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NBHWC questions and answers 202(bundle)
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NBHWC Section 3: Biometrics questions and answers 2023
Blood pressure Diastolic/Systolic Normal: <120 and <80 Elevated: 120-120 and <80 HBP Stage 1: 130-139 or 80-89 HBP Stage 2: >140 or >90 HBP Stage 3: ... [Show More] >180 or >120 Diabetes Normal / Pre / Diabetes A1C % < 5.7 / 5.7-6.4 / >6.5 Fasting Blood Sugar mg/dl <99 / 100-125 / >126 Glucose Tolerance mg/dl <140 / 140-199 / >200 Random Blood Sugar mg/dl na / na / 200 BMI less than 18.5 underweight 18.5 to 24.9 normal or Healthy Weight 25.0 to 29.9 overweight 30.0 or higher obese Obesity Classes (BMI) Class 1: 30-34.9 Class 2: 35-39.9 Class 3: >40 Waist Circumference (WC) (higher risk for developing obesity-related conditions) men >40" women >35" Waist-to-hip ratio (higher risk of heart attack/stroke) men >.95 Women >.85 Desired cholesterol levels LDL <100 mg/dl HDL > 60 mg/dl Triglycerides <150 mg/dl Total 200 mg/dl Optimal ratio TOTAL /HDL = 3.5 Risk factors for metabolic syndrome (you must have at least three of five) Large waistline (m>40, w>35) High triglycerides (>150) *or on meds Low HDL (m<40, w<50) *or on meds High blood pressure (>130/>85) *or on meds High fasting blood sugar (>100) *or on meds Sleep recommendations Age 18-60: 7+ hours Age 61-64: 7-9 hours Age 65+: 7-8 hours Short sleeper is <6 hours Alcohol use Binge drinking Men: 5+ in 2-3 hours Women: 4+ in 2-3 hours Excessive Men: 15+ per week Women: 8+ per week [Show Less]
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NBHWC Section 4: Ethics/Legal questions and answers 2023
Professional conduct at large (Summarized) Contact NBHWC to address any ethics violation or possible breach as soon as I become aware of such situation, ... [Show More] whether it involves me or others. Communicate and create awareness in others who might need to be informed of the responsibilities established by this Code. Refrain from unlawful discrimination in occupational activities, and consistently demonstrate dignity and respect in all professional relationships. Make verbal and written statements that are true and accurate about what I offer as a health and wellness coach, the coaching profession, and the NBHWC. Accurately identify my coaching qualifications, expertise, experience, training, certifications and NBHWC credentials. Recognize and honor the efforts and contributions of others and only claim ownership of my own material. Strive at all times to recognize any personal issues that may impair, conflict with or interfere with my coaching performance or my professional coaching relationships. Recognize that the Code of Ethics applies to my relationship with coaching clients, students, mentees, sponsors, and other coaches. Conduct and report research with competence, honesty and within recognized scientific standards and applicable subject guidelines. Maintain, store and dispose of any records created during my coaching engagements in a manner that promotes confidentiality. Use NBHWC credentialed coach contact information, such as email addresses and telephone numbers, only in the manner and to the extent authorized by the NBHWC. Conflicts of interest Seek to be conscious of any conflict or potential conflict of interest, openly disclose any such conflict. Clarify roles for health and wellness coaches, set boundaries and review with sponsors and stakeholders conflicts of interest. Disclose to all clients the exact nature of the coach's role within the company. Disclose to my client and the sponsor all anticipated compensation from third parties that I may receive for referrals of clients or pay to receive clients. Compensation from the sale of products or non-coaching services to clients must be disclosed fully before coaching begins. Honor an equitable coach/client relationship, regardless of the form of compensation. Conduct with clients Ethically speak what I know to be true about the potential value of the coaching process or of me as a coach. Make clear to any employer/sponsor and to the client what activities fall within the scope of practice within an NBHWC-certified health and wellness coach, as well as the outcomes that can be reasonably be expected. Adhere to all ethical standards of practice for his/her respective health care licensures and credentials. Carefully explain the nature of health and wellness coaching, the nature and limits of confidentiality, financial arrangements, and any other terms of the coaching agreement. Have a clear coaching service agreement with my clients and sponsor(s) before beginning the coaching relationship and honor this agreement. Hold responsibility for being aware of and setting clear, appropriate and culturally sensitive boundaries that govern interactions. Avoid any sexual or romantic relationship with current clients. Respect the client's right to terminate the coaching relationship at any point during the process, Strive to protect the health, safety, and welfare of the client. I will encourage the client or sponsor to make a change if I believe the client or sponsor would be better served by another coach or by another resource. Confidentiality/privacy Maintain the strictest levels of confidentiality with all client and sponsor information unless release is required by law, specifically adhering to all applicable state and federal regulations. Have a clear agreement about how coaching information will be exchanged among coach, client and sponsor, including mobile health/electronic health data collected by the client. Have a clear agreement about the conditions under which confidentiality may not be maintained (e.g., illegal activity, pursuant to valid court order or subpoena; imminent or likely risk of danger to self or to others; etc.) and make sure all knowingly agree in writing to that limit of confidentiality. Where I reasonably believe that because one of the above circumstances is applicable, I may need to inform appropriate authorities. Require all those who work with me in support of my clients to adhere to the NBHWC Code of Ethics. Professional development Commit to the need for continued and ongoing development of my professional skills. Pledge of ethics As a Health and Wellness coach, I acknowledge and agree to honor my ethical and legal obligations to my coaching clients and sponsors, colleagues, and to the public at large. I pledge to comply with the NBHWC Code of Ethics and to practice these standards with those whom I coach, teach, mentor or supervise. Scope of practice Health and wellness coaches work with individuals and groups in a client-centered process to facilitate and empower the client to develop and achieve self-determined goals related to health and wellness. Coaches support clients in mobilizing internal strengths and external resources, and in developing self-management strategies for making sustainable, healthy lifestyle, behavior changes. While health and wellness coaches per se do not diagnose conditions, prescribe treatments, or provide psychological therapeutic interventions, they may provide expert guidance in areas in which they hold active, nationally recognized credentials, and may offer resources from nationally recognized authorities such as those referenced in ICHWC’s healthy lifestyle curriculum. As partners and facilitators, health and wellness coaches support their clients in achieving health goals and behavioral change based on their clients’ own goals and consistent with treatment plans as prescribed by individual clients’ professional health care providers. Coaches assist clients to use their insight, personal strengths and resources, goal setting, action steps and accountability toward healthy lifestyle change. [Show Less]
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NBHWC biometrics questions with complete solutions 2023
A1C test level for diabetes diagnosis 6.5% and up Normal A1C test level 5.7% and below A1 C test level for pre-diabetes 5.7% to 6.4% ... [Show More] Fasting blood sugar test for diabetes diagnosis 126 MG/DL Fasting blood sugar level for pre-diabetes 100 to 125 MG/DL Normal fasting blood sugar level 99 MG/DL or below Glucose tolerance test level for diabetes diagnosis 200 MG/DL or above Glucose tolerance test level for pre-diabetes 140 to 199 MG/DL Glucose tolerance test normal level 140 MG/DL or below Random blood sugar test level for diabetes diagnosis 200 MG/DL or above [Show Less]
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NBHWC Section 1: Coaching Structure questions and answers 2023
Four phases of a coaching program Prospect Start-up Ongoing sessions Program close/wrap up Coach preparation prior to the session reviews... [Show More] materials eliminates distractions takes time to become mindful and present Competencies associated with session preparation Coach is calm, present, and emotionally available Review available client materials Logistics (meeting location, conference call arrangements, etc.) The coach's aims for the initial session, or intake session describe the coaching process review information and assessments provided by the client determine if the client is an appropriate candidate for coaching Roles and expectations of coaching the coach will not diagnose or prescribe, nor give unsolicited advice the client will self-determine his/her vision, goals, and action steps; and the client will be actively engaged in trying new behaviors as planned with the coach Coaching principles: coach I will help my client identify and fully engage his or her strengths on the path to a better future I will ask provocative questions and encourage my client to arrive at his or her own answers whenever possible and co-create answers otherwise I will encourage realistic expectations and goals I will be direct and firm with constructive reflections when needed I will support my client in brainstorming creative possibilities for moving forward and navigating roadblocks When appropriate, with permission, and within my scope of practice, I will offer advice, instruction, and resources for improving health, well-being, and performance I will be punctual and responsive I will recognize early whether the chemistry with a client is good or not optimal. If not optimal, I will refer to another coach I will acknowledge when my client has an issue that is outside of my scope of knowledge and skill and recommend other resources I will send a summary of each coaching session, including vision and plan for client editing (or ask the client to do so) [Show Less]
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NBHWC Section 3: General Health and Wellness and Chronic Diseases 2023 verified
Center for Disease Control and Prevention (CDC) A federal agency that conducts and supports health promotion, prevention and preparedness activities in th... [Show More] e United States with the goal of improving overall public health. (Evidence-based website) Healthy People 2020 A set of disease prevention and health promotion objectives for Americans to meet during the second decade of the new millennium. (Sponsored by the ODPHP Office of Disease Prevention and Health Promotion) Overarching Goals of Healthy People 2020 Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health of all groups. Create social and physical environments that promote good health for all. Promote quality of life, healthy development, and healthy behaviors across all life stages. Complementary and Related Domains of HRQOL Concept Self-rated physical and mental health Overall well-being Participation in society PROMIS (Patient-Reported Outcomes Measurement Information System) An NIH Roadmap initiative designed to develop an electronic system to collect self-reported HRQOL data from diverse populations of individuals with a variety of chronic diseases and demographic characteristic American College of Lifestyle Medicine The medical professional society providing quality education and certification to those dedicated to clinical and worksite practice of Lifestyle Medicine as the foundation of a transformed and sustainable health care system. (A great provider of peer-reviewed resources) HRQOL (health related quality of life) A multi-dimensional concept that includes domains related to physical, mental, emotional, and social functioning. It goes beyond direct measures of population health, life expectancy, and causes of death, and focuses on the impact health status has on quality of life Well-being A relative state where one maximizes his or her physical, mental, and social functioning in the context of supportive environments to live a full, satisfying, and productive life. Aspects include: Physical Economic Social Development and activity Emotional Psychological Life satisfaction Domain specific satisfaction Engaging activities and work Dr. John Travis Created the first Wellness Assessment, redefined a new vision of wellness which focused on inspiring people to be well versus treating illness. Illness-Wellness Continuum A model that illustrates the full range of health between the extremes of illness and wellness High-level Wellness Model This concept involves giving good care to your physical self, using your mind constructively, expressing your emotions effectively, being creatively involved with those around you, and being concerned about your physical, psychological and spiritual environments. Iceberg Model A model where your current state of health, be it one of disease or vitality, is the apparent (visible) portion. The three levels below the surface are: lifestyle/behavioral psychological/motivational spiritual/being/meaning Wellness Energy System This system illustrates how you manage your energy has an impact on how you manage your health. Wellness Energy System Inputs Breathing Eating Sensing Wellness Energy System Outputs Self-Responsibility and Love Moving Feeling Thinking Playing and Working Communicating Intimacy Finding Meaning Transcending [Show Less]
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NBHWC Exam questions with complete solutions 2023 updated
Well-being is associated with: 1) Self-perceived health 2) Longevity 3) Healthy behaviors 4) Mental & physical illness 5) Social connectedness 6) Pro... [Show More] ductivity 7) Factors in physical & social environment Well-being survey: National Health and Nutrition Examination Survey (NHANES) --> questions/questionnaires General Well-Being Schedule (1971-1975). Well-being survey: National Health Interview Survey (NHIS) --> questions/questionnaires 1) Quality of Well-being Scale. 2) Global life satisfaction. 3) Satisfaction with emotional and social support. 4) Feeling happy in the past 30 days. Well-being survey: Behavioral Risk Factor Surveillance System (BRFSS) --> questions/questionnaires 1) Global life satisfaction. 2) Satisfaction with emotional and social support. Well-being survey: Porter Novelli Healthstyles Survey --> questions/questionnaires 1) Satisfaction with Life Scale. 2) Meaning in life. 3) Autonomy, competence, and relatedness. 4) Overall and domain specific life satisfaction. 5) Overall happiness. 6) Positive and Negative Affect Scale. Dr. John Travis' New Vision Dr. Travis decided that rather than treating sick people, he would dedicate his life to inspiring people to be well. Dr. Travis Key Concept #1 Illness-Wellness Continuum: Wellness is a process, never a static state. Dr. Travis Key Concept #2 Iceberg Model Iceberg Model Illness and Health are only the tip of the iceberg. To understand their causes, you must look below the surface. Dr. Travis Key Concept #3 Wellness Energy System: We are all energy transformers, connected with the whole universe. All our life processes, including illness, depends on how we manage energy. The efficient flow of energy is essential to wellness. Wellness Energy System How you manage your energy has an impact on how you manage your health Energy Inputs Three major sources for energy input around are around us all the time. These are.. 1) Oxygen (breathing) 2) Food (eating) 3) Sensory Stimulation (sensing) such as physical touch, heat, light, sound, and other forms of electromagnetic radiation. Energy Outputs You are the channel or the transformer of energy sources. Internal Output We use part of the energy we take in to maintain the channel, to build and repair the body itself and much of it occurs during our all-important sleep periods. External Output The outside world will also be affected by the ways you transform energy. You radiate heat and eliminate waste products in the form of urine, perspiration, carbon dioxide, and the shedding of dead skin. The rest of us will be affected by your touching, your physical work, and play, your laughter, and sadness. We will learn about you, and ourselves, through communication, the sharing of intellectual pursuits, and the expression of creativity. Life Processes of Energy Output 1) Self-Responsibility and Love 2) Moving 3) Feeling 4) Thinking 5) Playing and Working 6) Communicating 7) Intimacy 8) Finding Meaning 9) Transcending Blood Pressure 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. Your blood pressure normally rises and falls throughout the day. Systolic Blood Pressure (top #) Measures the pressure in your arteries when your heart beats. Diastolic Blood Pressure (bottom #) Measures the pressure in your arteries when your heart rests between beats. Normal Blood Pressure Less than 120/80 mmHg Hypertension High blood pressure. 140+/90+ mm Hg or higher. You treat a greater risk of having heart attack, heart disease, or stroke. OR 130+/80+ mm Hg. At Risk - Prehypertension 120-139/80-89 mm HG Elevated BP range 120-129/less than 80 mm HG Causes of High BP - Unhealthy lifestyle choices - Not exercising regular - Diabetes - Obesity - Can happen during pregnancy What does high bp do? Can damage your organs like your heart, brain, kidneys, and eyes. It can cause a stroke. Heart Attack Happens with eh blood supply to your heart is blocked and heart muscle begins to die witht enough oxygen. Heart Failure Your heart can't ump enough blood and oxygen to your other organs. Manage/Prevent High BP - Get @ least 150 min/ physical activity each week - Don't smoke - Eat a healthy diet, limiting salt and alcohol - Keep a healthy weight - Manage stress 6/10 people with diabetes have... High blood pressure Cause of High BP - Genetics - Bad lifestyle behaviors (unhealthy eating habits - too much sodium, and not enough potassium, inactivity, obesity, smoking, alcohol - women = no more than one drink/day, men = no more than two drinks/day...) - Age (likelihood increases with age). - Sex (equal likelihood) - Race/Ethnicity (black people develop it more often than other races) Diabetes A chronic condition that affects how your body turns food into energy. Most of the food you eat is broken down into sugar (also called glucose) and released into your bloodstream. When your blood sugar goes up, it signals your pancreas to release insulin. Insulin acts like a key to let the blood sugar into your body's cells for use as energy. If you have diabetes, your body either doesn't make enough insulin or can't use the insulin it makes as well as it should. [Show Less]
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NBHWC questions and answers rated A+ 2023
Preparing for a coaching session (3) 1. Prepare 2. Get Present 3. Get curious Qualities of an authentic + nurturing coaching relationship 1. Co-... [Show More] constructed 2. Encouraging, compassionate, caring 3. Authentic inquiry + reflections How to develop an authentic + nurturing coaching relationship 1. Communicating genuine confidence in client's success 2. Keeping the focus on what the client wants (vs. what they do not want--approach motivation vs avoidance motivation) 3. Listening for the client's needs 4. Telling the truth, using courage + kindness 5. listening to your intuition unconditional positive regard being completely accepting towards another person, without reservations -Carl Rogers (meeting them where they are) Coaching program guidelines Phase 1: Prospect stage (welcome, intro coaching, payment + fees) Phase 2: Program Startup (COACHING AGREEMENT, expectations, prepare, explore assessments, 3 mo goals, vision, action plan) Phase 3: Ongoing coaching program Phase 4: Coaching Program Close (explore reasons why, reflect + encourage, express gratitude) Establishing trust + rapport Requires: holding unconditional positive regard, showing empathy, being a humble role model, slowing down, under-promise + over-deliver, allow client to find answers, maintain confidentiality, be authentic Flow of Initial Coaching Session 1. Welcome and thank you. 2. Thank client for completing assessment. 3. Introduce yourself. 4. Review Session Agenda and get agreement 5. Explain coaching 6. Talk through confidentiality 7. Record keeping 8. Establish Coaching Contract The Coach Model is to.... Inspire and Advocate Design Thinking Coach honors the principles of design that rely on: empathy, optimism, Collaboration, Experimentalism Time Management in the 1st coaching session 1/3 of the foundation session should be devoted to addressing each of the topics *order can be adapted to your preference* Wheel of life the intent is to gain awareness and to eventually move into the direction of a more balanced wheel instead of a jagged one Awareness Coaching (TMSA) Thanks Motivation Successes + Strength Assessment Wellness Vision Beginning of the coaching process; what they want it to look like (Write it, visualize it, or speak it) *complete in the present tense using I AM statements* Identifying the Gap Decisional Balance! Where are they vs where do they want to be. What are the costs of changing + what are the benefits of changing Time Management of a 30 min session Session Opening - 7% (2 minutes) Weekly Goal Review - 20% (6 minutes) 3 Month Goal Review - 7% (2 minutes) Generative Moment - 40% (12 minutes) Goal Setting - 20% (6 minutes) Session Close - 6% (2 minutes) Mindful Listening Noted as the most important of all coaching skills Weekly Goal Review -Start with the positive! -Address challenges and stay away from judgement -Be the Ally not the Adversary1 -Identify strengths! -Affirm, affirm, affirm -Identify their % of success --Work with clients to set goals at least 60% of the time. If goal achievement is consistently less than 60%, the goal may be too ambitious. If goal achievement is consistently greater than 80%, the goal may not be sufficiently ambitious.1 3 Month Goal Review -Monthly -Validate the relevance and make sure the weekly goals are in line with the larger vision of where they are going. -What was the best learning/growth experience? -What is the level of commitment? -AFFIRM the clients strengths, abilities or growth. Generative Moment -Moments when clients are aroused along the path of change and growth. -These moments revel underlying needs and can be recognized by the "strength of their emotional charge".1 -These moments are often described as an "intuitive dance". -Ask permission to explore! -Uncover the heart of the matter -Brainstorm Options -Motivational Interviewing (MI) to work with any ambivalence [Show Less]
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NBHWC Exam Prep (from slack channel) fully solved 2023
A 48 year-old, female client is on her fifth coaching session and has made some progress toward her goal to eat a serving of fruit and a serving of vegetab... [Show More] les every day at work for lunch. She indicated that she does struggle the most whenever her co-workers go out to lunch because she either has to decline or when she goes with them she ends up not meeting her goal for that day. During the coaching session, a coach would most likely focus on: A. Building the client's willpower B. Listing the reasons why the client should not eat out C. Exploring the benefits of eating alone D. Exploring what the client feels is most important in this situation D. Exploring what the client feels is most important in this situation When coaches ask about the pros and cons of making a change and the pros and cons of not making a change they are engaging in what coaching activity? A. Growth mindset B. Active listening C. Empathy D. Decisional Balance D. Decisional Balance A client is on their 5th session and has set the goal to get better sleep in general most days of the week. Client: I slept horrible all week. Coach: Tell me about it.Client: I am very stressed at work and anyone with my stress wouldn't sleep well. Coach: Stress is the primary reason you didn't sleep well this week. Client: Yep. And anyone else that had the week I had would have done the same things. Coach: There was one behavior you zeroed in on last week which was no social media before bed to help with that too. How did that go? Client: There is no way I had any other choice. When work is this stressful using social media at night helps relax me. Discord may appear during a coaching session. Which of the following best categorizes the type of discord the client may be exhibiting? A. Defending B. Interrupting C. Disengagement D. Questioning A. Defending Your client is going to be assessed for obesity at his next visit. The ______ measurement is best for assessing visceral fat. A. Abdominal skinfold B. BMI C. Waist circumference D. Hip circumference C. Waist circumference A 38-year-old woman comes to her fifth session. She is working with her coach to reduce the overall stress in her life. The coach and client get into a lengthy exploration of how the client starts her day. During this conversation the coach becomes aware that she is thinking about what to say next while the client is talking. The coach makes a quick note to practice more _____________? A. Sympathy B. Open-ended questions C. Amplified reflections D. Mindful listening E. Empathy D. Mindful listening A client has requested that what she is about to talk to you about not be put in her record, your electronic coaching notes, or even written down. Which response is most appropriate? A. "Your confidentiality is important to me and I will not put anything in your record, in my electronic notes, or write anything down." B. "I am required by HIPAA to keep a record of everything." C. "I am happy to honor your confidentiality but if it is anything do with a health-endangering behavior or something illegal for example I will not be able to keep that private." D. "Everything you say to me is 100% confidential." C. "I am happy to honor your confidentiality but if it is anything do with a health-endangering behavior or something illegal for example I will not be able to keep that private." A 42-year old man comes to his coach for their 3rd session. The man decided to try coaching to get some help with trying to quit smoking cigarettes. Client: Whenever I try to quit I get really hard to live with. I'm not very nice. Coach: You really get irritable when you're withdrawing from nicotine. Client: Yeah. I know there's that gum that can ease ya down but I am thinking just doing to cold turkey and get it all over with. Coach: That's what fits you best. How could you do that? Client: I definitely need a plan for those early days. I think I'd need to be away form people for a couple of weeks in the wilderness (laughs). Coach: So you don't irritate other people.Client: For my protections actually. I still want to be married and have friends when this is all over. Coach: So overall you are not sure about getting through the really rough withdrawal part, you are worried that quitting cold turkey could affect relationships in your life, and what you will do during the early days of quitting. The last statement by the coach is an example of what coaching skill? A. Appreciative inquiry B. Summary reflection C. Affirmations D. Increasing self-efficacy B. Summary reflection A coach noticed an advertisement in her local paper for another NBC-HWC certified health coach's services. The advertisement indicates that if people buy a 60-day supply of supplements the coach will give them 3 free coaching sessions. In addition, the advertisement indicates most people lose 30 pounds in 60 days. Which of the following is the reason why this advertisement violates NBC-HWC Code of Ethics? A. Coaching sessions are contingent upon purchase of supplements B. It's impossible to lose 30 pounds in 60 days C. The coach placed an advertisement in a paper D. None of the above A. Coaching sessions are contingent upon purchase of supplements A 29-year-old man comes to his 4th coaching session ready to discuss the progress he has made on getting more sleep overall in the past two weeks. The following conversation ensues: Client: I knocked my first goal out of the park. Coach: What does that feel like; knocking a goal out of the park? Client: It feels incredible! I got 8 hours of sleep each day last week. I slept 4 hours each night and the. Was able to sneak in several power naps throughout the day and since they were power naps they added up to an additional 4 hours. Coach: Do you mean you took several naps the next day after sleep 4 hours the night before and those naps totaled an additional 4 hours. Client: Yep! I took a 1.5 hour nap at 10am and then a quick 30 minute power nap at 2pm which counts for double the time since it was a power nap and then another nap at 5pm for about 1.5 hours. Coach: You can't do that. We know from sleep science researchers that it is best if the 8 hours of sleep is continuous for the most part. You need to try to sleep 8 hours in a row. Client: Oh. So it doesn't even count then. Shoot, I totally thought I made my goal. What aspect of the conversation above would NOT be considered the coach approach? A. Asking what meeting the goal felt like B. Not asking permission before giving advice C. Talking 3 times as much as the client D. Asking clarifying questions B. Not asking permission before giving advice Which of the following is NOT a CDC recommendation for proper sleep hygiene? A. Be consistent. Go to bed at the same time each night and get up at the same time each morning, including on the weekends B. Make sure your bedroom is quiet, dark, relaxing, and at a comfortable temperature C. Remove electronic devices, such as TVs, computers, and smart phones, from the bedroom D. Avoid eating or drinking anything before bedtime E. Get some exercise. Being physically active during the day can help you fall asleep more easily at night. D. Avoid eating or drinking anything before bedtime A coach has his NBC-HWC and a degree in psychology. His client describes an ankle injury he recently got running. He says that his ankle is bruised and he can't really run on it anymore and it hurts to even walk, especially down some stairs. Which of the following should the coach recommend next? A. Recommend the client see a medical provider to get it checked out B. Recommend the client use an ACE bandage to help keep it stable C. Recommend the client just walk for the next few days until it feels better and lay off of the running D. Recommend the client rest, ice, compress with a bandage, and elevate his leg for the next week and then try to run again and see how it goes. A. Recommend the client see a medical provider to get it checked out A 45-year-old woman comes to the coach's office for her eighth session. She began coaching after relocating for her job to work on a "fresh start." In her early sessions, the client was positive and made significant progress. After the client was laid off from her job, the coach has noticed that her mood has shifted from upbeat and optimistic to sad an unhappy. Today, her posture is visibly slumped, and her appearance is disheveled. The coach reflects these observations, and the client responds, "Life is too hard right now, and I do not see it getting better." Which of the following is the most appropriate next step by the coach? A. Advise the client that her situation is outside of the coach's scope of practice and offer to connect her with a mental health professional B. Encourage the client to explore her network and to reach out to her support system C. Redirect the conversation to a positive topic and persuade the client to focus on future opportunities D. Reflect on the client's past successes and explore her personal strengths A. Advise the client that her situation is outside of the coach's scope of practice and offer to connect her with a mental health professional [Show Less]
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NBHWC Practice Questions with complete solutions 2023
A 40-year-old man speaks with the coach on the phone as part of a lifestyle management program to decrease his stress. During today's session, the client s... [Show More] ets a goal of practicing relaxation exercises that consist of deep breathing, light stretching, and visualization for at least 15 minutes daily. Based on his goal, the coach asks the client to rate his confidence. A 10-point scale is used, in which 0 is "not confident" and 10 is "extremely confident." The client says "6." Which of the following is the most appropriate response from the coach? A. "Are you sure you can achieve that goal?" B. "What are you going to do to increase your confidence from a 6 to a 10?" C. "How come you rated yourself a 6 and not an 8?" D. "Why did you rate your confidence a 6 and not a 4?" Answer: D Focus: Scaling ruler. They are testing your knowledge of using one, and how to evoke change talk. Distractor: Age, gender, details on relaxation exercises. NOTE: It is important to practice the style of test questions and how they are created. What are the true questions and what is extra information not critical to the answer. You want to focus on specifics of the question and not extra information that is irrelevant. In preparing to set up your business you must mandatorily have key information in your coaching agreement. Which of the following is mandatory to include? A. Area of Specialty B. Training programs you completed C. Guarantee of client outcomes D. Client testimonials with approved consent E. Client and coach responsibilities Answer: E Focus: Coaching Agreement Key Word: Mandatory Distractor: A & B: A coaching agreement may include the coach's areas of specialty or training programs they completed, but these are not required. Distractor: C: A coaching agreement would not include guarantee of client outcomes. A 55-year-old man comes to the coach's office for his 18th weekly session. He has improved his sleep hygiene and stated he has decreased his level of daily stress. He now wants to lose weight. A part of their session conversation is below: Client: I have struggled with being overweight since childhood and have suffered verbal judgment from peers. Coach: That must be very upsetting and disheartening. What skill is the coach most likely demonstrating? A. Pausing B. Bottom-lining C. Patience D. Summarizing E. Empathizing Answer: E Type of question: Case Study Question. Focus: Coaching Skill Distractors: Pausing, summarizing are distractors and not the skill being demonstrated. Distractor: Patience "could" be an answer. Distractor: Age, gender and session # are not relevant to the specific question. NOTE: Many questions will be related to client sharing and Coach response, as a large percentage of the test is on the coaching process, as stated on NBHWC.org exam prep. A 60-year-old woman meets with her male coach at the clinic for her first session. The client says, "My provider sent me for health coaching for my diabetes because my blood sugar level is up, but I really believe everything is okay. I do not have any diabetes in my family and I feel awesome!" This client is in which stage of change? A. Maintenance B. Denial C. Preparation D. Action E. Precontemplation Answer: E Focus: Testing you on stages of change. Focus: Key is focusing on what the client said. Distractor: Gender and age were not relevant. Session number did not influence answer. A client comes in for his 10th weekly session and he just had his 50th birthday. His goal is to do exercise for 20 minutes 4 times a week. His wife keeps reminding him to get up off the couch and exercise and it annoys the client. What could the coach answer to reframe the client's perception of his wife?" A. "Your wife sounds as if she is a record player that goes round and round." B. "You wife seems to truly care about your well-being and health. C. "You don't like being annoyed by your wife?" D. "Your plan was to get 80 minutes of exercise in each week." E. "Do you still want to stay with this goal?" Answer: B Focus: What is client's perception and how can that be reframed? The answer will apply to reframing. Distractor: D (nothing to do with reframing) Distractor: A & C (reflections). A 60-year-old man speaks with the coach on the phone for his 5th session. The client has a goal to improve his overall health; he is not satisfied with how his clothes fit due to gaining weight and he is tired and lacks daily motivation. He lost his job five years ago due to the company closing and had to take early retirement. He does not know how to spend his time and does not have any energy to do things. When he was thinking about his past job, he knew he was good at organizing materials, tracking assignments, networking and creative marketing for sales. What is the next best approach to guide the client to move forward? A. Tell client to start participating in activities that he can be around more people and discuss his desire to work again. B. Suggest the client to track times of the day he is tired and when he has energy and see if his food intake is related to fatigue. C. Explore the client's past success in his job and strengths to see how they could relate to his goal. D. Ask the client to journal out his thoughts and feeling about his forced retirement. Answer: C Focus here is: Skill Recognition by coach to highlight strengths. Distractor: A, B & C are all coach led and prescribed. A coach would not do this. Your client came to her session and was confused about information from her Physician. She has just found out she has diabetes and the doctor wants to monitor her A1c. She has no idea what that is and has found herself more anxious at times during the day. She wants to know what A1c means. What is the most appropriate response? A. Tell your client it is not a priority and provide with her deep breathing exercises that she can do to help her remain calm throughout the day. B. It is your average blood sugar level over time. C. It is your average hemoglobin level at the time you get up in the morning. D. It is your average cholesterol level after you eat. Answer: B Type of question: Definition Focus: What is the key question, client wants to know what her A1c is. Distractor: Client is confused and anxious. A Coach is certified to sell nutritional supplements through a well-known company and has disclosed this on the initial session. He fails to share that he is part owner of the company. During the client's 3rd session, she states that her fatigue is increasing and she is not sure what to do. The coach elicits from her that she has tried reducing coffee and getting more sleep. The coach then provides her with a brochure of the supplements that he sells and recommends the top three for reducing fatigue. He then asks her which one she would like to purchase? In accordance with the NBHWC code of ethics, what ethical principle is being violated? A. Consent to purchase B. Scope of Practice C. Confidentiality D. Conflict of Interest E. Licensure Answer: D. Focus: What is the question? It is about the code of ethics. Focus: What is being violated. Distractor: Certified to sell nutritional supplements and disclosure of this. Distractor: Eliciting information, providing her with recommendations and giving her a choice A client stated that his nurse measured his height and weight to determine his level of body fat during his standard physical. He has a history of diabetes in his family and heart disease. They are setting him up for a 6-week wellness plan and want to have accurate information. What screening metric takes into account measurements of height and weight? A. Diabetic screening metric B. Cardiovascular rhythm metric C. Body Mass Index D. Body Circumference Measurement E. Skinfold Measurement Answer: C Type of question: Definition Focus: Screening metric for Body Mass Index Distractor: Diabetic and cardiovascular history. [Show Less]
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NBHWC Practice Test Questions with complete solutions 2023
Practice Question #219: A 39-year old man comes to his coach for their 4th session. The man is working on reducing the amount of sugar that he eats. Cl... [Show More] ient: I get so irritable when I don't have sugar. Coach: Giving up sugar is causing some unpleasant side effects. Client: Yeah, I knew it wasn't going to be a walk in the park and prepared myself for that by letting my family know my plan and trying to take it nice and slow so I don't cause them to move out. Coach: Your skill in really thinking this all through and thinking about how this change will affect your family exemplifies you're commitment. The last statement by the coach is an example of what coaching skill? A: Amplified reflection B. Righting Reflex C. Affirmation D. Open-ended questioning C Practice Question #221: About half way through your coaching agreement with a client, the coach notices that the client is arriving to the coaching calls late and has missed a couple of sessions without notifying you in advance. Which of the following approaches would be BEST to pursue with your client?: a. Explore what's working, revisit client's strengths, and create a plan for improvement b. Explore why coaching isn't working and get feedback on what specific things they don't like c. Share your observations, express empathy, and inquire as to what could make their vision and goals more of a priority d. Confront client, assess readiness for change, and discuss whether coaching is appropriate at this time C Practice Question #223: A client comes to their 5th coaching session and has made progress in improving their sleep but is having trouble with their goal of increasing their physical activity. Client: "I really want to feel better...but it's just too hard. I've got two jobs and I take care of my parents too." Which of the following coach responses is NOT a response that would increase change talk? a. "What makes the protocol feel hard and impossible?" b. "What changes have you made in your life that felt frustrating and impossible and yet you achieved them?" c. "Let's pretend that making this change is possible and that it's not hard. What might work?" d. "What small step might be possible and not feel as hard?" A Practice Question #224: Which of the following is recommended by MyPlate as part of a healthy diet: A. Total carbohydrate consumption should be less than 20g per day B. Total fat consumption should be less than 20% of daily caloric intake C. Eat a vegetarian diet 80% of the time D. Limiting trans and saturated fats D Practice Question #226: An 18-year old woman comes to her fifth coaching session to discuss her continued efforts to lose weight and get healthy. After the session, the coach receives an email from the woman's parents indicating they are paying for the sessions and would like to discuss their daughter's progress so far. What is the best response from the coach? A. I would be happy to set up some time. Please email me back potential times that will work for you. Also, your daughter must be present at this meeting. B. I am not able to discuss anything about my coaching services or any clients without prior written consent from the client. C. I will ask your daughter to give me permission and get back to you. D. I would be happy to set up some time what works for you? B Practice Question #225: A 42-year old man comes to his 5th coaching session eagerly working toward his goal of improving his relationship with his boss. Client: I tried to reason with her three times this week but my boss just didn't get it. She doesn't live in a world with reason and logic. She twice called me out in front of the group and on Friday told me I needed to step up my game AFTER I reached a major sales goal. Coach: A lot happened this week that seems frustrating. What is one thing that happened during the week between you and your boss that was an improvement from last month? The coach is demonstrating the use of what coaching technique? A. Empathy B. Amplified Reflection C. Use of Positive Psychology D. Righting Reflex C Practice Question #222: A 55-year old woman comes to her first coaching session having completed several wellness assessments. The coach asked the client to work on these assessments at the end of their first session for what purpose? A. An assessments help the client see what parts of the wellness wheel she needs to focus on improving B. Assessments help the coach figure out where to begin with this client C.Assessments are a tool coaches use with all clients as part of their scope of practice D. Assessments help the client reflect on her life and discover aspects of her wellbeing E. The coach can refer to these assessments later in their relationship to help move the client forward with her goals D Practice Question #220: Please LIKE the answer when posted to ensure more people see it. At the beginning of each coaching session, before contacting the client, a coach rings a small bell three times. This is an example of an activity to improve what coaching technique? a. Mindfulness b. Perceptive Reflections c. Appreciate Inquiries d. Affirmations A Practice Question #218: What is the main purpose of familiarizing yourself with your client's health risk assessment? A. To offer education and insight into their current health status B. To provide empathy, trust and greater understanding of their present life C. To assist in making goals around any biometric numbers that may need work D. To offer immediate referrals for any high risk behaviors B Practice Question #217: A 32-year old woman comes to her third coaching session to co to use to work on her eating habits. Specifically, the client is concerned about her sugar intake. Client: I plan to quit sugar. I am going to give it up completely for the next 6 months. Coach: Have you thought about taking a more gradual approach. What if you just decreased your sugar intake by a little bit each week? The coach is demonstrating what? A. Empathy B. Appreciative Inquiry C. Simple Reflection D. Righting Reflex D Practice Question #216: In the NBHWC Code of Ethics, there is mention of the "importance of recognizing and honoring the efforts and contribution of others and only claiming ownership of your own material." This component falls under which section of the code of ethics? A. Professional Conduct at Large B. Conflicts of Interest C. Professional Conduct with Clients D. Confidentiality A Practice Question #215: A client came to her first session, from their providers office, with a list of their biometrics. Blood pressure: 118/72mmHg LDL: 175 mg/dl Waist-to-hip ratio: 0.95 Physical activity: yoga, 60-minutes 3x per week and running, 30-minutes 5x per week A1C: 5.0% Which of the following is most concerning as it increases her risk for a heart attack? A. Blood pressure B. Cholesterol C. Waist-to-hip ratio D. Physical activity level E. A1C B Practice Question #214: Which open-ended question would be best if your client is in the stage of contemplation? A. What would have to happen that would signal you that it's time to start thinking about changing? B. What would be some pros and cons of making a change right now? C. What has worked for you in the past? D. Why make this change? B Practice Question #213: A 28-year-old female client is on her fourth coaching session. She has been struggling with stress as she does not get along with her current roommate. Client: I just don't know whether to move out or not. Coach: You should do whatever you think is best. Which of the 12 Thomas Gordon's Roadblocks to Communication did the coach demonstrate? A. Warning B. Shaming C. Telling people what to do D. Interpreting C Practice Question #212: A 35-year-old woman is on her fourth coaching session and has been working with a coach to manage her arthritis. She frequently gets flare-ups that set her back for up to a week. Coach: How is your arthritis impacting you today? Client: I have good days and bad days and today is a bad day. Coach: What does a bad day look like? Client: I had a flare up but I was able to repeat what I did last week and do some gently yoga and I felt much better. I know if I did more yoga I would probably feel better most days. The client's response to the coach's question about what does a bad day look like is an example of what? A. Change Talk B. Sustain Talk C. Decisional Balance D. Empathy A Practice Question #211: A 54-year-old man is on his ninth coaching session and has been working with a coach to manage his overall stress. He has made steady progress each week incorporating several stress management techniques such as deep breathing, keeping a consistent morning schedule, and doing more enjoyable things on the weekend such as reading. During his ninth session, he indicates he is having trouble concentrating and doesn't feel like eating much. When you ask how his reading on the weekends is going to help manage his stress he indicates that reading is not that fun for him anymore. Which of the following is the appropriate next step for the coach? a. Help the client explore other options for incorporating enjoyable things on the weekend. b. Refer the client to a mental health professional c. Explore reasons why he may be having trouble concentrating d. Reframe the situation and note all the amazing progress he has made. e. Affirm the client's strengths B Practice Question #210: Which of the following is NOT a CDC recommendation for proper sleep hygiene? A. Be consistent. Go to bed at the same time each night and get up at the same time each morning, including on the weekends B. Make sure your bedroom is quiet, dark, relaxing, and at a comfortable temperature C. Remove electronic devices, such as TVs, computers, and smart phones, from the bedroom D. Avoid eating or drinking anything before bedtime E. Get some exercise. Being physically active during the day can help you fall asleep more easily at night. D Practice Question #209: A 29-year-old man comes to his 4th coaching session ready to discuss the progress he has made on getting more sleep overall in the past two weeks. The following conversation ensues: Client: I knocked my first goal out of the park. Coach: What does that feel like; knocking a goal out of the park? Client: It feels incredible! I got 8 hours of sleep each day last week. I slept 4 hours each night and the. Was able to sneak in several power naps throughout the day and since they were power naps they added up to an additional 4 hours. Coach: Do you mean you took several naps the next day after sleep 4 hours the night before and those naps totaled an additional 4 hours. Client: Yep! I took a 1.5 hour nap at 10am and then a quick 30 minute power nap at 2pm which counts for double the time since it was a power nap and then another nap at 5pm for about 1.5 hours. Coach: You can't do that. We know from sleep science researchers that it is best if the 8 hours of sleep is continuous for the most part. You need to try to sleep 8 hours in a row. Client: Oh. So it doesn't even count then. Shoot, I totally thought I made my goal. What aspect of the conversation above would NOT be considered the coach approach? A. Asking what meeting the goal felt like B. Not asking permission before giving advice C. Talking 3 times as much as the client D. Asking clarifying questions B Practice Question #208: A coach noticed an advertisement in her local paper for another NBC-HWC certified health coach's services. The advertisement indicates that if people buy a 60-day supply of supplements the coach will give them 3 free coaching sessions. In addition, the advertisement indicates most people lose 30 pounds in 60 days. Which of the following is the reason why this advertisement violates NBC-HWC Code of Ethics? A. Coaching sessions are contingent upon purchase of supplements B. It's impossible to lose 30 pounds in 60 days C. The coach placed an advertisement in a paper D. None of the above A Practice Question #207: A 42-year old man comes to his coach for their 3rd session. The man decided to try coaching to get some help with trying to quit smoking cigarettes. Client: Whenever I try to quit I get really hard to live with. I'm not very nice. Coach: You really get irritable when you're withdrawing from nicotine. Client: Yeah. I know there's that gum that can ease ya down but I am thinking just doing to cold turkey and get it all over with. Coach: That's what fits you best. How could you do that? Client: I definitely need a plan for those early days. I think I'd need to be away form people for a couple of weeks in the wilderness (laughs).Coach: So you don't irritate other people. Client: For my protections actually. I still want to be married and have friends when this is all over. Coach: So overall you are not sure about getting through the really rough withdrawal part, you are worried that quitting cold turkey could affect relationships in your life, and what you will do during the early days of quitting. The last statement by the coach is an example of what coaching skill? A. Appreciative inquiry B. Summary reflection C. Affirmations D. Increasing self-efficacy B Practice Question #206: A 38-year-old woman comes to her fifth session. She is working with her coach to reduce the overall stress in her life. The coach and client get into a lengthy exploration of how the client starts her day. During this conversation the coach becomes aware that she is thinking about what to say next while the client is talking. The coach makes a quick note to practice more _____________? A. Sympathy B. Open-ended questions C. Amplified reflections D. Mindful listening E. Empathy D Practice Question #205: A client is on their 5th session and has set the goal to get better sleep in general most days of the week. Client: I slept horrible all week. Coach: Tell me about it. Client: I am very stressed at work and anyone with my stress wouldn't sleep well. Coach: Stress is the primary reason you didn't sleep well this week. Client: Yep. And anyone else that had the week I had would have done the same things. Coach: There was one behavior you zeroed in on last week which was no social media before bed to help with that too. How did that go? Client: There is no way I had any other choice. When work is this stressful using social media at night helps relax me. Discord may appear during a coaching session. Which of the following best categorizes the type of discord the client may be exhibiting? A. Defending B. Interrupting C. Disengagement D. Questioning A Practice Question #204: Your client is going to be assessed for obesity at his next visit. The ______ measurement is best for assessing visceral fat. A. Abdominal skinfold B. BMI C. Waist circumference D. Hip circumference C Practice Question #203: A client comes to you as part of their company's insurance benefit program. They receive a reduction on their premium if they attend five coaching sessions. The client was referred to the program because their health risk assessment indicated they are a current cigarette smoker. Your client is very clear they have no interest in quitting at this time. Which open-ended question would be best given the clients lack of interest in quitting? A. Tell me about the last time you tried to quit and what didn't work for you? B. What would be some positive aspects of changing right now? C. What does your life look like as a non-smoker? D. What are some positive aspects of not changing right now? E. What would have to happen that would signal you that it's time to start thinking about changing? E Practice Question #202: A coach owns her own business and specializes in coaching around diet, energy levels, and weight loss. She is promoting gut biome supplements that will help her clients lose 20 pounds in four weeks if they take the supplement daily. The coach is most likely violating which of the following guidelines: A. NBC-HWC Code of Ethics B. HIPAA Laws C. USDA Nutritional Guidelines D. Confidentiality/Privacy A [Show Less]
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