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NBHWC PRACTICE LATEST QUESTIONS
WITH ACCURATE ANSWERS FOR
GUARANTEED PASS
question-Adults who have what have a higher risk of death from heart disease? - answer- Diabetes question-5 D's of Appreciative Inquiry - answer-Define Discover Dream Design Destiny question-6 diseases/conditions associated with chronic inflammation - answer-CAD, diabetes, obesity, arthritis, cancer, alzheimer's question-Social-Cognitive Theory: human behavior is determined by 3 factors - answer-personal, environmental, behavioral question-Self-Determination Theory: 3 primary psychological needs - answer-Autonomy, competence, relatedness Locke + Latham Theory: why goals lead to behavior change - answer-DEPAD Directive, Energizing, Persistence, Arousal + Discovery question-3 Key Risk factors for heart disease - answer-high BP, high cholesterol, smoking (half of all Americans have at least one) question-What is the "silent killer?" - answer-high blood pressure (hypertension)
question-Smoking can cause what almost anywhere in the body? - answer-cancer question-Smokers are 12-13x more likely to die of what disease than non-smokers? - answer- COPD question-In the US, 7 of 10 smokers want to what? - answer-quit question-Americans are addicted to what more than any other drug? - answer-nicotine question-People with metabolic syndrome often also have what? (2) - answer-blood clotting and low grade inflammation question-3 key risk factors for heart disease - answer-smoking, high cholesterol, high BP question-What is the most common form of arthritis and how many people suffer? - answer- osteoarthritis, over 30 million question-heart-healthy changes for people with metabolic syndrome (5) - answer-Heart healthy eating, aim for healthy weight, manage stress, physical activity, quit smoking question-Largest preventable cause of death and disease in the US is what? - answer-Tobacco use
question-3 most common drugs involved in overdose - answer-methadone, hydrocodone, oxycodone question-side effects of opioids include - answer-sleepiness, sweating, constipation question-another class of prescription drugs involved in opioid deaths (ex. xanax) - answer- benzodiazepines question-Primary driver of endocrine stress response - answer-HPA axis question-What can affect how quickly food moves through the body? - answer-Stress question-It is responsible for fight or flight - answer-Sympathetic Nervous System (SNS) question-It facilitates recovery from SNS response - answer-Parasympathetic Nervous System response (PNS) question-Risk for what 2 conditions goes up when waist-to-hip ratio exceeds .95 for men and. for women - answer-heart attack + stroke question-3 important aspects of stress management - answer-sleep, exercise, social support
question-all cause death, hypertension, CAD, stroke, T2D, gallbladder disease, osteoarthritis, sleep apnea, some cancers, low quality of life, mental illness, body pain are consequences of what? - answer-obesity question-Percentage of people unaware they have a substance abuse issue - answer-95% question-3 facets of life impacted by substance abuse - answer-child abuse, teen pregnancy, crime question-2 things that can reduce alcohol consumption - answer-brief counseling, alcohol screening question-Drinking too much can lead to these 3 conditions - answer-heart disease, STDs, breast cancer question-How many controllable risk factors for T1D - answer- 0 question-Pain, stiff all over body, fatigue, depression, anxiety, sleep problems, problems with thinking, memory and concentration - answer-symptoms of fibromyalgia question-pain/aches, stiffness, decreased range of motion, swelling - answer-symptoms of osteoarthritis
question-overweight, obesity, tobacco use - answer-controllable risk factors for osteoarthritis question-family history, genetics, age, women more than men, joint injury/overuse, infections, occupation/repetition, stressful/traumatic events - answer-uncontrollable risk factors for osteoarthritis question-parent/sibling with it, 45yrs+, race (minorities) - answer-uncontrollable risk factors for T2D question-family history, genetics, age, familia hypercholesterolemia, gender (up to 55 women have lower LDL, all ages men have lower HDL) - answer-uncontrollable risk factors for lipid abnormalities question-This condition has no controllable risk factors and only one uncontrollable risk factor which is - answer-fibromyalgia; age question-family history, genetics, women and men about the same, age, black people more that white people and develop this earlier in life - answer-uncontrollable risk factors for hypertension question-parent/sibling with T2D, 45yrs+, race (minorities) - answer-uncontrollable risk factors for prediabetes question-exercise, diet, overweight, gestational diabetes, baby over 9lbs - answer-controllable risk factors for prediabetes
question-Sudden numbness/weakness in face, arm, or leg (one side); sudden confusion, difficulty speaking, understanding speech; sudden trouble seeing in one or both eyes; sudden trouble walking, dizzy, loss of balance, coordination; sudden severe headache with no known cause - answer-symptoms of a stroke question-chest pain/discomfort; weakness, lightheaded, cold sweat; pain/discomfort in arms/shoulder; shortness of breath; in women nausea - answer-symptoms of a heart attack question-family history, genetics, increased risk with age, #1 killer for african americans, hispanic/latino, american indian, AK natives - answer-uncontrollable risk factors for heart disease question-#1 and #2 killers of asian americans and pacific islanders - answer-1. cancer 2. heart disease question-parent/sibling with this disease, age (child, teen, YA), race (af-am, latino/hispanic) - answer-uncontrollable risk factors for T1D question-frequent urination at night, thirst, weight loss without trying, very hungry, blurry vision, numb/tingling hands or feet, very tired, dry skin, sores heal slowly, more infections than usual, nausea, vomiting, stomach pains - answer-symptoms of T2D question-exercise, diet, obesity, alcohol, tobacco, hypertension, T2D, dyslipidemia - answer- controllable risk factors for heart disease
question-9/10 americans will develop it during their lifetime and compared to whites, blacks develop it earlier in life - answer-high blood pressure question-7th leading cause of death, 30 million people have it and 1 in 4 don't know, #1 cause of kidney failure - answer-diabetes question-84.1 million people have this (more than 1 in 3) and 90% don't know they have it. - answer-prediabetes question-in the US whites are more likely to develop this than african americans - answer-T1D question-tobacco use can cause (3) - answer-heart disease, cancer, stroke question-a condition in which a waxy substance called plaque builds up inside the arteries that supply blood to the heart - answer-ischemic heart disease question-Dysmetabolic syndrome, Hypertriglyceridemic waist, Insulin resistance syndrome, Obesity syndrome, Syndrome X are all other name for what - answer-metabolic syndrome question-BMI and waist circumference are not - answer-diagnostic tools for disease risks question-American Diabetes Association suggests what regarding vegetables? - answer-Fill half your plate with non-starchy vegetables
question-DASH diet sodium and potassium recommendations - answer-2300mg max, 1500mg for quicker/more significant BP-lowering results, 4700mg potassium per day question-What does all of these: Keep your temperature normal; Lubricate and cushion joints; Protect your spinal cord and other sensitive tissues; Get rid of wastes through urination, perspiration, and bowel movements - answer-Water question-Adequate _________ is necessary to Fight off infection, Support the metabolism of sugar to prevent diabetes, Perform well in school Work effectively and safely - answer-sleep question-Insufficient ________ and _______ disorders are associated with: Heart disease, High blood pressure, Obesity, Diabetes, All-cause mortality - answer-sleep, sleep question-Social Learning Theory - answer-Theory that people learn from one another, via observation, imitation, and modeling. Why in coaching we encourage clients to find role models. question-Self-Efficacy Theory - answer-Self-efficacy can be a predictor of whether a person will succeed at making a change. "Whether you think you can, or you think you can't-you're right." - Henry Ford question-3 Ds of Precontemplation - answer-Don't know how, Demoralized, Defensive
question-Key points of relapse and termination - answer-These WILL happen; part of stages and growth. Explore all sides and learn from it; reframe. question-Social determinants for health-related issues include: - answer-socioeconomic status, transportation, housing, access to services, discrimination by social grouping, social or work- related stressors question-5 Key areas/determinants of health - answer-Economic Stability Education Social and Community Context Health and Health Care Neighborhood and Built Environment question-Side effects of prescription opioids - answer-Tolerance, Physical dependence, Increased sensitivity to pain, Constipation Nausea, vomiting, and dry mouth, Sleepiness and dizziness, Confusion, Depression, Low levels of testosterone that can result in lower sex drive, energy, and strength, Itching and sweating question-Common Benzodiazepines - answer-Xanax, Valium, Ativan, also called Lorazepam question-What criteria makes a quality wellness vision? - answer-Grounded (building on current success) Bold (stretching the status quo)
Desired (what people truly want) Palpable (as if they were already true) Participatory (involving many stakeholders) question-3 strategies used in coaching to help strengthen a client's commitment to action - answer- Preparing for a coaching session (3) - answer-1. Prepare
- Get Present
- Get curious question-Qualities of an authentic + nurturing coaching relationship - answer-1. Co-constructed
- Encouraging, compassionate, caring
- Authentic inquiry + reflections question-How to develop an authentic + nurturing coaching relationship - answer-1. Communicating genuine confidence in client's success
- Keeping the focus on what the client wants (vs. what they do not want--approach motivation vs avoidance motivation)
- Listening for the client's needs
- Telling the truth, using courage + kindness
- listening to your intuition question-unconditional positive regard - answer-being completely accepting towards another person, without reservations - Carl Rogers (meeting them where they are)
question-Design Thinking - answer-Coach honors the principles of design that rely on: empathy, optimism, Collaboration, Experimentalism question-Time Management in the 1st coaching session - answer-1/3 of the foundation session should be devoted to addressing each of the topics order can be adapted to your preference question-Wheel of life - answer-the intent is to gain awareness and to eventually move into the direction of a more balanced wheel instead of a jagged one question-Awareness Coaching (TMSA) - answer-Thanks Motivation Successes + Strength Assessment question-Wellness Vision - answer-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 question-Identifying the Gap - answer-Decisional Balance! Where are they vs where do they want to be. What are the costs of changing + what are the benefits of changing question-Time Management of a 30 min session - answer-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) question-Mindful Listening - answer-Noted as the most important of all coaching skills question-Weekly Goal Review - answer--Start with the positive!
- Address challenges and stay away from judgement
- Be the Ally not the Adversary
- 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. question-3 Month Goal Review - answer--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.
- Invite feedback from the client on the session
- Show appreciation to the client for the work involved in the session
- Schedule next session question-Chronic disease - answer-conditions that last longer than 1 year and require ongoing medical attn question-Systolic BP - answer-(the first number) - indicates how much pressure is exerted by blood against vessel walls when the heart beats. question-Diastolic bp - answer-(the second number) - indicates how much pressure by blood is exerted against vessel walls while the heart is resting between beats. question-type 2 diabetes - answer-involves a problem w/insulin receptors question-Metabolic Syndrome (def) - answer-the name for a group of risk factors that raise your risk for heart disease and other health problems, such as diabetes and stroke. You must have at least three metabolic risk factors to be diagnosed question-Metabolic Syndrome (Risk Factors) - answer-1. Abdominal Obesity
- Hypertension
- Hyperglycemia
- Hyperlipidemia
- Decreased HDL cholesterol question-4 Main Types of Arthritis (inflammation+swelling of joints) - answer-1. Osteoarthritis (OA)
- Rheumatoid Arthritis (RA)
- Gout
- Childhood Arthritis question-Elicit-Provide-Elicit - answer-an approach that allows the coach to share info or recommendations when specifically given permission to while keeping the convo/relationship client driven question-4 A's of Absolution (when discord occurs) - answer-1. Admit It
- Apologize
- Ask Forgiveness
- Amend Your Ways question-cognitive reappraisal - answer-Stepping back and becoming an observer to a stressful situation. We separate the event and our interpretations of the event. Naming the threat can calm the amygdala and enables more constructive activity in the problem- solving part of the brain.
