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A series of practice questions and answers related to the national board for health and wellness coaching (nbhwc) code of ethics. It covers various ethical scenarios and principles relevant to health coaching, including confidentiality, conflict of interest, professional conduct, and client communication. The questions are designed to test understanding of ethical guidelines and best practices in the field of health coaching.
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Practice Question #1: 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? - Ans>>> B Practice Question #2: 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 supplemterm-22ents B. It's impossible to lose 30 pounds in 60 days C. The coach placed an advertisement in a paper
C. USDA Nutritional Guidelines D. Confidentiality/Privacy - Ans>>> A Practice Question #5: Jamal is a wellness coach and also sells supplemental shakes to his coaching clients in which he makes a commission. At what point in the coaching relationship must Jamal disclose this information to his client per the NBC-HWC ethical guidelines? A. At some point during the coaching relationship. B. Before the sale is made to the client. C. At minimum, after the sale to the client. D. Before any coaching begins. - Ans>>> D Practice Question #6: Which of the following best explains nonmaleficence as it relates to ethics in coaching? A. Respect for human freedom and dignity B. Pros must outweigh the cons C. Do no harm D. Fairness - Ans>>> C
Practice Question #7: A client has just completed their well-being assessment prior to their first coaching session. The client's biometric information included the following: Male Age: 45 Nurse Blood Pressure: 110/70 mmHG Total Cholesterol: 185 ml/dL BMI: 24 Fruits/Vegetables: 9 servings per day Physical activity: Runs 2x week for 30 minutes Which of the following would be the most concerning to the coach in the context of recommended health guidelines? A. Blood pressure B. Total cholesterol C. Fruits/Vegetable intake D. Physical activity level - Ans>>> D
A. Precontemplation B. Contemplation C. Preparation D. None of the above - Ans>>> B Practice Question #10: A coach is a member of the exclusive group on Facebook for NBC-HWC coaches. Only those certified by the NBHWC are permitted in this group. To help a friend who has developed a new software, the coach downloads the names of each person in the group and provides them to their friend so that they can implement a marketing campaign to sell this new software to coaches. The above scenario is a violation of which part of the NBC-HWC code of ethics?: A. Professional Conduct at Large B. Conflict of Interest C. Professional Conduct with Clients D. Confidentiality/Privacy - Ans>>> A Practice Question #11:
A client has submitted their wellness assessment to their coach. There biometric numbers include the following: Blood Pressure: 110/78 mmHg BMI: 23 Total Cholesterol: 155 mg/dl HDL: 30 Which of the following might the coach note as a general concern? A. Blood pressure B. BMI C. Total cholesterol D. HDL - Ans>>> D Practice Question #12: You are approached by a researcher, who has IRB approval, to share your health coaching data. You provide the data with no identifying information. Under HIPAA privacy rules, did you need to let your clients know you shared their data? (Muth, pg.167) A. Yes
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. - Ans>>> A Practice Question #15: 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 - Ans>>> D Practice Question #16:
The following post appears on a health coach Facebook group. "Hi Coaches! I've been coaching my client for 6 months and they recently told me that they identify as an atheist. God is at the center of all that I do. I need to end this coaching relationship. Advice on how to do this?" As an NBC-HWC coach, your next step would be: A. Answer the question and help however you can B. Screenshot the post and send to the NBHWC for follow-up on a possible ethics violation C. Do nothing since it doesn't apply to you D. Do nothing since it is in a private Facebook group - Ans>>> B Practice Question #17: Coach Cherie waited 10 minutes for her client Jamal to call for his wellness coaching appointment. After 10 minutes, Coach Cherie called Jamal and left this message: "Hi Jamal! It is Cherie your wellness coach. I had us down to meet at 2:00pm today to discuss your challenges with smoking at work. Let me know if you would like to reschedule." Which of the following HIPAA basic requirements did Coach Cherie violate?
A. At some point during a coaching session B. Immediately before the sale of the supplements C. At minimum, after the sale of the supplements to the client D. Before any coaching begins - Ans>>> D Practice Question #20: A coach left the following message on his client's voicemail: "Hi James! I am calling to see if you are planning to meet with me to discuss your goals about losing weight. I had us down to our health coaching appointment to start 10 minutes ago. Can you give me a call back? Thanks, bye." Which of the following HIPAA basic requirements did the coach violate? A. Minimum necessary rule B. Authorization rule C. Access rule D. Coaching contract - Ans>>> A Practice Question #21:
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 coaches behavior? (Code of Ethics, 2) A. Unlawful discrimination B. Unconscious bias C. Conflict of interest D. HIPAA violation - Ans>>> A Practice Question #22: 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 you 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.
Practice Question #24: You've had a great client that has made tremendous progress. After working with her for the last 18 months she has lost 50 pounds. At your last session she admitted that basically she kept her caloric intake under 800 calories per day and that is why she's been so successful. She didn't tell you because she knew you wouldn't approve. Which of the following represents the most appropriate next step for the coach? A. Refer her to an appropriate professional that has expertise in eating disorder/food issues. B. Let her know what you will need to refer her to another health & wellness coach. C. Keep coaching her as there are always things to work on. D. Keep coaching her as you can help her increase her caloric intake. - Ans>>> A Practice Question #25: F.A.S.T. is the acronym for recognizing signs and symptoms of what? a. Heart attack
b. Stroke c. Concussion d. Diabetic shock - Ans>>> B Practice Question #26: 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 - Ans>>> B Practice Question #27: You've had a great client that has made tremendous progress. After working with her for the last 18 months you have noticed she is seems to be no longer benefiting from your coaching
Practice Question #29: Coaches need to understand all factors that may impact one's health. Read the description below regarding your next client. Which factors would be included as a social determinant of health? James is a 65 year old male. He has a high stress job and has sleep apnea. James lives in a food desert and offend doesn't feel safe in his neighborhood. He has a BMI of 31 and is pre- diabetic. He is physically inactive and lacks self confidence because he was never good at sports. James is coming to you because he wants to lose weight, walk more, stop drinking soda and learn how to improve his sleep. A. Pre-diabetic/BMI of 31 B. Food desert/safety C. Food desert/physically inactive D. Stressful job/sleep apnea - Ans>>> B Practice Question #30: Lane is a wellness coach and also sells probiotic supplements to his coaching clients in which he makes a commission. At what
point in the coaching relationship must Lane disclose this information to his client per the ICHWC ethics guidelines? A. At some point during the coaching relationship B. Before the sale is made to the client C. At minimum, after the sale to the client. D. Before any coaching begins. - Ans>>> D Practice Question #31: In which situation would dialing 2-1-1 be important? A. In an emergency situation while coaching B. If your client is going through a high stress situation at work C. Recognizing symptoms of depression in your client. - Ans>>> C Practice Question #32: When the interaction of skill and challenge are matched you are said to be experiencing____? A. Fulfillment B. Well-being