Health Coach Final (Chapters 1-6)

Which of the following is included in the scope of practice of an ACE Certified Health Coach?

Ask open-ended questions

Which personality type places value on relationships and helping others? a. Dominant b. Cautious c. Inspiring d. Supportive

Supportive

A clients ambivalence about weighing the pros and cons is a key element in which stage of change? a. Contemplation b. Precontemplation c. Preparation d. Action

a

When is it MOST appropriate for an ACE Certified Health Coach to share a personal experience? a. To affirm a client's experience b. To provide motivation to a client who is ambivalent to change c. To aid in providing a vision for the client d. To elicit a self-reflective response from the client

a

Which BEST describes the "assessment trap?" a. Spending too much time reviewing assessment forms and asking one-directional questions b. Failing to review the assessment forms before the next scheduled session c. Utilizing too many assessment forms during the initial session. d. Asking open-ended questions about the results recorded on the assessment forms.

a

Which of the following MOST accurately represents the philosophy of the Tiny Habits method? a. The new habit should take place after an anchor moment b. New habits need continuous motivation c. New habits require a large amount of willpower d. New habits can be simple or complex

a

Which of the following is defined as "meeting each client with unwavering acceptance?" a. Unconditional positive regard b. Rapport building blocs c. Empathetic response d. Positive reinforcement

a. Unconditional positive regard

Which of the following is an example of preparatory change talk? a. "I swear i will quit smoking this time." b. "I need to quit smoking." c. "I started a smoking-cessation program." d. "I am willing to only smoke after lunch"

b

Which of the following is the BEST assessment tool used by an ACE Certified Health Coach? a. PAR-Q+ b. Listening c. Readiness to change questionnaire d. Lifestyle and health-history questionnaire

b

A client who exhibits self-discipline and consistency BEST aligns with which five-factor model personality trait? a. Extroversion b. Neuroticism c. Conscientiousness d. Agreeableness

c

How might an ACE Certified Health Coach begin building rapport with a client during the initial interview? a. Provide the client with a verbal outline of academic achievements b. Begin with a few short success stories from previous clients c. Begin asking questions about the client d. Directing clients in the process of change

c

Which element of the "spirit of motivational interviewing" refers to keeping the client's needs and desires as the priority? a. Evocation b. Acceptance c. Compassion d. Collaboration

c

Which process of motivational interviewing is also known as agenda mapping? a. Engaging b. Evoking c. Focusing d. Planning

c

Which technique can be used as a way to transition to change talk? a. Paraphrasing b. Reflecting c. Summarizing d. Affirmation

c

Which resource may be MOST helpful for an ACE Certified Health Coach to improve his or her emotional intelligence traits? a. Reading articles on emotional intelligence b. Listening to podcasts authored by experts c. Feedback from another health coach d. Teaching clients about emotional intelligence

c.

Which of the following BEST describes person-centered care?

c. Educating the patients and their families

Which of the following BEST describes the relationship of an ACE Certified Health Coach and a client?

c. Health Coaches are equal partners with their clients

Which is a key component of autonomous motivation? a. The health coach is the expert on behavior change b. The health coach sets small, achievable goals for the client c. The client acts under the direction of the health coach d. The client is the expert on him- or herself

d

Which of the following accountability statements is MOST accurate? a. Clients are accountable to the coach b. Clients should not be held accountable in first few initial sessions c. Coaches should determine the level of accountability needed for a client d. Clients are accountable to themselves

d

Which of the following BEST describes an effective ACE Certified Health Coach?

d. Collaborates with the client

Which of the following BEST describes the role of an ACE Certified Health Coach? a. Guides clients towards "necessary" health goals b. Provides clients the "necessary" motivation to be successful c. Assists clients in finding the "how" to make changes d. Formalizes the clients "why" for them

. Assists clients in finding the "how" to make changes

Which of the following describes a skill of a successful ACE Certified Health Coach? a. Only accepting clients in the action stage of change b. Meeting clients where they are in terms of their readiness to change c. Implementing a proven fixed plan to achieve goals d. Clarifying one's role as an expert to the client

. Meeting clients where they are in terms of their readiness to change

How would an ACE Certified Health Coach fall into the "expert trap?" a. Directing the client in the process of change b. Narrowing the focus to the coach's concerns c. Showing dissatisfaction with a client's lifestyle choices d. Identifying the problem that needs to be fixed

a

Using the DISC model, a client described as people-oriented would MOST likely display which two personality characteristics? a. Inspiring and supportive b. Dominant and inspiring c. Dominant and cautious d. Cautious and Supportive

a

Which is the BEST example of learned helplessness? a. A client who does not believe he will lose weight because he has tried unsuccessfully for many years b. A client who always has an excuse for not turning in a food journal at the end of each week c. A client whose last exercise program didn't work out because of uncontrolled commitments d. A client who doesn't think she will be able to complete a stress-reduction program

a

Which is the MOST appropriate affirmation given to a client from an ACE Certified Health Coach? a. "Your addition of vegetables to your dinners Wednesday and Thursday was a great choice." b. "I am very proud of your decision to choose vegetables instead of fries." c. "Excellent choices this week!" d. "Your dinner selections are improving."

a

Which of the following is a key aspect of motivational interviewing? a. Supports clients in self-directed learning b. Attempts to direct the client towards the pros of behavior change c. Includes advising the client on the best course of action d. Only used when clients are highly ambivalent

a

Which of the following is the BEST example of minimization? a. "If i miss class, the instructor is going to think i am slacking." b. "This class is never going to help me lose weight." c. "I already missed class yesterday, so i might as well skip today too." d. "It doesn't matter if is skip my class, since it is not very challenging anyway."

a

Which of the following signs of discord is characterized by deflecting blame? a. Defending b. Squaring off c. Interrupting d. Disengagement

a

Which of the following statements is MOST accurate regarding a coaching agreement? a. It sets clear expectations for the relationship b. It ensures a coach will receive his or her financial compensation c. It formalizes the business partnership of the relationship d. It locks the client into a long-term commitment

a

Which of the following BEST describes the field of coaching?

a. Functions somewhere within the present and desired future

Which is the MOST appropriate application of using motivational models to increase self-efficacy? a. Email daily encouraging messages to the client at work b. Introduce the client to a colleague who experiences a similar lifestyle change c. Set challenging goals early on that require a high amount of perseverance d. Interject humor into sessions and phone calls with the client

b

Which of the following is MOST accurate regarding a coaching agreement? a. A client should be able to review it prior to an initial meeting b. It should be jointly developed by the client and the health coach c. It should be a separate document from the payment policy d. It outlines only the health coach's responsibilities

b

Why is it MOST appropriate to describe the relationship between an ACE Certified Health Coach and a client as, "Dancing rather than wrestling?" a. The health coach leads the client through a set program b. The client is the expert in his or her own life c. The process of behavior change is easy rather than intense d. Goals are not focused on accomplishment, but on enjoyment

b

Which of the following BEST describes the role of an ACE Certified Health Coach?

b. Assist individuals in their desired actions

Engaging in activities that stimulate and challenge mental faculties to enhance one's mental fitness BEST describes which SAMHSA dimension of health?

b. Intellectual

Being skilled in conflict management and collaboration are aspects of which component of emotional intelligence? a. Self-management b. Relationship management c. Social awareness d. Self-awareness

b. Relationship management

An ACE Certified Health Coach who also teaches yoga at a local studio would exhibit a conflict of interest in which of the following situations?

b. Suggest the client attend their fee-based yoga class weekly

The statement, "I ate way too much on vacation, so i might as well give up on my weight-loss goal," is an example of which cognitive distortion? a. Magnification b. Jumping to conclusions c. Overgeneralizing d. All-or-none thinking

d

How can an ACE Certified Health Coach BEST support a client who has decided to adopt a new sleep routine? a. Educate the client on the pros and cons of establishing a sleep routine b. Provide the client with educational articles on beneficial sleep habits c. Develop long-term goals and the addition of exercise habits d. Collaborate with the client on realistic goals to get started

d. Collaborate with the client on realistic goals to get started

Mary has signed up for 10 coaching sessions with an ACE Certified Health Coach to help her reach her weight-loss goal. Based on this information, in what stage of the transtheoretical model of behavior change (TTM) would Mary be classified?

preparation

Which of the following BEST describes the role of the National Commission for Certifying Agencies (NCCA)?

Provide proper exam administration

What does the "A stand for in the A-B-C-D-E mnemonic used for identifying unproductive thinking? a. Activating event b. Acknowledging the prolem c. Accepting the behavior d. Asking for help

a

What does the mnemonic DARN represent? a. Desire, ability, reasons, need b. Decision, awareness, reality, need c. Desire, awareness, reason, need d. Decision, ability, reason, need

a

For what percentage of global death is chronic disease responsible?

70%

Based on the International Coach Federation's (ICF) core competencies, which example is MOST relevant to setting the foundation of a health coaching relationship? a. Agreement on the coaching process and relationship b. Providing the client with the structured outline of the program c. Requiring the release of the client's medical records d. A verbal agreement from the client to avoid unhealthy behaviors

Agreement on the coaching process and relationship

Which element is being advocated as an addition to the "triple aim" of healthcare, making it a "quadruple aim?"

Provider well-being

A client who describes having a core group of friends who often bike or walk together BEST describes which motivational factor? a. Competence b. Relatedness c. Self-efficacy d. Motivation

Relatedness

What is the first step in agenda mapping? a. structuring b. Considering options c. Zooming d. Commitment

a

When a client asks for advice, which is MOST appropriate response from an ACE Certified Health Coach? a. Use open-ended questions to find out what the client already knows b. Use factual statements to share the most up-to-date information c. Ask the client to confirm if he or she is ready to follow the advice given d. Paraphrase the questions asked to be clear on what the client is asking

a

Which BEST describes the goal of cognitive behavioral coaching? a. Work with clients to replace negative thoughts with positive thoughts that would support behavior change b. Provide clients with specific positive thought to replace negative thoughts c. Implement proven methods to retrain the client's way of thinking to eliminate negative thoughts d. Engage clients who are clinically depressed in positive behaviors and self-talk

a

Which coaching question would MOST likely elicit change talk? a. "How do you imagine you will feel adapting healthy eating habits?" b. "Which diet plans have not been successful in the past" c. "What can you change about your current dinner choices?" d. "Do you prefer to follow a strict diet plan?"

a

Which of the following statements would be MOST appropriate for a client who has worked through ambivalence? a. "I am ready to attend exercise class three days a week." b. " I have to start exercising consistently." c. "I might be able to fit in more exercise after work." d. "I value my doctor's recommendation to exercise."

a

Which element of rapport supports clients in creating a positive perception of their ability to succeed? a. Affirmation b. Autonomy c. Empathy d. Acceptance

affirmation

Which of the following is MOST accurate regarding individuals in the action stage of change? a. They are still weighing the pros and cons of behavior change b. Some individuals may struggle to stick to their plans c. They are considering adopting other behavior changes d. Individuals are confident in their ability to overcome barriers

b. Some individuals may struggle to stick to their plans

"Honoring clients" absolute worth and recognizes their autonomy BEST describes which element of motivational interviewing? a. Compassion b. Collaboration c. Acceptance d. Evocation

c

It may be BEST to ask the client to complete which form before the initial session? a. Readiness to change questionnaire b. PAR-Q+ c. Lifestyle and health-history questionnaire d. Food intake questionnaire

c

What are the components of mobilizing change talk? a. Confidence, ability, task completion b. Commitment, ability, taking steps c. Commitment, activation, taking steps d. Confidence, activation, task completion

c

What are the phases of the ACE cycle of change? a. Acceptance, choice, explanation b. Awareness, confidence, execution c. Awareness, choice, execution d. Acceptance, confidence, explanation

c

What is the MOST appropriate response time to a potential client's email inquiry? a. One week b. Within the week c. One day d. Three days

c

What is the goal of working with a client in the preparation stage? a. Increase the awareness of the risks of maintaining status quo and benefits of making change b. Have the client start thinking about change c. Guide the client to develop a clear, concise plan that sets him or her up for success d. Encourage the client to "stick to the plan"

c

What question could an ACE Certified Health Coach ask a client exhibiting cognitive distortion in order to examine the evidence? a. "Is that what you really believe?" b. "How long have you felt this way?" c. "What are the facts of the situation?" d. "Are you sure that is the cause of the problem?

c

Which MOST accurately defines the concept of self-liberation in the process of change? a. Realizing behavior change is an important part of one's identity as a person b. Finding and learning new facts, issues, and tips that support healthy behavior change c. Deciding to change and experiencing a new belief in the ability to change d. Substituting healthier behavior and cognitions for the unhealthy behavior

c

Which nonverbal cue may indicate the client is embarrassed about the topic being discussed? a. Continuously looking at the clock while speaking b. Fidgeting with a pen in his or her hand c. Keeping a quiet voice in a private setting d. Sitting with a hunched posture

c

Why is it important for an ACE Certified Health Coach to take an ecological perspective to a client's health behaviors? a. Community laws are the primary driver of behavior choices b. This perspective focuses on the influence of community policies and regulations c. Individuals should be understood in the context of their environments d. Genetics drive an individual's disease susceptibility

c. Individuals should be understood in the context of their environments

According to the health belief model, which of the following MUST be present in order to make a decision to change? a. The belief that the threat of illness outweighs the benefit of the healthy behavior b. ability to eliminate all barriers before engaging in a healthy behavior c. A serious illness that has been diagnosed by a medical provider d. The perception of an increased susceptibility to an illness

d

What technique would an ACE Certified Health Coach use with a client who communicates the desire to make a change, but is unclear about how to begin? a. Reflective listening b. Agenda mapping c. SMART goals d. OARS skills

d

Which body language indicator is MOST likely displayed by a client who feels her personal space is being invaded? a. Standing with crossed arms b. It is angled toward the door c. Begin biting her lip d. Pulling her purse to the front of her chest

d

Which element must be present in a successful client-coach relationship? a. The coach must instruct the client on appropriate strategies b. The client must have a problem that needs to be fixed c. The client must have had past behavior-change success d. The coach must believe the client is capable of change

d

Which of the following statements is MOST accurate regarding a client initiating preparatory change talk? a. It means he or she is ready to move to the action phase b. It decreases ambivalence c. "I started a smoking-cessation program." d. "It may be coupled with sustain talk

d

Which question is the MOST effective follow-up question to the following client statement: "My doctor keeps telling me i need to quit smoking"? a. "Do you think you smoke too much?" b. "Do you agree with your doctor?" c. "How do you plan to quit smoking?" d. "How would it make you feel to quit smoking?

d

Why is it BEST to implement a guiding style of communication? a. Directs clients in the direction desired by the health coach b. Allows the health coach to share his or her knowledge and expertise c. Gently eases the client into the next phase of behavior change d. Encourages clients to explore their ambivalence

d

A health coach who is able to correctly identify emotions in clients, demonstrates which component of emotional intelligence?

d. Self-awareness

Which of the following statements about noncommunicable diseases is MOST accurate?

d. They are greatly impacted by lifestyle choices

Which of the following interpretations of the illness-wellness continuum is MOST accurate?

d. Wellness is dynamic and ever-changing

Which BEST describes the biopsychosocial model of health? a. Health is a combination of biological, social, and psychological factors b. Health is mostly biological, with smaller influences from social and psychological factors c. Health is mostly biological and psychological, with a smaller influence from social factors d. Health is mostly psychological, with smaller influences from biological and social

a. Health is a combination of biological, social, and psychological factors

Which term MOST accurately reflects the approach to medicine that takes into account all evidence-informed therapies that support physical, emotional, psychological, and spiritual aspects of individuals?

a. Integrative medicine

According to the transtheoretical model of behavior change, a person who has no intention of adopting a new behavior is in which stage of change? a. Precontemplation b. Contemplation c. Preparation d. Maintenance

a. Precontemplation

What is the PRIMARY benefit of establishing an accountability system? a. Allows the client to take inventory of successes b. Empowers the client to take action and explore barriers c. Provides an easy way to monitor progress toward defined goals d. Serves as a checks-and-balances system for behavior change

b

Reinforcing the need for a transition from external to internal rewards would be MOST appropriate at which stage of change? a. Action b. Maintenance c. Preparation d. Contemplation

b. maintenance

Which of the following goals is the BEST application of the Tiny Habits method? a. I will perform 10 squats a day b. I will perform 10 squats before i go to bed c. After i get the mail, i will perform three squats d. I will perform three squats every time the phone rings at work

c

The phrase "First, do no harm" is described by which pillar of ethics?

Non-maleficence

Which type of coach is BEST suited for developing a client's capacity to deal with change in their organization or career?

d. Executive coach

When does building rapport with a client begin? a. At the first meeting b. After at least two sessions c. Upon achievement of the first goal d. In the first month

at the first meeting

A client notes on a lifestyle, and health-history questionnaire that he has been actively living with type 2 diabetes, osteoarthritis, and hemochromatosis for the past five to 10 years. How should an ACE Certified Health Coach proceed? a. Refer him to another ACE Certified Health Coach who also has type 2 diabetes b. Verify that he is under medical care and has been compliant with his medical evaluations c. Refer him to a registered dietitian who can meal plan for him d. Inform him that he should not seek any guidance outside of the medical provider

b

According to the five-factor model, which personality trait involves being humble, patient, and sensitive? a. Conscientiousness b. Agreeableness c. Openness to experience d. Extroversion

b

What is one way an ACE Certified Health Coach could hinder the development of the client-coach relationship? a. Asking closed-ended questions b. Asking too many assessment questions c. Engaging in small talk d. Beginning with open-ended questions

b

What is the primary purpose of a values interview? a. To determine a client's readiness to change b. To create awareness of what is most important to the client c. To identify if the client and coach have the same beliefs d. To identify a client's character strengths

b

When hosting a virtual session, what is the top priority? a. The background is serene b. It is conducted in a private setting c. Minimize background noise d. The session is well organized

b

Which is the BEST example of complex reflection after the following client statement: "I feel better when i pack healthy snacks to bring to work, but i just don't have time in the morning"? a. Nodding and smiling while listening b. "You feel rushed in the morning, so it is not a good time to pack snacks for the day." c. "You seem upset about that." d. "Have you thought about packing snacks the night before to save time?"

b