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
... [Show More] vegetables 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
A 28-year-old woman speaks with the coach on the phone for her third session. The client has a goal to improve her health and appearance; she is not satisfied with her appearance due to weight gain. She went through a difficult divorce five years ago which has left her feeling resentful and cautious about relationships. She also "generally feels run down" because of work. Prior to this session she took a strength assessment. Her top five strengths were fairness, creativity, integrity, humility, and prudence. Her five lowest categories were perseverance, zest, bravery, capacity to love and gratitude. Which of the following is the most appropriate approach for this client?
A. Encourage the client to engage in more social interactions
B. Encourage the client to use a gratitude journal
C. Establish a schedule to set aside regular time for deep breathing exercises
D. Explore the client's strengths to find creative ways to meet her goals
E. Suggest the client work on improving one of her lowest categories
D. Explore the client's strengths to find creative ways to meet her goals
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. Re-frame the situation and note all the amazing progress he has made.
E. Affirm the client's strengths
B. Refer the client to a mental health professional
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 32-year-old woman comes to the coach's office for her third session. The client is eager to start losing weight and decreasing her stress level related to her new job, and she wants the coach to provide immediate guidance on how she can accomplish these goals. During the session, the coach gives the client an exercise to help her distinguish between which of her goals are important and which of her goals are urgent. Which of the following best describes the purpose of this exercise?
A. Clarify the next steps the client is willing to take to achieve her goals
B. Define the client's long-term goals that will lead to her desired outcomes
C. Explore the client's willingness to commit to changes in her lifestyle
D. Identify the assumptions that the client has about healthy lifestyle change
E. Increase the client's confidence in reaching her goals
B. Define the client's long-term goals that will lead to her desired outcomes
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. Telling people what to do
If a health coach owns their own business and contracts with a third party to host their clients health information on their server, the coach must ensure that:
A. A signed contract is in place
B. The third party abides by HIPAA Security rules
C. The third party abides by HIPAA Privacy rules
D. All of the above
D. All of the above
In health and wellness coaching, coaches often use motivational rulers to gage where their clients are at. It is recommended that if a client answers that their motivation is a 6, on a scale of 1-10 the next question should explore why their answer was not a 5.
This is recommended since the clients answer is most likely to evoke what?
A. Empathy
B. Sustain Talk
C. Resistance
D. Change Talk
D. Change Talk
A client came to her first session, from their providers office, with a list of their biometrics.
Blood pressure: 118/72mmHgLDL: 175 mg/dl Waist-to-hip ratio: 0.95Physical activity: yoga, 60-minutes 3x per week and running, 30-minutes 5x per weekA1C: 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
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