ACE Health Coach Practice Test 1

Which of the followingstatements BEST represents reflective listening? A. "You are worried about this impacting your family time." B. "What are some reasons to start this weight-loss and exercise program?" C. "So, in summary, I hear you say..." D. "It makes sense you would be feeling this way."

A. "You are worried about this impacting your family time."

What is the body mass index (BMI) of a client who is 5'11" (1.8 m) and weights 225 lb (102.3 kg)? A. 31.6 B. 28.2 C. 22.4 D. 25.2

A. 31.6

Which of the following clients would be described as PRIMARILY intrinsically motivated? A. A client who recognizes the health benefits of physical activity and participate in soccer and tennis most days of the week B.A client who joins a running group to be surrounded by like-minded people who can support his or her fitness goals C. A client who does not like exercising and therefore decides not to participate in physical activity D. A client who was just diagnosed with prediabetes and has signed up with a health coach to lose weight

A. A client who recognizes the health benefits of physical activity and participate in soccer and tennis most days of the week

Which of the following clients is in the contemplation stage of the transtheoretical model of behavior change? A. A sedentary client who discusses the pros and cons of physical activity with a health coach B. A client who walks one or two times per week and is encouraged by a health coach to find a walking group C. A client who was encouraged by his or her doctor to see a health coach because of a BMI classification of "overweight" D. A client who has been walking and working with a trainer for seven months and is worried about relapse

A. A sedentary client who discusses the pros and cons of physical activity with a health coach

For two months, a client has been walking at a low-to-moderate intensity for 30 minutes, five days a week. What is the BEST modifcation of the exercise program so that it is more feasible for the client? A. Ask the client about increasing the duration to 45 minutes on the days they walk B. Suggest that the client start jogging for 45 minutes three days a week C. Encourage intervals consisting of jogging and walking for 45 minutes total, three days a week D. Encourage the client to walk for 15 minutes, five days a week

A. Ask the client about increasing the duration to 45 minutes on the days they walk

Which of the following coaching strategies would be MOST appropriate for a client who is overweight and whose walking partner for the past two months will be having knee surgery and unable to participate for three months? A. Continue to celebrate the client's success and discuss solutions to the obstacle of the friend having knee surgery B. Discuss the health benefits of being physically active and the positive impact on body weight and composition C. Provide more opportunities for the client to ask questions and express any concern about exercising D. Identify any signs of moving backward and the lack of self-efficacy to maintain an exercise program

A. Continue to celebrate the client's success and discuss solutions to the obstacle of the friend having knee surgery

A client explains why he or she did not meet the fitness goals for the week. The health coach responds, "I understand you have a number of barriers that have prevented you from meeting your fitness goals." This demonstates which verbal listening skill? A. Paraphrasing B. Clarifying C. Explaining D. Mirroring

A. Paraphrasing

Based on the health belief model, what are the PRIMARY motivators for a sedentary client starting a weight-loss program after his or her father, who is overweight, experiences a massive heart attack? A. Perceived suceptibility and perceived seriousness B. Outcome expectations C. Benefits and barriers to losing weight D. Health locus of control and perceived helplessness

A. Perceived suceptibility and perceived seriousness

In what stage of the transtheoretical model of behavior change (TTM) would Molly be classified? (Click resources tab on the left of the screen to view scenario) A. Preparation B. Contemplation C. Maintenance D. Action

A. Preparation

In which stage of the GROW model would an ACE Certified Health Coach ask "What is the effect of your current situation on eating more healthfully?" A. Reality B. Options C. Will D. Goals

A. Reality

A long-time client has recently appeared moody, doesn't have an appetite, and has lost 10lbs (4.5 kg) in the past week. What is the BEST strategy to address this situation? A. Refer the client to an appropriate health care professional, such as the clien'ts primary physician B. The health coach should request that the client monitor his mood between now and the next session C. The health coach should review the client's goals with the client, and ask the client what he would like to focus on D. The healht coach should consult with an adivsory board on the best next steps for the client

A. Refer the client to an appropriate health care professional, such as the clien'ts primary physician

A client's positive attitude and belief that he or she will be successful BEST describes strength in which of the following? A. Self-efficacy B. Stablity C. Confidence D. Positive self-talk

A. Self-efficacy

What type of insurance would be the MOST appropriate for a health coach to purchase to add additonal coverage to an existing policy? A. Umbrella liability insurance B. A specific insurance rider C. Keyman insurance D. Product liability insurance

A. Umbrella liability insurance

A bag of chips has 15 servings, each of which contains 15 grams of carbohydrates, 2 grams of protein, and 10 grams of fat. How many total calories does this bag of pretzels have? A. 3,495 calories B. 2,370 calories C. 1,620 calories D. 2,520 calories

B. 2,370 calories

What is the FITT recommendation for a senior client beginning a resistance-training program? A. 2-3 days per week; 40-50% 1-RM (very light to light intensity); no specific duration; 10-15 repetitions; 2-4 sets B. 2-3 days/week; 40-50% 1-RM (very light to light intensity); no specific duration; 10-15 repetitions; a single set C. 2-3 days per week; <50% 1-RM (light to moderate intensity); no specific duration; 10-15 repetitions; 2-4 sets D. 2-3 days per week; <50% 1-RM (light to moderate intensity); no more than 30 minutes; 10-15 repetitions; a single set

B. 2-3 days/week; 40-50% 1-RM (very light to light intensity); no specific duration; 10-15 repetitions; a single set

Which of the following options has percentages for each macronutrient that fall within the Acceptable Macronutrient Distribution Ranges (AMDR)? A. Carbohydrate: 45%; protein: 40%; fat: 15% B. Carbohydrate: 65%; protein: 15%; fat: 20% C. Carbohydrate: 70%; protein: 10%; fat: 20% D. Carbohydrate: 50%; protein: 10%; fat: 40%

B. Carbohydrate: 65%; protein: 15%; fat: 20%

A sedentary cleint who has obesity approaches a health coach with interst in becoming physically active to lose weight and reduce symptoms of osteoarthritis, especially in the knees. The client asks the health coach, "Where do we begin?" What is the MOST appropriate response? A. Recommend that he or she work with a physical therapist to complete rehabilitation to alleviate the knee pain, after which this client will be prepared to start an exercise program B. Discuss with the client options for beginning low-to-moderate intensity exercise such as brisk walking at a pace her or she can sustain, explaining that regular exercise at this level has been found to reduce body weight and symptoms of osteoarthritis C. Refer the client to a personal trainer since his or her issues are outside the health coach's scope of practice D. Explain that he or she could participate in high-intensity interbal training classes, which may help with weight loss and, as a result, reduce pain in the knees

B. Discuss with the client options for beginning low-to-moderate intensity exercise such as brisk walking at a pace her or she can sustain, explaining that regular exercise at this level has been found to reduce body weight and symptoms of osteoarthritis

According to the DISC model, a client described as a task-oriented personality would MOST likely display which two personality characteristics? A. Cautious and supportive B. Dominant and cautious C. Inspiring and supportive D. Dominant and inspiring

B. Dominant and cautious

In which section of a client's SOAP notes would it be MOST appropriate to record a weight loss of 4 pounds (1.8 kg)? A. Subjective B. Objective C. Plan D. Assessment

B. Objective

Which of the following BEST describes being an employee at a facility? A. Working at multiple facilities B. Paid at regular intervals for ongoing work C. Hired for a specific project D. No initial training or ongoing training is necessary

B. Paid at regular intervals for ongoing work

What would be the MOST appropriate response to a client who has had persistent low-back pain for the past two months and is now having trouble sleeping? A. Create and implement an exercise program that causes the least amount of pain B. Refer the client to an appropriate healthcare professional for evaluation C. Tell the client that low-back pain can be alleviated by strengthening the core D. Tell the client that a health coach will not be able to work with him or her regarding health-related goals

B. Refer the client to an appropriate healthcare professional for evaluation

What is the BEST strategy for a client who has been successful with adopting an exercise plan and now wants to work on making healthy food choices? A. Validate the client's readiness to change his or her diet and encourage the client to evaluate the pros and cons of making the change B. Reinforce to the client that he or she has the underlying skills and assist with establishing goals focused on dietary changes C. Increase the client's awareness of inevitable lapses and emphasize his or her self efficacy with the physical-activity program D. Help the client plan for potential lapses with the new goal, and encourage reevaluation of all goals and action plans

B. Reinforce to the client that he or she has the underlying skills and assist with establishing goals focused on dietary changes

What is the MOST appropriate strategy for a client with obesity who is currently walking for 20 minutes two or three times per week and wants to increase his or her aerobic exercise? A. Encourage the client to consistently walk at least three days a week and keep a food record B. Work with the client to create a SMART goal for increasing the duration of his or her walks C. Recommend the client start swimming on the days he or she does not walk D. Advise the client to start alternating 1 minute of walking and 7 minutes of jogging

B. Work with the client to create a SMART goal for increasing the duration of his or her walks

What is the MOST appropriate time frame for Molly to reach her weight-loss goal? (Click resources tab on the left of the screen to view scenario) A. 8 to 12 weeks B. 3 to 6 weeks C. 3 to 5 months D. 6 to 8 months

C. 3 to 5 months

A food has 440 kcal, 20 grams of which come from fat. What percentage of total calories comes from fat? A. 27% B. 32% C. 41% D. 18%

C. 41%

Which of the following food items, if eliminated or reduced, would be the MOST beneficial caloric and nutritional change? (Click resources tab on the left of the screen to view scenario) A. Smoothie B. Chocolate-covered acai berries C. Alcohol D. Kettle corn

C. Alcohol

A new client diagnosed with prediabetes does not understand his or her physician's concern about the diagnosis. The client is feeling fine, but admits to being thirsty and hungry a lot lately. What strategic intervention would be MOST effective for this client based on his or her current state of change? A. Share the different strategies that have worked for other clients with prediabetes and encourage the client to consider these strategies B. Encourage the client to make a plan to make healthy lifestyle changes and develop ways to overcome challenges C. Ask the client about the thirst and hunger symptoms and encourage the client to evaluate the pros and cons of incorporating healthy behaviors D. Encourage the client to think about the pros and consof healthy behavioral change and ask the client how he or she would address the barriers to change

C. Ask the client about the thirst and hunger symptoms and encourage the client to evaluate the pros and cons of incorporating healthy behaviors

For which type of client would the talk test be LEAST appropriate? A. Clients who are new to an exercise program B. Clients with health problems that preclude continuous walking C. Clients who are the higher fitness levels D. Clients who cannot find their pulse rate

C. Clients who are the higher fitness levels

A new client is frustrated that he or she is 20 pounds over his or her ideal weight after exercising six days a week for 45 minutes. The client also reports always feeling tired. What course of action would be MOST appropriate? A. Refer the client a physician for possible metabolic or hormonal disorders B. Refer the client to a registered dietitian to ensure adequate calorie consumption C. Explore the client's values and ask that he or she tell you more about the exercise routine D. Request the client complete a food and exercise log before the next session

C. Explore the client's values and ask that he or she tell you more about the exercise routine

Which of the following recommendations is the MOST appropriate nutritional choice? (Click resources tab on the left of the screen to view scenario) A. Increase fiber in the diet by taking a supplement and substitute a health snack instead of kettle corn and chocolate-covered acai berries B. Suggest ways to cut fat and calories out of Molly's diet, such as eating steamed rice instead of fried rice and having dressing on the side C. Limit portion sizes and incorporate more whole whole fruits and vegetables into her diet D. Introduce lean protein options for breakfast and cut out her two cups of coffee

C. Limit portion sizes and incorporate more whole whole fruits and vegetables into her diet

What is the MOST appropriate next step for a health coach who would like to use a client's success story on a website and blog? A. Copy and paste comments the client has emailed B. Post the comments, but be sure to let the client know afterward C. Obtain a written consent from the client D. Use the client's story, but change the name

C. Obtain a written consent from the client

Which of the following options is the BEST choice for an ACE Certified Health Coach to make when discussing the use of supplements with a client? A. Review the ingredients and help the client determine the appropriate serving size B. Connect the client with a certified personal trainer who is more well-versed in supplement dosage C. Offer to help a client do some research about a supplement, but refer him or her to a dietitian for specific recommendations D. Explain that protein supplements will cause kidney and liver problems and should be avoided

C. Offer to help a client do some research about a supplement, but refer him or her to a dietitian for specific recommendations

What is the recommended alcohol intake for women? A. Two drinks per day B. One or two drinks on most days C. One drink per day D. Two or three drinks per day

C. One drink per day

Which of the following recommendations is the BEST initial approach to help Molly reach her weight-loss goal? (Click resources tab on the left of the screen to view scenario) A. Reduce her caloric intake by 500 calories per day, and practice meditation B. Maintain her daily caloric level and help support Molly to get back to playing volleyball three days per week C. Reduce daily caloricintake by approximately 250 calories per day and increase phsyical activity to include at least another 60 minutes of moderate-intensity exercise most days of the week D. Maintain current activity to level and reduce caloric intake to 1,800 calories per day

C. Reduce daily caloricintake by approximately 250 calories per day and increase phsyical activity to include at least another 60 minutes of moderate-intensity exercise most days of the week

Which of the following models BEST considers both a client's commitment and access to healthy food and activity options? A. The health belief model B. The stages-of-change model C. The socio-ecological model D. The self-determination model

C. The socio-ecological model

An ACE Certified Health Coach has started to coach a group of seniors with health considerations with which the coach has no experience. What would be the MOST important first step before working with this population? A. To treat each of the seniors as an individual in order to best serve the group B. To develop a lis of resources and referrals of people who work with this population C. To consider any biases, beliefs, and values when it comes to serving this population D. To conduct research on this population to understand their determinants of health

C. To consider any biases, beliefs, and values when it comes to serving this population

Which characteristic is MOST associated with an increased risk for a cardiovascular incident during exercise? A. LDL cholesterol = 120mg/dL B. Body mass index = 26.4 kg/m2 C. Waist-to-hip ratio = 0.96 D. Blood pressure = 128/80 mmHg

C. Waist-to-hip ratio = 0.96

A client states, "I had two beers and tortilla chips. I won't be able to get back on track." What kind of cognitive distortion is the client displaying? A. Jumping to conclusions B. Personalization or blame C. Magnification D. All-or-nothing thinking

D. All-or-nothing thinking

Which of the following actions would be MOST beneficial to prevent relapses for a client who is trying to become more physically active? A. Collaborating with the client to set realistic goals designed with this lifestyle change in mind B. Encouragin, and continuing to celebrate, the client's successes by reviewing the progress made towards his or her goals C. Providing the client with ways other clients, who were in the action stage, have anticipated and overcome obstacles D. Continuing to help the client find ways to stay active and reminding him or her the benefits of adhering to a program

D. Continuing to help the client find ways to stay active and reminding him or her the benefits of adhering to a program

What is the BEST strategy a health coach can adopt to foster an inclusive environment? A. Begin a session with a personal story relevant to the client's goal B. Welcome each client with a gentle touch on the arm and warm smile C. Hold all lcomments and responses until the end of the session D. Create a safe physical and psychological space for clients

D. Create a safe physical and psychological space for clients

Which of the following strategies would be BEST to help a client whose busy schedule and stress at work are adversly affecting his or her sleep quality? A. Suggest the client cut out caffeine and alcohol, avoid eating too close to bedtime, and continue to exercise daily B. Refer the client to a therapist within the health coach's network to assist with stress and sleep issues C. Suggest the client take naps when he or she has the opportunity to on the weekends D. Discuss the client's sleep hygeine habits and help create goals focused on ways to get a good night's sleep

D. Discuss the client's sleep hygeine habits and help create goals focused on ways to get a good night's sleep

A new overweight client was recently diagnosed with osteoarthritis. The client currently participates in yoga 2 days a week, with the occassional 30-minute walk once a week. Which response is MOST appropriate regarding this client's program? A. Suggest that the client eat more calcium-rich foods and push through the pain when having painful flare-ups B. Recommend that the client decrease the number of yoga sessions C. Recommend that the client start doing weight-bearing exercises on a minimum of 3 days a week D. Discuss with the client how to increase the number of days he or she walks for exercise and the benefits of weight loss on the symptoms of osteoarthritis

D. Discuss with the client how to increase the number of days he or she walks for exercise and the benefits of weight loss on the symptoms of osteoarthritis

What strategy would be MOST important to implement when working with a client who is in the action stage of change regarding eating and nutrition behaviors? A. Continue to support and encourage the client, and to help plan ahead for situations that tempt and undermine self-efficacy for the client B. Encourage the client to make a plan for making healthy lifestyle changes and overcoming challenges C. Share with the client the different strategies that have worked for other clients and encourage the client to consider using those strategies D. Encourage the use of SMART goals to keep the client on track in anticipation on how to overcome, barriers that interfere with adherence

D. Encourage the use of SMART goals to keep the client on track in anticipation on how to overcome, barriers that interfere with adherence

What would be the MOST appropriate initial approach to implement with a postpartum client who thinks she will not be able to return to running marathons or lose the extra baby weight? A. Conduct baseline measurements, and tell her that this will allow coach to track progress B. Tell the client not to worry about the past, as she went through a major transformation being pregnant, and a health coach can help her overcome any obstacle C. Discuss the long-term goals of losing weight and running marathons again, and working backward to develop a plan to get these ultimate goals D. Have the primary goal and focus of each session be about feeling good and accomplishing smaller, manageable tasks

D. Have the primary goal and focus of each session be about feeling good and accomplishing smaller, manageable tasks

Which of the following BEST describes the "assessment trap"? A. Administering the same assessments to all clients regardless of goals B. When clients are too fixated and focus on the assessments C. Requiring clients who are overweight or obese to complete all assessments D. Spending too much time administering assessments and asking one-directional questions

D. Spending too much time administering assessments and asking one-directional questions

What would be the MOST appropriate next step to take with a client who is having trouble getting to sleep and staying asleep at night? A. Discuss the clients sleep hygiene habits and recommend habits that improve sleep B. Inquire about caffeine and alcohol consumption, and any stressors they might be experiencing C. Refer the client to their primary care physician to discuss pharmacologic remedies to sleep D. Suggest keeping a sleep log recording wake and bedtime, feelings on days they exercise and what they eat and drink before bed

D. Suggest keeping a sleep log recording wake and bedtime, feelings on days they exercise and what they eat and drink before bed

Which of the following statements about type 1 diabetes is MOST accurate? A. It is often associated with high blood pressure and elevated cholesterol levels B. It is often associated with excess body weight or obesity C. It is the most common type of diabetes D. The body does not produce, or produce sufficient amounts of, insulin

D. The body does not produce, or produce sufficient amounts of, insulin

What is the BEST reason a health coach would ask a client about employment, support systems, and access to healthcare? A. The health coach is using active, nonverbal communication to develop rapport and open communication B. The health coach is using the healht belief model to understand if the client will engage in a health behavior despite challenges and barriers the client might be experiencing C. The health coach is using the socio-ecological model when considering improving clients health outcomes D. The health coach is considering social determinants of health to understand to opportunities and barriers to improving the client's health outcomes

D. The health coach is considering social determinants of health to understand to opportunities and barriers to improving the client's health outcomes

Which of the following techniques would be BEST for a health coach working with a client who overeats when stressed? A. The health coach should refer the client to a health professional who can help the client manage stress B. The health coach should have a client call every time he or she is tempted to eat unhealthy food C. The health coach should give the client resources on foods that are low in saturated fat D. The health coach should support the client in finding ways to effectively enhance resilience

D. The health coach should support the client in finding ways to effectively enhance resilience

What is the BEST explanation for why a health coach would ask a client referred by a therapist, "What are your thoughts on why an exercise program might be good for you?" A. To reveal the information needed for maximum benefit in the coaching relationship B. To integrate and actively evaluate multiple sources of information C. To understand if the client is receptive to starting an exercise program D. To explore the client's own personal values, reasons, and motivations for change

D. To explore the client's own personal values, reasons, and motivations for change