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#151: Which of the following coaching activity is most important in the first coaching session, after the coaching contract has been signed, with a client? A. Setting SMART goals B. Building rapport and trust C. Determining strengths and weaknesses D. Reviewing their health history B. Building rapport and trust #150: The coach and client meet for their 5th session. Client: I feel so stressed out sometimes I just google vacation at my desk to get away from it all. Coach: Sometimes you are so stressed you need to do things to escape. The coach's response is considered what type of reflection? A. Simple B. One-sided C. Amplified D. Double-sided A. Simple #149: Which of the following is a behavioral goal vs. an outcome goal? A. I will reach an Hba1c level below 7 in two months. B. I will lose 25 pounds by the end of the year. C. I will lay my workout clothes out before I go to bed each night for the next 3 months. D. I will increase my HDL by 5 by next month.
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C. I will lay my workout clothes out before I go to bed each night for the next 3 months. #148: A coach discovers that the client is bisexual through a public post on Facebook before their first session. The coach cancels their session as a result of this new information as they do not want to coach a bisexual. Which of the following most accurately describes the coach's behavior? (Code of Ethics, 2) A. Unlawful discrimination B. Unconscious bias C. Conflict of interest D. HIPAA violation A. Unlawful discrimination #147: A coach and a client meet for their second session. After some rapport building the following conversation ensues. Coach: We covered a lot of ground in our last call. Would you mind sharing with me something that is going really well for you right now? Client: Starting this process has definitely helped me discover this new found energy I have for getting healthier. I already started planning out a small yoga routine I want to do every morning. Based on the above conversation, the client is most likely in what Stage of Change in regard to physical activity? (Prochaska, 17) A. Precontemplation B. Contemplation C. Preparation D. Maintenance C. Preparation #146: Readiness and confidence rulers are often utilized by coaches when they are practicing which coaching technique? (Moore, 80) A. Appreciative inquiry
Coach: Tell me more about what you mean by convenient. Client: There are no fruits that don't make a total mess that I can easily grab and go that I actually like. Bananas have a horrible texture and oranges are so messy. Coach: If that's not working for you, what would you rather do instead? Which of the following coaching techniques is the coach utilizing (Jordan, 114)? A. Self-monitoring B. Visualization C. Evoking dissonance D. Simple reflections A. Self-monitoring #143: The coach and client meet to discuss the wellness assessment the client just completed. After a little rapport building, the coach turns to the assessment. Coach: I noticed that your have a strong family history of heart disease and according to the assessment you also have a lot of risk factors. How do you feel about that? Client: It's definitely scary. It's probably pretty likely I'll have a heart attack just like my Dad did two years ago. Coach: Has your medical provider ever discussed this with you? Client: At my last physical, she brought it up. She told me I need to eat better. Coach: Tell me more about your doctors appointment. How did you feel after you left? In the above conversation, which of the following does NOT exemplify the coach approach when reviewing a health assessment? (Moore, 119) A. Asking about family history of disease B. Having a client think back on a negative experience C. Not asking their opinion about the assessment they took D. Starting the assessment review talking about family history of disease D. Starting the assessment review talking about family history of disease
#142: In session #2, the coach and the client decide to explore the client's vision of his/her optimal health. Coach: Do you want to create a vision for your future health? Client: That sounds good. Coach: O.K. Great! I would like you to close your eyes and sit quietly for a minute. After a minute, I am going to guide you through a visualization activity while you still have your eyes closed. Client: So I keep my eyes closed the whole time? Coach: Yes. And don't say anything out loud just keep focused on what I am saying. Client: O.K. Coach: Are you ready and comfortable? Client: Yes. In the above conversation, which of the following does NOT exemplify the coach approach of honoring the client's autonomy. (Muth, 76) A. Exploring a vision statement during the second session B. Not asking permission to do the visualization activity C. Asking if the client wanted to create a vision D. Allowing the client to ask questions about the activity. B. Not asking permission to do the visualization activity #141: Which of the following is least likely to occur in the first coaching session? (ICHWC study guide and Moore, 126-129) A. Explaining the coaching process B. Establish coaching agreement C. Set at least one SMART goal D. Establish rapport C. Set at least one SMART goal #140: Decisional Balance is a tool coaches may use to explore a client's what?
#137: According to Healthy People 2020 goals, Americans should try to limit their intake of which of the following? A. Added sugar B. Low-fat milk C. Caloric-dense foods D. Olive oils A. Added sugar #136: A coach is a NBC-HWC and is also a registered dietician (RD). The coach is helping a client change his diet to be more healthy. The coach also is analyzing his diet to make sure it includes enough protein and carbs given his frequent participation in weight training. Which of the following is most accurate regarding the coach's scope of practice? A. The coach is operating within their scope of practice. B. The coach is not operating within their scope of practice. C. All NBC-HWC coaches are able to recommend specific grams of protein and carb intake for a variety of clientele with unique situations and conditions. D. None of the above A. The coach is operating within their scope of practice. #135: Stella is a 43 year old woman who came to coaching to help manager her stress and build up her confidence. She indicates during her 5th session she mentions that her colleague told her to apply for a new leadership position in the company. Coach: What do you think about what your colleague suggested. Stella: It's ridiculous to suggest I apply for it. I have a very long history of failure and zero confidence in my leadership. What stage of change as it relates to her applying for a new leadership role in her company? A. Precontemplation B. Contemplation C. Preparation
D. Action A. Precontemplation #134: Which of the following would be most likely to evoke change talk? A. Why do you think you haven't been successful? B. Why not just take the next step? C. What is the best experience you have had with your desired future behavior? D. You are doing a great job! C. What is the best experience you have had with your desired future behavior? #133: Muhammad is a 62 year old male who hired a coach to help him eat better. He is on his 8th coaching session and stated that he felt "defeated that he has not met a single goal set in a month" and was "too embarrassed to even tell his partner". Which of the following most exemplifies the coach approach? A. Let's try the goals for one more week and see how it goes. B. Let's change these goals. They obviously are not working. C. Why do you think you are not succeeding? D. What have you learned from this past month that might help you moving forward? D. What have you learned from this past month that might help you moving forward? #132: Which of the following is correct regarding Prochaska's stages of change model? A. A person always moves from each stage in a linear fashion B. Each stage takes approximately 4 weeks before one can move on C. A person can be in one stage for one health behavior change and a different stage for another health behavior change D. If relaps occurs, a coach should always start coaching at the precontemplation stage again
Client: I want to get my head around carbs, can you tell me if I should eat them? Coach: Carbohydrates are an important part of a healthy diet. There are complex carbohydrates and and simple carbohydrates. It is better to eat more complex carbohydrates that includes fiber. Does that make sense? What else can I tell you about it? Which of the following motivational interviewing technique is the coach demonstrating? A. Developing Discrepancy B. Elicit-Provide-Elicit C. Increasing Change Talk D. Rolling with Resistance B. Elicit-Provide-Elicit #128: At the end of the third coaching session, the coach asks her client "on a scale of 1-10, 1 being absolutely no motivation and 10 being extremely motivated, how motivated are you to accomplish the goal you set". The client answers that she is at a 5. Which of the following responses is most appropriate? A. What makes you a 5 and not a 4? B. What makes you a 5 and not a 6? C. Why is your motivation not higher? D. What can I do to get you to a 6? A. What makes you a 5 and not a 4? #127: A client came to her fifth coaching session very upset. She stated: "I am so freaking mad at my boss. He wants me to work 10 hour days just because he does. I'll never be able to get up early and meal prep." The coach responds: "You could meal prep at night." The coach is engaging in what strategy? A. Mindfulness B. Problem solving C. Unconditional positive regard
D. Educating B. Problem solving problem solving when the coach provided the client with the answer instead of letting them figure it out for themselves #127: A client is reviewing his goals from last week with his coach. He states that he didn't accomplish a single goal because his wife nagged him every day to do chores around the house so he couldn't get anything else done. The coach aks him "how come you didn't just talk to your wife about how important your goals are to you"? The coach response is mostly to evoke what in the client? A. Pity B. Motivation C. Re-focus on goals D. Resistance D. Resistance #126: In expressing empathy within Nonviolent Communication, it is important to express feelings, not thoughts. Doing so staves off the tendency to judge, exaggerate, criticize, etc. Which of the following is an example of expressing a feeling? A. I feel like a failure. B. I feel it is useless. C. I feel that my boss in controlling. D. I feel frustrated. D. I feel frustrated.
A. Sympathy B. Mindful listening C. Rapport D. Creativity C. Rapport #120: A client came to her 3rd session telling her coach she is ready to set some goals to "deal with her sweet tooth". Coach: Where would you like to start? Client: Well I don't think that my eating habits are really that big of a problem. I think in that area of my life I am doing just fine even though I don't like to cook and do love my sweets. I eat whatever I want and it's all good-I haven't had any problems. The client's response is an example of which of the following? A. Sustain talk B. Change talk C. Ambivalence D. Reframing A. Sustain talk #119: A client came to her 5th session describing how completely fed up she is with her life. She describes being stressed, overwhelmed, and completely exhausted. The coach responds stating "in my last year of college I felt this same way; I totally get what you are saying". The coach's response would be best described as an example of what? A. Unconditional positive regard B. Rolling with resistance C. Sympathy D. Role modeling C. Sympathy
#118: F.A.S.T. is the acronym for recognizing signs and symptoms of what? a. Heart attack b. Stroke c. Concussion d. Diabetic shock b. Stroke #117: Lucia is a 62 year-old Latina woman who has a BMI of 24. She has a sister with Type II diabetes and was diagnosed with prediabetes. Which of the choices below is NOT a risk factor for Lucia for getting Type 2 Diabetes? A. Age B. BMI C. Ethnicity D. Sister with Type II Diabetes B. BMI #116: Your client Stuart is a 42 year old male that came to wellness coaching to help reduce his stress. It is his second session and the coach notices that Stuart has a waist circumference of 38 inches. according to his last healthcare visit paperwork. Which classification of risk for heart attack or stroke is Stuart in? a. Low risk b. Intermediate risk c. High risk d. Very high risk b. Intermediate risk #115: Brainstorming is a key skill in wellness coaching.
#112: A 38 - year old woman speaks with the coach on the phone for her second session. The client has a goal to improve her sleep habits to reduce her overall stress level. Prior to this session, she took a strengths assessment. Her top five strengths were fairness, creativity, integrity, humility, and humor. Her five lowest categories were perseverance, hope, bravery, leadership, and gratitude. Which of the following is the most appropriate approach for this client? A. Encourage the client to engage in a gratitude practice B. Encourage the client to explore watching funny videos to reduce her stress C. Explore the client's strengths to find creative ways to meet her goals D. Suggest the client work on improving one of her lowest categories C. Explore the client's strengths to find creative ways to meet her goals #111: What is the MyPlate recommendation for fruit intake for a woman age 31 - 50: A. 1/2 cup B. 1 cup C. 1 1/2 cups D. 2 cups C. 1 1/2 cups #263: A 59 year old man came to his fifth coaching session with his chronic pain coach. The coach asks his pain level on a scale of 1-10 to assess his current pain level. The client indicates his pain is higher than normal so they both agree to work through a process where the coach guides the client to focus on the warmth he feels in different parts of his body and then focus on relaxing that part of the body. This relaxation technique the coach is using is an example of which of the following techniques? A. Guides imagery
B. Bio-feedback assisted relaxation C. Progressive relaxation D. Autogenic training D. Autogenic training #262: A coach was invited to give a presentation to a group of medical providers. The coach is an NBC- HWC and has a bachelor of science degree in health science. When asked what services the coach provides the coach responded that they are able to help patients change their behaviors through motivational interviewing, improve nutrition by focusing on macronutrient prescription, and improve fitness through high-intensity interval training prescription. Which of the following did the coach violate? A. HIPAA B. Code of Ethics C. Job Task Analyses D. Conflict of Interest B. Code of Ethics #261: A client comes in for their 4th coaching session. The client is exploring cooking more rather than eating out to try and reach her goal of eating healthier. She also comments it would save her money but she really doesn't know how to cook either. The client is struggling with ambivalence around this issue. Which open-ended question would be best for a client in this position? 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. What would be some pros and cons of making a change right now?
#257: A 60 - year old woman comes to her fifth coaching session. She has been working with a coach to improve managing her stress. Coach: On a scale of 1 - 10, 1 being no confidence and 10 being 100% confident, where would you say your level of confidence is at in regards to your goal of going to bed at 9 every night? Client: I would say 6. Which of the of the following questions would be the best coach response? A. What might you do to increase that number? B. What strengths will you use to reach this goal? C. What made you chose a 6 and not a 5? D. What will it take to get you to a 7? C. What made you chose a 6 and not a 5? #256: A 52 year-old man is on his fifth coaching session and has been working with a coach to manage his chronic pain. He has good days and bad days but recently he has noticed his number of bad days has increased. This is motivating him to explore alternative options for managing his pain addition to all the other things he's been doing. Coach: How is your chronic pain impacting you in this moment? Client: It's a really bad day. Coach: Would you describe for me what a really bad day is like for you? Client: A bad day is realizing I will never not be in pain. It's accepting that the pain will likely increase as I get older and there's not a lot I can do about it. It is what it is. A bad day. The client's response to the coach's question about what a really bad day is like for the client is an example of what? A. Change Talk B. Sustain Talk C. Discord D. Sympathy B. Sustain Talk
#255: A 45 - year old woman comes to her first coaching session to discuss her desire to gain more energy and be less stressed overall. She wasn't aware that her coach Sam was a man. She looks upset and states that "No man can possibly understand what women go through. I am going to need a female coach." Coach: You're looking for some help but you're not really sure if I'm the right person to provide it? The coaches response is an example of what coaching skill? A. Amplified reflection B. Appreciative inquiry C. Double-sided reflection D. Sympathy C. Double-sided reflection double sided reflection Reflections that capture both sides of a dilemma that is fostering ambivalence #254: A female client, age 46, comes to her 7th session frazzled and unsettles. "Things have been very busy today." The coach asks the client if she wants to do a quick relaxation technique before they get started. The client agrees. The coach takes the client through a body scan where they focus on the where there is heaviness one the body. What relaxation technique is the coach using? A. Biofeedback B. Autogenic Training C. Guided Imagery D. Self-Hypnosis B. Autogenic Training
