HSC 440 Midterm

Coaching partner states: "I don't have time to buy or fix fresh vegetables. My family and friends don't either." The coach provides an amplified reflection; select the statement that depicts an amplified reflection. "I hear you say that you don't have time to eat fresh vegetables and that your family and friends don't either." "I hear you saying that you don't know anyone who has time to buy or fix fresh vegetables and that it's impossible for you to for eating fresh vegetables into your schedule." "I hear you say that you don't have time to eat healthily and that your family and friends don't either. But I've also heard you say that eating healthy makes you feel better and that eating healthy regularly would be good for your health." "Because you don't have time to eat healthy, let's talk about the new walking routine you started with your partner. You said you liked this new routine."

"I hear you saying that you don't know anyone who has time to buy or fix fresh vegetables and that it's impossible for you to for eating fresh vegetables into your schedule."

Last, in following up with the conversation above, the husband, who is aware of NVC, wants to connect with his wife and realizes that she has some unmet needs. The husband uses NVC to connect to what is alive in his wife and explore what would make life more wonderful. Which statement would accomplish that purpose? "I get it! Your needs for honesty and support were not met. Would it be helpful if next time I commit to washing the dishes, I follow through even if it ends up being the next morning?" "My apologies, I was so tired last night that I didn't think about it. I promise that next time it will not happen!" "I see you are feeling frustrated because you need support. Would it be helpful if we talk about how I can support you better?" "You are always nagging! I get it done, don't I?"

"I see you are feeling frustrated because you need support. Would it be helpful if we talk about how I can support you better?"

Which of the following is an example of an empathic response? "Don't be so hard on yourself; nobody is perfect." "Do you think that would solve anything?" "I know just how you feel; I feel the same way." "So you are feeling anxious and would like others to be more aware of your circumstances?" "Perhaps joining a gym would help."

"So you are feeling anxious and would like others to be more aware of your circumstances?"

Your coaching partner states the following: "I have been working so hard in keeping my motivation and exercise at least 3-4 times a week. Unfortunately, some weeks I am unable to meet my goal. My boyfriend wants us to watch sports on TV (sometimes even live-if we find tickets). I want to share activities that are important to him." The masterful coach synchronizes with this client, affirms, and highlights these outstanding strengths in her/his reflections. Select the best affirmation/reflection based on the statement above. "Your humor is noticeable in this situation and certainly helps you to move forward." "Your persistence in keeping the focus on your goal helps you to achieve your goal most weeks even if at times your schedule changes." "Your sense of perspective helps you in selecting activities that are important in this moment in your life." "Your sense of curiosity keeps you moving forward."

"Your sense of perspective helps you in selecting activities that are important in this moment in your life."

Which statement/s are MI Non-Adherent as they give information to the client? Select all that apply. "And also, of course, it's so important to have proper shoes when you're running, definitively to protect the rest of your body." "I have read that your room and your bed are only supposed to be for comforting and sleeping. So, it makes sense why you would want to leave your stress outside of the door." "I'm excited to see what our next session holds for us. I'm excited to see just in a week how much you have progressed on making this positive life change." "Are you allowed to take breaks or anything? To walk around." "This is really an exciting time for you."

*"And also, of course, it's so important to have proper shoes when you're running, definitively to protect the rest of your body *I have read that your room and your bed are only supposed to be for comforting and sleeping. So, it makes sense why you would want to leave your stress outside of the door." *I'm excited to see what our next session holds for us. I'm excited to see just in a week how much you have progressed on making this positive life change."

Select the open-ended questions (choose all that apply): What were your best experiences this past week? Last week, did you have a great experience? Did you enjoy the information we shared during our last session? What do you think will happen if you share the information we shared last week? Have you been exercising and eating your fruits and veggies every day? Tell me about your smoking history.

*What were your best experiences this past week? *What do you think will happen if you share the information we shared last week? *Tell me about your smoking history.

Your client states the following: "I have been working so hard in keeping my motivation and exercise at least 3-4 times a week. Unfortunately, I cannot meet my goal some weeks, as my boyfriend wants us to watch sports on TV, sometimes even live-if we find tickets! I want to share activities that are important to him." The masterful coach synchronizes with the client, affirms, and highlights strengths in her/his reflections. Select the best strength-based affirmations/reflections revealed in the statement above. Select all that apply. "Your sense of curiosity keeps you moving forward." "Your sense of perspective helps you in selecting activities that are important in this moment in your life." "Your persistence in keeping focus in your goal helps you to achieve your goal most weeks even if at times your schedule changes." "Your humor is noticeable in this situation and certainly helps you to move forward " none of these are appropriate affirmations

*Your sense of perspective helps you in selecting activities that are important in this moment in your life." *"Your persistence in keeping focus in your goal helps you to achieve your goal most weeks even if at times your schedule changes."

During an initial visit with a client recently diagnosed with type 2 diabetes, the physical activity component of the wellness assessment indicates that she is not currently meeting established physical activity guidelines. Using the 5A's framework for coaching clients towards behavior change, which of the following is the best next step in helping the patient increase her physical activity? Assist the client in identifying specific strategies to increase physical activity, such as attending group fitness classes. Advise, with permission, the coaching partner on the current physical activity guidelines and the benefits of regular physical activity in treating and reversing type 2 diabetes. Agree to co-create an exercise for a prescription that includes specific activities that are are in alignment with the client's current fitness level. Arrange for a qualified exercise professional referral to devise a specific exercise plan to help the coaching partner reach her personal health goals.

Advise, with permission, the coaching partner on the current physical activity guidelines and the benefits of regular physical activity in treating and reversing type 2 diabetes.

After a well-check visit, Bertha sees the coach at her primary care provider's office for a first coaching session. They review her wellness profile and her wellness vision questionnaires. In reviewing the assessments, the coach demonstrates open-mindedness and highlights all the positive aspects of the questionnaires. What skill is the coach demonstrating? Affirming the client's being. Helping the client to articulate values. Reframing the conversation towards the positive. Defining a path to move forward.

Affirming the client's being.

A 45-year-old woman is interested in working with a health and wellness coach. Her friend has positively spoken about her coaching experiences, and she decides to reach out to a health and wellness coach. In their initial conversation, the coach explains the coaching process and establishes a coaching agreement. What are the main components of a coaching agreement? Guidelines and parameters of the coaching relationship. Definition of the responsibilities for both the coaching partner and the coach. Definition of details of fees, scheduling, and confidentiality. Understanding details of the type of coaching relationship. All of the above

All of the above

As health and wellness coaches (HWC) assist clients in becoming their best, they frequently collaborate with other professionals in the field. These health care professionals frequently collaborate and practice integrated care with HWC: Mental health providers Health care providers Nutritionist & Dietitians All of the above plus more

All of the above plus more

Mel is an athletic trainer who has recently become interested in credentialing as a health and wellness coach. In the first practice coaching session, Mel educated the client by going through each assessment item by item and responding/educating the client on health risks by saying "that's good" or "that's something you will want to work on." Mel also often cited relevant statistics on related morbidity, provided a list of ideas for changes in diet and physical activity, and then asked the client to choose what they would like to do first to turn their risk around. Which of the following best describes principles of health and wellness coaching that are violated by this approach? The coach is a facilitator, not the expert. Individuals with health or personal issues are seen as complete and "ok' human beings just as they are, nothing to be fixed or to be treated. Every person is resourceful and capable of finding unique and creative strategies and solutions. All of the above principles (A, B, C) of coaching were violated in this scenario. Based on the scenario all the options are correct Only A and C above were violated Question 131 / 1 pts Michael is 40 years old and lives in a large city. He is single

All of the above principles (A, B, C) of coaching were violated in this scenario.

A 38-year-old man has been meeting with a telephonic coach for his fifth coaching session. The coaching partner has been working on increasing his level of physical activity to 3 times a week and perceives little success after six weeks. He has consistently met his goal of increasing cardiovascular exercise at least one time a week-- 30 minutes of physical activity every Wednesday. The coach senses the frustration and states: "I feel bad for you. It is like you can't find a way to increase your level of physical activity. Let me tell you what works best!...." What do you hear in the novice coach's response? *An expert approach *A coach approach *An empathetic response *A motivating response

An expert approach

During a follow-up visit, a 31-year old patient with obesity shares that she has been consuming more vegetables and whole grains for the past two weeks, resulting in feeling more energized and her clothes fitting more comfortably. Upon recognizing and celebrating her progress, the coaching partner appears discouraged and says: " I've lost weight initially with the other diets I've tried, but then I gain it right back. I know that's going to happen this time, too." Which of the following is the best response to support the woman in reframing this non-productive thinking? "Who will be your support system this time?" "Besides gaining all the weight right back, what are some other possible outcomes of your health changes?" "How important is it to you to lose weight?" "What would be a good next step toward long-term weight loss?"

Besides gaining all the weight right back, what are some other possible outcomes of your health changes?"

Which of the following does not recognize the client's autonomy, creativity, and decision-making capability? Coach encourages the creation of a dream/vision for what could be. Coach inquires about what has been helpful or worked well in the past. Coach offers to join the client in a brainstorming session regarding multiple paths for achieving a goal. Coach prioritizes problems and needs for change.

Coach prioritizes problems and needs for change.

5-D Cycle examines the positive core. In the process of discovering, many activities are designed to explore the practices that work well, i.e., what is happening when the coaching partner is at their best? In this specific example below, what is the coach exploring? Coach: "So a few weeks ago, you were faced with some temptations at a party during what was a stressful, busy time, and you made healthy choices. Congratulations! What were the reasons that led you to choose to eat well then?" Coaching Partner: "One reason was that I wanted to have great memories of the party. I'd been planning it for a year. I didn't want to think back on that evening and be upset by what I had chosen to eat." Best Experience Core Values Generative Conditions Three Wishes

Core Values

During a follow-up appointment, a patient action plan to walk during lunch with her co-worker for 20 minutes, four days per week, is reviewed; the client reports that, for the past month, she had consistently walked twice a week; however, she is frustrated that she did not achieve the goal she said for herself. Which of the following would be the best first step to build the client's self-efficacy to support her ongoing lifestyle changes? *Revise the action plan to something more realistic. *encourage the patient to establish a system of accountability. *Discussed and affirm the progress the patient has made thus far. *Reflect the patient's frustration of not meeting the established goal.

Discussed and affirm the progress the patient has made thus far.

The coach says: "Let's envision that something ridiculously positive happens after you stop smoking; what are the best things that might come out after making this change?" What is the coach attempting to do? Eliciting the client to imagine extremes Eliciting the client to explore pros Eliciting the client to look back Eliciting the client to elaborate

Eliciting the client to imagine extremes

Coaching Partner: "I am so angry! My boss told me that I have to work a 10-hour shift this week, which means that I can't do my evening walk, and there is no way that I'll be able to eat healthily." Coach: "You are angry and disappointed because you've been so proud of yourself for being consistent with your exercise and eating plans. You are frustrated because you are having difficulty thinking of strategies maintaining this when your schedule changes. What else are you feeling?" Which one of the nine Being Skills in coaching is best represented in this scenario? Affirmation The coach presents empathy and understanding of the situation and that builds connection-empathy means acknowledging and affirming someone's emotional state. Please note that even though the coach affirms the feelings expressed by the client the coach mainly attempts to make an emotional connection by acknowledging and affirming what goes on in the coaching partner's life. Affirming: Smiling, nodding, or brief verbal affirmations like "I see" and "mm hmm" Playfulness Empathy Mindfulness

Empathy

Charlie is a 57- year- old man that meets with a coach for his first coaching sessions in the office of his internal medicine provider. During the last year, Charlie has had high levels of LDL cholesterol. After introducing each other, what is the most appropriate next step by the coach? Provide Charlie a detailed eating plan to help him control his bad cholesterol. Talk to the internal medicine doctor to obtain clear guidance on the expectations for the coaching session. Explain that coaching sessions focus on the client and not on the medical treatment for his high cholesterol. Share stories about how coaching has benefitted several clients with high cholesterol levels.

Explain that coaching sessions focus on the client and not on the medical treatment for his high cholesterol.

Which of the following does NOT reflect the principles of health coaching? Health and wellness coaching only occurs as an ongoing relationship with a co-credentialed coach and trained in specific behavior change, communication, and motivational skill. Attend to the client's state of being (mood/affect/presence). The coaching relationship requires establishing strong trust and rapport to generate a productive and fulfilling change process. Expressing "empathy" means having a respectful understanding of another person's experience, including his or her feelings, needs, and desires.

Health and wellness coaching only occurs as an ongoing relationship with a co-credentialed coach and trained in specific behavior change, communication, and motivational skill.

Which of the following describes the HAIL metaphor used as a guide for developing trust and rapport? Harmony, Arrange, Initiate, Laugh Hero, Authority, Interrogate, Labor Honesty, Authenticity, Integrity, Love Hopeful, Answer, Intimate, Language

Honesty, Authenticity, Integrity, Love

Following the example above, "You were lazy and left the dishes you promised to do in the sink!" What is the best way for the person (husband) that didn't do the dishes to respond and empathize while naming emotions? "I am wondering if you are feeling irritated because I didn't do the dishes last night." "I am wondering if you are feeling uptight because I frequently forget to do the dishes." "You always react so drastically, "drama queen!" You know I always get it done even if late!" "I am ready to do the dishes now, hun! Please don't worry anymore."

I am windering if you are feeling irritated because I didn't do the dishes last night

According to Maslow's hierarchy of needs, which of the following is correct? If physical needs are not met, their priority overrides other needs. Most people are not motivated to go beyond the scope of basic needs. Psychological needs are thought to be the most important. Self-actualization is achieved by everyone.

If physical needs are not met, their priority overrides other needs.

Coach: So, the doctor wants you to go on medication to lower your cholesterol, but you do not want to. Why not?Coaching Partner: Well, I'm not particularly eager to put unnatural things into my body. I am not on medication at this point, and I do not want to have to start.Coach: Medication is not unnatural-there are many chemicals in all the foods that we eat. Which of the following alternative responses would be more effective than the last answer given by the coach? You would never take any medication. It's crucial for you to take care of your body, and you'd prefer to lower your cholesterol without medication at this point. Have you tried changing our eating habits and losing weight? Can I share some information with you? The medications for high cholesterol do a lot of good, and they don't have the adverse side effect that some drugs do.

It's crucial for you to take care of your body, and you'd prefer to lower your cholesterol without medication at this point.

Coach: Your nephrologist asked me to talk to you about watching your fluid intake.Coaching Partner: Yeah, I know. It's just been so hard lately with the Arizona weather so hot outside.Coach: I understand. Your kidneys are not working, and you must limit your intake. I've gotten what is called fluids alters from the dialysis center. Unfortunately, they have not gotten you down to your dry weight, which is concerning. Which of the following alternative responses would be more effective than the last response given by the coach?

Maybe we could go over all the reasons that you should keep your fluids down?

Which of the following are the three (3) Core Coaching Skills for the health and wellness coach described by Moore and colleagues? Mindful listening/coaching presence Active listening through guided or open-ended inquiry Perceptive reflections Patience Trust Beginner's mind Self-confidence Broad-based knowledge on health and wellness Professional boundaries Health and wellness coach training certification 40 hours of supervised coaching practice NBHWC ethics competency

Mindful listening/coaching presence Active listening through guided or open-ended inquiry Perceptive reflections

A 38-year-old man visits the coach's office after being diagnosed with anxiety. During the session, the client says: "My work pace is accelerated; everything has a sense of urgency. I become impatient and preoccupied with the many things I need to do. My doctor prescribed anxiety medication. I read somewhere that breathing exercises work as well as medication. If I can breathe deeply and softly for a few moments, allowing my attention to follow my breath away from the demands of my work, I should be OK." Which of the following statements is the most appropriate step by the coach? Assist the client in finding information about anxiety. Explore the client's beliefs about seeking a second opinion. Assist the client in the creation of a wellness vision and goals related to his diagnosis. Mindfully listen to the client and provide empathy.

Mindfully listen to the client and provide empathy.

What is mindfulness? Conscious awareness of the need to fix the problems of others (righting reflex). Non-judgmental awareness of what is happening in the present moment. Conscious awareness that aims for an empty or blank mind where no thoughts are present. A mental state that encourages being calm and in a meditative state. A religious practice that encourages awareness and compassion that is within us.

Non-judgmental awareness of what is happening in the present moment.

Maslow's Hierarchy of Needs is usually used as a framework to understand human needs. Eventhour Maslow didn't intend for his teaching to be in a pyramid form, such teaching interpreted in such a manner. From the bottom up, what is the order of needs usually presented in the pyramid? *Physiological, Safety, Social, Esteem, Self-Actualization *Safety, Esteem, Social, Self-Actualization, Physiological *Physiological, Esteem, Social, Safety, Self-Actualization *Self-Actualization, Esteem, Social, Safety, Physiological

Physiological, Safety, Social, Esteem, Self-Actualization

A coach asks: "What is good about eating fried foods every day?" This is an example of a statement that attempts to explore: Pros of eating fried foods Cons of eating fried foods Reevaluating the environment that influences the consumption of fried foods Self-liberating and exploring commitment to eating healthier

Pros of eating fried foods

Coach: How important do you think it is that you should quit smoking? Coaching Partner: Oh! I think it is crucial for my health. My asthma has gotten much worse. Coach: So you know all the dangers of smoking. Coaching Partner: Yes, of course, I do! Coach: Well, it is probably the most important thing you can do for your health. Coaching Partner: Yes! It would be really good for me. Coach: So, when are you going to quit? Coaching Partner: I have to find the right time. This segment of the coaching session was not "coaching like"! Select the best behavior change theory or concept that would have allowed the coach to understand the coaching partner better and make progress in the session. Self-Efficacy from Social Cognitive Theory-address confidence about making a change or following a treatment plan Stages of Change from Transtheoretical Model-help the client to create a plan to address change barriers Self-Perception Theory- evoke the benefits of change or the treatment plan Because the patient knows reasons to change and that it is important -the coach would have made more progress by addressing confidence levels. Perceived Control from Theory of Planned Behavior-explore how others around the client influence his/her behavior

Self-Efficacy from Social Cognitive Theory-address confidence about making a change or following a treatment plan

Coach: So the doctor wants you to go on medication to lower your cholesterol, but you do not want to. What is making you apprehensive?Coaching Partner: Well! I do not like to put unnatural things into my body, I am not on any medication at this point, and I do not want to start.Coach: Medication is not unnatural; there are many chemicals in the foods that we eat.Coaching Partner: I do not eat junk food, I buy healthy and natural foods, and I think doctors prescribe too much medication. Also, I do not want to have to pay the co-pays-my parents are on medications and they spend a lot of money on them.Coach: What insurance do you have? The co-pay should not be that much!Coaching Partner: Well! It is just the idea of being on medication. It makes me feel old.Coach: I understand. There seem to be many barriers in the way you are taking this medication recommendation. I hope you will reconsider. Can we talk about this more in the next session? This section of the session was not very "coaching-like"! Select the best behavior change theory or concept that would have allowed the coach to understand the coaching partner better and make progress in the session. Self-Perception Theory- evoke the benefits of change or the treatment plan The coach should evoke reasons to change rather than continue to validate the barriers, the patient could have moved to pass them. If you want someone to believe or feel something about themselves, first allow the space to explore how to do it. Stages of Change from Transtheoretical Model-help the client to create a plan to address change barriers Self-Efficacy from Social Cognitive Theory-address confidence about making a change or following a treatment plan Perceived Control from Theory of Planned Behavior-explore how others around the client influence his/her behavior

Self-Perception Theory- evoke the benefits of change or the treatment plan

The art of reflection allows coaches to help their coaching partners open up and tap into MI's spirit. This is an excerpt of a session conversation: Coaching Partner: "I don't have time to exercise. My friends and my spouse, don't either!"Coach: "This sounds challenging, so little time to exercise. I'm wondering about the dance class you started with your partner. You were doing pretty well with that; I remember you saying that you were enjoying the classes."Coaching Partner: "Yes, that's the best decision I've made in quite a while. No more sitting in front of the TV on Thursday nights! It's been great to do something active together. We may even add a second night to the schedule."Coach: "It sounds like you are feeling happy with the dancing and the time with your partner because it's meeting your needs for both physical activity and connection."The coach's first response contains two parts: an amplified reflection and _________: Simple reflection Amplified Reflection Double-Sided Reflection Shifted-Focus Reflection

Shifted-Focus Reflection

Which of the following is likely NOT expressing empathy? Checking in with your feelings and needs Speaking with your eyes Speaking with your body Speaking about your own experiences Hearing feelings and needs expressed through silence

Speaking about your own experiences

Which of the following is NOT an example of coaching competency? The coach provides a list of websites for improving wellbeing. The coach is confident working with strong emotions and can self-regulate. The coach is fully present and flexible during the coaching process. The coach accepts not knowing the answer and willingness to take appropriate risks.

The coach provides a list of websites for improving wellbeing.

Which of the following reflects the practice of Health and Wellness Coaching? The respectful understanding of another person's experience. The sharing of the coach's personal experience. The expression of sympathy. The expression of pity.

The respectful understanding of another person's experience.

Thoughts and Emotions: Which of the following statements is NOT true? Negative emotions frequently reflect unmet needs. Thoughts and emotions are impossible to differentiate. Feelings originate in our "reptilian" brain. We feel an emotion because we have a met/unmet need. Emotions are caused by, but separate from thoughts.

Thoughts and emotions are impossible to differentiate.

Client: I know your book tells you that the symptoms mean "I shouldn't take my baby to the ER," but it's my kid, and I'm worried. Better safe than sorry! Coach: It is your choice-I wouldn't suggest otherwise. Your child is important to you, and you want to make the right decision. Would it be okay if we went over his symptoms again? Does the Coach's answer reflect the MI Spirit? True The coach supports autonomy, uses reflective listening, and asks permission to discuss further. False

True

Coaching is a growth-fostering relationship that enables clients to reach their goals and fulfill their visions. True False

True

Our coaching model uses a four-stage process. In this module, we focused on reviewing behavioral health theories and models that attempt to explain people's health-related behaviors. Those theories are used through the coaching process in ALL stages identified above. True False

True

Before a coach provides expert advice s/he needs to Use several relationship skills such as silence to elicit deeper thinking. Make sure the coach is working very hard and talking a lot. Ask lots of questions but make sure that the client doesn't feel interrogated. Make sure that the client understands how to find the best answers.

Use several relationship skills such as silence to elicit deeper thinking.

A 32- year- old man meets with his worksite health and wellness coach for the first time. He tells the coach, "As the year starts, I have a resolution...I am finally ready to lose 11 kg (25 lbs)!" The coach states, "You are motivated and want to use your strength of self-determination to lose weight! In our coaching process, we will work together to develop a whole vision of your health and wellbeing while encouraging you to use your innate resources to foster your success." The coach response is consistent with a coach that: Is responsive to individual coaching partner preferences, needs, and values Uses a client-centered and strength-based approach Provides support to enhance self-awareness, motivation, and self-efficacy Note that the coach mostly uses a client-centered and strength-based approach. The coach talks about searching from within for intrinsic motivation and fostering success which is in accordance with a patient-centered approach. Provides guidance for learning and change All of the above

Uses a client-centered and strength-based approach

Michael is 40 years old and lives in a large city. He is single and lives in an apartment, works the late shift as a hospital medical assistant five days a week, where he eats lunch daily. He walks a couple of blocks to work. Other than that, he uses his car for transportation to the grocery store, doctor's appointments, etc. Michael weighs approximately 320 pounds and has previously lost and regained weight. Michael periodically complains of memories of a poor relationship with his mother and working with a highly critical shift manager that disturbs him and interferes with thoughts about himself daily. He describes himself as a hard worker and recognizes that he is constantly looking for approval. In his fifth coaching session, he states that others tell him that he needs to lose weight, and he agrees. Which of the following is a "being" skill that is most important in working with Michael? Using courage to provide a list of psychotherapists in the community for a referral. Using playfulness when defining the coaching relationship and expectations. Using warmth when providing a list of websites for healthy eating. Using empathy to express caring not only for external results but for the person being coached.

Using empathy to express caring not only for external results but for the person being coached.

During an initial consultation, a 24-year-old patient with hypertension and obesity states she would like to focus on managing her stress. Which of the following responses best exemplifies a 'coach' role in helping the client change her desired behavior? How helpful do you think it would be to try meditation using an app? I recommend practicing yoga, as many patients find it helpful in managing stress. Did you know that research shows chronic stress can lead to weight gain? What are your top three reasons for wanting to manage your stress?

What are your top three reasons for wanting to manage your stress?

This is a statement in a conversation between a husband and wife: "You (husband) were lazy and left the dishes you promised to do in the sink!" What is the best way to make this observation free of evaluation? You agreed to do the dishes before going to bed last night, and as always, this morning, the dirty dishes were still in the sink. The dishes are still in the sink! Is there something I can do to remind you to follow-up with your commitments? You agreed to do the dishes before going to bed last night, and this morning the dirty dishes were still in the sink. I am not sure how I will trust that you will ever do what you say you will do!

You agreed to do the dishes before going to bed last night, and this morning the dirty dishes were still in the sink.

Lisa, a 25 -year-old engineer, visits her worksite wellness coach for a third coaching session. Lisa has been making goals around time management skills, as she frequently feels overwhelmed about her inability to complete essential tasks. Lisa states: "This week has been crazy! Sunday, I sat down and completed a list of tasks that I needed to complete during the week. I even prioritized the activities and made affirmations about my abilities. Monday comes about, my boss asks me to work in a new "priority," and my plan goes without fulfillment. Today is Friday, I looked at my list, and I only got one thing accomplished! It is so annoying to work in such an unpredictable environment!" Which coach reflection denotes the BEST use of non-violent communication? You are feeling frustrated as your new work expectations pushed aside your time management plan. Your work makes you annoyed; your boss's new demands interfere with your goal accomplishments. Your job sucks! How are you ever going to manage your time if your priorities keep changing? I understand your frustration. I once had a job where my boss every week changed the course of action...I always felt like a "vagabond aimlessly wandering"!

You are feeling frustrated as your new work expectations pushed aside your time management plan.

During a previous visit, a 49-year old coaching partner with cardiovascular disease developed an action plan to pack a lunch for work three days a week. In reviewing this action plan, the patient states that he has not been able to adhere to his schedule because his wife recently started a new job, and he is now in charge of getting the kids ready for school in the morning. He shares that there were a couple of days over the last month where he could pack a healthy lunch, which helped him feel more focused and energized at work. But he's just too busy to prepare food for himself, given his new household responsibilities. Which of the following is the best example of a double-sided reflection based on what the client has shared? It sounds like even though you try, you were able to follow through on the goal you set for yourself. You have many responsibilities that I'm making it challenging for you to follow through on your goal. You don't have time to pack a lunch, and when you eat healthy, you feel more energized during the workday. It might not be the right time to take on this particular goal. Is there something else you like to focus on?

You don't have time to pack a lunch, and when you eat healthy, you feel more energized during the workday.

Coaching partner: "I haven't been watching my diet all that much or checking my blood sugars, but I can tell when they get out of whack. I just got my labs, though, and my A1c has come down." Recognize the most effective affirmation stated by the coach. I'm happy that they have come down, but monitoring your blood sugars is really important. You must be doing some things well to manage your condition! Tell me about it! This answer affirms and evokes positive steps the coaching partner is taking rather than scolding. Let's talk about what happens when your blood sugars get out of range. That's good about your A1c, but sometimes it takes a while for your A1c to reflect when you are being bad.

You must be doing some things well to manage your condition! Tell me about it!

When the coach asks, "Can you think about a time when you stepped in and made something happen for yourself?" What technique/s is the coach using there? Looking for best experiences and core values. Identifying potential motivators and even gaps. Trying to create a vision. A simple open ended-question.

a simple open ended question

For the last four months, a 52-year-old coaching partner with anxiety and chronic pain has successfully adhered to her plan of practicing yoga 30 minutes per day, 4 days a week before work. According to the transtheoretical model of change, which of the following best describes the client's current stage of change? contemplation preparation action maintenance

action

Coach: "You have made a great effort to control your eating habits. It sounds like you are getting some good results." What kind of Motivational Interviewing skill is used in this statement? Affirmation Summary Amplified Reflection Shifted-Focus Reflection

affirmation

According to Moore and colleagues, some of the most relevant coaching competencies are: Establishing trust and intimacy, active listening and powerful questioning Holding unconditional regard, showing empathy, being a humble model, slowing down, paying full attention, under-promising and over-delivering, allowing the client to find the answers, keeping confidentiality, honesty Mindfulness Using reflections, positively reframing, using silence, giving advice, using humor, championing, soliciting input and suggestions All of the above

all of the above

Health and Wellness Coaches are: credentialed health, fitness, and health professionals individuals that talk to clients about physical activity, nutrition, weight, stress, life satisfaction provide expert guidance in their areas of professional credentialing all of the above

all of the above

Limiting our descriptions/observations to _________ we stave off the tendency to judge, exaggerate, interpret, generalize, catastrophize, assume, or criticize. What can be perceived by the five senses Specific times Specific places All of the above

all of the above

Scientific evidence has shown that HWC has shown improvements in the following conditions: diabetes and weight management medication management cardiovascular disease all of the above

all of the above

The job of a Health and Wellness Coach practicing nonviolent communication is to: Provide observations of what the coaching partner is sharing. Identify and offer an interpretation of what the coaching partner is feeling. Assist the coaching partner in identifying their need/s. Hear what our client/coaching partner is requesting and make requests, not demands. All of the above

all of the above

A coach receives a phone call from a friend. The coach finds out that her best friend had a car accident and is in the hospital. The coach finds herself unable to focus and emotionally distraught. In an email the previous day, her next client stated that she has been looking forward to her next coaching session. "I have many wonderful news to share!" Which of the following is the most appropriate for the coach to consider when deciding whether to reschedule the next session? Coach presence Coach ability to mindfully listen Coach ability to reflect Coach energy and zest Coach curiosity

coach presence

After his cardiologist refers you a 56-year-old patient who had a myocardial infarction. The doctor would like the client to stop his tobacco use. When asked on a scale of 1 to 10 how important it is to quit smoking, the patient responds with a score of 3 / 10. He says he "feels fine now" and mentions that smoking helps him relax after work. Based on the information provided, the man is in which of the following stages of change? precontemplation contemplation preparation action

contemplation

Coaching Partner: "I want to stop eating so much junk food for my health so that I won't get sick down the road."Coach: "Tell me more about what you imagine is possible for you 'down the road' that isn't now."Coaching Partner: "I have three grandchildren whom I love and with whom I want to be able to spend time."Coach: "One of the most important reasons for you to make a change is to be able to enjoy time with your grandchildren."Coaching Partner: "Yes. Another reason is that I want to stop eating junk food now. My children will not allow my grandchildren to come into my house because I have too much junk food and sodas around, and I want to be able to offer healthier options and play games with my grandchildren." Which Stage of Change is reflected in the coaching partner statement? Precontemplation Contemplation Preparation Action Maintenance

contemplation

A 33-year-old patient with endometriosis shares that she regularly drinks three to four glasses of wine a night after work. After reading a magazine about the adverse effects of alcohol consumption on reproductive health, she has decided that she is ready to stop drinking since she and her husband would like to start a family. Which of the following constructs of the health belief model best describes the woman's decision to quit drinking? Social learning Cues to action Stimulus control Counterconditioning

cues to action

Coaching Partner: I am not sure that this is what I want to do. I'm just not excited about the thought of going on medication. Coach: We've been through this already. Your numbers are high, and this medication is the best option for you. Does the coach's answer reflect the MI Spirit? True False

false

Coaching Partner: I've tried a lot of fad diets, and none of them worked. I would lose weight and then gain it back. I guess I lack the willpower to stick it out. Coach: Many of my clients that have been successful in weight loss joined a support group. Have you ever thought about joining something like Weight Watchers? Does the Coach's answer reflect the MI Spirit? True Does not reflect the MI Spirit as the coach is unable to resist the righting reflex and jumps to advice-giving before evoking solutions form the client. False

false

In a coaching session, the coaching partner states: "I want to stop smoking because I want to be a good role model to my kids." What kind of self-motivation statement is presented here? Problem Recognition Expressing Concern Intention to Change Optimism for Change

intention to change

This mammal is metaphorically used in nonviolent communication to represent a violent communication style characterized by defensiveness, resistance, counterattack, and disconnection. Elephant Whale Jackal Etruscan shew

jackal

Which of the following is not one of the four (4) principles of nonviolent communication? Make observations Associate feelings Discover the need Create a request Outline a plan

outline a plan

Which of the following best describes an empathic response? Select all that apply. provision of reassurance reflection with an alternate perspective or opinion to offer up an expert solution to listen to another with our total presence

provision of reassurance and to listen to another with our total presence

Sarah is a registered dietitian who is seeing a patient referred by a physician. The patient says, "I just don't plan to quit drinking anytime soon." Sarah responds using motivational interviewing skills and says, "You don't think that abstinence would work for you at this time." This is an example of: a simple reflection an amplified reflection a double-sided reflection shifting focus

simple reflection

Let me see if I have a complete picture of where you are with smoking. It is a way for you to relax. You recognize that there is some risk, especially seeing your father go through some tobacco use complications. Most of all, you said this several times that you couldn't imagine how you can change it as it would create a big void that you are not sure how to deal with it. What kind of response is demonstrated by this coach? Simple reflection Amplified Reflection Double-Sided Reflection Shifted-Focus Reflection Summary Statement

summary statement

The objective of Nonviolent Communication in Health and Wellness Coaching is to persuade people to change their behavior toward improved health. to respectfully communicate what we need from the coaching partner to meet the objectives of the coaching session. to establish relationships based on honesty and empathy, which will eventually fulfill everyone's needs. to use heartfelt language that manipulates a client's perspective toward that of the coach and creates a bonded relationship.

to establish relationships based on honesty and empathy, which will eventually fulfill everyone's needs.

A ruined reflection is a statement meant to be a reflection; however, inflection at the end sounds like a question. For example, "So, you think you want to find ways to better communicate with your partner in front of the kids, right?" True False

true

Coaching presence requires one essential ingredient that cannot be taught: caring not only for external results but for the person being coached. True False

true

Nonviolent communication begins with the assumption that we are all compassionate by nature and that violent behaviors are learned and supported by the prevailing culture. True False

true

The Spirit of MI has Four Key Interrelated Elements. You will see how these elements are key to the coaching relationship. These elements are PACE: Partnership Acceptance Compassion Evocation True False

true

The difference between empathy and sympathy is that when you are empathetic, you seek to put yourself in someone else's shoes and try to understand their experience fully; while being sympathetic, you identify with someone else's experience. True False

true

The critical ingredient for a Health and Wellness Coach to be able to express empathetic presence is to, Fully understand past experiences. Have an extensive knowledge base. Relate to their client's family needs. Understand their own feelings.

understand their own feelings