? You are feeling frustrated as your new work expectations pushed aside your time management plan. Your work makes you annoyed; your boss's new demands interfere with your goal accomplishments. Your job sucks! How are you ever going to manage your time if your priorities keep changing? I understand your frustration. I once had a job where my boss every week changed the course of action...I always felt like a "vagabond aimlessly wandering"! You are feeling frustrated as your new work expectations pushed aside your time management plan. According to Maslow's hierarchy of needs, which of the following is correct? If physical needs are not met, their priority overrides other needs. Most people are not motivated to go beyond the scope of basic needs. Psychological needs are thought to be the most important. Self-actualization is achieved by everyone. If physical needs are not met, their priority overrides other needs. Limiting our descriptions/observations to _________ we stave off the tendency to judge, exaggerate, interpret, generalize, catastrophize, assume, or criticize. What can be perceived by the five senses Specific times Specific places All of the above all of the above Nonviolent communication begins with the assumption that we are all compassionate by nature and that violent behaviors are learned and supported by the prevailing culture. True False true The job of a Health and Wellness Coach practicing nonviolent communication is to: Provide observations of what the coaching partner is sharing. Identify and offer an interpretation of what the coaching partner is feeling. Assist the coaching partner in identifying their need/s. Hear what our client/coaching partner is requesting and make requests, not demands. All of the above all of the above The critical ingredient for a Health and Wellness Coach to be able to express empathetic presence is to, Fully understand past experiences. Have an extensive knowledge base. Relate to their client's family needs. Understand their own feelings. understand their own feelings The objective of Nonviolent Communication in Health and Wellness Coaching is to persuade people to change their behavior toward improved health. to respectfully communicate what we need from the coaching partner to meet the objectives of the coaching session. to establish relationships based on honesty and empathy, which will eventually fulfill everyone's needs. to use heartfelt language that manipulates a client's perspective toward that of the coach and creates a bonded relationship. to establish relationships based on honesty and empathy, which will eventually fulfill everyone's needs. This mammal is metaphorically used in nonviolent communication to represent a violent communication style characterized by defensiveness, resistance, counterattack, and disconnection. Elephant Whale Jackal Etruscan shew jackal Thoughts and Emotions: Which of the following statements is NOT true? Negative emotions frequently reflect unmet needs. Thoughts and emotions are impossible to differentiate. Feelings originate in our "reptilian" brain. We feel an emotion because we have a met/unmet need. Emotions are caused by, but separate from thoughts. Thoughts and emotions are impossible to differentiate. Which of the following best describes an empathic response? Select all that apply. provision of reassurance reflection with an alternate perspective or opinion to offer up an expert solution to listen to another with our total presence provision of reassurance and to listen to another with our total presence Which of the following is an example of an empathic response? "Don't be so hard on yourself; nobody is perfect." "Do you think that would solve anything?" "I know just how you feel; I feel the same way." "So you are feeling anxious and would like others to be more aware of your circumstances?" "Perhaps joining a gym would help." "So you are feeling anxious and would like others to be more aware of your circumstances?" Which of the following is likely NOT expressing empathy? Checking in with your feelings and needs Speaking with your eyes Speaking with your body Speaking about your own experiences Hearing feelings and needs expressed through silence Speaking about your own experiences Which of the following is not one of the four (4) principles of nonviolent communication? Make observations Associate feelings Discover the need Create a request Outline a plan outline a plan Which of the following reflects the practice of Health and Wellness Coaching? The respectful understanding of another person's experience. The sharing of the coach's personal experience. The expression of sympathy. The expression of pity. The respectful understanding of another person's experience. After a well-check visit, Bertha sees the coach at her primary care provider's office for a first coaching session. They review her wellness profile and her wellness vision questionnaires. In reviewing the assessments, the coach demonstrates open-mindedness and highlights all the positive aspects of the questionnaires. What skill is the coach demonstrating? Affirming the client's being. Helping the client to articulate values. Reframing the conversation towards the positive. Defining a path to move forward. Affirming the client's being. 5-D Cycle examines the positive core. In the process of discovering, many activities are designed to explore the practices that work well, i.e., what is happening when the coaching partner is at their best? In this specific example below, what is the coach exploring? Coach: "So a few weeks ago, you were faced with some temptations at a party during what was a stressful, busy time, and you made healthy choices. Congratulations! What were the reasons that led you to choose to eat well then?" Coaching Partner: "One reason was that I wanted to have great memories of the party. I'd been planning it for a year. I didn't want to think back on that evening and be upset by what I had chosen to eat." Best Experience Core Values Generative Conditions Three Wishes Core Values When the coach asks, "Can you think about a time when you stepped in and made something happen for yourself?" What technique/s is the coach using there? Looking for best experiences and core values. Identifying potential motivators and even gaps. Trying to create a vision. A simple open ended-question. a simple open ended question This is a statement in a conversation between a husband and wife: "You (husband) were lazy and left the dishes you promised to do in the sink!" What is the best way to make this observation free of evaluation? You agreed to do the dishes before going to bed last night, and as always, this morning, the dirty dishes were still in the sink. The dishes are still in the sink! Is there something I can do to remind you to follow-up with your commitments? You agreed to do the dishes before going to bed last night, and this morning the dirty dishes were still in the sink. I am not sure how I will trust that you will ever do what you say you will do! You agreed to do the dishes before going to bed last night, and this morning the dirty dishes were still in the sink. Following the example above, "You were lazy and left the dishes you promised to do in the sink!" What is the best way for the person (husband) that didn't do the dishes to respond and empathize while naming emotions? "I am wondering if you are feeling irritated because I didn't do the dishes last night." "I am wondering if you are feeling uptight because I frequently forget to do the dishes." "You always react so drastically, "drama queen!" You know I always get it done even if late!" "I am ready to do the dishes now, hun! Please don't worry anymore." I am windering if you are feeling irritated because I didn't do the dishes last night Last, in following up with the conversation above, the husband, who is aware of NVC, wants to connect with his wife and realizes that she has some unmet needs. The husband uses NVC to connect to what is alive in his wife and explore what would make life more wonderful. Which statement would accomplish that purpose? "I get it! Your needs for honesty and support were not met. Would it be helpful if next time I commit to washing the dishes, I follow through even if it ends up being the next morning?" "My apologies, I was so tired last night that I didn't think about it. I promise that next time it will not happen!" "I see you are feeling frustrated because you need support. Would it be helpful if we talk about how I can support you better?" "You are always nagging! I get it done, don't I?" "I see you are feeling frustrated because you need support. Would it be helpful if we talk about how I can support you better?" A coach asks: "What is good about eating fried foods every day?" This is an example of a statement that attempts to explore: Pros of eating fried foods Cons of eating fried foods Reevaluating the environment that influences the consumption of fried foods Self-liberating and exploring commitment to eating healthier Pros of eating fried foods [Show Less]
- Exam
- $16.45
- 0
- 111
Health & Wellness Coaching Board Exam,100% accurate answers
Coach prep for session- overview (prior to session prep) review materials, eliminate distractions, be mindful calm, and present. Initial Intake coa... [Show More] ching session Describe Review Determine Clarify Allow Confirm 1.) Describe coaching process, 2.) Review info & assessments provided, 3.) Determine if coaching is appropriate. 4.) Clarify roles & expectations; 5.) Allow client to self determine their vision, goals, and action steps; & actively engages in new behaviors. 6.) Confirm logistics and responsibilities in written agreement. session opening ask how the client is, use reflections. Ask positive inquiry about previous week, reflect something positive, ask client to select goal to review Early coaching session (1 or 2) competencies (5 total) Assess Identify Explore/Clarify Establish/Refine Support 1.) Assess current & optimal state of health & well being, 2.) Identify gaps between current & optimal states. 3.) Explore/Clarify priority areas of focus, and learning preferences and accountability 4.) Establish/refine client's specific short term and long-term goals 5.) Support the client in achieving goals, action steps, back up plans Routine Ongoing Sessions- overview (5 total) Ask about the: Refer to shifts in the Support the client in: Reflect the client's: Closing: 1.) client's current state (e.g., energy, mood); 2.) client's state, facilitate review of previous action steps, 3.) defining new action steps, 4.) understanding, perspectives, and learning. 5.) Closing: the client articulates new personal discoveries. Routine Ongoing Sessions general order: client self assesses state goal review topic of importance short term smart goals new action steps take-aways appreciating client's work feedback on coaching Goal Review explore full experience, starting with positive use reflections, expands inquiry about best experience, respond to challenges with reflections/inquiries, affirms client strengths, inquire about percentage of success FINAL SESSION: Invite the client to reflect on Assist in developing a: :progress made, challenges experienced, lessons learned, and growth attained :sustainable pathway forward and/or maintenance/relapse prevention plan including available support and resources Client is the expert in: The coach provides: :navigating his/her own life, based upon personal preferences and past experiences. :the structure of the session and serves as a facilitative partner. The coach's primary role does NOT include: a content expert or educator who diagnoses, advises, or instructs the client on what to do. Client's: Share personal info/experience/recommendations only when: Observe, name, and refer to client's: Convey the belief that client is: Adjust approach according to: Client's agenda, needs, interests, and preferences drive the relationship. appropriate or when specifically asked/given permission to do so :beliefs and values. :resourceful, expert in own experience. :client's health literacy Demonstrate: Convey: Follow Through on: Openly name and address: :benevolence, honesty, sincerity, and authenticity :unconditional positive regard :commitments :discord/conflict as it occurs and resolve in a timely manner The coach establishes a: positive and safe environment where the client feels accepted and supported, which helps the client clarify values/access motivation. The coach's confidence in the client's ability to______, ________, &________ supports the client's_________. learn, grow, and change / self-efficacy. The coach builds trust by attending to the client's emotions as well as words and behaviors; i.e., when the coach senses conflict, discomfort or confusion, the coach acknowledges what is happening with curious interest. The coach facilitates behavior change by empowering the client to: self-discover values, resources, and strategies that are individualized and meaningful. Generative moment identify topic, ask permission to explore, client describes what they want, explore strengths, environments to move forward, including pros/cons, develop discrepancy, brainstorming, express confidence in client's ability to move forward Active listening & Presence Be: Pace communication to: Listen for: Attend to and address: Use silence: 1.) attentive and mindful, open-minded, be curious 2.)fit client's needs, 3.)what is not being said, 4.) nonverbal communication, 5.) appropriately. In addition to listening to verbal information shared by the client, the coach is attuned to nonverbal cues which are: The coach also notices: expression, tone, emotions, and energy. relevant behaviors (or lack thereof). The coach uses ____ ______ to notice with _____ and _______what is happening with the client and with themselves during coaching. mindful awareness/curiosity and non-judgment goal setting ask client to choose a goal, explores support needed to ensure success, refine goal to be SMART, use confidence ruler, client restates goal, affirm client's ability to achieve goals Active listening involves using _________ appropriately to _____ ___ _____ and allowing clients time to _____, _______, and _______what emerges. silence/ "hold the space" / reflect, process, and identify Emotions can generate: insight and impact the brain's capacity for learning and change. The coach calls attention to positive shifts in the client's energy or emotion that may support healthy behavior change. The coach encourages the client to foster: and harsh self criticism tends to lead to: self-compassion and acceptance of emotions, since these qualities allow a more honest appraisal of one's behaviors and better self-care./ avoidance and undermines insight. session close appreciates client's work, reflects what client learned, asks for feedback on coaching, schedules next session Attend to the client's: Acknowledge client's: Ask client to describe: Show: Foster: 1.) state of being (mood/affect/presence) 2.) emotions 3.) emotions when appropriate 4.) empathy (resonance with) 5.) self-compassion Types of Reflections Simple, Double-sided, amplified, feeling, and meaning Reflections convey _______ ____________ and give clients the powerful ___________ to __________ the sound of their own words, perspectives, and beliefs. active listening/ opportunity/ witness Nonjudgmental reflections ________ the client and inspire___________. Engage/ learning When the coach notices a discrepancy in the client's words, emotions, or behavior, a _______ __________ reflection a double sided/may raise the client's awareness of the discrepancy. When the coach uses an _____________ reflection, the client may reconsider aspects of ___________________ when they hear the ______________ reflection. amplified/ resistance/exaggerated The coach helps the client expand possibilities by asking curious questions that evoke deeper thinking and self-reflection. Open ended questions (starting with what/how) encourage: The coach helps expand the client's: 1.) exploration and highlight strengths, values, and opportunities for learning. 2.) perspective and explores interconnections in the client's life. Expanding the conversation competencies (6 total) 1.) Open-ended & powerful questions 2.) Metaphors- based on client 3.) Brainstorming 4.) Connect the focus to multiple dimensions of client's life 5.)Explore broader perspectives & inspire interest in new possibilities, 6.) Incorporate coach's intuition The coach facilitates a conversation that balances a client's exploratory thinking with action oriented focus. These techniques help narrow the conversation toward decisions, goal-setting, and commitment- all which support action. (5 total) 1.) Closed-ended questions 2.) Interrupt and re-direct 3.) Bottom-lining 4.) Scaling questions (using a scale of 0-10) 5.) Ask the client to summarize the topic Part 1. An objective of coaching is for the client to be well-informed of the status of his/her health and well-being. This process begins with: identifying what the client understands. Part 2 The coach then assists the client in _____and ______health and wellness resources, as well as accurately ______ and ______ multiple sources of health information. Finding/utilizing, evaluating/integrating . Part 3 These health info sources may include: (5 total). 1.) health care provider input 2.) health & wellness assessments 3.) health risk assessments 4.) basic bio-metrics 5.) appropriate referrals. The coach supports the client in choosing goals and action steps carefully, since ______ and ________ successes predict long-term _________. small/ gradual/engagement. The coach _________the client's ________and asks ________-__________questions to enhance the client's _______-_________ and foster new ________________. reflects/views/open-ended/ self-awareness/ perspectives. Positive reframing is: Positive conversations are: :looking at things in an alternative, more positive way—to shift perspectives :are more likely to inspire motivation and forward progress. Reframe competencies: (3 total) 1.) Address self-defeating perceptions 2.) Explore patterns related to client behaviors and decision tendencies (e.g., triggers, thoughts, emotions, physical sensations, and environment) 3.) Awareness of self-talk and adjustment as appropriate patterns related to client behaviors and decision tendencies: triggers, thoughts, emotions, physical sensations, and environment The knowledge and experience of the client—vs __________, are: the raw materials for coaching conversations that facilitate lasting change. Elicit the client's perspectives including: reasons for change, solutions, ideas, experiments, desires, reactions, desired outcomes, rewards/incentives Help client explore and articulate: values, sense of meaning, and purpose Discuss and honor client's preferences for: self-monitoring, accountability, mode of connecting (email, text, phone call) Self-determination theory posits several universal needs for psychological health and well-being: autonomy, competence, and connection (relatedness) The coach helps the client develop self-efficacy, which is: the client's belief in his/her ability to initiate change and achieve goals. The coaching process cultivates self-efficacy as the client: better understands his/her needs, gains self-awareness & insight that supports behavior change, learns from setbacks, develops new resources, and finds new ways to navigate his/her environment. coaching program close explore reasons for stopping, get feedback via a survey, celebrate learning, explore what they'd like to do next, encourage progress and/or check ins, express gratitude the coach helps the client to build a support system, which is: relationships, tools, resources, environments that enable ongoing success after the coaching program ends and developing supportive relationships Decisional balance helps the client evaluate pros and cons of changing or not changing a behavior a growth mindset is the belief that: the client's abilities can be improved continuously through experimentation and persistent efforts. The coach helps the client develop positive psychological resources by cultivating meaning, reflecting positive emotions, applying strengths, and affirming self-worth and efforts. Positive psychology has demonstrated the value of positive resources in improving: creativity, open-mindedness, strategic thinking, resilience, connection, and health. By definition, health and wellness coaches are not: and do not: content experts in health or disease/ diagnose or prescribe, unless a coach has credentials in another profession that allow expert advice to be given. The coach should be able to identify risk factors for chronic disease, commonly used biometric measures, and current lifestyle recommendations for optimizing health. Wellness, as a concept, includes all aspects of: and it involves: 1.) physical, psychological, spiritual and social well-being; it is multi-dimensional and holistic. 2.) a self-directed and evolving process to achieve full potential. Blood pressure is the pressure of blood pushing against the walls of your arteries. Arteries carry blood from your heart to other parts of your body. Systolic blood pressure (first #) measures the pressure in your arteries when your heart beats. The second number, called diastolic blood pressure, measures the pressure in your arteries when your heart rests between beats. A normal blood pressure level is less than 120/80 mmHg.1 High blood pressure is called: and it increases risk for: hypertension heart disease, heart attack, and stroke, kidney disease and TIA Stage 1 hypertension range is (prehypertension) 130-139/or 80-89 Stage 2 Hypertension range is: greater than or equal to 140/90 High blood pressure has no warning signs or symptoms, and many people do not know they have it. Measuring your blood pressure is the only way to know whether you have high blood pressure. High blood pressure can damage the following organs: heart, brain, kidneys, and eyes. High blood pressure can damage your arteries by hardening them, decreasing blood flow, and making your heart work harder A heart attack happens when the blood supply to your heart is: blocked and heart muscle begins to die without enough oxygen. The longer the blood flow is blocked, the greater the damage to the heart. Heart failure is a condition that means your heart: can't pump enough blood and oxygen to your other organs. High blood pressure can also causes strokes, which happen when arteries that supply blood and oxygen to the brain burst or are blocked. Brain cells die during a stroke because they do not get enough oxygen. Stroke can cause serious disabilities in _____, _____, and other basic ________. And a stroke can also _____you. speech, movement,activities/ kill Having high blood pressure, especially in midlife, is linked to having poorer cognitive function and dementia later in life. Adults with diabetes, high blood pressure, or both have a higher risk of developing chronic kidney disease than those without these conditions. High blood pressure is called the "silent killer" because it usually has no warning signs or symptoms, and many people do not know they have it. Prevent or manage hypertension (high blood pressure) at least 150 minutes of physical activity each week Not smoking, Eating a healthy diet, limit salt/alcohol healthy weight, manage/lower stress Because your blood pressure tends to rise as you get older, your risk for high blood pressure increases with age. About 9 out of 10 Americans will develop it sometime during their lifetime. Black people and high blood pressure increased likelihood compared to other groups of people and happens earlier in life. Women are _______as likely as men to develop high blood pressure at some point during their lives. equally If you have diabetes, your body either: doesn't make enough insulin or can't use it well, which leads to too much blood sugar in your bloodstream. Over time, too much blood sugar in your bloodstream can cause serious health problems such as: heart disease, vision loss, and kidney disease. There are three main types of diabetes: type 1, type 2, and gestational diabetes Type 1 diabetes: autoimmune reaction- body doesn't make insulin. 5-10% of people have type 1 symptoms develop quickly diagnosed in children, teens, young adults take insulin every day no way to prevent this type of diabetes Type 2 diabetes Body doesn't use insulin well. 90-95% of people with diabetes have type 2. slowly develops, usually adults no symptoms, get blood sugar tested can be prevented/delayed with losing weight, eating healthy food, and being active. Gestational diabetes develops in pregnant women your baby could be at higher risk for health problems. Gestational diabetes goes away after your baby is born but increases your risk for type 2 diabetes later in life. Your baby is more likely to have obesity as a child or teen, and more likely to develop type 2 diabetes later in life too. Pre-diabetes 88 million adults—more than 1 in 3—have pre-diabetes. more than 84% of them don't know they have it. blood sugar levels are higher than normal and it raises your risk for type 2 diabetes, heart disease, and stroke. Type 1 diabetes risk factors Family history: direct relations with Type 1 Age: any age, but more likely as a child, teen. whites are more likely to develop type 1 diabetes than African Americans and Hispanic/Latino Americans. Type 2 diabetes and pre-diabetic risk factors prediabetic, Are overweight, Are 45 years or older family history, physically active less than 3 times a week gestational diabetes, or given birth to a baby above 9 lbs. Are POC Gestational diabetes risk factors has had it before Birth to baby 9 lbs +, overweight 25+ years of age family history of type 2 diabetes Have polycystic ovary syndrome (PCOS) POC Diabetes symptoms Urinate frequently, Are very thirsty Lose weight without trying, very hungry blurry vision, feel very tired, numb or tingling hands or feet, very dry skin, sores that heal slowly more infections than usual Type 1 diabetes symptoms nausea, vomiting, or stomach pains. develop in just a few weeks or months/ severe usually a child, teen, or young adult but can happen at any age. symptoms of gestational diabetes usually shows up in the middle of the pregnancy and typically doesn't have any symptoms. should be tested between 24 and 28 weeks preventing type 2 diabetes losing 5-7% of your body weight. getting 150 minutes a week of physical activity A1c Test measures average blood sugar level over the past 2- 3 months. normal: below 5.7% pre-diabetes: 5.7- 6.4% diabetes:6.5% or above Fasting blood sugar test overnight fast normal: below 99 mg/dL prediabetes: 100 to 125 diabetes: 126 mg/dL or more oral glucose tolerance test measures your blood sugar: before and after you drink a glucose liquid after fasting overnight After ingesting the liquid, it's checked 1, 2, and 3 hours afterwards oral glucose tolerance (OGTT) ranges: At 2 hours, a blood sugar level of normal: 140 mg/dL or less pre-diabetes: 140 to 199 diabetes: 200 + mg/dL random blood sugar test Random, no fast. diabetes: 200 mg/dL or higher glucose screening test drink a liquid that contains glucose, test one hour later: normal: 140 mg/dL or less. higher than 140 mg/dL, requires a glucose tolerance test People who are overweight or obese are more likely to have diabetes, heart disease, stroke, and some types of cancer, and depression Obesity is a complex health issue resulting from a combination of causes and individual factors such as behavior and genetics. Factors include physical activity and inactivity, dietary patterns, meds, food and physical activity environment, education and skills, and food marketing and promotion. Physical activity guidelines for Americans recommends adults do at least 150 minutes of moderate intensity activity or 75 minutes of vigorous intensity activity, or a combination of both, along with 2 days of strength training per week. Some illnesses/drugs lead to weight gain/obesity. These include Cushing's disease, and polycystic ovary syndrome. Drugs such as steroids and some antidepressants may also cause weight gain. People who have obesity are at increased risk for many serious diseases and health conditions, including All-causes of death, hypertension, dyslipidemia Type 2 diabetes, CAD Stroke, gallbladder disease OA, sleep apnea, breathing issues Many types of cancers , Low quality of life Mental illness, Body pain and difficulty with physical functioning Body Mass Index (BMI) and waist circumference are: screening tools to estimate weight status in relation to potential disease risk. To calculate BMI: a person's weight in kilograms divided by the square of height in meters. kg/m(squared) If your BMI is less than 18.5, it is within the underweight range. If your BMI is 18.5 to 24.9 it is within the normal or Healthy Weight range. If your BMI is 25.0 to 29.9 it is within the overweight range. If your BMI is 30.0 or higher it is within the obese range. BMI can be used as a screening tool but is not diagnostic of the body fatness or health of an individual. Excessive abdominal fat may be serious because it places you at greater risk for developing obesity-related conditions like: Type 2 Diabetes, high blood pressure, and CAD Your waistline/circumference may be telling you that you have a higher risk of developing obesity-related conditions if you are: male and more than 40 in. A non-pregnant woman, more than 35 in. Excess body fat is associated with high levels/low levels of: It also impairs the body's responsiveness to: (high) LDL ("bad") cholesterol and triglycerides / (low) HDL ("good") cholesterol. insulin, raising blood sugar and insulin levels. ways of evaluating obesity include: BMI, waist to hip ration, waist circumference Flaws of BMI it may inaccurately reflect body fat in adults who have lost substantial amounts of muscle mass. It reflects total body fat without regard to how the fat is distributed. abdominal fat comes in two different forms: subcutaneous: fatty tissue just beneath the skin. visceral: Fat inside the abdomen around organs lipotoxicity visceral fat cells release their free fatty acids directly into the portal circulation, which affects the liver and surrounding organs, leading to organ dysfunction Abdominal obesity, using waist to hip ratio. With abdomen relaxed, measure waist at the navel. Next, measure hips at their widest point. divide your waist size by your hip size: Waist (in inches) / Hips (in inches) = ratio if a waist to hip ratio rises above: (men & women) the chance of suffering a heart attack or stroke increases. man's ratio above 0.95; for women above 0.85. Men and waist circumference risk Men risk: low 37 in. mod: 37.1-39.9, high 40 and above Women and waist circumference risk Women risk: low 31.5 , mod: 31.6-34.9 , high 35 and above BMI will give you, while your waist measurement will give you: BMI the best estimate of your total body fatness, best estimate of your visceral fat and risk of obesity-related disease. Angina is and is the: chest pain and discomfort, most common symptom of CAD. symptoms of a heart attack(myocardial infarction) 1. Chest pain, 2. light headed/nausea, tired 3. Pain or discomfort in the jaw, neck or back 4. Pain or discomfort in the arms or shoulder 5. Shortness of breath Risks for CAD (Coronary Artery Disease) Overweight, physical inactivity, unhealthy eating, and smoking tobacco, family history of heart disease, especially a family history of having heart disease below 50 years of age CAD is diagnosed using the following tests Electrocardiogram(ECG, EKG) Echocardiogram, exercise stress test, chest x-ray,cardiac catheterization, coronary angiogram, Coronary artery calcium scan CG or EKG (electrocardiogram): Measures the electrical activity, rate, and regularity of your heartbeat. Echocardiogram Uses ultrasound to create a picture of the heart. Exercise stress test Measures your heart rate while you walk on a treadmill. This helps to determine how well your heart is working when it has to pump more blood. Cardiac catheterization Checks the inside of arteries for blockage by inserting a thin, flexible tube through an artery in the groin, arm, or neck to reach the heart. measures blood pressure and the strength of blood flow, and blood samples are collected and/or dye is injected into the coronary arteries. Coronary angiogram Monitors blockage and flow of blood through the coronary arteries. Uses X-rays to detect dye injected via cardiac catheterization. Coronary artery calcium scan A computed tomography (CT) scan that looks in the coronary arteries for calcium buildup and plaque. Cardiac rehab includes: Physical activity Education about healthy living, healthy eating, taking meds as prescribed, support with quitting smoking Counseling to relieve stress and improve mental health What health conditions increase the risk of heart disease? hypertension, hyperlipidemia, diabetes, obesity LDL (low-density lipoprotein) cholesterol is considered to be: "bad" cholesterol because it can cause plaque buildup in your arteries, HDL (high-density lipoprotein) cholesterol is considered to be "good" cholesterol because higher levels provide some protection against heart disease. What behaviors increase the risk of heart disease? Eating a diet high in saturated fats, trans fat, and cholesterol, inactivity, smoking, drinking About ______of all Americans have at least ____of 3 key risk factors for heart disease: high blood pressure, high cholesterol, and smoking.1 47% , 1 Although your brain makes up only____% of your body weight, it uses ______% of the oxygen you breathe. 2, 20 An ischemic stroke occurs when blood clots or other particles block the blood vessels to the brain. Fatty deposits called plaque can also cause blockages by building up in the blood vessels. most common type of stroke A hemorrhagic stroke occurs when a blood vessel bursts in the brain. Blood builds up and damages surrounding brain tissue. signs and symptoms of stroke (5) Sudden: numbness/weakness in face, arm, or leg, especially on one side of the body confusion, trouble speaking, difficulty understanding speech trouble seeing in one or both eyes trouble walking, dizziness, loss of balance, or lack of coordination, severe headache with no known cause Acting F.A.S.T. Is Key for Stroke and stands for: F—Face: Ask the person to smile. Does one side of the face droop? A—Arms: Ask the person to raise both arms. Does one arm drift downward? S—Speech: Ask the person to repeat a simple phrase. Is the speech slurred or strange? T—Time: If you see any of these signs, call 9-1-1 right away. If stroke symptoms go away after less than 5 min then it is probably a transient ischemic attack (TIA). or mini stroke, Generally there are three treatment stages for stroke: prevention, therapy immediately after the stroke, and post-stroke rehabilitation. The most common treatment for stroke is: Medication or drug therapy: anti-thrombotics and thrombolytics [Show Less]
- Exam
- $17.45
- 0
- 92
Health & Wellness Coaching Final, questions with complete top solutions
Why is good rapport essential? Once its initially established, is it established once and for all? •Good rapport is essential for 1.an honest discussio... [Show More] n 2.constructive understanding of clients' behavior 3.Creating openness to change/stage of change 4.Creating trust 5.Thorough exploration When trust and rapport are absent, so is a growth-fostering environment. Trust and rapport are not earned once and for all .They can be earned, or lost, during every moment of every coaching conversation. What should a coach consider when establishing rapport with a client? Coach: •Coaching continuity •the number of coaching clients/sessions a coach has per day •personal distractions and stressors - can create difficulty remaining mindful if not managed well •Personal self-care - does the coach need coaching? What thing should be communicated to a client when establishing rapport and trust? Coaching Policies: -Informed consent -Confidentiality -Referrals- how and when •Definition of coaching: Clearly explain what it is . . . •Growth-promoting relationship, building a new mindset, empowering change . . . and what it's NOT •Coach telling the client what to do and how to do it What are the steps to establishing rapport? Step 1: in all sessions: Get yourself into the right mindset (Vision, listen, Tell the truth, Trust your intuition) Step 2:Greeting Step 3: Introduce yourself Step 4: Find out your client's initial perspective on coaching Step 5: Define coaching and coaching process Step 6:Explain your objectives for the first coaching session Why is the first coaching session the longest? Typically the longest session due to content: Establishing rapport Review of Policies and Procedures Discussion of assessments Exploration of motivation, resources and wellness vision for the future Setting of long-term wellness goals Why do coaches ask the client for feedback at the end of every session? Feedback: important both for your own learning and for your client's growth Why do coaches explore the highlights of the past week at the beginning of a weekly follow-up session? 1.enhance rapport and client motivation 2.Provide accountability 3.Make any necessary adjustments to the wellness plan or wellness goals 4.Address any challenges that may arise along the way When reviewing each weekly goal with a client, what do coaches discuss first? -Discuss successes FItRST, then address challenges **Keeps up the positivity level and the ability to engage in generative dialogue that is more productive Why do coaches conduct a monthly review of client's 3 month goals? Review 3-month goals at least monthly in order for the weekly goals to stay connected to the client's larger vision and purpose. (This is motivating and empowering to connect the dots between success with smaller, incremental steps and larger life goals.) What are the 5 steps through which a generative dialogue evolves? 1. Identify and clarify the issue/topic they are motivated to discuss . 2.Uncover the heart of the matter-what is really going on here 3. Brainstorm options for -overcoming challenges -Adjusting goals -Exploring/re-exploring importance 4. Design 3-month goal: -New 3-month goal -New/adjusted weekly goal -New/adjusted solution to a challenge Why do we encourage clients to create a wellness vision? A wellness vision, is the foundation for change. It answers the question, "Who do I want to be?" With the assistance of a coach, the client creates a clear picture of their best self and everything that contributes to making that picture real and alive. The best wellness visions: support and promote core values are based on strengths and resources, NOT on deficits or, what they DON'T want are written in action words, as if the client sees it happening in their future are written in the client's voice What elements make the best wellness vision? importance is based on connecting the vision to their core values. 1. core values 2. strengths and resources 3. importance = Motivation 4. Confidence=Self-efficacy What is the relationship between confidence and importance, or motivation to change? How to each impact the other? Importance=Motivation Confidence= Self-efficacy --->Without self-efficacy, even the strongest motivation may go to sleep ---Confidence drives change --->But, without a connection to the deeper meaning and value of change, exploring and even enhancing self-efficacy may not be as meaningful or effective. ---> The bottom line: explore and monitor levels of both starting with motivation What is the definition of motivation? The reason(s) a person will or will not engage in a particular behavior. "You are motivated to do exactly what you're doing" Tonemah ---> For this reason, its imperative to explore why the vision has meaning and value since it does not necessarily reflect current behavior What are core values? Upon what are they based? Core Values Those elements in a client's life that define them and make life worth living: 1.self-worth 2.competence 3.autonomy 4.relatedness 5.Spirituality Questions related to Core Values: 1.Who am I? 2.What do I treasure most in life? 3.What do I believe in? 4.Why does change matter a lot to me, right now? What is intrinsic motivation? Be able to recognize examples of this type of motivation. Intrinsic Motivation: Motivation that is based on internal core values such as autonomy, competence and self-worth that is internally driven. ----> Intrinsic motivation is associated with a strong sense of self-efficacy. Intrinsic motivation last much longer and take longer to identify to connect deeply What is introjected regulation? Upon which type of motivation is it based?Is it effective at strengthening commitment to change? Introjected regulation: --a form of intrinsic motivation driven by self-imposed expectations. --Can be a challenge rather than an asset if self-efficacy is low and/or autonomy has been suppressed ---Reflected in negative self-talk and unrealistic expectations What is integrated regulation? Upon which type of motivation is it based?(Intrinsic) Is it effective at strengthening commitment to change?(Yes) Integrated regulation: intrinsic motivation based on the value of the outcome, regardless of enjoyment or interest: the behavior is performed for the sake of the outcome What is extrinsic motivation? Be able to recognize an example this type of motivation. Driven by external core values such as one's need for relatedness, adaptation to environmental factors and external rewards. Extrinsic motivators are based on: --external regulation (example: someone telling you what to do) ----Results in a low or short-term investment in change ----external rewards (example: fitting into that wedding dress; pleasing a spouse) ----Don't supply sustainable, long-term motivation Positive aspect of Extrinsic Motivators: ---they are more quickly and easily identified than intrinsic motivators What are the tips for success when exploring motivation? Why base motivation on these tips? Is fear an effective motivator? Why or Why not? Help your clients identify motivators that: Reflect core values in the behavior or outcome Reflect positivity Are intrinsic and outcome-oriented whenever possible. These type of motivators are usually the most powerful and more easily maintained over the long haul. Leverage extrinsic factors until intrinsic ones can be enhanced or identified Motivation should NEVER be a reflection of fears or cons about not changing. What is self-efficacy? What are the tips for success when exploring self-efficacy? : confidence that one can engage in the goal behavior(s) or achieve the desired outcome(s) in the face of changing, challenging or tempting situations When creating a wellness vision, coaches assist a client in exploring confidence in their ability to engage strengths and sustain motivators throughout the change process They may not be ready to tackle the entire vision so exploring confidence will help them identify those facets they are most able to achieve in the present What is the relationship between confidence and self-worth? Low self-worth can underlie a low confidence level: Often has a psychosocial origin outside the scope of coaching Success with small changes can not only enhance confidence, it can have a positive impact on self-worth Introjected Regulation can impede this effect. Example: successes being perceived as insignificant or insufficient why set a SMART goals? A SMART goal is one that the client is fully in charge of achieving and success is accountable to their efforts: Assists clients in being specific about the steps and actions they are committing to. Turn chaos into clarity Helps clients to focus and mobilize their motivation around realistic and meaningful steps and actions What exactly does the acronym SMART stand for? Specific Measurable Action-based Realistic Time-line Be able to tell the difference between a vague 3-month or weekly goal from a specific 3-month or weekly goal and be able to rewrite each to be specific if asked? Vague - I will be exercising more. Specific- I will be walking at a moderate pace at the gym five days per week for 30 minutes. Vague - I will be eating less fast food. Specific- I will only be eating fast food lunch meals 2 times per week. Vague - I will be eating more healthy Specific- I will be eating 2 servings of vegetables for lunch and 1 serving of vegetables for dinner every day. Why do coaches encourage clients to set measurable goals? Should weekly goals be action-oriented or outcome-oriented? Why or why not? Can 3-month goals be based on outcome? If so, what must weekly goals include? Measurement of goal achievement is central their success. Action based or Behavioral 3-month goals are easily measurable b/c:Weekly goals are smaller actions or behaviors directly related to the 3-month goal, making goal achievement easily quantified weekly: 3-month Goal: I will be walking at a moderate pace at the gym five days per week for 30 minutes. Weekly Goal: "I will walk at a moderate pace at the gym on Monday and Wednesday next week for 30 minutes." Percent success = 50% Reason = "I only walked on Monday and not Wednesday." 3 month goals are outcome-oriented, how your client measures progress will depend upon their weekly goals being focused on behaviors that can result in the desired outcome. Common outcome oriented 3 month goals: (-Health risk reduction-cholesterol levels, blood pressure, blood sugar) -Weight reduction -Increased Fitness level-Peak VO2Max, 1Rep max, range of motion) Why is it important to set realistic goals? Realistic goals can increase confidence Realistic goals are achievable but challenging so clients feel a sense of accomplishment when they are met increases self-efficacy > increased motivation Unrealistic goals can decrease confidence If they are too challenging, based on too many behavior changes at once or faulty perceptions of success, goal attainment may not be possible If they are too easy, or based on behavior(s) that are already easily being performed with consistency, then there is no sense of accomplishment Goals should reflect the balance between challenging your clients to do more than they think they can do, while not discouraging them by reaching for goals that are too ambitious Why do coaches use a 3-month timeline when coaching clients? A three-month timeframe is short enough to provide a sense of urgency about achieving weekly goals, but long-term enough to allow time for internalization of change --Research shows it takes a minimum of 21 days to retain new habits Why do coaches continually assess confidence throughout the SMART goals process? Scale confidence often: a client's confidence levels are dynamic and specific to each goal Explore scale deeply and the subsequent responses: So why are you at a 6 on your confidence to walk after dinner and not, say, an 8? What is the purpose of identifying social support? Who would make an appropriate social support? Be able to recognize examples Social support is an intervention component geared towards: Directly supporting specific behavior changes. Creating an environment that is helpful to individuals in making behavior change Developing skills to build support. Social support can be provided by professionals (e.g., trained coaches), peers, friends, or family members. Peers can be strangers, or existing members of the same social network. Although one review of the evidence across multiple health behaviors and health outcomes could not determine any difference in effectiveness per source, it has been concluded that social support is more effective when the giver and receiver have similar characteristics, both generally as well as specific to the targeted health issue. What are the keys to reducing challenges? 1. Set SMART goals ------>if goals are SMART, then challenges should be minimal and perceived as surmountable. 2. Connect the client's vision, motivators, desired outcomes, and goals to the process of addressing challenges: Personal strengths so challenges seem more surmountable Importance/values So the drive to overcome challenges is enhanced exposes ambivalence and confidence issues that may impede success Why should you scale confidence after each goal is defined? exploring why confidence is not higher should illuminate challenges to goal attainment Even if they don't reveal challenges in your scale exploration, or score their confidence at a 10, you should still ask them to creatively explore any challenges they can think of that may impede success Even the best intentions, and the SMARTest goals, can be sidelined by unaddressed challenges Which coaching skills and techniques are useful when exploring challenges and solutions in a positive way? You can use all your coaching skills and tools to explore challenges and their solutions in a positive way OARS, especially perceptive reflections Decisional Balance Deep Scaling Perceptive reflections Brainstorming A Typical day. . . Cognitive-Behavioral Therapy Techniques Stimulus control cognitive rehearsal What is brainstorming? How does the process of brainstorming work? What are the benefits of brainstorming to clients? the rapid generation of ideas and possibilities that will help a client reach their vision Brainstorming is an essential coaching skill and a fundamental part of generative moments in coaching Although brainstorming can be used at any point during coaching sessions, it is particularly important when identifying solutions to challenges and supportive relationships. enables clients to: develop creativity in their approach to change design the most successful plan for change. see challenges they may face as having multiple possible solutions ↑ Self-efficacy Reinforces rapport because coaches and clients co-generate a wide variety of possible ideas for consideration. What is considered good practice when brainstorming? Important for identifying solutions to challenges and supportive relationships What are the benefits of using the typical day coaching tool? Take me through a typical day. . ." Benefits of using a typical day tool Provides a wealth of information about the client's world Can be used at any point in a coaching session but works well in the challenge discussion Facilitates exploration of both challenges and solutions in a naturally flowing way Can illuminate faulty perceptions about challenges Leads well into the brainstorming process What are the "don'ts" when using the "typical day" coaching tool Avoid imposing any interpretations, ideas or analytical questions on the story until the client has fully expressed themselves fire a series of investigative questions at a person Interrupt a client during their recall to pursue a "problem" in more detail If the exposed issue truly seems problematic, make a note of it and find a more appropriate time to discuss it force the acquisition of "thorough" details about their typical day There may be aspects of their day they do not want to discuss. Find a balance between a thorough picture and an intrusive interrogation How do you know you've got it right when using the typical day coaching tool? You are doing very little talking The client seems engaged in their story You are learning lots of interesting information, both verbal and non-verbal, about the client, their situation, their perceptions, etc Cognitive rehearsal Cognitive rehearsal rehearse one's thoughts and behaviors prior to experiencing the potentially difficult situation, and to be armed with healthy adaptive responses Example in dietary behavior change: imagine the original situation that is causing temptation eating at the buffet in the cafeteria with all those unhealthy, tasty options describe thoughts and feelings that accompany the adaptive situation and make positive self-statements about it "I will feel good mentally and physically when I choose the fruit salad rather than the chocolate cake for dessert." Then immediately follow the positive self statement with a positive adaptive behavior "I see myself choose the fruit salad from the buffet." Finally, individuals are encouraged to reward themselves for doing well in a difficult situation, with either positive statements or material rewards, or both. "I am so proud of myself for making this change a reality and I had more energy for the rest of the work day!" Stimulus Control Identifying stimuli that may encourage lapses and replace with cues to engage in goal behaviors. limit exposure to high-risk situations increase exposure to healthy alternatives Example: to inhibit unhealthy behavior: limit the times and places where you eat meals placing unhealthy snacks out of sight or eliminating them altogether to promote healthy behavior: place workout clothing and shoes in front of bedroom door Put the exercise bike in front of the television Why should you asses and reassess confidence? Levels of confidence will vary throughout the process of identifying solutions to their challenges. Helping a client to stay aware of their confidence levels will assist them in identifying the most effective solutions to challenges Deep scaling Affirm situations where self-efficacy is high Explore situations where self-efficacy is low, looking for opportunities to increase it What are tips for success when assisting clients to resolve challenges to change? Clients are enthusiastically engaging their resources and supportive relationships They either have or are willingly seeking out knowledge they need to enhance success Their confidence/readiness levels are relatively high (scale = 8-10) They can consciously connect their goals and solutions to challenges to the importance/values of changing They have realistic expectations about outcomes They creatively and dynamically embrace the process of finding solutions What should coaches do to successfully coach a client in the action stage? Help action stage clients make a stronger connection between their new behaviors and their strengths and values Which process of change are effective when working with clients in the action stage?(Be able to recognize an example of the use of this process of change) Process of Change--Self-liberation: the belief that one can change and the commitment and recommitment to act on this belief ---Leveraging Self-liberation Help a client bridge their actions and successes to their commitment to sustained change What should coaches do to successfully coach a client in the maintenance stage? Challenge maintenance stage clients to keep growing and aspiring to new levels of wellness How should coaches help clients in the action and maintenance stages view a lapse? What is the benefit of a lapse?How should a coach address a lapse? ---Lapses are Normal and expected part of the process of change (there are no failures) ----Assist clients in viewing lapses as opportunities to refine their plan How should a coach help clients in the action and maintenance stages define new strategies to prevent relapses? Which processes of change are effective in preventing relapse when working with clients in the maintenance stage? Be able to recognize examples Use ---Brainstorming ---Cognitive rehearsal Process of change: -Helping Relationships=Supportive Relationships -Process that come from CBT: -Counterconditioning -Contingency Management What are benefits of using contingency management to overcome a lapse? Focusing the client on the relationship between a behavior (Positive or negative) and its consequences (Positive or negative) What are some other tools for addressing a lapses? Revisit your client's 3-month goals and their wellness vision to insure relevance Use perceptive reflections to illuminate AHA moments If the lapse is even your fault, take responsibility -remind client of prior progress using past efforts for future success tool -establish and re-establish supportive relationships What is Resistance? Verbal exchanges and/or behaviors that indicate a client is ambivalent or conflicted about changing. What causes resistance? Causes of ambivalence:-anxiety/fear/apprehension about change, inner conflict,low-self-worth/self-efficacy Resistance can arise when:-The client brings it into the coaching sessionReadiness, confidence levels and/or motivation to change are either low or drop-The coach elicits conflictDid not or incorrectly assessed client's readiness, motivation, confidence, etc.The coach labels the client based on exchange of information or past experiencesThe coach steps on a client's autonomy and suggests ideas without permission or makes choices for the client-A combination of the above What are the behavioral signs of resistance? -Negative talk -Distracted, or not engaged during session -Conflict with coach -Deflecting responsibility Which (MI) motivational interviewing skills are designed tp help clients create a safe space for clients to explore ambivalence? Express empathy-develop discrepancy-Come along side the client -Roll with resistance-support self-efficacy If implemented correctly, MI can be useful to help a client understand and dislodge their "stuckness" and move forward. What are the benefits of resistance? When a coach effectively engages their doing and being skills, especially perceptive reflections, some resistance can actually provide the kind of energy in a coaching session that generates: -Relational flow-"Aha" moments-deeper rapport-a spark that moves a client to the next stage of changeA coach should practice respectful, productive and playful exploration of resistance-Helps a client see resistance realistically and without judgement-Fosters the confidence to reach for new possibilities. What are the types of resistance can be caused by the coach? How can coaches avoid these traps? The Expert Trap The Premature Focus Trap The Labeling Trap What are the types of resistance can be caused by the client? -The Question/Answer Trap (This is an avoidance trap characterized by the client steering the coaching process into a pattern of question/ answer... This is a problem bc is that it tends to promote passivity allowing the client to avoid deeper levels of exploration. Avoiding (Client) Question/Answer Trap Rather than engaging the futile exchange, encourage client to voice their reasons for change, with just a little questioning and guidance "Why do you want to eat more healthy?" "now lets talk about what changes you want to make to your diet" (Client) The Blaming Trap -When a client attempts to blame other or give excuses for their challenges -How a coach reflects this to the client can result in even greater resistance Avoiding the (Client) Blaming Trap -Communicate in a respectful manner that blame is irrelevant -Establish a "no-fault" policy with your clients: Client: "My husband is the reason i eat ice cream every night!" Coach: "Rather than looking at the problem, lets look at what YOU can do and what you can control so you can stay on track with the eating goals you really want" The (CLIENT) Confrontation Trap The coach and client engage in an argumentative confrontation in which the client counters each argument for change with an argument for not changing. If this argument escalates or continues for too long, it can cause irreparable damage to the trust and rapport between a coach and a client Confrontation may be the result of a client perceiving a threat to their autonomy: -Can trigger an unconscious need to defend their position, regardless of its validity. Avoiding the CLIENT Confrontation Trap -Roll with Resistance: this is the first and most important step in avoiding this trap. "Its equivalent in dance is paying attention to keeping yourself and your partner from stepping on each other's toes" Paradoxical element brings client back to balanced or opposite perspective. Come alongside the client Shifting Focus Develop Discrepancy: Allowing client to move forward USE perceptive reflections to develop discrepancy -gently plants the seeds of thoughtfulness and, possibly, change Addressing the CLIENT Confrontation Trap 1. Amplified Reflection ---the coach amplifies or exaggerates what the client said in a way that allows the client to see their statement more clearly and either agree or disagree with what was said 2. Double-sided Reflection ---with a double-sided reflection, the counselor reflects both the current, resistant statement, and a previous, contradictory statement that the client has made. This allows the client to see their resistance or misperception more clearly and address the discrepancy. What steps does Wellcoaches suggest you take if you suspect your client is self-sabotaging 1. Level with the client about your perception that the client is self-sabotaging with a non-judgmental question, such as " I get the feeling you might be sabotaging yourself by...Do you think this might be true?" 2. Get the client to acknowledge the self-sabotage "I think we've hit a wall here" 3. If the client is still in denial say "There may be things going on here that are hurting your motivation for which I'm not qualified to help you" Recommend Therapists concurrently 5. Clients who refuse to get outside help and aren't jolted into participating more fully in their coaching program after hearing your concerns may not be at the right stage for a coaching program What are the benefits of joining a professional organization? -Provides professional support -Referrals through certified professional database -Job search engines -Provides continuing education opportunities (Helps keep your certification active and your knowledge up to date) -Provides professional resources (Client hand outs, assessment tools, professional coaching articles, liability insurance, web support -Makes you more attractive to employers What are the reasons for becoming certified? -Makes you more attractive to employers -Insures to employers that you have the minimal core competencies necessary to function in the capacity of a coach or to utilize coaching skills in your prospective position. Insures consistency with a specific paradigm of health coaching Shows your ability to commit to a task and follow through with that commitment Shows your knowledge of and commitment to the recognized credentials of your chosen career discipline Allows you to meet employment qualifications What are the reasons for becoming a nationally board certified health and wellness coach? With an explosion of health and wellness coaching programs, it is difficult to determine the expertise and quality of coaches. Without agreed upon standards for the training and practice of health and wellness coaches, the public and healthcare professionals are confused about what to expect from coaches and how they complement other professions. National standards and board certification: Are based on extensive research. practicing health and wellness coaches gathered for three days to identify core competencies that are vital to effective coaching. a rigorous Job Task Analysis (JTA) was conducted to identify the tasks, skills and knowledge necessary to be mastered by a competent coach These tasks, skills and knowledge points were then validated through a survey completed by more than 1,000 practicing health and wellness coaches. in 2016, facilitated by the National Board of Medical Examiners, a comprehensive examination blueprint was developed which expanded upon the JTA.is accelerating the professionalization of health and wellness coaching, and enabling the growth of an evidence base. has identified reputable coach training and education programs to prepare for the board certification. allows proficient coaches to stand apart from coaches who have not received adequate coach training or assessment of their coaching skills and knowledge. What should you consider when choosing With whom is the certifying body accredited or partnered? (ICF?IAC? a recognized health organizations(NCHEC, ACSM, NCCA) -Do they serve the profession as well as themselves? -Are the faculty reputable, accomplished member of the profession? -Does the organization support their certified coaches with career resources What is the group coaching? The application of coaching principles applied to a group of participants working towards a common purpose. What is the role of the coach in group coaching? What is NOT considered group coaching? The coaches role in group coaching: -Facilitate discussion and group support -Guide group dynamics -Wear their coach hat at all times What group coaching is NOT: -Individual coaching with more than 1 person -Health behavior education -group therapy What are the benefits of group coaching to the coach? *Cost-effective *Smaller time commitment overall *Can be as effective as individual coaching * Amplifies and strengthens coaching skills In a clinical setting: Coaches can offer content education and skill-building during group sessions -Potential to have a positive impact on numerous patients simultaneously using fewer staff members The use of peer facilitators can further enhance the reach of the program What are the benefits of group coaching to the client? To the client: -More affordable -Increases access and potential population impact -Provides the opportunity for shared ideas and learnings -Creates a sense of community -provides the opportunity What are the challenges associated with group coaching? Maintaining consistency of groups with a fixed program start/end dateLimits availabilityIf you don't have consistent attendance of at least 4 group members, then the benefits are alteredAbsences can dilute the benefits of a unifying relationship and exposure to realistic role modelsOpen groups with no set program start/end date increase availability and consistency, but:Newcomers may not feel "welcome" Requires a skilled coach to facilitate the ongoing change in group dynamicsGroup dynamics can shift over time, making cohesion difficult What are the logistics of a group coaching session? Have the group set guidelines at the first meeting and share them with new members who join laterBuilds group cohesion and buy-in to the guidelines and the group itselfThe coach is responsible for enforcing the group's guidelines whenever necessaryCoaches can conduct an initial individual coaching session/screening with each prospective group member before the first group meeting to insure that the group dynamic is best for themThose that are intimidated to share in a group, or those that may be more likely to monopolize the group, can be referred to an individual program Important group guidelines to observe: No judgements! No advice giving -use deep listening Focus on participant Each group member is an expert of their own lives No hogging "air space" Observe confidentiality When are the group coaching sessions most effective? ... What are the elements of a typical group coaching session? ... [Show Less]
- Exam
- $15.95
- 0
- 83
Wellness Coaching questions and answers (scored 30 out of 30) latest updated
True or False - founder W. Timothy Gallwey, coaching is "The art of creating an environment, through conversation and a way of being, that facilitates the ... [Show More] process by which a person can move toward desired goals in a fulfilling manner" TRUE What are the three coaching types that WCs recognize Wellness, fitness, and health How is coaching differ from training? 1) No expert hat (2) approaches the future as opposed to the past (counseling) (3) Different ethics with wc than counseling (4) confidentiality Coaches____________ clients towards their goals, not _________, in a fulfilling manner Assist, push According to Bandara, what are the four factors that move us towards unhealthy or unwise choices The demands of every day life, which have never been greater; bewildering array of wellness guidelines, products, and services, making it difficult to create a personal formula;challenge of navigating the inevitable, obstacles to making changes, including confusion, resistance, and ambivalence; many of us have histories of repeated failure. Diet and exercise are now being joined by these areas to encompass wellbeing Stress management and life satisfaction Only ________ in _______engage in all of the top six health behaviors 1 in 20 What are the top six health behaviors? regular exercise, healthful fat intake, at least five servings of fruits and vegetables daily, limited drinking, non-smoking and maintaining healthy weight Name 4 tools in health and wellness field designed to help us Experts, assessments, resources, guidelines, technology; web tools; Define coaching Coaching is a growth fostering relationship that enables clients to reach their goals and fulfill their visions Name the core coaching compentencies Establishing trust; active listening; powerful questioning Name the dimensions of positive relationship building hold unconditional positive regard; show empathy; be a humble role model; slow down; pay attention; under promise and over deliver; the client finds the answers, confidentiality; honesty When reviewing an assessment what is the value in first looking first to strengths and areas for celebration build rapport; energize clients and focus on what you wish to grow Define the heart of coaching relationship Three core coaching skills mindful listening, open-ended inquiry, perceptive reflections Dos of coaching Renew your trust and report and the beginning of every session; Begin every session by asking the client how they feel now; Empathize with the clients feelings and needs; Look for experiences to explore their best experiences, core values, and heartfelt wishes; Be a great listener Don'ts of coaching talk too much; play psychotherapist; wear the expert hat unless your client gives permission and requests such assistance Describe the International Coaching Federation Core Coaching Competencies Establishing trust and intimacy; active listening; powerful questioning What are so techniques in establishing rapport? Hold unconditional positive regard; show empathy; be a humble role model; Pay full attention, under promise and over deliver; the client finds the answers; confidentiality; be honest Describe a technique for promoting mindfulness before a session take 3 deep breaths, close your eyes for 5 seconds, become aware of your breathing, say to yourself I am grateful for this opportunity to connect and make a difference, I have an opportunity to make a pivotal contribution, I am open and curious about what will unfold What is positive re-framing? Framing a client's experience in a positive light Name some relationship building tools Positive re-framing, silence, limit advice, ask permission, use playfulness, championing, solicit input and suggestions Describe the Trans Theoretical Model A blue-print for effecting self change in health behaviors 5 stages of change Pre-contimplation ( I won't/can't), Contemplation (I might), Preparation (I will), Action (I am), Maintenance ( I still am) Coaching skills for pre contemplation (I won't) Listening, compassion, mindfulness, inquiry, reflections, autonomy, re-framing, sharing, brainstorming, active listening, motivational interviewing Coaching skills for "I can't" Listening, compassion, mindfulness, inquiry, reflections, affirmation, re-framing, sharing, self- efficacy, sorting barriers, motivational interviewing, active listening Coaching skills for Contemplation ( I may) Listening, compassion, mindfulness, inquiry, reflections, affirmation, re-framing, sharing, brainstorming, motivational interviewing, active listening Coaching skills for preparation ( I will) Listening, compassion, inquiry, reflections, affirmations, active listening, brainstorming, experimenting, committing, testing, scheduling, accountability Coaching skills for Action ( I am) Listening, inquiry, reflections, support, self-efficacy, normalizing, re engineering, environmental, design Coaching skills for Maintenance ( I still am) Listening, inquiry, reflections, support, inspiration, modeling, improvisation, creativity, autonomous motivation Coaching competencies for pre-cont empathy Coaching competencies for contemplation find strong motivators, understand their challenges, identify solutions and strategies Coaching competencies for preparation make plans, explore difficulties, develop strategies Coaching competencies for action environment for success, connect new behaviors to SVE, gradual change, re-frame lapses, Coaching competencies for maintenance Set new goals, re-focus Decisional Balance weigh pros and cons of a particular behavior or behavioral change (pros must out-weigh the cons) Operant Conditioning a form of learning that takes place when an instance of spontaneous behavior is re-enforced or discouraged by its consequences Name the cognitive progress of change Getting information, being moved emotionally, considering how your behavior affects others, self image, social norms Behavioral process of change making a commitment, using cues, substitution, social support, rewards What is self-efficacy? The belief that one has the capability to initiate or sustain a desired behavior Describe the "Mount Lasting Change" pyramid base - vision and purpose for the change next level - plan to achieve vision next level - the doing process top- sustaining new behaviors Describe MLCP vision level self-awareness and responsibility strengths and values meaning benefits and information challenges and strengths Describe the MLCP preparation level confidence commitment support plan Describe the MCLP action level behavioral steps problem solving rewards Internal vrs External motivation external - doing it for someone else - leads to guilt, frustration, anger, quitting internal - doing it for self - internal or intrinsic motivation Name and discuss the five basic principles of AI 1) Positive principle - positive actions and outcomes from positive energy and emotions 2) Constructive principle- positive energy and emotions stem from positive interactions and conversations 3) Simultanelty principle - positive interactions and conversations stem from positive reflections and questions 4) Anticipatory principle - positive questions and reflections stem from positive anticipation of the future 5) Poetic principle - positive anticipation of the future stems from positive attention in the present 5D cycle Define- topic and method of choice Discover- examples of desired outcomes Dream-what might be Design- set goals Destiny- realization What is appreciative inquiry? An approach for motivating change that focuses on exploring and amplifying strengths. It focuses on strengths and possibilities in order to help clients rise above and outgrow their problems Its trial and __________ not trial and _________ correction, error Define Motivational Interviewing A client-centered, directive method for motivating change by exploring and resolving ambivalence Define change talk and resistance talk Any talk by the client that makes the case for change (or for not staying the same). Any talk by the client that argues against the case for change or for staying the same Define and describe the difference and similarities between AI and MI Define - express empathy Discover - support self efficacy Dream - developing Discrepancy Design - rolling with resistance Destiny - support self-efficacy Define non-violent communication A process for enhancing empathetic connection and honest understanding between people Define non-violent communication A process for enhancing empathetic connection and honest understanding between people What is the goal of NVC? To encourage change talk and discourage resistance talk What are the 4 general principles in MI? Express empathy Develop discrepancy Rolling with resistance Support self-efficacy What is the difference between empathy and sympathy? sympathy is identifying with someone's experience on an emotional level Empathy is emotional and cognitive level The NVC model has four steps. What are they? Make observations, not evaluations Express feelings, not thoughts Identify needs, not strategies make requests, not demands What are the universal needs? Autonomy Connection Honesty Meaning Peace Physical well-being Play Simple Reflection paraphrase or restate what the client says, using their own words without exaggeration, interpretation, or distortion Amplified reflection minimize or maximize what the client says in order to evoke disagreement in the direction of change talk Double-sided reflection encourage client to examine different facets: This will enable them to gain perspective and make different decisions as to if and how they want to move forward Shifted focus reflection Redirect attention away from a resistance-provoking subject in order to focus on another area What does decisonal balance involve? Evaluating the pros and cons of change What is the process in using decisional balance List all the pros and cons and assign them a score of 0-10, extract composite scores for motivation and resistance What shifts can be employed to roll with resistance? From correction to connection From competence to confidence From cause to capabilities From counter-force to counter balance AI and MI are ________approaches, best used_______to generate outstanding client results complimentary, in tandem What does Developing Discrepancy mean? What tools can a coach use to develop discrepancy? Identifying the gap between current behaviors and ideal outcomes, use open-ended questions and reflective listening Define empathy and define how it is used in coaching The respectful understanding of a person's experience on both emotional and cognitive level Use the expression of empathy to expand awareness, create openness and facilitate change Define the difference a relationship between Self-efficacy and self-esteem self-efficacy and self-esteem are different but related constructs. Whereas self-efficacy has more to do with initiating and sustaining positive behavior outcomes, self-esteem relates to happiness, self worth, self-respect, and an internal source of well-being Define and describe the four sources of self-effficacy Physiological/ Affective States (personal) Verbal Persuasion (environmental) Vicarious Experience (environmental) Mastery experiences (behavioral)ress What is Eustress? Good stress. Engaged but not over-whelmed The more coaches try to persuade clients of __________ the more________coaches evoke, which decreases_______ what they "should" do, resistance, readiness to change The more opportunities people have to witness and relate to others who are doing what they want to do, the more likely it is that they will __________ initiate and sustain that behavior themselves Positive outcomes lead to increased _________while negative outcomes lead to decreased________ self-efficacy Discuss exercises to develop a positive appreciation of and relationship to the past,present, and future. Positive past-gratitude, forgiveness, satisfaction, positive present - mindfulness, savoring, flow,positive future -vision, anticipation, disputation What is the ABCDE model of disputation? A- Adversity B- What you believe about it C- What the consequences are D-by disrupting exaggerations, unhelpful beliefs and unnecessary consequences E- You allow yourself to be energized by a compelling vision of what is possible in the future What is self-esteem? The belief that one has value and self-worth as an individual (the evaluation of self) What is the value of assessments? To track health and biometric data for program outcome measurement To provide an overall picture of the client's present state of being To understand and appreciate the client's life context To flag major losses, illnesses, health risks and areas of challenge To identify strengths and healthy habits What are 7 areas of well-being are covered by a holistic well-being assessment? Energy Health Weight management Nutrition Emotional and mental fitness Life satisfaction Physical activity/exercise What are five things to look for in reviewing a well-being assessment? Successes Areas of arousal Stage of change for each aspect Gaps Concerns DescPrior to start a vigourous ribe the ASCM guidelines Prior to starting a vigorous exercise program, that moderate to high risk individuals see a doctor or have exercise testing before participation. Vigorous exercise is the equivalent of running or walking faster the 4 mph. Prior to starting a moderate exercise program, only high risk individuals are recommended to see a physician. Moderate exercise is the equivilant of brisk walking 3-4 mph or anactivity that can be sustained for 45 minutes Describe the ACSM Risk Calculation Low Risk - asymptomatic men less than 45 and women less than 55 who have no more than 1 heart-disease risk factor Moderate Risk - asymptomatic men less than 45 and women less than 55 who have no more than 2 heart disease risk factors High Risk - individuals with known cardiovascular,pulmonary, or metabolic disease or one or more signs and symptoms of these What mental health risks would necessitate a referral? Depression, eating disorders, substance abuse, anxiety disorders Define SMART goals Specific, Measurable, Actionable, Realistic, Timely Visions are best written in the ____ and in the ______ present, client's voice Discuss why we set goals Goals affect performance through 4 mechanisms. 1. They serve a directive function (focus) 2. The serve as an energizing function (effort) 3. They affect persistence 4. They affect action by leading to arousal, discovery, knowledge, and strategies What are outcome goals? goals that spell out specific steps and can be used to measure progress and success What are behavioral goals? goals that spell out specific steps and can be used to measure progress and success What are Effective goals? SMART, incremental, include only one measurable behavior per goal have intrinsic value address enviroinmental factors evolve through trial and correction It is important that clients_________each week to experience the ________ that comes from ____________ stretch slightly beyond their comfort zone, increased sense of self-efficacy, going beyond their perceived limits Guidelines for brainstorming include... clarify the topic clarify the output defer judgement encourage bold and even wild ideas build on what others say be visual and specific go for quantity do it fast When clients explore behavior goals , it is important to ________ tie these goals back to the client's reason to change It is important to assess a client's __________in his/her ability to meet a goal using________ Confidence, confidence scale To be accountable means that the client commits to give an account on_________ what they did what happened what worked what didn't work what they want to do differently next time Coaches can empower clients to move forward by _________ reframing goal accomplished inn positive terms asking positive questions When setting outcome baselines it is important to consider Type of program Current condition of client Client's age Client's health history Name the skills necessary for creating a generative moment Suspended judgement Mindful listening Expressing empathy Evocative inquiry Open-ended questions Perceptive reflections Honoring silence Creative brainstorming Unfaltering affirmation Define generative moments and their value Moments when clients are aroused along the path off change or growth. Such moments reveal underlying needs and can often be recognized by the strength of their emotional charge (positive or negative). In such moments, coaches and clients co-generate new perspectives, and co-construct engaging designs for moving forward. Generative moments are mini-transformations that energize both coach and client and catalyze the next of the client's progress. Discuss the source of generative moments and how to leverage moments for significant progress As clients become awakened and aroused (whether they get especially excited, ambivalent, or resistant) coaches and clients have a unique opportunity to take risks, expand perspectives and challenge assumptions. The more clients can discover new perspectives, capacities, and actions that will meet their needs, the more progress they will make in moving towards their visions Name the 5 steps in facilitating a generative moment Identify and clarify the topic to work on Get permission to work on the topic now Uncover the heart of the matter What is really go on here? Use MI to overcome reluctance, ambivalence, and resistance Move forward:brainstorm options Design and action plan Define Relation Flow Relational flow happens when coaches and clients perceive themselves as being in sync and engaged in generative, independent dialogue What supports relational flow? being fully engaged and stretching reflective practitioner readiness to change emotional intelligence relational competence Outline the coaching contract an understanding between the coach and client commitments and responsibilities for each What steps are included in the Before the Session checklist for an initial coaching session? Review the assessment Practice mindfulness Remember mindful is listening, inquiry, reflection and formulate ideas What are the steps in the session Opening checklist? Welcome/thank you Thanks for completing the assessment Intro Coach Review/agree agenda Expectations, priorities, additional info, vision, goals What steps are included in the EXPECTATION SETTING checklist for initial coaching session? What is coaching Confidentiality Record keeping Establish coaching contact What are the steps included in the DISCUSS ASSESSMENT checklist for initial coaching session? Find something positive to share Ask what was learned by completing the assessment Ask what questions were generated by completing the assessment Gather missing info Discuss med history and possible need for physical release Outline the INITIAL Coaching checklist Before the session Session Opening Expectation setting Discuss assessment Create a vision Design three month goals Design weekly goals Session close What are the steps included in the CREATE VISION checklist for an initial session Explain value of the vision Ask what is most important right now Identify strengths Discover motivators Ask about vision support Detailed description Use self-confidence ruler to assess and improve self-efficacy Discuss challenges and possibilities Previous positive experience Explore strengths and values to use Explore support (people, environments, resources, systems) Ask client to states and commit to the vision What steps are included in the DESIGN THREE MONTH GOALS checklist? Explore nature and values of setting 3MGs Brainstorm Choose several behavioral goals Confirm context between vision and goals Develop SMART goals What steps are included in the DESIGN FIRST WEEK goals checklist? Choose important steps toward 3MGs Assist client in developing SMART behavior goals Use confidence rulers Explore strengths and supports Ask client to restate and commit to goals Affirm the client's ability to achieve goals What are the steps included in the SESSION CLOSE checklist for initial coaching session? Express appreciation for the client's work Discover and reflect on what was learned Confirm readiness, confidence, and commitment Ask for feedback Schedule next sesssion Define the time frame for subsequent coaching sessions Opening- 2 mins Goal review - 6 mins 3 month goal review - 2 mins Generative moment - 12 minutes Goal setting - 6 minutes Session close - 2 minutes How often should you review 3 month goals? At least monthly The ideal approach to coaching for each client is largely determined by what three areas? Intelligence level Personality and preferred coaching style Their learning style Describe a few coaching styles Authoritative - tell them what to do Nuturing - Gentle compassionate Entertaining - respond to humor Pace - No nonsense, time oriented, straight forward Educator- lots of questions, need info What activities help you get into the coaching mindset? Relaxation technique, review of goals, formulating open-ended questions, practice mindfulness Distinguish between the doing and being skills of coachinngance Doing skills are core competencies, active listening, open-ended inquiry, reflections, summarizing, silence, strengths, decisional balance, change talk, develop discrepancy, roll with resistance, rulers. working with emotions, best self Being skills - are not concrete, have to do with a presence, mindfulness, empathy, warmth, affirmation, calm, zest, playfulness, courage, and authenticity What are the 5 categories of the signature strength model? Wisdom, courage, humanity, justice, temperance, transcendence What are the 6 categories of the signature strengths model? Wisdom Courage Humanity Justice Temperance Transcendence Describe the wisdom and knowledge category and name some of the associated strengths Cognitive strengths that entail the acquisition and use of knowledge Creativity, Curiosity, Open-Mindedness, Love of Learning, Perspective Describe the courage category and name some of the associated strengths Emotional strengths that involve the exercise of will to accomplish goals in the face of opposition, external or internal, persistence, integrity, vitality Describe the humanity category and name some of the associated strengths Interpersonal strengths that involve "feeling" and befriending other's, love, kindness, Social intelligence Describe the justice category and name some of the associated strengths Civic strengths that underlie healthy, community life. Citizenship, fairness, and leadership Describe the Temperance category and name some of the associated strengths Strengths that protect against excess, Forgiveness/Mercy, Humility/Modesty, Prudence, Self Regulation Describe the Transcendence category and name some associated strengths Strengths that forge connections to the larger universe and provided meaning. Appreciation of beauty/excellence, Gratitude, Hope, Humor, Spirituality To increase warmth as coaches, it helps to remember ___________________________ Our best experiences with people Which being skills are central to coaching presence? mindfulness, empathy, warmth, affirmation, clam, zest, playfulness, courage and authenticity Describe the role of modeling in coaching We need to model in out own lives the very attributes of health, fitness, and wellness that we assist our clients to create Describe why it is important for coaches to practice self--care Coaches need to take care of themselves (emotionally, physically, intellectually, socially and spiritually) to maintain health and balance, replenish energy and motivation and to grow as a person Describe various ways to practice self-care eating a healthy diet, engaging in regular physical activity - Self care goes beyond these basics and can incorporate your physical surroundings, developing a practice that exercises your mind and soul, balancing your family, social, and work demands with time to unwind by spending time in nature, soaking in a hot bubble bath, watching a beautiful sunrise, listening to your favorite music [Show Less]
- Exam
- $15.45
- 0
- 108
Health and Wellness Coaching questions and answers with complete top solutions
Coaching Questions Ch. 1. ... 1. Define Coaching- ...The intricate dance to assist clients to self actualize, fulfill goals successfully, resultin... [Show More] g in a higher level of living life in a state of wellbeing, physically and mentally, based in nonjudgment. 2. Describe how Wellness, health and fitness coaches differ from one another. ...Wellness Coaches--they encompass health, fitness and mental health professionals, who coach on an evidence basis of wellness (all professionals.) Health Coaches—They are Credentialed Health Care Professionals, nurses, NPs, PAs, Physicians who coach.Fitness Coaches—They are cardiac Rehab, PTs, Group Ex, CYTs who use coaching to enhance wellness.The difference between them is that Wellness Coaches encompass all coaches, health coaches are licensed Medical or Psychological professionals. Fitness Coaches are Cardiac Rehab, PTs, and group exercise or Yoga teachers who specialize in their fields. Wellness Coaches--they encompass health, fitness and mental health professionals, who coach on an evidence basis of wellness (all professionals.) Health Coaches—They are Credentialed Health Care Professionals, nurses, NPs, PAs, Physicians who coach. ... Fitness Coaches—They are cardiac Rehab, PTs, Group Ex, CYTs who use coaching to enhance wellness. ... The difference between them is that Wellness Coaches encompass all coaches, health coaches are licensed Medical or Psychological professionals. Fitness Coaches are Cardiac Rehab, PTs, and group exercise or Yoga teachers who specialize in their fields. ... 3. Distinguish between Wellness Coaching and other forms of coaching. ... Corporate coaches are used to improve work place performance of execs and upper management. Life Coaches help people through a transition such as career, retirement, divorce, life quality improvement, time management, finding passion or purpose. Wellness specifically focuses on wellbeing—improvement of health by examining personal goals, values and behaviors to make changes in fitness, nutrition, weight, health risks, stress management, smoking cessation, etc, towards life satisfaction. ... 4. Why are professional coaches needed in areas of physical and mental wellness? ... Too many people have weight issues, don't exercise or eat well. They enable people to be done with quick fixes, overcome challenges, and to master health and wellbeing and make changes that last. ... 5. Distinguish between the coach approach and the expert approach to learning and growth. ... Coaching is drawing out knowledge the client already has, to bring about change. They work in tandem with a client, at the client's level of self efficacy to make changes. The client is in control; they find their own answers; coaches rarely offer advice. Experts teach, analyze, problems, offer advice, prescribe solutions recommend goals, develop strategies, teach new skills, and with this lets subtly let clients off the hook of responsibility -"you aren't in charge." ... 6. Distinguish between coaching and therapy. ... Therapy treats diagnosable disorders. (DSM-IV). Coaching does not diagnose, prescribe, and coaches do not work with people suffering from clinical dysfunction. Coaches work with people who are already doing things well who want to improve. ... 7. Identify and explain 3 key components of coaching used by professional and wellness coaches. ... A. Values—Coaches believe clients are whole, creative, resourceful, resilient. Clients figure out their best paths; coaches help chip away at the outside to show the pure beauty within. Coaches value the process more than their own expert knowledge. ... B. Relational skill—Coaches bring a beginner's mind, engage, arouse, energize, and challenge clients to do the work needed to create desired change. The qualities of good relational skills are; listening deeply, inquiry, (simple reflection) but also mindfulness, empathy, authenticity, affirmation, courage, zest, playfulness, and warmth. ... C. Coaching process—There are many. The most important are the Trans-theoretical model of change, and to approach clients where they are, not where we as coaches want them to be. The stages of change are pre-contemplation, contemplation, preparation, action, and maintenance. Other systems are Appreciative Inquiry, Non-violent communication, motivational interviewing, social cognitive theory, ultimately dancing with the client in relational flow. Both, but mostly the client, are highly engaged, awake, challenged, and stretched. ... 8. Describe how people can use coaching to master wellness. ... There are 12 themes as to why people use coaching to master wellness: ... a. Quick fixes don't work—too many to count. ... b. Precious asset—Health is precious, and hard to fix, easier to maintain. ... c. Get off the fence—Tired of doing nothing. ... d. Not about weight—It is about a state of wellness, a healthy balance. ... e. Be the boss—"I am taking charge of me and my health." ... f. Health style—My approach, not another person's choice. ... g. Mental game—I know what I want to do, and want to master the mental game, turning the intention into reality. ... h. Peak performance—to reach peak performance, I need to achieve peak wellness. ... I. Big picture/small steps—Extremes don't work, but small steps in the right direction do, and yield powerful results. ... J. Confidence—done with self doubt, building confidence in client's ability to master wellness. ... K. Winning wellness game—focus is on winning, not on loosing or quitting. ... L. Close the gap—Client wants to close the gap in wellness between where they are to where they want to be. ... Ch. 2. ... 1. Explain what is meant by "Relationship is the heart of coaching". ... To effectively coach a client, there must be an established, strong trust, rapport, to generate a productive and fulfilling change process. It allows clients to be vulnerable, to trust enough that growth is the forgone conclusion. ... 2. List several dimensions of relationship building and give examples. ... a. Hold unconditional positive regard—completely accepting the client regardless of choices, without reservations. ... b. Show empathy—A respectful understanding of another person's experience, including his or her feelings, needs, and desires. (NOT the same as sympathy, which means a person identifies with another's experiences.) Empathy builds trust, and rapport. ... c. Be a humble role model—Walking the talk quietly, coaching is a modeling profession, not a service profession. We do the work, and hold standards others aspire towards, without placing ourselves above others. ... d. Slow down—Listen, ask simple questions, savor the moment instead of rushing. ... e. Pay full attention—Focus on client, not something else. Even taking notes takes away from client.. ... f. Underpromise and overdeliver—Choose words carefully as a coach. Give much more than promised. ... g. Confidentiality is crucial—Respect privacy as long as laws are not broken, and no one is harmed. ... h. Be honest—In all dealings, foster learning and growth. Keep judgment totally out of the equation; honesty means being totally vulnerable and safe. ... 3. What is mindfulness? Give an example of an exercise to increase mindfulness. ... Nonjudgemental awareness of what is happening in the present moment. It enhances coaching, removes people from autopilot. Exercises to increase mindfulness can be as simple as being completely focused on a small piece of fruit; a grape, a raspberry—feeling, looking at it, smelling it, before putting in mouth, get a sense of it on the tongue, then take first bite. Another is a minute of silence, and then breathing exercises. ... 4. Define mindful listening, and discuss its importance in building trust and rapport. ... Mindful listening is bringing full, nonjudgmental awareness of what someone is saying at the present moment. "Listening until I don't exist" is the hallmark of an excellent coach. Staying totally focused on the client, focusing on them is the goal. ... 5. What does it mean to "Listen until I don't exist?" ... It means, focusing so much on the client that as a coach you forget about anything else. It is putting aside coach's agenda to completely and solely focus on the client. ... 6. What is an open ended query? ... Open ended queries require long narrative answers, and they are expansive questions that encourage deep thought. Typically, they start with "What?" and "How?" and they move people towards change. The focus is on client, not coach. ... 7. What are perceptive reflections in the context of a coaching conversation? Give an example. ... Perceptive reflections are a form of active listening. They allow people to hear what they say from another's perception. The purpose is to elicit sentiments that evoke change behavior or belief. Simplest way to restate what a client says in his or her own words. This is a Simple Reflection. ... 8. Discuss the importance of silence in the coaching conversation. ... Silence is the gift of giving space, a core tool in coaching, evokes greatness in clients. The message sent by the coach is " I, as your coach, believe you can figure this out by going deeper." Silence leads clients to new insights and directional shifts that coaches often can't and don't anticipate. Meditation helps develop a silence practice. ... 9. What is Reframing? What can you do to reframe a coaching conversation in a positive light? ... Positive reframing is "rephrasing a client's experience in a positive light" by taking what the client perceives as a negative ("I only worked out 2x when I set a goal to work out 5x) as a positive "I hear you say that you worked out 2x this week when you haven't been able to work out at all for 6 weeks! That's great!" It shifts client's perception by asking the client "What is the silver lining in the situation?" Other examples are, "What is the best meal you have enjoyed since you started your diet to lose 35 lbs?" It's flipping the situation to look at the best instead of the worst. ... 10. What is meant by the phrase "My certainty is greater than your doubt?" ... A masterful coach is always upbeat and client focused, and know without hesitation that the outcome is assured because with diligence, and introspection, every client can succeed, especially if we as coaches hold a safe space to explore their vulnerabilities, moving towards growth and change at a pace they not the coaches set for them. ... 11. Describe several qualities of a masterful coach. ... a. authentic empathy, complete acceptance ... b. totally nonjudgmental ... c. sniff out strengths values, desires of clients, ... d. they prefer to listen, not talk. ... e. they see the funny side in a way that allows for growth. ... f. they hold up a mirror with courage for clients when necessary ... g. they hold a safe space with lots of patience to allow clients to sit in muck, with tears, without need to rescue client. ... h. Assist client to achieve more than they might otherwise ... i. they take risks to challenge clients to reach higher, picking knowledgeably the right moments, knowing quality of lives are at stake. ... j. Especially, they know how to celebrate client successes. ... Ch. 3. ... 1. What is the Transtheoretical Model? List the 5 stages of change and briefly describe each one. ... Prochaska's transthoretical model is a system or series of stages people go through as they decide to make behavioral changes relating to all aspects of health, including smoking cessation, eating, exercise, regular health checkups, etc. Because self change is a staged process, people move through the stages of chance at their own pace, and sometimes circle back to earlier stages on their path of growth. It is a cycle, and is circular in movement, not linear. ... a. Precontemplation—stage I where people don't want to make a change, they aren't ready and don't see a problem. They are sometimes in denial there is a problem. "I won't/I can't" ... b. Contemplation—Stage II Where people are thinking about making a change. "I may" usually within a 6 month period. ... c. Preparation—Stage III Preparing for action, gathering information "I will" usually will move forward in one month or sooner. ... d. Action—Stage IV "I am" stage—no holds barred, forward momentum, concentration, dedication, conscious thought. Usually for a client it is a 6 month period. ... e. Maintenance—Stage V—"I still am" stage. Behavior has now become routine/automatic. Self efficacy is 8-9 out of 10. ... 2. Why is it important to identify the stage of change a client is in for a particular behavior? ... It is important for a coach to ID the client's readiness to change so that the coach can approach the client on the right wavelength for moving into a coaching relationship. The support necessary is different for each stage of change, and the motivational tools a coach uses are different and can hinder a client if used at the wrong time. The coaching protocol is to support at each stage of change, without judgment. ... 3. Pick an area of wellness that you would like to change or have changed recently and determine what stage of change you are in. What information did you use to determine what stage of change you are in? ... Diet. I am contemplative. I am very familiar with the transtheoretical model. ... 4. What are some strategies you would use to help a client that is in the precontemplative "I can't" stage get ready to take action? ... I would use empathy, reflecting back to them that what they feel is valid, accepting where they are at the present moment. I would focus on understanding them, letting them know they are welcome to contact or discuss with me any changes they are prepared to make. ... 5. What are some of the goals that someone in the preparation stage might set? ... People often gather information about the health benefits of making a change, many times because of an emotional movement forward, ( a family member losing weight, or getting sick) thinking or considering how the behavior they adopt will impact their family or friends, connecting dots between how they see themselves and how their new behavior will impact their new self image, and talking to like minded people who are contemplating or actively engaging in the new behavior( self help group) etc. ... 6. What is the optimal time frame to initially set for coaching? ... A 3-6 month coaching program of weekly, biweekly coaching sessions is usually ideal. But if a client is successful, and has a long term goal, such as losing a large amount of weight, then the time frame should and must be longer to continue the support. ... 7. What is decisional balance? What is the optimal ratio of pros and cons for someone to do a new behavior successfully? ... Decisional balance is weighing the pros and cons of changing a behavior. Looking at the gains helps people move forward as they progress. The barriers are the obstacles to change. A specific reason or goal to a change makes shifting behaviors difficult. The pros in decisional balance must outweigh the cons to make a behavior stick. ... 8. What is Self Efficacy? How does it impact behavior change? ... Self efficacy is the belief that one has the capability to initiate or sustain a desired behavior (the exercise of control) It describes the circular relationship between belief and action: the more you believe something, the more likely you will do it. Success =repetition. To impact behavior change, coaches must have clients set realistic goals. ... [Show Less]
- Exam
- $16.45
- 0
- 100
Health and Wellness coaching Exam 1 questions with complete solutions
Why is it so hard to "live" our wellness? What factors may or may not play a role in living our wellness? Lack of Knowledge??: there is no relationship be... [Show More] tween a client's or patient's knowledge about the need or means for change and subsequent behavior change. Health Care Providers Fault??: individual's with low self efficacy/low self esteem or competing needs may not feel, or literally may not be, capable of doing what they're told it sends subtle message that you arent in charge and arent responsible Our current health care system is not currently providing long term consistent behavior change support needed for successful chronic disease management Lazy??: we may overwhelmed, over-worked, or over-stimulated and we choose comfort rather than more stimulation what is Moore's definition of health and wellness coaching? "Health coaching is a collaborative and co-creative partnership through which a well facilitated conversation transforms chaos to order, confusion to clarity, uncertainty to action." what are the objectives of coaching techniques and skills associated with the process of coaching? Through the use of evidence based methodology, coaches create a collaborative and co creative partnership with clients that: Connects health and wellness to what clients value most without a heartfelt higher purpose, deep and lasting change is rarely achieved Reconnects clients to their inner and outer strengths Allows clients to become consciously aware of challenges that could impede success Facilitates the development of a plan for change that is personally tailored to the client's desires, challenges and strengths. what information is important to know regarding the process of coaching? Coaches employ a variety of techniques and skills grounded in evidence - based theories (to be discussed later) shown to facilitate lasting change. • Objectives of the coaching process: - Assessment: clients must know where they are before they can work on where they want to be - Effective Communication: skills designed to enhance collaboration and creative thinking - Exploration:discover what a client really wants and values and the resources to achieve both. Although the objectives of the coaching process are universal, the execution of it is not . There is no set or best formula. How this process evolves is individual and organic. what are the pillars of the collaborative and co-creative partnership? Address the client's whole life-All 5 SPICES of wellness honor the wisdom, resourcefulness and creativity within each client A coach honors the fact that people are naturally creative, resourceful and whole The agenda always comes from the client encourages clients' personal accountability and responsibility to themselves and their plan support, model and encourage healthy change listen when clients express concerns and allow them to articulate what information they need facilitate change talk evokes transformation what are the outcomes delivered by a collaborative and co-creative partnership? 1.creating a plan for change that promotes: Attainment of a higher level of well being Sustainable behavior change 2.increasing self-awareness and personal clarity 3.Acquiring new knowledge and skills 4.Increasing self-efficacy what are the differences between health experts and health coaches? Health Expert: Authority, educator, defines agenda, feels responsible for clients health, solve problems, Focus on what's wrong, has the answers, interrupt if off topic, working harder than client, wrestle with client Coach: Partner, facilitator of change, elicits clients agenda, client is responsible for health, foster posibilities, focus on what's right, co-discover the answers, learn from clients story, client working as hard as coach, dance with client Know how to complete the following statement: "a health coach is. . ." engaging and energizing possesses exceptional listening and communication skills Demonstrates: respectfulness, cultural and social sensitivity, genuieness, empathy Acts as a: sounding board, challenger, cheer leader, expert resource what are the qualities of a masterful coach? cannot summon an ounce of judgment, displaying an unwaveringconfidence in the client's ability to change. • Has the ability to "sniff out" client strengths, values, and desires. • prefers to listen rather than talk, listening until they don't exist. • loves and enjoys client stories. • reflects the positive side in ways that facilitate growth. • "holds up the mirror" to the client with courage when necessary. • celebrates clients' successes and encourage understanding of clients' challenges. Has the patience to allow clients to sit in the muck without succumbing to the urge to rescue. - gently challenges clients to achieve more than they otherwise might. - elicits Aha! moments through a dynamic called relational flow the coach and client are highly engaged in the coaching process, they are challenged, and stretched to the outer edges of their abilities. What is the difference between directive and non-directive coaching? Historically, the term coach means tutor or someone who directs, instructs and/or trains, either an individual or a group of people, to attain certain goals and objectives. Tim Gallway, author of The Inner Game of Tennis (1974), introduced a different, non-directive coaching approach. Coaching is the art of creating an environment through conversation and a way of being, that facilitates the process by which a person can move towards desired goals in a fulfilling manner. It requires 1 essential ingredient: caring not only for the external results, but for the person being coached." Tim Gallway What is personal coaching? What are the challenges associated with personal coaching? Personal Coaching: To help clients improve their quality of life by aligning their goals and values with their work and home lives then making changes so that their lives become more fulfilling. •Types of Personal Coaching - business, executive, financial, life, dating, career Challanges: Basis not founded in health sciences or evidence-based research No standardization of process, technique or training Certification of skills and abilities not required or standardized Little oversight, other than ICU what is coaching psychology? Upon what is coaching psychology founded? Most popular evidence-based theories and fields of study from which coaching psychology draws influence: Transtheoretical Model for Behavior Change - Motivational Interviewing - Humanistic and Positive Psychology - Cognitive-behavioral therapy coaching psychology: the science of coaching relationships designed to optimize health and well being. Coaching psychology is founded upon evidence-based theories and fields of study: increases efficacy, standardization, measurability and credibility of health coaching. what are the issues surrounding information exchange between patient/health care provider communication? Conflict often arises concerning agenda of visit. HCP assumptions about patient. HCP begins interaction with a set agenda in mind Creates a climate of » Mistrust by patient of HCP > missed visits » Dependence on HCP to tell patient what to do - 50% of patients leave their physician's office visit without understanding what advice their physician gave. HCP assumptions - This patient needs to change - This patient will never change - If they do not change, I have failed • These assumptions are based on previous experience and/or the current model of medical training, not patient interactions what is patient-centered medicine and what does it work to combine? Introduced by Balint and colleagues in 1970: Refers to an approach that moved from a disease-centered medical model to an "overall diagnosis" based on understanding the patient from a humanistic, bio- psycho-social perspective. • Reflective of the client -centered therapeutic approach Puts a strong focus on patient participation in clinical decision making by taking into account the patients' perspective, and tuning medical care to the patients' needs and preferences. Works to combine: - physician ethical values - Client -centered therapeutic techniques: psychotherapeutic theories on facilitating patients' disclosure of real worries negotiation theories on decision making Although effective, these techniques are often time consuming What is the definition of motivational interviewing? Why was this method thought to be superior to other methods, even though all were equally effective? a directive, client-centered counseling style for eliciting behavior change by helping clients explore and resolve ambivalence. MI was initially used with problem drinkers, for whom motivation to quit is a common obstacle. Client success was profound, not because it was better than other methods, but instead more efficient. In the early 1990s, the National Institute on Alcohol Abuse and Alcoholism conducted the research project, MATCH, which compared 3 treatments for alcoholism: cognitive behavioral therapy a 12-step approach such as that used by Alcoholics Anonymous motivational enhancement therapy ("Motivational Interviewing," 2005). • The results of the MATCH project showed that all 3 treatments were equally effective, but that MI took less time and cost less. This finding, in addition to favorable results that could be reproduced in subsequent studies, prompted other trials using this method with chronic conditions including diabetes, hypertension, and cardiovascular disease and diet what is the definition of empowerment? The discovery and development of one's inborn capacity to be responsible for one's own life. "Encouraging people to participate as equal partners in decisions about the health care they receive." What is the cornerstone of empowerment? The cornerstone of empowerment is recognizing that an individual is completely responsible for managing his or her own wellness. The patient's responsibility is non-negotiable, indivisible and inescapable. what do empowered patients have? Be able to recognize an empowered patient - enough knowledge to make rational choices - enough control - enough resources to implement their decisions - enough experience to evaluate the effectiveness of their actions and live with the consequences of those actions How should coaches uphold and insure cultural competency in their coaching practice? coach training programs should incorporate education in cross -cultural issues - generally and specifically where the coach is likely to work within a cross-cultural context, multicultural society, and with indigenous peoples, ongoing cultural competency training should occur. Coaches should use modalities and tools that are appropriate for use within the cultural context specific to their clients. It is the responsibility of the coach to learn what modalities, communication approaches and tools are appropriate. Before coaching commences, an open dialogue should occur between the coach and client concerning: the coach's approach to coaching, a discussion on the appropriateness of their approach with that client. When coaches are working cross -culturally and with indigenous peoples, the coach should ideally be supervised by an appropriate cultural advisor. Why is client confidentiality crucial in a coaching relationship? Be able to list 3 of the confidentiality policies included in the coach-in-training confidentiality policy. The coaching relationship is built on a foundation of confidentiality and trust. Clients need to know that the information they share with their coach will not be divulged inappropriately. The coach should make this clear both orally and in writing. Your clients' personal disclosures and discoveries are the material with which you and your clients work. You need to create a safe place by establishing a policy of confidentiality from the very beginning. 1. Coaches are bound by HIPAA regulations regarding a client's health information, session files and communications 2. Personal health information generally may not be used for purposes not related to health care, and covered providers may use or share only the minimum amount of protected information needed for a particular medical or health-related purpose. Patients must sign a specific authorization before a covered provider could release a patient's medical information to a life insurer, a bank, a marketing firm or another outside entity for purposes not related to their health care. 3.Under the Privacy Rule, patients can request that their doctors, health plans and other covered providers take reasonable steps to ensure that their communications with the patient are confidential. What is liability? Legal responsibility for one's acts or omissions. Failure of a person or entity to meet that legal responsibility leaves that person or entity open to: a lawsuit or a court order to perform What is personal disclosure? Be able to recognize an example of an appropriate personal disclosure by a coach. What is a generalized disclosure? •Sharing generalized client experiences of success, failure, and the process towards both, in an effort to assist a stuck client and improve their self-efficacy or capacity for change • What is self-disclosure?Sharing personal experiences of success, failure, and the process towards both, in an effort to assist a stuck client and improve their self-efficacy or capacity for change or to build rapport What to disclose - Personal experiences can often • Build a rapport between the coach and the client assist clients in feeling less alienated • help clients see the possibilities of change • Helps relay health information in a non-"expert" way When to disclose Disclosures are appropriate and valuable when it serves the best interests of the client and the coaching relationship, not because a coach feels compelled to share their expertise, the personal successes of their other clients, be understood, etc. •Before you disclose: - Assist the client in exploring all their options FIRST before sharing personal or generalized client experiences - Ask yourself as a coach: • Is self-disclosure really necessary? Can a generalized disclosure work as well? • How will what I disclose impact rapport and trust? • Remember, using disclosure too often shifts the focus from the client to the coach. What are the ethical responsibilities of a coach regarding liability and client goals? Relay current recommendations based on your expertise Attempt to develop a compromised goal with patient client Document all communications concerning recommendations given and choices made by the client What do Moore, M. & Tschannen-Moran, B. (2009) recommend you do to insure you are upholding ethical guidelines? If you are working with paying clients, coaches should carry professional liability insurance to cover coaching services. As a coach or coach trainee, you should create and utilize informed consent and coaching contracts to facilitate transparency and accuracy of the coaching agreement What is informed consent? What should an informed consent include? Obtaining written consent from a client prior to participating in coaching is an important ethical and legal step in the coaching process - ensures client knows and understands the risks associated with different health behaviors. - Reduces liability of the coach - a statement indicating that the patient has been given an opportunity to ask questions about the program - An indication that the participant has sufficient information to give consent - A statement indicating that the participant is free to withdraw consent at any time What does a coaching contract allow both coach and client to do? agree and commit to some key principles regarding their coaching relationship. • Allows both the coach and the client to: - align their goals and expectations surrounding the coaching process, relationship and its potential benefits and outcomes - Uphold the ethical guidelines of the coaching relationship what is "the bottom line" on coaching ethics? Never - Diagnose a patient's or client's medical status (unless you are a medical professional) - Act outside your own documented expertise - Judge a patient's social or cultural reality based on your own - Divulge a client's personal health information without their permission • Always - Respect your client's privacy - Document all coaching session content - Discuss and obtain an Informed Consent and a Signed Coaching Contract before you begin what do clients build through the coaching mechanisms of action? Through coaching mechanisms, clients build a new brain network and, in turn, the capacity for sustained change what are the 4 coaching mechanisms of action? What is the result of facilitating the process of change? Cultivate a Growth-Promoting Relationship Relational skills > builds a new brain network Stimulate Motivation Illuminate Capacity Facilitate the Process of Change: Insight (motivation/capacity) > Action (behavioral goals) > Insight > Action. . . (chaos > order > chaos > order) Increases the capacity for sustained change what are being skills? What are doing skills? How do "doing" skills help to build a new brain network? "being" skills: presence, empathy, peace, awareness, authenticity, respect. "doing" skills: listening, inquiring, and reflecting from a place of positivity Through "doing" skills, coaches encourage a client's creative process by alternating inquiry and reflection Inquiry > Reflection > Inquiry > Reflection Inquiry: activates the prefrontal cortex Reflection: activates the limbic system The "doing" skill most valuable to this process is positivity Keeps the limbic system activated so creativity and possibility can bubble to the surface Especially important in clients with low self-efficacy the coach can bravely, but respectfully, illuminate discrepancy in ambivalent clients upon what theories is the coaching process based? The Coaching Process (insight>action) draws from a variety of theories and models that have been found effective in facilitating awareness and lasting change Appreciative Inquiry Transtheoretical Model for Behavior Change Goal-setting theory Social Cognitive Theory what is the self-determination theory? What are the 3 basic biological needs described in the theory? Do we need to consciously engage these needs? Self-determination theory posits that there are 3 basic biological drives or needs which, when met, allow humans to thrive The need for competence or mastery of our environment Includes self-regulation and self-awareness. Reflects our life's purpose is being pursued The need for autonomy or ownership of our behaviors and choices and their consequences The need for relatedness or feeling that we are connected to others and to society in general We need relatedness so much, we will give up our autonomy to achieve it These drive are unconscious so when we feel they are threatened or oppressed, we react unconsciously. Rebellious teens, resistance to change What is social baseline theory? How does it affect our need for relatedness? Humans "outsource" their self-regulation, and psychic resources (how much of their psychic resources they will use on psychological and behavioral tasks, completing a task, etc.) based on the perceptions and availability of their social relationships Our brains integrate trusting, reliable relationships as a part of our own psychic resources, reducing the amount of psychic energy expended This is solely dependent upon whether or not we perceive the relationship as trusting and reliable How does self-determination theory influence health behavior? Respect and uphold a client's Self-determination needs, especially autonomy People are generally better persuaded by the reasons which they have themselves discovered, than by those which have come into the mind of others. (Pascal's Pensees) If you want someone to learn how to drive, you must put them in the driver's seat. (Margaret Moore CEO, Wellcoaches) How are the 3 basic biological needs outlined in the social determination theory upheld by coaches who subscribe to the following statement: " If you want someone to learn how to drive, you must put them in the driver's seat. " (relate each need to this statement) The need for competence or mastery of our environment Includes self-regulation and self-awareness. Reflects our life's purpose is being pursued - basing the practice off of previous experience The need for autonomy or ownership of our behaviors and choices and their consequences- letting the client decide what to do The need for relatedness or feeling that we are connected to others and to society in general We need relatedness so much, we will give up our autonomy to achieve it- let them know you are here for them and supoprt them. THEY THRIVE what is mindfulness? Paying attention to something in a particular way, on purpose, in the present moment and without judgment What is emotional intelligence? to be psychologically and emotionally whole, not excluding any feeling or emotion, but rather, embracing your full range of feelings and emotions what is acceptance commitment therapy? A form of cognitive behavioral therapy which assists clients in developing psychological flexibility What is psychological flexibility? the ability to consciously and emotionally connect to the present moment more fully so one can change, or persist in, behavior that is done in the of service of valued ends. What are the main components of ACT? Mindfulness- one cannot be psychologically flexible in the moment if they are focused on "hoping for a better past" or controlling the future Acceptance- Observe, without judgement, the content of one's thoughts and feeling for what they are, data not facts, accepting their existence resisting the urge to assign them the equivalent weight of helpful thoughts, personal scripts, mental images and emotions that will move them in their valued direction Committed Action- consciously choosing to take action in a direction that is congruent with values, regardless of whatever thoughts and feelings occur, while accepting the cognitive and emotional discomfort that may go along with doing so What factors contribute to psychological INflexibility? What is the definition of experiential avoidance? Experiential Avoidance- Humans' tendency to believe they must avoid or rid themselves of unhelpful thoughts, personal scripts, mental images and emotions. When faced with these experiences, humans become transactional and abandon mindfulness and intention. This is An Evolutionary Survival Mechanism: We are wired for mental in-agility- conflation of, and fusion with, our thoughts: I acted badly = I AM bad. Why? Our ancestors could not "evaluate" a perceived threat and still survive, they had to react Cognitive fusion- When individuals are "fused" with unhelpful thoughts personal scripts, mental images and emotions, the thoughts are automatically presumed to be truth. Allowing outmoded personal scripts and learning methods to dominate behavior Attachment to the conceptualized self- the internalized picture one has of one's self as compared to others and societal standards Examples: Mother, teacher, honest, middle class Lack of clarity concerning values Inaction and impulsivity - a result of the lack of clarity regarding values Rigidity- the opposite of flexibility; keeps clients in their comfort zone "Although comfortable, nothing ever grows in the comfort zone." What is positive psychology? A domain of psychology that investigates what makes people thrive and flourish: Optimism, hope, contentment, gratitude, love Draws on the humanistic belief that people are whole (not broken and needing to be fixed), creative, resourceful, resilient, and able to gain control of their health and wellness. Positive emotions can transform people for the better, help them to build more resources How do negative emotions impact our brain? Why? How do positive emotions impact our brain? How can we facilitate positive psychology? Negative emotions move lightning fast and stick like VELCRO, hijacking brain resources Why? Evolution created this process to alert us to danger. Why we can more easily express and focus upon the negative These emotions will continue to demand your attention until you address the source Positive emotions are fleeting and "stick" like TEFLON BUT, they increase brain resources causing our brains to light up, our thinking to be more creative, integrative, flexible and open to information Modulate the ratio of positive to negative emotions Ensure basic life needs and being met Know and use strengths to gain mastery Energizes motivation Increase experiences of goal-directed flow Flow- an enjoyable state involving intrinsic motivation in which a person becomes fully in a goal-directed activity that matches their skills level and provides immediate feedback Increase a sense of meaning and purpose doing something for the greater good beyond its benefit to you personally [Show Less]
- Exam
- $10.45
- 0
- 115
Purchase the bundle to get the full access instantly
- 3 Million+ Study Documents
- 100% Money Back Guarantee
- Immediate Download Access
Add To Cart
Reviews 0
Bundle Details
$37.45
- Trusted by 800,000+ Students
- 24/7 Money Back Guarantee
- Download is directly available
130
0
Seller Details
