ACE Review and Wrap Up Questions

Why is it important to refer a client with dyslipidemia to an appropriate exercise specialist before beginning a structured exercise program ? A. Often , people with abnormal lipids have other cardiovascular disease risk factors B. Often , people with abnormal lipids have sedentary lifestyles C. Exercise specialists can create an exercise program prior to determining if a physician's clearance is needed D. Exercise specialists will use the 2008 Physical Activity Guidelines to create an exercise program for clients with known health conditions in addition to an abnormal lipid profile

A. Often , people with abnormal lipids have other cardiovascular disease risk factors

Which of the following describes a health coach who works as an independent contractor ? A. Payment is by the job or project B. The work is integral to the core function of the business C. Training and retraining are required D. Schedules are created with specific materials to be utilized

A. Payment is by the job or project

What is a key component to managing , and perhaps reversing , prediabetes ? A. Physical activity B. Lose weight C. Manage stress D. Decrease caloric intake

A. Physical activity

A client with a history of back pain that often " flares up " and limits activity should be referred to which licensed professional ? A. Physical therapist B. ACE Certified Personal Trainer C. Acupuncturist D. Registered nurse

A. Physical therapist

The Dietary Approaches to Stop Hypertension Eating Plan is rich in what minerals ? A. Potassium , magnesium , and calcium B. lodine , fluoride , and iron C. Manganese , copper , and chromium D. Phosphorus , selenium , and zinc

A. Potassium , magnesium , and calcium

If a health coach has a client who is exhibiting symptoms of severe depression , the health coach should ________________. A. Refer the client to a clinical professional in the health coach's network B. Help the client identify the biggest stressors that may be causing symptoms C. Help the client monitor stress warning symptoms , which could be confused for depression D. Recommend self - help resources and support groups for depression

A. Refer the client to a clinical professional in the health coach's network

Which BEST describes reflections made by a coach to a client ? A. Statements of understanding about the client's message B. Affirmation of a client's thoughts and feelings C. Questions back to the client to clarify what was said D. Professional opinions about the client's problem

A. Statements of understanding about the client's message

The underpinning of most mindful practices is A. The elicitation of the relaxation response B. To catalyze present - moment focus C. To ignore the " fight or flight " response D. To focus on breath work

A. The elicitation of the relaxation response

Which of the following is an example of an exercise intensity factor ? A. Threshold levels B. Specificity C. Ratings of perceived exertion D. Levels of physical exertion

A. Threshold levels

What is the essential first step for a coach to help a client with hypertension reach his goals ? A. Understand the client's values B. Assess the client's nutrition and physical - activity behaviors C. Use motivational interviewing D. Understand the client's work and home environment

A. Understand the client's values

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. Verify that he is under medical care and has been compliant with his medical evaluations B. Refer him to a registered dietician who can meal plan for him C. Refer him to another ACE Certified Health Coach who also has type 2 diabetes D. Inform him that he should not seek any guidance outside of the medical provider

A. Verify that he is under medical care and has been compliant with his medical evaluations

What demographic is MOST affected by osteoporosis ? A. Women B. Men C. Children D. People with other health ailments

A. Women

A client agrees to cut 300 calories from his daily intake and burn an additional 300 calories through walking after work and playing soccer with his son . This will create a 600 - calorie deficit each day . How long will it take for this client to lose 14 pounds ? A. 14 weeks B. 3 weeks C. Amost 12 weeks D. Almost 6 weeks

C. Almost 12 weeks

What is the leading cause of morbidity and mortality worldwide ? A. Cardiovascular disease B. HIV C. Cancer D. Diabetes

C. Cancer

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

C. Directing clients in the process of change

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

C. Encourages clients to explore their ambivalence

What is a nonmodifiable risk factor of atherosclerotic cardiovascular disease ? A. Diabetes B. Hypertension C. Family history D. Low HDL cholesterol levels

C. Family history

What is one of the reasons that exercise has a positive effect on sleep quality ? A. Decreases the amount of inflammation in the body B. Improvements in the sympathetic nervous system C. Improvements in psychophysiological state D. Decrease the amount of the hormone ghrelin

C. Improvements in psychophysiological state

If left untreated hypertension can lead to ____________ A. Diabetes B. Osteoporosis C. Kidney disease D. Obesity

C. Kidney disease

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

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

Which strategy is MOST appropriate for a client who has a low distress tolerance ? A. Practice allowance - based strategies B. Find social support C. Practice a commitment to values D. Practice meditative therapies .

C. Practice a commitment to values

Which element is being advocated as an addition to the "triple aim" of healthcare, making it a "quadruple aim?" A. Reduced per capita cost of healthcare B. Improved patient experience C. Provider well-being D. Improved population health

C. Provider well-being

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 ? A.Incorporate yoga into the client's current exercise program B. Hold coaching sessions at another location C. Suggest the client attend their fee based yoga class weekly D. Teach breathing techniques often used in yoga and meditation .

C. Suggest the client attend their fee based yoga class weekly

How can values be used to motivate a client with depression , anxiety , or chronic stress ? A. For the health coach to remind the client what his or her values are to motivate the client to make lifestyle changes B. For educating the client about the value of exercising on mood , as well as on weight loss and exercise goals C. To create a values - based approach to making lifestyle changes , which can motivate a client D. To allow a client to allocate time to making the lifestyle changes

C. To create a values - based approach to making lifestyle changes , which can motivate a client

What is the FITT principle when coaching clients on resistance training ? A. Frequency -at least two days per week , Intensity - exercise at a moderate level of intensity , Time = at least 30 minutes per day , and Type - exercise can be either weight bearing or non - weight - bearing B. Frequency on most days , Intensity - exercise based on talk test , Time = at least 20-30 minutes per day , and Type - exercise can be either weight - bearing or non weight - bearing C. Frequency at least three or four days per week , Intensity - exercise at a moderate level of intensity , Time = at least minutes 30 per day , and Type exercise can be either weight - bearing or non - weight - bearing D. Frequency - two days per week , Intensity - exercise at a moderate level Time - dependent on number of exercises done , Type - exercise all muscle groups using free weights , machines , or body - weight exercises

D. Frequency - two days per week , Intensity - exercise at a moderate level Time - dependent on number of exercises done , Type - exercise all muscle groups using free weights , machines , or body - weight exercises

Why is important to meet the Recommended Dietary Allowance for protein . when a client is trying to lose weight ? A. It aids in portion control because it has a higher energy density than other macronutrients B. Protein can create feelings of satiety and curb hunger C. Protein contains 4 kcal / gram , which makes it a good choice to lose weight D. In order for there to be adequate protein intake to build , repair , and maintain lean tissue

D. In order for there to be adequate protein intake to build , repair , and maintain lean tissue

Which one of the key cardioprotective medications lowers total and LDL cholesterol and decreases vascular inflammation ? A. ARBS B. Platelet inhibitors C. Beta - blockers D. Statins

D. Statins

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

C. " I am ready to attend exercise class three days a week

What is the BEST way a health coach can help a client who is trying to quit smoking ? A. Helping the client to identify his or her antecedents and consequences of the tobacco use behavior B. Referring the client to a medical professional for nicotine replacement products C. Helping the client find a social - support network of individuals who do not smoke D. Educating the client on how to change behavior

A. Helping the client to identify his or her antecedents and consequences of the tobacco use behavior

Which of the following is an example of specificity ? A. Jogging to train for a marathon B. Helping a client adapt to a specific physical activity to the his or her individual needs C. Bench pressing heavy weights with fewer repetitions D. Adding intervals of running to the walking

A. Jogging to train for a marathon

What is a good source of folate ? A. Mushrooms B. Oranges C. Whole - grain products D. Milk products

B. Oranges

When interviewing a client , what is an example of taking comprehensive notes while still engaging the client ? A. Demonstrate active listening through body language , such as leaning forward , while taking notes B. Review the notes thoroughly at the end so you can ask the client any questions for clarification C. Allow the client to talk at a pace that is comfortable for him or her to establish rapport D. Bring a list of questions to ask in a specific order to ensure a comprehensive interview .

A. Demonstrate active listening through body language , such as leaning forward , while taking notes

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

A. Feedback from another health coach

What are the four stages of the GROW model ? A. Goal , reality , options , will B. Goal , relevant , options , wants C. Growth , reality , opinion , wants D. Growth , relevant , options , will

A. Goal , reality , options , will

A client shows you the Greek vanilla yogurt he eats for breakfast most mornings . Determine the calories from protein if the client eats 3/4 cup . A. 54 calories B. 122 calories C. 72 calories D. 162 calories .

A. 54 calories

What can a health coach do to assuage a client who has diabetes who fears having a hypoglycemic episode while exercising ? A. Ask open - ended questions about what the client already knows about hypoglycemia B. Educate the client about typical symptoms such as shakiness , fatigue , and mental confusion C. Ask the client what they can do differently if they have already experienced hypoglycemic symptoms D. Suggest strategies to the client if these hypoglycemic symptoms occur

A. Ask open - ended questions about what the client already knows about hypoglycemia

How do sleep problems affect cognitive functions and dementia ? A. By preventing the brain fluids from removing harmful substances B. By preventing neurons from " communicating " properly C. By building up the hormone ghrelin in the circulatory system D. By building up cytokines in the circulatory system

A. By preventing the brain fluids from removing harmful substances

What is an example of what might be recorded in the subjective part of a SOAP note ? A. Client stated he was stressed over work during the last week which caused him " to drink a lot of beer and watch TV " B. Client's stress has caused overeating and weight gain C. Weight : 210 pounds ( weight gain of 4 pounds ) D. Client will be educated on stress - management techniques , and with support will develop a SMART goal focused on stress management

A. Client stated he was stressed over work during the last week which caused him " to drink a lot of beer and watch TV "

A client with a history of emotional eating has shared the desire to stop this behavior . How can an ACE Certified Health Coach BEST support this client ? A. Create opportunities to increase self - efficacy B. Determine if the client has enough self - control C. Refer the client to a registered dietician D. Outline a long - term plan for success

A. Create opportunities to increase self - efficacy

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

B. To affirm a client's experience

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. " How do you plan to quit smoking ? " B. " How would it make you feel to quit smoking ? " C. " Do you think you smoke too much ? " D. " Do you agree with your doctor ? "

B. " How would it make you feel to quit smoking ? "

According to the U.S. Department of Health and Human Services how many deaths in the U.S. are related to smoking ? A. 1 in 3 B. 1 in 5 C. 1 in 4 D. 1 in 7

B. 1 in 5

The Dietary Guidelines suggest adults consume___________of milk products . A. 2 cups B. 3 cups C. 2.5 cups D. 3.5 cups

B. 3 cups

What percentage of all heart attacks are explained by conventional risk factors ? A. 90-100 % B. 75-90 % C. 50-75 % D. 25-50 %

B. 75-90%

The American Diabetes Association recommends __________________ A. The percentage of calories from macronutrients should mirror the Dietary Guidelines for Americans B. A variety of nutrient - dense foods in appropriate portion sizes C. That high - carbohydrate foods should be eliminated D. That proven diet profiles should be implemented with clients with diabetes

B. A variety of nutrient - dense foods in appropriate portion sizes

One of the pillars of mindfulness is letting go , which involves__________________. A. Embracing things , including oneself , as they truly are as the first step toward meaningful change B. Choosing to embrace the fluidity of being present without attachment to any aspect of an experience C. Choosing to let go of a particular outcome in order to be present so that movement towards one's goals will occur naturally D. Being with yourself and events in the present moment and letting things unfold and emerge in their own time

B. Choosing to embrace the fluidity of being present without attachment to any aspect of an experience

Which of the following signs of discord is characterized by deflecting blame ? A. Interrupting B. Defending C. Disengagement D. Squaring off

B. Defending

Which of the following BEST describes the relationship of an ACE Certified Health Coach and a client? A. Health coaches are the authority figures B. Health coaches are equal partners with their clients C. Health coaches act under the direction of the client D. Health coaches are the gatekeepers of the client's healthcare

B. Health coaches are equal partners with their clients

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

B. Inspiring and supportive

Why is it important for a health coach to find the ideal customer ? A. It allows the health coach to engage in different forms of communication with a potential client B. It allows the health coach to spend his or her resources marketing to the best prospects C. It allows the health coach to bring in more revenue and help people D. It allows the health coach to ask pointed questions of potential customers to better sell his or her services

B. It allows the health coach to spend his or her resources marketing to the best prospects

What is the key to being an effective group coach ? A. To immediately handle any disputes or negative talk within the group B. Knowing the individual needs of the participants C. To be a facilitator that directs the conversation D. Being cost - effective for the client

B. Knowing the individual needs of the participants

What is a provider barrier when it comes to addressing alcohol use in a patient ? A. Lack of empathy for the patient B. Lack of knowledge C. Lack of resources D. Lack of methods to measure alcohol use

B. Lack of knowledge

A Reinforcing the need for a transition from external to internal rewards would be MOST appropriate at which stage of change ? A. Preparation B. Maintenance C. Action D. Contemplation

B. Maintenance

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

D. " How do you imagine you will feel adopting healthy eating habits ? "

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

D. " It doesn't matter if I skip my class , since it is not very challenging anyway . "