NBHWC Exam Prep Beta – nbhwcexam.com

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Coaching Process

Which coaching response best supports Elena in shifting her mindset from perfectionism topersonal growth, while helping her manage her presentation anxiety more effectively?

Elena, a 29-year-old graphic designer, has been struggling with presentation anxiety for months,which has begun to affect her job performance. In a session with her coach, Michael, she shares that despite practicing her presentations in advance, her anxiety persists, especially the night before a big presentation. Elena feels as though her fear of failure stems from perfectionism, but she’s unsure of how to reframe her mindset. She expresses that although she knows presentations are an unavoidable part of her role, the constant anxiety is taking a toll on her mental and physical well-being. Michael wants to help Elena shift her focus from perfectionism to a more growth-oriented mindset.

A. “Perfectionism can be paralyzing. How do you think your experience with presentations wouldchange if you viewed them as opportunities for learning rather than flawless performance?”

B. “It sounds like the pressure to be perfect is affecting your confidence. What would it look like toembrace progress over perfection in your presentations?”

C. “I hear that your anxiety is tied to your desire for flawless performance. How about we explore small shifts in your mindset that could help you feel less pressure and more confidence before your next presentation?”

D. “Anxiety is a normal part of presentations, especially when perfectionism is involved. What strategies could help you feel more grounded when you’re preparing for your next presentation?”

Coaching Structure

Which coaching structure best supports Olivia in assisting Marcus to achieve better sleep and healthier eating habits?

Olivia, a wellness coach, is starting a program with Marcus, a 28-year-old graphic designer who wants to improve his sleep quality and reduce late-night snacking. Marcus often works late and finds it difficult to unwind, leading to poor sleep and unhealthy eating habits. He is motivated to change but feels stuck in his current patterns.

A. “Let’s explore your evening routines and identify small changes you’re comfortable making to promote relaxation and healthier choices.

B. “I’ll provide you with strict guidelines to avoid eating after 8 PM and establish a fixed bedtime to follow every night.”

C. “Each session, we’ll focus on eliminating one unhealthy habit, starting with reducing screen time before bed.”

D. “You should engage in intense exercise before bedtime to tire yourself out and prevent late-night snacking.”

Health & Wellness

Which coaching strategy should Laura implement to help Mike achieve sustainable weight loss and improve his sleep apnea?

Laura, a health and wellness coach, is assisting Mike, a 55-year-old retired firefighter who is dealing with obesity and sleep apnea. Mike is motivated to lose weight but has struggled with maintaining consistent dietary changes.

A. Strict Dietary Guidelines: “Follow a low-calorie diet strictly to ensure you lose weight effectively.”

B. Incremental Changes: “Let’s start by making small, manageable changes to your diet and gradually increase your activity level.”

C. Immediate Intensive Exercise: “Begin an intensive exercise program immediately to accelerate weight loss.”

D. Behavioral Tracking: “Keep a detailed food and exercise journal to monitor your progress and identify areas for improvement.”

Coaching Process

In responding to Sarah’s desire to pursue a 5K run, which of the following actions best aligns with advanced coaching competencies to support her continued progress?

Alexandra, a certified health and wellness coach, is conducting her ninth session with Sarah, a 33-year-old client focused on enhancing her physical activity. Over the past eight weeks, Sarah has successfully integrated a daily 20-minute walking routine, resulting in noticeable improvements in her energy levels and overall mood. In today’s session, Sarah expresses enthusiasm about setting a more ambitious goal, stating, “I think I am ready to try something more challenging, like training for a 5K run.”

A. Develop a comprehensive training schedule for Sarah, outlining daily and weekly exercise plans to ensure she gradually builds up to the 5K run, thereby providing structured guidance.

B. Affirm Sarah’s readiness to take on a more challenging goal and inquire about what specifically has motivated her to pursue training for a 5K run at this stage of her progress, ensuring her goals remain client-centered.

C. Encourage Sarah to join a local running group to enhance her accountability and provide social support as she trains for the 5K run, leveraging community resources for sustained motivation.

D. Provide Sarah with educational materials on the benefits of running and the importance of proper nutrition to prepare for a 5K event, ensuring she is well-informed about the necessary preparations.

Coaching Process

Which coaching response best supports Mark in addressing his concerns about maintaining an exercise routine while enhancing his overall well-being?

Linda, a certified health and wellness coach, is conducting her second session with Mark, a 38-year-old marketing manager who recently relocated to a new city. Mark has been struggling to maintain a consistent exercise routine due to his demanding work schedule and adjusting to his new environment. During the session, Mark shares that he feels frustrated about not finding time for workouts, is concerned about his declining fitness levels, and wishes to feel more energised and improve his overall well-being.

A. “Balancing your work commitments and personal health is undoubtedly challenging. How do you envision integrating your fitness goals into your current lifestyle to enhance your overall well- being?”

B. “Navigating through a demanding job while focusing on your health can be overwhelming.What are the key areas of your well-being that you’d like to address to support your fitness journey?”

C. “Managing work responsibilities alongside maintaining an exercise routine requires thoughtfulplanning. Could you elaborate on the aspects of your health and energy levels that you wish to prioritize in our coaching sessions?”

D. “Juggling multiple responsibilities often impacts personal health goals. In what ways would you like to explore aligning your fitness objectives with your current lifestyle to improve your overall energy and well-being?”

Coaching Process

Which coaching response best aligns with Maria’s objective to explore Alex’s intrinsic motivationsfor sustaining long-term behavioural change using a foundational coaching technique?

Maria, an experienced health and wellness coach, is conducting her fifth session with Alex, a 45-year-old software developer who has been struggling with work-life balance and chronic stress.During the session, Alex reveals that despite implementing some time management strategies, he continues to feel overwhelmed and is experiencing symptoms like insomnia and high blood pressure. Maria wants to delve deeper into Alex’s intrinsic motivations to sustain long-term behavioural change.

A. “Considering your high blood pressure and insomnia, have you thought about consulting a healthcare professional to manage these symptoms more effectively?”

B. “I hear that work-life balance is a significant concern for you. Can you describe what achieving a better balance would look like for you and how it might impact other areas of your life?”

C. “Let’s set a goal to lose 10 pounds in the next three months by tracking your daily caloric intake and increasing your physical activity gradually.” D. “It seems like you’re still struggling despite trying some strategies. What specific challenges are you facing that might be preventing you from feeling less overwhelmed?”

D. “It seems like you’re still struggling despite trying some strategies. What specific challenges are you facing that might be preventing you from feeling less overwhelmed?”

Coaching Process

Which coaching skill is Karen most effectively demonstrating when she assists Deborah in categorizing her tasks using a structured framework to distinguish between urgent and important activities?

Karen, a certified health and wellness coach, is conducting a session with Deborah, a 29-year old client who is working to improve her work-life balance. Deborah often feels stressed and finds it challenging to allocate time effectively between her career and personal life. During their session, Karen notices that Deborah tends to engage in multiple tasks simultaneously without prioritizing them.

A. SummarizingBy providing a concise overview of Deborah’s current task management andsuggesting improvements.

B. Bottom-Lining: By helping Deborah identify the single most important task to focus on first.

C. Sizing: By evaluating and organizing Deborah’s tasks based on their urgency and importance using a structured framework.

D. Evoking: By encouraging Deborah to explore her intrinsic motivations for improving her task management skills.

Coaching Process

Which of the following actions best demonstrates Sophia’s use of the Bottom-Lining technique to assist Michael in prioritizing his fitness goals?

Sophia, a health and wellness coach, is guiding Michael, a 50-year-old client, through setting achievable fitness goals. Michael feels overwhelmed by the idea of transforming his lifestyle and is unsure where to start. Sophia wants to help Michael prioritize his goals effectively.

A. Encourage Michael to list all the fitness activities he enjoys and choose the most enjoyable one to start with.

B. Help Michael identify the single most important fitness goal that will have the greatest positive impact on his overall health.

C. Discuss the benefits of various fitness programs and let Michael decide which one to join.

D. Ask Michael to commit to exercising three times a week without specifying the type of activity.

Coaching Process

Which of the following responses from Ethan would most appropriately align with motivational interviewing techniques to enhance David’s confidence?

Ethan, a health and wellness coach, is conducting an online session with David, a 60-year-oldclient enrolled in a stress management program. David reports that he has been dedicating 15 minutes each morning to mindfulness meditation, which has helped him feel more centered. When asked to rate his confidence in maintaining this practice on a scale of 0 to 10, David rates it as a 4. Ethan then asks, “Why not a 3 or lower?”

A. “Can you share what makes you feel confident at a level of 4 rather than lower?”

B. “What would happen to you if you were to increase your confidence from a 4 to a 7?”

C. “What strategies could help you feel more confident in maintaining your mindfulness practice?”

D. “How do you think increasing your confidence level could impact your stress management goals?”

10.

Health & Wellness

Which intervention should Karen prioritize to help Sam improve his cardiovascular health effectively?

Karen, a health and wellness coach, is working with Sam, a 42-year-old lawyer who has a sedentary lifestyle and wants to improve his cardiovascular health. Sam is concerned about his high cholesterol levels but feels unsure about how to start making changes.

A. Starting a Running Program: “Begin running three times a week to boost your cardiovascular health.”

B. Comprehensive Lifestyle Assessment: “Let’s assess all aspects of your lifestyle, including diet, exercise, and stress levels, to create a personalized plan for improving your cardiovascular health.”

C. Dietary Supplement Recommendation: “Consider taking omega-3 supplements to help lower your cholesterol levels.”

D. Immediate Exercise Plan: “Implement an intensive exercise regimen right away to quickly reduce your cholesterol levels.”

1 out of 5

11.

Coaching Process

Which coaching skill is Linda most effectively demonstrating when she reflects Tom’s feelings of guilt and explores how these emotions impact his motivation to maintain portion control?

Tom, a 38-year-old client, has been working with his coach, Linda, to improve his dietary habits. Tom has successfully reduced his sugar intake but continues to struggle with portion control. During their latest session, Tom reveals that he often feels guilty after eating large portions, which impacts his motivation to stick to his dietary goals. Linda wants to help Tom better understand his emotions around eating and support his efforts to maintain portion control.

A. “It sounds like you’re feeling guilty after eating larger portions. How do you think that guilt is affecting your motivation to stay on track with your diet?”

B. “Managing your portions can be difficult, but with some adjustments, you’ll be able to find a balance. What strategies have worked for you in the past?”

C. “Portion control is a common challenge for many people. Have you tried using smaller plates or other visual cues to help you eat less?”

D. “You’ve made great progress reducing sugar. Let’s focus on building the next step in your diet plan without worrying too much about perfection.”

12.

Coaching Process

Which of the following questions best exemplifies the use of motivational interviewing to address Sophie’s ambivalence about reducing work-related stress?

Alex, a wellness coach, is working with Sophie, a 30-year-old client who has expressed a desire toreduce stress and improve work-life balance. During their sessions, Sophie shares that she often feels overwhelmed by her responsibilities at work and struggles to find time for personal activities. Alex wants to use motivational interviewing techniques to help Sophie explore her ambivalence about making changes.

A. “Have you considered prioritizing your tasks better to manage stress effectively.”

B. “What are some of the benefits you might experience if you successfully reduce your work related stress?”

C. “How do you feel about making changes to your current work routine to lower your stress levels?”

D. “Can you list the steps you will take to improve your work-life balance?”

13.

Health & Wellness

Which coaching response best supports Tom in addressing his prediabetes and hypertension while fostering sustainable lifestyle changes?

Dr. Emily, a health and wellness coach with a background in nutrition, is working with Tom, a 50-year-old office manager diagnosed with prediabetes and hypertension. Tom’s medical evaluations indicate a fasting blood glucose level of 110 mg/dL (normal <100 mg/ dL) and blood pressure consistently around 145/95 mmHg. Tom aims to reverse his prediabetes and manage his blood pressure through lifestyle modifications over the next six months.

A. “I understand that managing prediabetes and hypertension can be challenging. How do you feel about adjusting your current diet and exercise routine to help lower your blood glucose and blood pressure levels?”

B. “Considering your current health status, what changes are you comfortable making in your diet and physical activity to effectively manage your prediabetes and hypertension?”

C. “Managing both prediabetes and hypertension requires comprehensive lifestyle changes. Can you share which aspects of your diet and exercise routine you believe will be most beneficial for your health goals?”

D. “Addressing prediabetes and hypertension involves significant adjustments to your daily habits. Based on your readiness to change, what modifications to your diet and exercise are you prepared to implement to support these health improvements?”

14.

Coaching Structure

Which coaching structure best supports Alexandra in helping Noah achieve his goals of reducing stress and improving work-life balance over the 12 weeks?

Alexandra, a health and wellness coach, is beginning a 12-week coaching program with Noah, a 39-year-old architect who wants to reduce stress and improve his work-life balance. Noah often works long hours and finds it difficult to disconnect from work, impacting his personal relationships and overall well-being. He expresses a desire to find practical ways to manage his time and stress levels but feels overwhelmed by the demands of his job.

A. “We’ll create a strict schedule where you finish work at the same time every day and in relaxation activities, ensuring consistency throughout the program.”

B. “Let’s explore small, manageable changes you feel ready to implement, integrating them into a flexible plan that accommodates your work demands and personal life.”

C. “I’ll provide you with stress management techniques to practice daily, and we’ll check in weekly to monitor your adherence and progress.”

D. “Each week, we’ll focus on a different aspect of stress reduction, rotating through various techniques to find what works best for you.”

15.

Coaching Process

Which of the following coaching skills is Natalie most effectively demonstrating in response to Lisa’s statement?

Natalie, a certified health and wellness coach, is conducting her twenty-first session with Lisa, a 40-year-old client who has made significant strides in improving her sleep hygiene and reducing stress levels. Lisa is now focusing on weight loss, expressing frustration over her lifelong struggles with maintaining a healthy weight. During their conversation, Lisa states, “I have struggled with my weight all my life. I gain it, lose it, and gain it again.”

A. Demonstrating patience by allowing Lisa to express her frustrations without interruption or judgment, thereby creating a safe space for open communication.

B. Utilizing bottom-lining to quickly identify the core issue related to Lisa’s weight struggles, ensuring that the coaching remains focused and goal-oriented.

C. Evoking motivation by encouraging Lisa to explore her intrinsic reasons for wanting to achieve a healthier weight, thereby strengthening her commitment to change.

D. Empathizing by understanding and validating Lisa’s feelings of frustration related to her weight management challenges, thereby building rapport and trust.

16.

Coaching Structure

Which coaching program structure should Brian implement to most effectively empower Mei to adopt a sustainable physical activity routine that addresses her concerns about consistency and adaptability within her demanding work schedule?

Brian, a certified health and wellness coach with expertise in behavior change, is working with Mei, a 52-year-old pharmacist recently diagnosed with mild hypertension and early-stage cardiovascular risk. Mei has a demanding and sedentary job in a hospital setting, working long shifts that vary unpredictably. Despite understanding the importance of exercise, Mei struggles to establish a consistent routine due to her fluctuating schedule and fatigue after work. She is motivated to improve her health but fears that any rigid exercise program will be unsustainable given her professional obligations. Brian aims to help Mei integrate a structured yet adaptable approach to physical activity that aligns with her busy lifestyle and health goals.

A. “Mei, have you considered engaging in high-intensity workouts on your days off? That way, you can maximize exercise benefits when you have more time.”

B. “Mei, let’s explore together how you might incorporate flexible physical activities into your daily routine, perhaps by identifying opportunities that fit your energy levels and time constraints each day.”

C. “Mei, how about we co-create a detailed exercise schedule with specific times and activities? Consistency is key for cardiovascular health, and this plan can help you stay on track.”

D. “Mei, let’s discuss how your work schedule might be impacting your health goals. Perhaps we can explore options for adjusting your professional commitments to prioritize exercise.”

17.

Coaching Process

What is the most appropriate coaching response for David to support Julia in addressing her feelings of overwhelm?

Julia, a 37-year-old software engineer, shares with her coach, David, “I’ve been feelingoverwhelmed lately. At work, I’m leading a new project that’s behind schedule, and I keep doubting my abilities. At home, I’m supposed to be planning my sister’s baby shower, but I can’t seem to get started. I used to be so organized, but now I just feel paralyzed. Maybe I’m just not cut out for this level of responsibility.”

A. “What strategies have you used in the past to manage multiple responsibilities effectively?”

B. “It sounds like you’re experiencing self-doubt. How might challenging these thoughts help you move forward?”

C. “How does taking on many responsibilities align with your values, and what impact is it having on you now?”

D. “What would it look like to incorporate activities like painting back into your routine?”

18.

Coaching Process

What coaching response best supports David in addressing both his motivation plateau and the challenges posed by his unpredictable work and travel schedule?

David, a 39-year-old entrepreneur, has been struggling to maintain a fitness routine due to his unpredictable work schedule. He frequently travels for business, which makes sticking to consistent exercise plan challenging. Additionally, David has expressed frustration about plateauing in his fitness goals, despite sporadic efforts to stay active. During their latest session, David shares that he feels more fatigued than usual and is unsure how to modify his routine while traveling. He is also concerned that his lack of progress is affecting his motivation.

A. “Traveling can make fitness challenging. What changes to your routine might allow you to stay active during business trips?”

B. “It sounds like you’ve hit a plateau in your fitness goals. How do you think adjusting yourworkout intensity or variety might reignite your motivation?”

C. “Balancing work, travel, and fitness is difficult. How would you feel about incorporating shorter, more flexible workout options during your trips?

D. “Managing a fluctuating schedule while staying fit requires adaptability. What small adjustments can you make to both your fitness goals and your routine to help you regain energy and motivation?”

19.

Coaching Structure

Which coaching strategy should David use to structure their sessions to effectively support Priya in improving her sleep habits?

David, a health and wellness coach, is working with Priya, a 29-year-old software engineer who wants to enhance her sleep quality and energy levels. Priya struggles with irregular sleep patterns due to late-night work and screen time. In their initial meeting, she expresses difficulty in establishing a consistent routine and is unsure how to begin making changes.

A. Explore with Priya the possibility of establishing a more consistent bedtime routine, discussing how small adjustments might fit into her current lifestyle.

B. Collaborate with Priya to identify small, manageable changes she feels ready to implement, integrating them into a personalized action plan reviewed regularly.

C. Provide Priya with educational materials on sleep hygiene, encouraging her to reflect on how these principles could apply to her situation before the next session

D. Discuss with Priya the idea of reducing screen time before bed, exploring how she might integrate this practice into her evening routine.

20.

Ethics/Legal

How should Michael ethically handle this situation, adhering to the NBHWC Code of Ethics?

Michael, an NBHWC-certified coach, is approached by a former client, Lisa, who now works for a competing wellness company. She requests coaching sessions free of charge in exchange for promoting Michael’s products to her new employer.

A. Agree to the Exchange with Conditions: “I’m open to providing free coaching sessions as part of your role in promoting my products at your new workplace, provided we establish clear boundaries and maintain confidentiality in our interactions.”

B. Decline the Offer and Explain: “I appreciate your support, but offering free sessions in exchange for promotion could create a conflict of interest. Let’s discuss other ways we can collaborate.”

C. Provide Free Sessions Without Conditions: “I can offer you free coaching sessions as a gesture of our past working relationship.”

D. Refer to Another Coach: “I think it would be best for you to work with another coach who can accommodate your new professional arrangements.

2 out of 5

21.

Coaching Process

Which of the following coaching skills is Natalie most effectively demonstrating in response to Lisa’s statement?

A. Demonstrating patience by allowing Lisa to express her frustrations without interruption or judgment, thereby creating a safe space for open communication.

B. Utilizing bottom-lining to quickly identify the core issue related to Lisa’s weight struggles, ensuring that the coaching remains focused and goal-oriented.

C. Evoking motivation by encouraging Lisa to explore her intrinsic reasons for wanting to achieve a healthier weight, thereby strengthening her commitment to change.

D. Empathizing by understanding and validating Lisa’s feelings of frustration related to her weight management challenges, thereby building rapport and trust.

22.

Coaching Process

Which coaching response best exemplifies the Bottom-Lining technique to help Michael prioritize a fitness goal that reduces overwhelm and fosters long-term commitment?

Sophia, an experienced health and wellness coach, is working with Michael, a 50-year-old client who has expressed a desire to improve his fitness. Michael, however, feels paralyzed by the scope for changes required to achieve his fitness goals. He shares that while he understands the importance of exercise, the overwhelming nature of transforming his lifestyle has caused him to procrastinate. He’s unsure of where to begin and worries that without a clear focus, his efforts may not be sustainable. Sophia recognizes that Michael needs support in prioritizing his fitness goals in a way that reduces his sense of overwhelm while ensuring long-term commitment.

A. “It sounds like you’re feeling uncertain about where to start. How about we identify just one fitness goal that feels achievable and build from there?”

B. “You’ve mentioned several fitness activities that you’re interested in. What’s one that you think would have the greatest impact on your physical and mental health if you prioritized it?”

C. “We can begin by listing all your fitness goals and then narrowing down the one that feels most aligned with your overall health journey. Does that sound manageable?”

D. “How about we take a step back and focus on the physical activities that bring you the most enjoyment to help you ease into a more consistent routine?”

23.

Coaching Structure

Which coaching program structure should Stephanie implement to most effectively support Raj in improving his nutrition and energy levels, considering his time limitations and dependence on caffeine?

Stephanie, a wellness coach, is beginning a coaching relationship with Raj, a 45-year-old entrepreneur who wants to improve his eating habits and energy levels. Raj often skips meals due to his hectic schedule and relies on caffeine to stay alert. He desires to adopt healthier eating patterns but struggles with time constraints and lacks meal planning skills. Stephanie aims to help Raj enhance his nutrition and energy within the context of his busy lifestyle.

A. “Raj, perhaps we could explore eliminating caffeine from your diet right away and focus on natural energy sources instead.”

B. “Raj, let’s work together to identify quick, nutritious meal options that fit into your busy schedule. We can develop strategies for sustained energy and gradually reduce your reliance on caffeine.”

C. “Raj, let’s discuss dedicating specific times for meal preparation, which might involve adjusting your schedule to prioritize nutrition.”

D. “Raj, how about we create a structured meal plan with set eating times? Consistency might help regulate your energy levels.”

24.

Coaching Process

Which coaching response best facilitates Sophia in helping Liam develop better time management skills while addressing his underlying anxiety?

Sophia, a seasoned health and wellness coach, is in her third session with Liam, a 28-year-old graphic designer who has been experiencing anxiety and difficulty managing his workload. During their conversation, Liam expresses feelings of being overwhelmed and struggles to prioritise his tasks effectively. Sophia aims to help Liam develop better time management skills while addressing his underlying anxiety.

A. “I understand that managing your workload can be stressful. Let’s create a detailed schedule that outlines all your tasks and deadlines to help you stay organized.

B. “Feeling overwhelmed is tough. How do you think your current time management strategies are impacting your anxiety levels, and what changes might help alleviate some of that stress?”

C. “Have you considered using productivity tools or apps to help you manage your tasks more efficiently and reduce your anxiety related to workload?”

D. “Balancing work and managing anxiety requires effective strategies. Let’s explore different techniques you can use to prioritize your tasks and manage your stress levels better.”

25.

Health & Wellness

Which coaching strategy should Laura employ to help Tom integrate healthy eating habits into his lifestyle effectively?

Laura, a health and wellness coach, is working with Tom, a 50-year-old engineer who has been diagnosed with type 2 diabetes. Tom is overwhelmed by the dietary restrictions and
is unsure how to incorporate healthy eating into his daily life.

A. Educational Approach: “Here is a detailed list of foods you should avoid and foods you should include in your diet.”

B. Collaborative Goal Setting: “Let’s work together to set realistic and achievable dietary goals that fit your daily routine.”

C. Problem-Solving: “Identify the main challenges you face in maintaining a healthy diet and develop strategies to overcome them.”

D. Accountability Partnering: “I will check in with you daily to ensure you are following your dietary plan.”

26.

Ethics/Legal

What is the most appropriate ethical action James should take in this situation, adhering to the NBHWC Code of Ethics?

James, a health and wellness coach, is working with Laura, a 40-year-old business consultant who is dealing with severe burnout. During their sessions, Laura discloses that she has been self-medicating with over-the-counter supplements to cope with her stress and insomnia. James recognizes that Laura’s self-medication may pose health risks and falls outside the scope of his coaching practice.

A. “I understand that you’re trying to manage your stress and insomnia. Let’s consider various approaches that might support you in managing these issues in ways that align with your goals.”

B. “Thank you for sharing that information. It might be beneficial for you to consult with a healthcare professional about your use of supplements to ensure your safety.”

C. “Using over-the-counter supplements can be risky. We could work together to identify strategies to manage your stress and explore alternatives to relying on supplements.”

D. “I see that you’re using supplements to cope with stress and insomnia. We might explore alternative methods that could support you in managing stress and improving sleep.”

27.

Coaching Process

Which coaching skill is Frank most effectively demonstrating when he assists Susann in identifying and prioritizing the main sources of her stress to focus her efforts on the most impactful areas?

Joseph, a certified health and wellness coach, is conducting a session with Anne, a 50-year-old client who has been trying to manage her stress levels through various relaxation techniques. During their conversation, Susann mentions that she often feels overwhelmed by her responsibilities at work and at home. Frank wants to help Susann gain clarity on her primary sources of stress to develop effective coping strategies.

A. Bottom-Lining: By helping Susann identify the single most important source of her stress to address first.

B. Evoking: By encouraging Susann to explore her feelings and motivations related to stress management.

C. Summarizing: By providing a concise overview of Susann’s stressors and linking them to potential coping strategies.

D. Complex Reflection By reflecting Susann’s underlying emotions and thoughts about her stressors to deepen her self-awareness.

28.

Coaching Structure

Which program structure best supports Carlos in creating a structured and accommodating 16-week coaching program for Anna’s cardiovascular health and weight management goals?

Carlos, a health and wellness coach, is designing a 16-week program for Anna, a 29-year-old nurse who wants to improve her cardiovascular health and manage her weight. Anna has a busy schedule with irregular hours, making it challenging to maintain a consistent fitness routine. Carlos aims to create a structured program that accommodates Anna’s schedule while ensuring steady progress.

A. “We’ll meet bi-weekly to discuss your progress and adjust your fitness routine as needed based on how you’re feeling each session.”

B. “Our program will include a mix of cardiovascular exercises and nutrition planning. We’ll set specific goals every two weeks, track your progress, and make necessary adjustments to accommodate your work schedule.”

C. “I’ll provide you with a comprehensive workout and meal plan at the start, and we’ll have monthly check-ins to monitor your adherence and make changes as needed.”

D. “Each week, we’ll focus on different aspects of your health, such as cardio workouts one week and weight management the next, to ensure you’re making progress in both areas without overwhelming yourself.”

29.

Coaching Structure

How should Samantha structure the coaching program to best support Jorge in achieving sustainable health improvements?

Samantha, a wellness coach, is engaged in a 10-week program with Jorge, a 50-year-old teacher aiming to increase his physical activity and manage his weight. Jorge has triedvarious diets and exercise routines in the past but struggled to maintain them. In their first session, he mentions feeling discouraged and is looking for a different approach that can lead to lasting change.

A. Assist Jorge in exploring his past experiences to identify barriers, collaborating to develop a flexible plan that incorporates activities he enjoys

B. Suggest that Jorge try a new, comprehensive fitness and nutrition program, providing guidance on how to adhere to it over the 10 weeks.

C. Encourage Jorge to set ambitious goals to reignite his motivation, exploring ways to keep himself accountable throughout the program.

D. Focus on building new habits without revisiting past challenges, emphasizing a fresh start to avoid discouragement.

30.

Coaching Process

Which coaching response best helps Marcus balance his health goals with the emotional strain of family responsibilities while addressing his lack of motivation after work?

Marcus, a 50-year-old sales manager, has been warned by his doctor about his high cholesterol and blood pressure. Although he is aware of the health risks, Marcus feels mentally and physically exhausted after long days at work and finds it difficult to make time for exercise and meal preparation. In addition to his health goals, Marcus is struggling with the emotional pressure of caring for his aging parents, which further drains his energy. During a coaching session, Marcus admits that he feels guilty about prioritizing his health when his family obligations seem more pressing.

A. “It sounds like you’re feeling a lot of pressure to take care of your family. How might takingsmall steps to prioritize your health benefit both you and those who rely on you?”

B. “Balancing family and health is challenging. What would it look like to dedicate specific time each day for your health while managing your other responsibilities?”

C. “It’s understandable to feel torn between family and your own well-being. How would starting with small, manageable health goals reduce your guilt and help you feel more in control of both?”

D. “You’re managing a lot of responsibility. What strategies have you used before to take care of both your family and your own health, and how might they help now?”

3 out of 5

31.

Coaching Process

Which coaching response best exemplifies the Bottom-Lining technique and supports Michael in prioritizing a fitness goal that aligns with his broader health concerns while reducing overwhelm?

Sophia, a health and wellness coach, is working with Michael, a 50-year-old client who is feelingoverwhelmed by the thought of transforming his lifestyle. Michael has previously been sedentary and struggles with both the mental and physical aspects of change. He expresses anxiety about how to begin and is unsure how to prioritize his fitness goals in a way that feels manageable. Michael wants to improve his overall health, but he’s also worried about his ability to sustain changes over the long term.

A. “It sounds like you’re feeling overwhelmed by the number of changes you think you need to make. Let’s focus on identifying just one aspect of your health to start with that feels the most achievable right now.”

B. “You’ve shared some of your concerns about making lasting changes. How about we break your fitness goals down into smaller steps and prioritize one area that will have the biggest impact on both your physical and mental well-being?”

C. “I hear that it’s difficult for you to know where to begin. How about we start with a small commitment to daily movement that feels manageable, and then build on that gradually as you gain more confidence?”

D. “Given that fitness is just one part of your health journey, let’s identify a short-term goal related to your fitness that could bring you immediate benefits and ease the anxiety you feel about maintaining these changes.”

32.

Coaching Process

Which of the following responses from Ethan would most appropriately align with motivational interviewing techniques to enhance David’s confidence?

Ethan, a health and wellness coach, is conducting an online session with David, a 60-year-old client enrolled in a stress management program. David reports that he has been dedicating 15minutes each morning to mindfulness meditation, which has helped him feel more centered. When asked to rate his confidence in maintaining this practice on a scale of 0 to 10, David rates it as a 4. Ethan then asks, “Why not a 3 or lower?”

A. “Can you share what makes you feel confident at a level of 4 rather than lower?”

B. “What would happen to you if you were to increase your confidence from a 4 to a 7?”

C. “What strategies could help you feel more confident in maintaining your mindfulness practice?”

D. “How do you think increasing your confidence level could impact your stress management goals?”

33.

Coaching Process

Which coaching response best supports John in addressing both his anxiety around leadership responsibilities and his struggle to re-establish a self-care routine?

Linda, a seasoned health and wellness coach, is conducting her fourth session with John, a 28-year-old client who has been struggling to balance his workload with self-care. During their conversation, John shares that his anxiety levels have increased significantly since taking on a new leadership role at work, where he feels responsible not only for his own projects but also for managing his team’s performance. He expresses that he often sacrifices sleep and personal time to meet the team’s deadlines. Additionally, John has been neglecting his physical activity routine, which used to help him manage stress.

A. “It sounds like your responsibilities at work are significantly impacting your personal time. How might prioritizing self-care help you manage the demands of your leadership role more effectively?”

B. “Managing both personal and team expectations can be tough. What strategies have worked for you in the past to balance your own performance and your team’s?”

C. “Leadership roles can create stress that impacts both your work and personal life. How would setting boundaries around work hours affect your ability to engage in self-care?”

D. “Taking care of your team and yourself are both important. What adjustments could you make in your current routine to ensure you have enough time for physical activity and personal well-being?”

34.

Coaching Process

Which coaching response best helps David address both his feelings of guilt and the stress that is impacting his ability to maintain a healthy diet and exercise routine?

Emma, a certified health and wellness coach, is conducting her fourth session with David, a 35-year-old software engineer who has been struggling with maintaining a balanced diet and regular exercise routine due to his demanding job. David often feels guilty about skipping workouts and tends to rely on unhealthy snacks when stressed. During their latest session, David shares that he feels like he’s in a cycle of guilt, stress eating, and missed workouts, and that this is affecting his motivation to make progress. Emma wants to support David in building a sustainable routine that reduces his feelings of guilt and helps him manage both his stress and his fitness goals.

A. “I understand that skipping workouts and stress eating can make you feel guilty. Let’s set a detailed schedule for your workouts and meals so you can stay on track and avoid falling into the same pattern.”

B. “Guilt can be a barrier to change, and it’s important to find balance. How can we adjust your approach to make it easier to stick to your routine without feeling overwhelmed or pressured?”

C. “It’s normal to feel guilty when we don’t reach our goals. What strategies can we put in place to manage your stress so you don’t turn to unhealthy snacks in the future?”

D. “It’s clear that missing workouts and eating unhealthy snacks are making you feel guilty. How can we create a stricter plan so you can avoid these lapses in the future and stick to your fitness goals?”

35.

Health & Wellness

Based on Emily’s health metrics, which of the following health markers indicates that she is at risk for developing metabolic syndrome?

Jordan, a health and wellness coach, is working with Emily, a 35-year-old client who has recently undergone a routine health screening. Emily’s results are as follows: • Fasting Blood Sugar: 110 mg/dL • A1C: 6.0% • Blood Pressure: 128/82 mmHg • BMI: 27.5 • Total Cholesterol: 190 mg/dL • LDL (Bad Cholesterol): 130 mg/dL • HDL (Good Cholesterol): 45 mg/dL • Triglycerides: 160 mg/dL Emily is concerned about her health and seeks guidance on improving her wellness. She reports a sedentary lifestyle and a diet high in processed foods.

A. Fasting Blood Sugar of 110 mg/dL

B. BMI of 27.5

C. LDL Cholesterol of 130 mg/dLD. Triglycerides of 160 mg/dL

D. Triglycerides of 160 mg/dL

36.

Health & Wellness

Which USDA MyPlate recommendation is Sarah most likely neglecting, potentially impacting her overall nutrition?

Sarah is following the USDA MyPlate guidelines to improve her health. She regularly includes dairy, proteins, and grains in her diet but finds herself often choosing processed grains and skipping legumes, beans, and other plant-based proteins.

A. Increasing her intake of legumes, beans, and other plant-based proteins to diversify her protein sources.

B. Incorporating more whole fruits instead of fruit juices to boost her fiber intake and prevent unnecessary sugar consumption.

C. Limiting her intake of dairy, as too much dairy can increase saturated fat consumption.

D. Adding more refined grains to balance her fiber intake, as MyPlate suggests a balanced mix of refined and whole grains.

37.

Coaching Structure

Which approach should Maria take to effectively plan for the maintenance phase during the termination of her coaching relationship with James?

Maria, a certified health and wellness coach, is conducting the termination phase of hercoaching engagement with James, a 45-year-old client who has been working on managing his type 2 diabetes through lifestyle changes. Over the past six months, James has made significant progress in improving his blood sugar levels, increasing physical activity, and adopting healthier eating habits. In their final session, Maria aims to ensure that James feels confident in maintaining his progress independently.

A. Develop a detailed action plan outlining specific steps James should follow post- termination, including scheduled check-ins and milestones.

B. Facilitate a reflective discussion where James identifies his key achievements, potential challenges, and strategies he can employ to sustain his progress independently.

C. Provide James with a comprehensive list of resources and recommend he enroll in a support group to continue his health journey.

D. Schedule periodic follow-up sessions for the next six months to monitor James’s progress and offer continued support as needed.

38.

Ethics/Legal

What is the most appropriate ethical action Karen should take in this situation, adhering to the NBHWC Code of Ethics?

Karen, a health and wellness coach, is working with Alex, a 50-year-old executive who confides in her about experiencing severe anxiety and considering using prescription medication to manage his symptoms. Alex asks Karen for her opinion on which medication to take.

A. “I understand that managing anxiety is important. Let’s explore some natural stress-relief techniques that might help you alongside your current regimen.”

B. “Using prescription medication can be an effective way to manage anxiety. It might be beneficial for you to consult with a licensed healthcare professional about this option.”

C. “I can provide you with information on various anxiety medications so you can make an informed decision.”

D. “Since you’re experiencing high anxiety, it might be helpful to implement some stress-reduction strategies we can work on together.”

39.

Coaching Process

Which coaching response best reflects a deep understanding of Lisa’s emotional struggle and facilitates exploration of both her underlying motivations and potential behavioral change?

Natalie, a certified health and wellness coach, is conducting her twenty-first session with Lisa, a 40-year-old client who has made significant strides in improving her sleep hygiene and reducing stress levels. Lisa is now focusing on weight loss, expressing frustration over her lifelong struggles with maintaining a healthy weight. Lisa states, “I have struggled with my weight all my life. I gain it, lose it, and gain it again. It feels like no matter what I do, I always end up back where I started. I’m tired of trying only to fail.”

A. “I can sense that your past experiences with weight loss have left you feeling defeated. What are the specific barriers you face that make maintaining weight loss challenging, and how do you envision overcoming them this time around?”

B. “It sounds like your weight journey has been emotionally exhausting. How would it feel for you to reframe your approach so that the focus is less on the outcome of losing weight and more on the process of healthy living?”

C. “Weight loss can be a difficult and emotionally charged journey. What underlying beliefs or emotions do you think are contributing to the pattern of gaining and losing weight, and how might addressing those help break the cycle?”

D. “Your frustration is completely understandable given your lifelong challenges with weight. What strategies do you think might help you approach your weight loss differently this time to maintain your progress long-term?”

4 out of 5

40.

Health & Wellness

Which key aspect of the USDA MyPlate is John most likely overlooking?

John, a 45-year-old client, is following the USDA MyPlate recommendations to improve his diet. He tells his coach that he has been focusing on filling half his plate with fruits and vegetables, choosing lean proteins, and including a glass of milk with every meal. However, he’s concerned about the completeness of his approach and asks the coach if anything might be missing.

A. Incorporating whole grains regularly, as the USDA emphasizes that at least half of all grains consumed should be whole grains for a more balanced diet.

B. Reducing his dairy intake, since the USDA MyPlate recommends limiting dairy to occasional use rather than with every meal.

C. Increasing his fruit intake, since MyPlate suggests that more than half of the plate should be fruits to ensure adequate vitamin intake.

D. Adding more animal-based protein sources, as the USDA MyPlate recommends balancing both plant and animal protein for optimal muscle health.

41.

Coaching Process

In responding to Sarah’s desire to pursue a 5K run, which of the following actions best aligns with advanced coaching competencies to support her continued progress?

Alexandra, a certified health and wellness coach, is conducting her ninth session with Sarah, a 33- year-old client focused on enhancing her physical activity. Over the past eight weeks, Sarah has successfully integrated a daily 20-minute walking routine, resulting in noticeable improvements in her energy levels and overall mood. In today’s session, Sarah expresses enthusiasm about setting a more ambitious goal, stating, “I think I am ready to try something more challenging, like training for a 5K run.”

A. Develop a comprehensive training schedule for Sarah, outlining daily and weekly exercise plans to ensure she gradually builds up to the 5K run, thereby providing structured guidance.

C. Encourage Sarah to join a local running group to enhance her accountability and provide social support as she trains for the 5K run, leveraging community resources for sustained motivation.

42.

Ethics/Legal

What is the most appropriate ethical action Jessica should take in this situation, adhering to the NBHWC Code of Ethics and HIPAA guidelines?

Louis, an NBHWC-certified health and wellness coach, is offering a free initial coaching session to clients who purchase her wellness program. During the free
session, a client, Mark, shares detailed information about his mental health struggles and past trauma.

A. Offer Continued Coaching: “I appreciate your openness. Let’s continue our sessions to work through these challenges together.”

B. Refer to a Mental Health Professional: “Thank you for sharing that with me. It might be beneficial for you to consult with a licensed mental health professional who can provide specialized support.

C. Provide General Resources: “I can suggest some general resources and techniques that might help you manage your stress and trauma.”

D. Document and Monitor: “I’ll document your concerns and monitor your progress closely in our future sessions.”

43.

Coaching Structure

How should Amelia structure the coaching program to best support Ben in integrating healthier habits into his busy lifestyle?

Amelia, a certified health and wellness coach, is starting a 16-week coaching program with Ben, a 42-year-old marketing manager who wants to adopt a healthier lifestyle. Ben’s goals include improving his nutrition, increasing physical activity, and managing stress. However, he has a busy schedule and often travels for work, which makes consistency challenging. In their first session, Ben expresses eagerness but is unsure how to integrate these changes into his life.

A. Collaborate with Ben to outline potential actions for nutrition, exercise, and stress management, allowing flexibility based on his weekly schedule and preferences.

B. Encourage Ben to set flexible weekly intentions based on his schedule, adjusting the coaching plan collaboratively to accommodate his travel commitments.

C. Suggest that Ben focus on one goal at a time, exploring nutrition first for several weeks before incorporating exercise and stress management strategies.

D. Discuss general strategies with Ben that he might consider regardless of his emphasizing the importance of consistency in achieving his health goals.

44.

Health & Wellness

Which of the following factors is the greatest contributor to Mike’s risk of developing cardiovascular disease?

Mike is working with a coach to reduce his risk of developing lifestyle-related diseases. He smokes occasionally, drinks alcohol on weekends, and works in a high-stress job. He also has a family history of cardiovascular disease. His coach wants to focus on reducing the most significant risk factors first.

A. His occasional smoking habit, as tobacco use directly damages blood vessels and contributes significantly to cardiovascular disease.

B. His alcohol consumption on weekends, as alcohol can increase blood pressure and contribute to heart disease.

C. His stressful job, as chronic stress can lead to high blood pressure and heart disease.

D. His family history of cardiovascular disease, as genetics play the most significant role in developing heart conditions.

45.

Health & Wellness

Which coaching response best supports Jack in increasing his physical activity in a way that aligns with his preferences and comfort level?

Emily, a health and wellness coach, is assisting Jack, a 28-year-old graphic designer who wants to increase his physical activity but feels intimidated by the gym environment. Jack prefers outdoor activities but is unsure how to start incorporating them into his routine.

A. Suggesting Gym Membership: “Joining a gym is the best way to stay consistent with your fitness goals.”

B. Exploring Preferences: “What outdoor activities do you enjoy, and how can we integrate them into your weekly routine?”

C. Encouraging Group Activities: “Consider joining a fitness class at the gym to stay motivated.”

D. Setting Strict Schedules: “Let’s schedule specific times each day for your workouts to ensure you don’t miss them.”

46.

Ethics/Legal

What is the most appropriate ethical action Samantha should take, adhering to the NBHWC Code of Ethics and HIPAA guidelines?

Samantha, an NBHWC-certified coach, is coaching her friend, Alex. During their sessions, Alex begins to disclose information that suggests he may be a danger to himself or others.

A. “I understand that you’re going through a difficult time. Let’s continue our sessions and explore ways to support you in managing these feelings.”

B. “Thank you for sharing that information. It might be beneficial for you to consult with a healthcare professional about your use of supplements to ensure your safety.”

C. “Given the information you’ve shared, it might be helpful to evaluate the situation further and consider appropriate steps to ensure your safety and the safety of others.”

D. “I see that you’re dealing with significant challenges. It might be beneficial to work with another professional who can provide specialized support in this area.”

47.

Coaching Structure

Which program structure best supports Daniel in creating a structured and accountable 10-week coaching program for Emma’s physical fitness and overall health goals?

Daniel, a newly certified health and wellness coach, is designing a 10-week coaching program for Emma, a 34-year-old teacher who wants to improve her physical fitness and overall health. Emma has expressed interest in both strength training and mindfulness practices. Daniel aims to create a structured program that ensures consistent progress an accountability throughout the duration.

A. Collaborative Check-ins: “We could set up weekly meetings to talk about your progress and make adjustments to your fitness and mindfulness practices based on how things are going.”

B. Goal Setting and Tracking: “Our program will include strength training sessions alongside mindfulness practices. Together, we’ll set weekly goals, monitor your progress, and review your achievements to maintain accountability over the 10 weeks.”

C. Comprehensive Planning: “At the start, I can provide you with a detailed strength training and mindfulness schedule, and we can have monthly check-ins to see how well you’re following the plan and make changes if necessary.”

D. Alternating Focus: “Each week, we can alternate between focusing on strength training and mindfulness practices, ensuring balanced progress in both areas without feeling overwhelmed.”

48.

Coaching Process

Which of the following coaching responses best demonstrates the use of motivational interviewing to support Sophie in resolving her ambivalence about making changes to improve her work-life balance?

Alex, an experienced health and wellness coach, is working with Sophie, a 30-year-old marketing manager who has been struggling to achieve a work-life balance. Sophie often feels conflicted between her career ambitions and her desire for personal fulfilment. She expresses ambivalence about making changes because, while she understands the importance of reducing stress, she fears that doing so might negatively affect her career progression. In their most recent session, Sophie shares that although she feels overwhelmed, she is unsure whether reducing her workload or setting more boundaries will result in the desired balance. Alex decides to use motivational interviewing to help Sophie explore this ambivalence and create alignment between her professional goals and personal well-being.

A. “It sounds like you’re concerned that reducing your workload might negatively affect your career progression. What aspects of your current job do you find most fulfilling, and how might those align with finding balance?”

B. “Balancing work and personal life is a tough decision. What do you think would happen to your career if you made changes to prioritise your well-being?”

C. “I hear that you’re feeling overwhelmed by your responsibilities. What would it look like to create small, incremental changes that could improve your well-being without disrupting your career progress?”

D. “How important is achieving work-life balance compared to your career ambitions? How could you find a way to prioritize both?”

49.

Health & Wellness

Considering Michael’s health metrics and family history, which combination of health markers

Alex, a certified health and wellness coach, is assisting Michael, a 50-year-old client, in developing a comprehensive wellness plan. Michael’s latest health metrics are as follows:• Fasting Blood Sugar: 102 mg/dL
• A1C: 5.9%
• Blood Pressure: 135/88 mmHg
• BMI: 32.0
• Total Cholesterol: 210 mg/dL
• LDL (Bad Cholesterol): 145 mg/dL
• HDL (Good Cholesterol): 38 mg/dL
• Triglycerides: 180 mg/dL
• Waist Circumference: 42 inches

Michael leads a moderately active lifestyle but has a diet high in saturated fats. He has a family history of type 2 diabetes and cardiovascular disease.

A. Fasting Blood Sugar of 102 mg/dL, BMI of 32.0, and HDL of 38 mg/dL

B. Blood Pressure of 135/88 mmHg, LDL of 145 mg/dL, and Triglycerides of 180 mg/dL

C. Waist Circumference of 42 inches, Triglycerides of 180 mg/dL, and HDL of 38 mg/dL

D. A1C of 5.9%, Total Cholesterol of 210 mg/dL, and BMI of 32.0

5 out of 5

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