Final Exam - health coaching

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

Lifestyle and health-history questionnaire

What is the recommendation for frequency of resistance exercise? c. Greater than or equal to 3 days/week b. Greater than or equal to 2-3 days/week d. 5 days/week a. 2-3 days/week

2-3 days/week

What percentage of total deaths in the U.S are attributed to personal diet and physical-activity habits? c. 21% b. 18% a. 10% d. 6%

. 18%

What percentage of all heart attacks are explained by conventional risk factors? d. 25-50% c. 90-100% b. 50-75% a. 75-90%

. 75-90%

What is the leading cause of death in the United States? a. Cancer c. Cardiovascular disease b. Obesity d. Type 2 diabetes

. Cardiovascular disease

A client has fasting plasma glucose level of 99 mg.dL. What kind of diabetes does the client have? c. Prediabetes b. Type 1 diabetes d. Gestational diabetes mellitus a. Type 2 diabetes

. Gestational diabetes mellitus

What is the first step when a client start to complain of chest pains? c. Yell for someone to get help b. Start CPR and AED procedures d. Stay calm a. Call 9-1-1

. Stay calm

What is considered an optimal level of LDL cholesterol a. greater than or equal to 190 mg/dL d. 160-189 mg/dL b. less than 100 mg/dL c. Greater than or equal to 240 mg/dL

. less than 100 mg/dL

What would be calculated resting energy expenditure (REE) for a 45-year-old woman who is 5'8" and weighs 155 pounds? d. 2,244 kcal/day a. 1,564 kcal/day ! c. 1,398 kcal/day b. 1,589 kcal/day

1,398 kcal/day

Which of the following is equivalent to a "standard drink" of alcohol? a. 1.5 fluid ounces of spirits b. 16 fluid ounces of regular beer d. 8 fluid ounces of wine c. 12 fluid ounces of malt liquor

1.5 fluid ounces of spirits

How much weight does a diabetic client need to lose in order to see an improvement in high-density lipoprotein cholesterol levels? b. 15 pounds d. 20 pounds c. 10 pounds a. 5 pounds

10 pounds

The volume of regular aerobic exercise that has been shown consistently to reduce systolic and diastolic blood pressure is ___________. b. 100 minutes per week a. 150 minutes per week or more d. 60 minutes per week c. 150 minutes per month

150 minutes per week or more

A health coach is working with a 50-year-old man who does not have risk factors. He is an accountant and is sedentary all day. He wants to start exercising and dieting to lose body fat. He weighs 210 lbs. and his percent body fat is 29%. How much weight would he have to lose to be at a healthy body weight? c. 22 pounds b. 14 pounds d. 18 pounds a. 6 pounds

18 pounds

The last meal should be eaten _____________ before bedtime? a. 2 to 3 hours c. 3 to 4 hours b. 1 hour d. 1 1/2 hours

2 to 3 hours

Juraschek et al. (2014) found that participants who had a maximal exercise capacity of greater than or equal to 12 metabolic equivalents (METs) had a _____ lower risk of developing hypertension compare to participants whose capacity was <6 METs. b. 10% c. 5% a. 20% d. 40%

20%

What percentage of deaths are related to smoking? b. 25% a. 33% c. 17% d. 20%

20%

What is the percentage of body weight an overweight or obese person needs to lose to reverse insulin resistance? a. 5 to 7% d. It depends on whether the person is overweight or obese c. 20% b. 10%

5 to 7%

How much are genetics responsible for obesity? d. 5% b. 58% c. 10% a. 40 to 70%

5%

How much weight needs to be lost to reduce the stress of hypertension on the heart? a. 5-10 pounds d. 10-20% of body weight c. 10-20 pounds b. 5-10% of body weight

5-10 pounds

For what percentage of global death is chronic disease responsible? a. 70% b. 60% c. 50% d. 80%

70%

What percentage of adults with obesity who were counseled on healthy eating by their physicians adopted healthy eating practices? a. 90% d. 33% c. 52% b. 78%

78%

The Dietary Guidelines suggest adults consume ______ of total calories from saturated fat. d. <30% c. <20% b. <10% a. <5%

<5%

In 2017, the American Heart Association changed the definition of hypertension from a blood pressure of >140/90 mmHg to __________mmHg. a. >130/80 c. >160/90 b. >150/90 d. >120/80

>130/80

Why might a health coach need to talk to a client about alcohol use? c. A client arrives with the smell of alcohol on her breath d. The health coach overheard a conversation between the client of concern and another about alcohol use b. The health coach has diagnosed a client who has a alcohol abuse issue based on data such as a food intake record a. A family member or friend has mentioned to health coach his or her concerns about the client

A client arrives with the smell of alcohol on her breath

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

A client who does not believe he will lose weight because he has tried unsuccessfully for many years

Health coaching in a clinic or medical office can increase __________________. a. The development and adherence to a dietary plan for clients with diabetes b. A client's medication concordance and adherence c. The reimbursement for coaching services from insurance companies d. The referral network available to the client

A client's medication concordance and adherence

What is a nutrition recommendation for a client who has osteoarthritis or rheumatoid arthritis? b. A combination of exercise and weight loss c. Limited amount of processed meats and red meat d. A diet rich in omega-3 fatty acids, antioxidants, and phytochemicals a. A diet rich in omega-6 fatty acids such as flaxseed oil, pumpkin seeds, and pistachios

A diet rich in omega-3 fatty acids, antioxidants, and phytochemicals

The American Diabetes Associate recommends ____________. d. That high-carbohydrate foods should be eliminated b. The percentages of calories from macronutrients should mirror the Dietary Guidelines for Americans a. A variety of nutrient-dense foods in appropriate portion sizes c. That proven diet profiles should be implemented with clients with diabetes

A variety of nutrient-dense foods in appropriate portion sizes

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

Acceptance

Leptins function is to ________________. a. Help insulin by sending blood glucose to cells, thereby increasing insulin sensitivity d. Work with the central nervous system to regulate cessation of appetite c. Act as a negative feedback loop between the hypothalamus and fat cells b. React to areas of infection or injury in the body

Act as a negative feedback loop between the hypothalamus and fat cells

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

Activating event

Which three less frequently performed A's of the 5 A's (assess, advise, agree, assist, and arrange) have the greatest impact on health behavior change? a. Assess, advise, and assist b. Advise, agree, and assist d. Agree, assist, and arrange c. Advise, assess, and agree

Advise, assess, and agree

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

Agreeableness

What is an example of a question that should be asked when considering the fair use rule? a. Have i gotten permission from the original author of the work? b. Is the work trademarked? c. Am i creating something new? d. Is this work in the public domain?

Am i creating something new?

What is the definition of physical activity? a. Any bodily movement that contributes to daily energy expenditure c. A set of measurable health-or skill-related attributes that a person has achieved b. Planned, structured, and repetitive bodily movement that contributes to daily energy expenditure d. Any activity that disrupts the body's internal homeostasis, or internal state of physical balance

Any bodily movement that contributes to daily energy expenditure

What is a best practice to ensure confidentiality when sharing client information among team members? a. Share information about the client that is going to help the team in their respective jobs d. Apply the ethical principles of an ACE Certified Health Coach b. Have conversations about the client behind closed doors to ensure privacy c. Ensure there is a confidentiality understanding between the client and the coach

Apply the ethical principles of an ACE Certified Health Coach

The Dietary Guidelines __________________. d. Reflect the best evidence on healthy eating for 98% of the American population c. Are reviewed and updated by dietitians and nutritionists a. Are updated every two years b. Apply to Americans aged two and older

Apply to Americans aged two and older

What percentage of children and adolescents have obesity? d. Approximately 28% a. Approximately 18% c. Approximately 21% b. Approximately 10%

Approximately 18%

What is a strategy a health coach can use when coaching a client who has been diagnosed with high cholesterol a. Give suggestions about strategies that have worked with other clients to lower their cholesterol d. Reflect on and summarize the client's goals to reduce her cholesterol c. Educate the client on ways to reduce and manage stress b. Assess a client's frame of reference for ways to lower cholesterol

Assess a client's frame of reference for ways to lower cholesterol

Which of the following BEST describes the role of an ACE Certified Health Coach? a. Recommend specific strategies to individuals c. Direct individuals on what to do d. Give individuals advice b. Assist individuals in their desired actions

Assist individuals in their desired actions

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

At the first meeting

In which of the following ways can a coach earn continuing education credits? d. Developing a marketing plan for the business b. Networking c. Attend professional meetings a. Read blogs that are trending with clients

Attend professional meetings

What is an example of establishing clear boundaries? c. Use social media as a way to connect and support the client-coach relationship b. Avoid dual relationships, which are those outside of the health coach's professional life d. Assure the client that physical touch will only be used to ensure his or her safety when training a. Share personal details that may help the client

Avoid dual relationships, which are those outside of the health coach's professional life

What is a healthy nutrition guideline a health coach should encourage a client with diabetes to follow? a. Avoid alcohol b. Limit carbohydrate intake d. Avoid calorie-free beverages c. Avoid red meats

Avoid red meats

Lack of social support, social isolation, and financial difficulties are often cited as ________________. d. Helpful motivators for lifestyle behavior changes a. Reasons for not losing weight b. Excuses to go to the doctor c. Barriers to achieving successful lifestyle behavior changes

Barriers to achieving successful lifestyle behavior changes

What are the three levels of sophistication of screening and diagnostic tests to detect the presence or likelihood of atherosclerotic coronary artery disease and/or structural cardiovascular abnormalities? d. Low, medium, and high b. Assess, advise, and assist c. Assess, advise, and arrange a. Basic, intermediate, and advanced

Basic, intermediate, and advanced

What is one of the habits a client can be encouraged to adopt to get better sleep? b. If the mind is overactive, then write down the thoughts c. Allow the body to find its own sleep rhythm by not setting an alarm d. Be exposed to sunlight first things in the morning a. Exercise at least two hours before bedtime

Be exposed to sunlight first things in the morning

How are substance-use disorders different than behavior addictions? d. Substance abuse disorders require intense and comprehensive treatments b. A client with a behavioral addiction has a psychological dependence c. Behavior addictions have psychological and physical dependence components to them a. Clients who have a substance abuse problem experience withdrawal symptoms

Behavior addictions have psychological and physical dependence components to them

Which of the following is an example of an acute time-limited stressor? b. Taking a certification test as a personal trainer b. Enduring physical abuse as a child d. Being asked to provide an update at a committee meeting a. Experiencing the death of a loved one

Being asked to provide an update at a committee meeting

What are the "Big 4" key cardioprotective medications? d. Beta-blockers, ARBs, blood thinners, and metabolic equivalents (METs) b. Beta-blockers, ARBs, blood thinners, and statins c. Hemoglobin A1C, ACE inhibitors, platelet inhibitors, and statins a. Beta-blockers, arrythmias, platelet inhibitors, and statins

Beta-blockers, ARBs, blood thinners, and statins

What is the recommended amount of sleep for an adult? b. Between 7 and 8 hours d. Between 5 and 6 hours a. Between 6 and 7 hours c. Between 8 and 9 hours

Between 7 and 8 hours

What is a good source of vitamin K? b. Egg yolks c. Broccoli a. Sweet potatoes d. Almonds

Broccoli

What is the leading cause of morbidity and mortality worldwide? d. Cancer b. Cardiovascular disease a. Diabetes c. HIV

Cancer

What disease is the leading cause of death in the U.S. and most developed countries? a. Cardiovascular disease b. Cancer c. Obesity d. Diabetes

Cardiovascular disease

What is an American Cancer Society nutrition guideline for someone who has been diagnosed with cancer? b. Limit consumption of alcoholic beverages to no more than 2 drinks daily for women and 3 drinks daily for men d. Choose whole grains instead of refined grain products c. Decrease saturated fat intake to 10% of calories per day a. Consume 3.5 cups of fruits and vegetables daily

Choose whole grains instead of refined grain products

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

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

The binding contract and coaching agreement should contain an offer of acceptance with mutual agreement of terms, legality, and ability of the parties to enter into a contract with respect to legal age and mental capacity. What is the fourth part of a binding contract? a. Consideration b. Liability c. Consent d. Waiver

Consideration

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

Contemplation

Which of the following is one of the skill-related components of physical fitness? d. Sports performance a. Muscular strength b. Flexibility c. Coordination

Coordination

Which of the following is one of the three types of disease prevention? b. Physical inactivity a. Percutaneous coronary intervention (PCI) c. Coronary angiography d. Primordial (prevention of risk factors)

Correct! d. Primordial (prevention of risk factors)

What is a nutrition strategy for a client who has anxiety? c. Decrease fat and sugar d. Increase mono-and polyunsaturated fatty acids a. Decrease processed foods b. Increase whole grains

Decrease fat and sugar

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

Defending

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

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

Excessive alcohol use is linked to an increased risk of ________________. d. Kidney problems c. Obesity a. Hyperlipidemia b. Digestive problems

Digestive problems

What is an example of a social determinant in the community and social context category that can affect health? b. Language a. Discrimination d. Provider availability c. Transportation

Discrimination

What is a special exercise consideration for clients who have arthritis? a. To encourage clients to exercise in the morning, which usually when symptoms are least painful b. For clients who enjoy water-based exercise, maintain a water temperature between 80 and 85 degrees F c. Discuss with the cients the importance of wearing shoes with good shock absorption and stability d. Clients should be informed that there will be discomfort in the muscles or joints after exercising and that this is normal

Discuss with the cients the importance of wearing shoes with good shock absorption and stability

When helping a client critically evaluate whether a particular diet is a good choice, a question to consider is ___________. c. Does the diet advocate exercise? b. Does the diet recommend a diet that meets the RDA for protein? a. Does the diet recommend ways to decrease sedentary behavior? d. Is it a standard and easy-to-follow diet plan?

Does the diet advocate exercise?

What is a strategy used by National Weight Control Registry participants to maintain their weight loss? d. Watch less than 5 hours of television weekly b. Weigh themselves daily a. Eat breakfast every day c. Make themselves accountable to a friend or a family member

Eat breakfast every day

What is the biggest advantage of email coaching? a. Email is an effective way to document a client's challenges and progress b. There is no obligation to follow the Health Insurance Portability and Accountability Act of 1996 c. The suggested daily emails between a coach and client means rapport can be developed easily d. Email allows for almost instantaneous communication between coach and client

Email is an effective way to document a client's challenges and progress

As a health coach, what should you tell an older client who is experiencing sleep problems? b. Encourage the client to practice better sleep hygiene d. Educate the client on the importance of changing sleeping habits immediately c. Encourage the client to work with his or her healthcare provider a. Educate the client about the reasons for sleep problems in older clients

Encourage the client to work with his or her healthcare provider

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

Encourages clients to explore their ambivalence

What can a health coach do to help a diabetic when it comes to behavioral changes? c. Enhance client self-efficacy through empowerment b. Develop goals for the client focused on managing and improving blood glucose levels a. Educate client on the importance of changing health behaviors d. Educate the client on the benefits of physical activity for blood glucose and blood lipids management

Enhance client self-efficacy through empowerment

What are the two types of hypertension? d. Systolic and diastolic a. Normal and elevated c. Essential or primary, and secondary b. Stage 1 and Stage 2

Essential or primary, and secondary

What parameters have the highest correlation to cardiovascular disease? a. Evelated levels of total cholesterol and low-density lipoprotein (LDL), as well as low levels of high-density lipoprotein (HDL) and elevated triglycerides b. Elevated levels of total cholesterol and high-density lipoprotein, as well as low levels of low-density lipoprotein and elevated triglycerides d. Elevated levels of total cholesterol and very low density lipoprotein, as well as low levels of high density lipoprotein and elevated triglycerides c. Elevated levels of total cholesterol and low-density lipoprotein, as well as low levels of high density lipoprotein and triglycerides

Evelated levels of total cholesterol and low-density lipoprotein (LDL), as well as low levels of high-density lipoprotein (HDL) and elevated triglycerides

Which type of coach is BEST suited for developing a client's capacity to deal with change in their organization or career? d. Executive coach a. Life coach b. Health coach c. Wellness coach

Executive coach

What is a nonmodifiable risk factor for atherosclerotic cardiovascular disease? a. Hypertension c. Diabetes b. Family history d. Low HDL cholesterol levels

Family history

Which of the following should a healthcare provider take into consideration when choosing what diagnostic test to use when testing a patient for diabetes? b. Family history c. Whether a patient has prediabetes or diabetes a. Ethnicity d. Gender

Family history

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

Feedback from another health coach

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

Focusing

What should a health coach do if a client is exhibiting warning signs or interpersonal "red flags"? d. The health coach should refer the client to a mental health professional c. Follow the risk-management protocol b. The health coach should assess how serious the warning sign is before taking the next step a. It depends on whether the warning sign was based on a change in behavior or a disclosure

Follow the risk-management protocol

According to the American College of Sports Medicine, when is a medical clearance necessary? a. For a client who regularly exercises, has a known history of cardiovascular, metabolic, or renal disease, and wants to progress to vigorous-intensity exercise b. For a client who does not regularly exercise, has a family history of cardiovascular, metabolic, or renal disease, has been diagnosed with rheumatoid arthritis, and is a 65-year-old male c. For a client who does not regularly exercise and has signs and symptoms suggestive of cardiovascular, metabolic, or renal disease d. For a client who does not exercise regularly, has cardiovascular, metabolic, or renal disease, or has symptoms that suggest he or she does

For a client who does not exercise regularly, has cardiovascular, metabolic, or renal disease, or has symptoms that suggest he or she does

What of the following statements about low-back pain is MOST accurate? b. For many people, its underlying cause is unknown a. It is considered a short-lasting condition with spontaneous recovery as the most likely outcome d. An exercise program should be developed by an appropriate health professional, such as a physical therapist b. In the U.S. those who report the highest rate of back pain are between the ages of 64 to 75 years old

For many people, its underlying cause is unknown

What is the main reason why a client with depression, anxiety, or chronic stress should monitor his or her mood? c. For the health coach and client to identify those activities that cause a positive mood a. For the client to understand the impact of his or her lifestyle changes on mood d. For the client to monitor non-health-related activities and mood for comparison to lifestyle changes and mood b. For the health coach to be able to support the appropriate goal setting for the client

For the client to understand the impact of his or her lifestyle changes on mood

What is one of the functions of copper? c. Prevents cavities d. Formation of red blood cells b. Aids in nerve function a. Improves blood quality

Formation of red blood cells

What is the initial goal of physical activity? d. Performance c. Function a. Improved health b. Fitness

Function

What food is known to decrease blood pressure? a. Salmon d. Potatoes c. Garlic b. Sugary beverages

Garlic

Essential hypertension is the result of ___________. d. Genetic and enviromental factors c. Excess body fat a. Some identifiable cause b. Cardiovascular disease

Genetic and enviromental factors

What is the reason for the decrease in prevalence of high total cholesterol levels in adults from 18.3 to 11.0%? a. Decrease in percentage of adults who smoke cigarettes d. The plateau of obesity and overweight in adults b. Greater consumption of cholesterol-lowering medications c. Decrease in consumption of dietary saturated fat

Greater consumption of cholesterol-lowering medications

Once a health coach has helped a client identify his or her negative beliefs regarding his or her ability to develop a healthy lifestyle, the next step is to _______________. a. Have the client challenge any negative beliefs with evidence d. Have the client surround his or herself with positive social support b. Have the client turn each negative thought into a positive one c. Have the client practice positive affirmations

Have the client challenge any negative beliefs with evidence

When conducting small-group sessions, what is a way to encourage openness and honesty? a. Have the group developing ground rules d. Share other small-group ground rules that have been successful b. Draft group agreements beforehand for the group c. Educate the group about the key ways to ensure openness and honesty

Have the group developing ground rules

Which of the following is a benefit of being a self-employed health coach? a. Having readily available clients b. Having easy access to referral networks c. Having a structured schedule d. Having location flexibility

Having location flexibility

Which of the following BEST describes the relationship of an ACE Certified Health Coach and a client? d. Health coaches are gatekeepers of the client's healthcare a. Health Coaches are the authority figure b. Health Coaches act under the direction of the client c. Health Coaches are equal partners with their clients

Health Coaches are equal partners with their clients

What is the health coach's role in working with clients with substance addictions and dependencies? b. Health coaches should use those strategies they have been certified in, such as motivational interviewing d. Health coaches should refer the client to a professional to address the substance addiction a. Health coaches should help to change negative behaviors, such as overexercising, that are within the scope of practice c. Health coaches should work as part of a healthcare team

Health coaches should work as part of a healthcare team

Visceral fat _______________. a. Helps facilitate the regulation of blood glucose b. Helps to trigger insulin sensitivity of he cells c. Is associated with high LDL cholesterol d. Helps maintain free fatty acid levels in the body

Helps maintain free fatty acid levels in the body

What is a leading behavioral and dietary risk for cancer? d. Aging a. Consuming too much dietary fat, saturated fat, and trans fat b. High body mass index c. Pollutants, ultraviolet light, and chemicals

High body mass index

What type of interval training is superior to moderate-intensity continuous training for patients with cardiovascular disease? d. High-intensity interval training b. Low-intensity continuous training c. Low-to-moderate intensity training a. Moderate-intensity interval training

High-intensity interval training

What are the recommendations for telephonic coaching? a. Hold sessions once per week, on the same day and same time, with response being within 24 hours b. Hold sessions once per week, on the day and time that works for the client, with the optimal number being 12 sessions over three months c. Hold sessions once per week, on the same day and same time, with the optimal number being 12 sessions over three months d. Hold sessions once per week, on the same day and same time, with the optimal number being four sessions over one month

Hold sessions once per week, on the same day and same time, with the optimal number being 12 sessions over three months

What is the leading cause of stroke? b. Cardiovascular disease a. Atherosclerosis c. Diabetes d. Hypertension

Hypertension

If the body perceives a threat, which part of the brain receives the distress signal? a. Adrenal medulla b. Adrenal cortex c. Hypothalamus d. Amygdala

Hypothalamus

What is a positive effect of exercise on mental health? c. Increases self-confidence d. Improves negative mood a. Reduce stress b. Improves deep breathing

Improves negative mood

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

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

What is the main contributor to the increase in daily caloric intake in both men and women between 1971 and 2000? a. Increase in carbohydrate intake c. Increase in alcohol intake b. Increase in total dietary fat intake d. Increase in protein intake

Increase in carbohydrate intake

Which of the following is an example of an acute effect of stress? d. Increased gastrointestinal issues c. Increased risk of osteoporosis a. Increased blood glucose levels b. Increased insulin resistance

Increased blood glucose levels

Who are the best candidates to benefit from meditative therapies? b. Individuals with severe depression who have difficulty with activities of daily life c. Individuals with a formal anxiety disorder and who are on medication d. Anyone can benefit from mindfulness-based stress reduction a. Individuas with subclinical anxiety and/or stress

Individuas with subclinical anxiety and/or stress

What is one reason the health coach field is growing? a. Insurance companies are interested in cutting their costs b. The obesity rate is plateauing, and health coaches can help support this trend c. There is more of an interest in the importance of mind-body health c. Health coaches are an important part of prevention, and can help the younger generation start early in focusing on their health

Insurance companies are interested in cutting their costs

What is the biggest advantage of remote coaching? a. It allows the coach to multi-task in order to get more things completed b. It can be a way for a coach to expand his or her business c. It can be augmented with email and texting d. It minimizes the need for clear and concise communication

It allows the coach to multi-task in order to get more things completed

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

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

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

It is conducted in a private setting

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

It sets clear expectations for the relationship

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

It should be jointly developed by the client and the health coach

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

Jogging to train for a marathon

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

Knowing the individual needs of the participants

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

Listening

How does a diet full of antioxidant-rich fruits and vegetables and whole grains reduce the risk of cardivascular disease? c.y Increases HDL d. Decreases hypertension a. Reduces the atherosclerotic buildup b. Lowers LDL

Lowers LDL

When following the DASH diet, what is one of the essential nutrients of which a client should ensure he or she gets enough? b. Magnesium c. Iron a. Monounsaturated oils d. Vitamin A

Magnesium

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

Maintenance

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

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

Mel was referred by his physician to a health coach because he was diagnosed as having prediabetes and is 20 pounds overweight. Mel gets approximately 90 minutes of moderate-intensity physical activity per week by pushing his grandkids in a stroller for a walk, kicking a soccer ball around with his older granddaughter, and playing croquet with his friends once a week. Based on the classification of weekly total amounts of aerobic physical activity, what would you tell mel? b. Mel, being relatively inactive is unhealthy a. Mel, it is great you are getting some physical activity by playing with your grandchildren and friends Mel, you should be getting more moderate-intensity activity to help with your prediabetes and weight d. Mel, swimming is a great activity to increase your moderate-intensity activity because it is easy on the joints

Mel, it is great you are getting some physical activity by playing with your grandchildren and friends

What are two powerful "drugs" that compare favorably to highly effective medical therapies? a. Optimism and social support c. Aspirin and calcium b. Statins and beta-blockers d. Dietary and physical-activity changes

Optimism and social support

Mel was referred by his physician to a health coach because he was diagnosed as having prediabetes and is 20 pounds overweight. Mel gets approximately 90 minutes of moderate-intensity physical activity per week by pushing his grankids in a stroller for a walk, kicking a soccer ball around with his older granddaughter, and playing croquet with his friends once a week. Which of the following is an example of Mel's health coach helping to improve Mel's self efficacy as a way to increase the amount of time he is active? c. Mel, let's discuss the solutions you have for your barrier of not having enough time for physical activity. a. Mel, what is a physical activity you would like to add to your routine to increase your moderate-intensity minutes of activity? d. Mel, you already engage with activity you enjoy. Your suggestion of adding a walk one evening with your wife is great. You've got this. b. Mel, I know you can write down all the activities you do and the number of minute you participate in the activity

Mel, you already engage with activity you enjoy. Your suggestion of adding a walk one evening with your wife is great. You've got this.

The Healthy Mediterranean-Style Eating Pattern contains _____________. c. More lean meats and poultry a. More fruits and seafood b. More low-fat dairy products d. More healthy oils such as olive oil

More fruits and seafood

If a client is working on muscular fitness, then a conditioning program would include muscular strength and _______________. a. Cardiorespiratory endurance c. Increasing range of motion Correct! b. Muscular endurance d. Agility and coordination

Muscular endurance

What is a good source of folate? c. Oranges a. Mushrooms d. Whole-grain products b. Milk products

Mushrooms

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

OARS skills

If a male client's BMI is 33.9 kg/m^2 and he has a waist circumference of 99 centimetres (39 inches), what would his classification be and what is his disease risk? d. Obesity III; extremely high b. Obesity class II; very high a. Obesity class I; very high c. Obesity class I; high

Obesity class I; high

Reactance _____________. d. Is the reaction when the use of narcotics provided by medical professionals is witheld or denied from the suffering individuals c. Involves abstinence from the substance causing the addiction problem, when use of any amount of the substance can cause the resumption of the problem behavior b. Occurs when an individual feel judged or criticized for substance or behavioral issues and resorts to the behaviors that are the object of the criticism a. Is the initial stage of abstinence from the addictive substance, when an individual may experience physical and psychological reactions

Occurs when an individual feel judged or criticized for substance or behavioral issues and resorts to the behaviors that are the object of the criticism

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

One day

What does OARS stand or? b. Open-ended questions, affirmations, reflective listening, and summarizing d. Open-ended questions, accountability, realistic goals, and summarizing c. Open-ended questions, action stage appraisal, relapse, and support a. Open-ended questions, assessment, referrals, and skilled motivational interviewing

Open-ended questions, affirmations, reflective listening, and summarizing

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

Payment is by the job or project

What is the most common complication associated with diabetes? a. Systemic inflammation b. Cardiovascular disease d. Kidney disease c. Peripheral neuropathy

Peripheral neuropathy

When working with a client who has overweight or obesity, about what topic is it MOST important to ask? b. Eating and physical-activity behaviors a. Preferred baseline measurements d. Permission to talk about weight c. Social support

Permission to talk about weight

Mopping the floors is an example of ____________________. d. Muscular strength a. Exercise c. Physical fitness b. Physical activity

Physical activity

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

Practice a commitment to values

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

Precontemplation

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

Preparation

As a health coach, what is your role in coaching a client who is trying to lose weight and has cardiovascular disease? c. Recommend fish oil capsules b. Refer the client to a registered dietitian a. Provide a heart-healthy menu d. Provide information about portion control

Provide information about portion control

Which element is being advocated as an addition to the "triple aim" of healthcare, making it a "quadruple aim?" d. Reduced per capita cost of healthcare b. Improve patient experience c. Improve population health a. Provider well-being

Provider well-being

Because of the role of stress in hypertension, what kind of intervention is recommended by national hypertension guidelines to prevent or delay the onset of hypertension? d. DASH intervention a. Dietetic intervention b. Psychosocial intervention c. Neurohormonal intervention

Psychosocial intervention

What is the next step after asking a client open-ended questions? b. Summarize a. Ask a close-ended question c. Create a goal d. Reflection

Reflection

The two most common forms of arthritis are osteoarthritis and ______________________. b. Psoriatic arthritis d. Fibromyalgia a. Rheumatoid arthritis c. Gout

Rheumatoid arthritis

A health coach who is able to correctly identify emotions in clients, demonstrates which component of emotional intelligence? c. Relationship-management b. Social Awareness d. Self-awareness a. Self-management

Self-awareness

What is the first step in the stepwise method for reading food labels? b. The nutrient content of the food d. The list of ingredients c. Serving size and total servings a. Calories per serving

Serving size and total servings

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

Some individuals may struggle to stick to their plans

Vegetables are divided into five subgroups, one of which is _____________. d. Fresh, frozen, or canned vegetables b. White and yellow vegetables a. Fibrous vegetables c. Starchy vegetables

Starchy vegetabl

SOAP stands for ________________. c. Subjective, objective, assessment, and plan b. Subjective, objective, achievable, and plan d. Subjective, operational, analysis, and plan a. Subjective, operational, analysis, and process

Subjective, objective, assessment, and plan

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

Summarizing

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

Supportive

Which of the following is an evidence-based treatment for depression? c. Working with a health coach b. Identifying the depression a. Taking medications d. Incorporating meditative therapies

Taking medications

Resilience is BEST defined as ? a. The desire to learn, grow, and embrace challenges in the face of setbacks b. The ability to successfully adapt in the face of significant sources of stress d. The ability to monitor and manage emotions, thoughts, and behaviors based on the situation c. The ability to use an appropriate amount of stress as motivation for optimal performance

The ability to successfully adapt in the face of significant sources of stress

What is the definition of healthy equity? c. The expansion of health coverage and a supported transformation of the healthcare delivery system a. The differences in health status based on gender, sexual identity, age, disability, socioeconomic status, and/or geographic location d. The unavoidable differences among groups of people, whether those groups are defined socially, economically, demographically, or geographically b. The absence of remedial differences among groups of people, whether those groups are defined socially, economically, demographically, or geographically

The absence of remedial differences among groups of people, whether those groups are defined socially, economically, demographically, or geographically

When should a health coach consider referring a client with mental health issues to a healthcare professional? b. The client is grieving the loss of a loved one c. The client has acute anxiety d. The client has interpersonal issues a. The client has chronic insomnia

The client has chronic insomnia

What is one of the factors that has been identified as an important risk modulator of exercise-related events? b. Family history of cardiovascular disease a. The individual's desired level of physical activity d. Age and gender c. The desired exercise intensity

The desired exercise intensity

What is the rationale for a diabetic client to do aerobic activity 3 to 7 days a week, and to not skip more than two days in a row? c. To keep the client motivated and on a routine a. To meet the recommended guidelines of 150 minutes per week d. In order to achieve the necessary weight loss for the management of blood glucose b. The effects of the last bout of aerobic activity are lost 24 to 48 hours in most cases

The effects of the last bout of aerobic activity are lost 24 to 48 hours in most cases

An ACE Certified Health Coach should be prepared to discuss with a client ____________. b. Meal planning based on the paleo or ketogenic diets d. The essential role of calcium and vitamin D on bone health a. The amount and types of carbohydrates a client with prediabetes needs c. Recommendations on calcium and vitamin D supplements for bone health

The essential role of calcium and vitamin D on bone health

The Dietary Reference Intakes refer to _______________. d. A recommend nutrient intake level that appears to be sufficient for good health a. The level of intake of a nutrient that is adequate to meet the needs of 97 to 98% of the population b. The four types of reference values for specific nutrients for individuals across age and gender c. The adequate intake of 50% of an age- and gender-specific group

The four types of reference values for specific nutrients for individuals across age and gender

What is the issue with insulin for a diabetic? d. The issue insulin cannot keep blood glucose from decreasing excessively or increasing at any time c. There is an imbalance between insulin and glucagon which causes an imbalance in blood glucose levels a. The pancreas does not release enough of the hormone during periods of fasting or exercising b. The pancreas does not release enough insulin, or the cells are resistant to insulin

The pancreas does not release enough insulin, or the cells are resistant to insulin

When it comes to health coaches providing nutrition education, it is within the scope of practice to provide _________________________. d. A calcium supplement based on the RDIs a. Recommendations for following the Paleo diet for weight loss b. The recommended % daily calories for carbohydrates, fat, and protein c. Meal plans for your client

The recommended % daily calories for carbohydrates, fat, and protein

What is the one reason why sleep deprivation can lead to obesity? a. The effect on the hypothalamus b. Impaired glucose tolerance d. The surge in appetite due to impairment of hormones c. The snacking done at night

The surge in appetite due to impairment of hormones

For anxiety to be diagnosed d. The symptoms must last six months or longer a. The symptoms must interfere with daily activities, relationships, and/or work b. The cause of the anxiety needs to be identified c. The patient must exhibit maladaptive behaviors of coping with the anxiety

The symptoms must last six months or longer

Given that total energy expenditure is more important to a client who is trying to lose or maintain weight, an emphasis should be placed on ________________________. d. The total distance or time of walking or running c. Recalculating the energy expenditure when the client loses weight a. The intensity of the aerobic activity b. The resting energy expenditure of the client

The total distance or time of walking or running

Which of the following is among the possible causes of obesity? d. Having type 2 diabetes, hypertension, or heart disease b. Suffering from obstructive sleep apnea c. Living in a high-income country a. The transition from a rural existence to a highly technological existence

The transition from a rural existence to a highly technological existence

What is one reason why exercise has not consistently been recommended to patients as a way to treat depression? c. There is skepticism regarding the evidence b. Prescribing an exercise program is a role a health coach plays, not a healthcare provider a. Exercise has not been proven to be evidence-based practice to treat depression d. Healthcare professionals focus on medications to treat depression

There is skepticism regarding the evidence

What is the first drug of choice for uncomplicated hypertension? d. Thiazide diuretics b. Angiotensin-converting enzyme inhibitors a. Beta-blockers c. Angiotensin-II receptor blockers

Thiazide diuretics

What is an example of change talk by a client? d. Since i saw my physician and he diagnosed me as overweight, i want to change c. I tried drinking more water, but it didn't make me feel any different b. Those stretches i do for my back make me sleep better, and i don't snack at night a. Eating donuts and drinking coffee during the day makes me tired

Those stretches i do for my back make me sleep better, and i don't snack at night

Whole grains are defined as __________. d. Those that contain the whole grain kernel a. Those that have been processed, with B vitamins added back c. Foods like bread, cereals, crackers, and pasta b. Those that have been enriched

Those that contain the whole grain kernel

Who benefits MOST from acute exercise when it comes to improving total sleep time and quality? a. Those who participate in regular exercise d. Those who participate in longer bouts of exercise c. Those who have sleep issues or disorders b. Those who participate in shorter, more intense exercise

Those who participate in regular exercise

Which of the following is an example of an exercise intensity factor? c. Specificity b. Ratings of perceived exertion a. Levels of physical exertion d. Threshold levels

Threshold levels

A health coach attends a networking event for the first time. What is the BEST tip for getting the most out of attending networking events? a. To ask for an introduction or referral at the event b. To be genuinely interested in the people he or she meets c. To build on one's social network by networking d. To send a friend request to all new contacts immediately after the event

To be genuinely interested in the people he or she meets

What is the PRIMARY role of an ACE Certified Health Coach? c. To develop and implement lifestyle goals with clients with a variety of health issues a. To become the leader in a client's healthcare team as the behavior-change expert b. To create a client-centered wellness plan for each individual client d. To meet with healthcare professionals within the health coach's network to develop individualized plans

To create a client-centered wellness plan for each individual client

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 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 b. For educating the client about the value of exercising on mood, as well as on weight loss and exercise goals

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

What is the first-line strategy to prevent initial or recurrent cardiac events? d. Coronary artery bypass graft c. To favorably modify unhealthy lifestyle habits or practices b. Cardioprotective medications a. Coronary revascularization interventions

To favorably modify unhealthy lifestyle habits or practices

Which of the following is an appropriate use of a confidence ruler? b. To gauge how confident a client feels about accomplishing the week's goal a. To gauge how confidently the client can assess his or her mood d. To gauge how confident the cliet is to move on to the next goal once he or she has accomplished the preceding goal c. To gauge how confident the client is to return to his or her previous weight or exercise plan

To gauge how confident a client feels about accomplishing the week's goal

For what is the 10-item Perceived Stress Scale used? d. To identify whether a complete assessment for anxiety by a mental health professional is indicated b. To diagnose stress, anxiety, or other related disorders c. To gauge the level of stress a person has been experiencing over the past month a. To identify is stress levels are normal over the preceding month

To gauge the level of stress a person has been experiencing over the past month

What is a goal of exercise for a client who is going through cancer treatment? b. To positively affect the hormonal environment a. To improve cardiovascular conditioning d. To prevent colon, endometrial, ovarian, and breast cancers c. To maintain a healthy weight

To improve cardiovascular conditioning

What is a reason a client might smoke? b. To increase self-esteem c. To increase confidence a. To lose weight d. To improve focus

To increase confidence

What is the goal of the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+)? d. To diagnose any medical conditions that could prevent the client from participating in physical activity b. To allow the client to complete the PAR-Q+ to take ownership of beginning an exercise program c. To allow the client to be cleared to engage in physical activity for a maximum of 18 months a. To reduce unnecessary barriers to exercise

To reduce unnecessary barriers to exercise

What is the diabetes where the body's immune system attacks and destroys the beta cells which produce insulin? a. Gestational diabetes mellitus d. Type 1 Diabetes c. Type 2 Diabetes b. Prediabetes

Type 1 Diabetes

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

Unconditional positive regard

What is one way health coaches can use the socio-ecological model to help clients change their food and activity behaviors? c. Demonstrate to the client how to shop for affordable and healthy foods b. Educate the client on ways to access affordable and healthy foods d. Distribute a list of the kinds of stores that offer affordable and healthy foods a. Understand a client's access to affordable and healthy foods such as a farmer's market

Understand a client's access to affordable and healthy foods such as a farmer's market

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

Understand the client's values

How can a health coach foster an inclusive environment? c. Educate the client about the ways you are supporting inclusivity b. Assure the client you are the expert and you are here to help d. Use open-ended questions when talking with a client a. Sit in a chair with a desk between you and the client to give him or her space

Use open-ended questions when talking with a client

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

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

Contributory negligence occurs _________________. a. When a client and health coach share the responsibility of the injury b. When a client does not act prudently and gets injured c. When there is a complete recklessness and disregard for safety of others d. When a health coach does not have a disclaimer about the services that are offered

When a client does not act prudently and gets injured

When is the talk test especially useful for monitoring exercise intensity? b. When a client is new to monitoring him- or herself when exercising d. When a client cannot identify his or her metabolic equivalents a. When a client cannot find his or her pulse c. When a client cannot rate his or her exertion

When a client is new to monitoring him- or herself when exercising

When should a health coach refer a client with diabetes to a healthcare professional? d. When increasing either physical-activity intensity or duration by more than 10% a. When a barrier to physical activity has occurred b. When the client requests resources on a healthy diet c. When a new emotional complication has arisen

When a new emotional complication has arisen

How can a health coach create a compelling blog? a. Keep titles short and pithy, with a word count of 5 to 7 words b. Use other experts' how-to blog posts (with permission) to build up the blog posts c. Write blog posts that are less than 1,600 words d. Write blogs to post to social networks, as well as the health coach's website

Write blogs to post to social networks, as well as the health coach's website

What is one of the physical activities linked to reducing blood pressure? b. Meditation c. Yoga d. Dancing a. Swimming

Yoga

What is a popular platform to use for virtual coaching? a. GoToMeeting b. WhatsApp c. Zoom d. Join.me

Zoom

What is the percentage of people with diabetes who have elevated depressive symptoms and depressive disorders? d. 20% c. 33% b. 40% a. 25%

a. 25%

Which of the following BEST describes the field of coaching? a. Functions somewhere within the present and desired future c. Concerned with the past b. Comes from a place of healing d. Often leads to a diagnosis and treatment of dysfunction

a. Functions somewhere within the present and desired future

Engaging in activities that stimulate and challenge mental faculties to enhance one's mental fitness BEST describes which SAMHSA dimension of health? a. Environmental d. Spiritual c. Occupational b. Intellectual

b. Intellectual

If a client with type 2 diabetes takes an oral medication for diabetes, then the dosage : b. May need to be lowered when increasing physical activity a. May need to be increased when increasing physical activity d. May need to be decreased right before the physical activity occurs c. Should remain the same when increasing physical activity

b. May need to be lowered when increasing physical activity

Which of the following statements about the association between exercise and depression is MOST accurate? d. There is a weak association between exercise and depression a. Exercise is as effective as a placebo in reducing depression symptoms c. Exercise is moderately more effective than psychotherapy and medication in reducing depression symptoms b. More research is needed to establish the relationship

b. More research is needed to establish the relationship

What demographic is MOST affected by osteoporosis? a. Men d. Children b. Women c. People with other health ailments

b. Women

What is the daily recommended amount of sodium intake for individuals with cardiovascular disease? a. 3,400 mg/day d. 2,500 mg/day c. 1,500 mg/day b. 2,000 mg/day

c. 1,500 mg/day

The phrase "First, do no harm" is described by which pillar of ethics? a. Beneficence c. Autonomy b. Justice c. Non-maleficence

c. Non-maleficence

Which of the following statements about depression is MOST accurate? b. It is a homogenous mental disorder d. It can recur throughout a persons life a. It is caused by a traumatic life event c. It can cause obesity

d. It can recur throughout a persons life

Which of the following BEST describes the role of the National Commission for Certifying Agencies (NCCA)? b. Determine exam content c. Create eligibility requirements a. Write relevant exam questions d. Provide proper exam administration

d. Provide proper exam administration

Which of the following statements about noncommunicable diseases is MOST accurate? a. Genetics do not play a role in development d. They are greatly impacted by lifestyle choices c. Sedentary behavior is the leading cause b. Onset is quick and often unpreventable

d. They are greatly impacted by lifestyle choices

The autonomic nervous system . d. Regulates the sympathetic-adrenal-medullary pathway b. Regulates the parasympathetic nervous system a. Regulates the sympathetic nervous system c. Regulates the functioning of body processes without conscious effort

egulates the functioning of body processes without conscious effort

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

he client is the expert in his or her own life

What is a reason for a health coach to understand a client's values, interests, and level of commitment? c. To gauge whether an individual will need a referral b. To identify an individualized behavior-change strategy d. To align the client with a support group a. To understand what evidence-based strategy to use

o identify an individualized behavior-change strategy

Why is it recommended to have a person who is newly diagnosed with cancer see a qualified healthcare professional? d. To address changes in taste and smell, as well as the disruption of eating habits b. To address symptoms such as anorexia and early satiety a. To put the patient on a weight loss program c. To prevent and resolve nutrient deficiencies

o prevent and resolve nutrient deficiencies

How much money is spent annually on lost productivity of people diagnosed with diabetes? a. Approximately $69 billion b. Approximately $176 billion d. Approximately $110 billion c. Approximately $245 billion

pproximately $69 billion

While a health coach should consider cultural competence when working with clients from a different culture, it is essential that a health coach ____________. a. Engage similar clients to be able to support each other c. Have a network of professionals, organizations, and healthcare providers who work with this population d. Treat each client as an individual b. Be familiar with food and physical-activity opportunities in the client's neighborhood

treat each client as an individual

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

use open-ended questions to find out what the client already knows

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

"How do you imagine you will feel adapting healthy eating habits?"

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

"How would it make you feel to quit smoking?

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

"I am ready to attend exercise class three days a week." b. " I have to start exercising consistently."

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

"I need to quit smoking."

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

"If i miss class, the instructor is going to think i am slacking."

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

"It may be coupled with sustain talk

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

"What are the facts of the situation?"

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

"You feel rushed in the morning, so it is not a good time to pack snacks for the day."

Which of the following interpretations of the illness-wellness continuum is MOST accurate? d. Wellness is dynamic and ever-changing a. Wellness is achieved at the neutral point b. Once illness occurs, wellness is unrealistic c. Illness requires only medical treatment

. Wellness is dynamic and ever-changing

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

Pulling her purse to the front of her chest

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

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

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

Relatedness

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

Relationship management

Chronic stress can cause health challenges, including ______________. d. Heart palpations b. Increased blood pressure a. Asthma c. Reproductive problems

Reproductive problems

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

The new habit should take place after an anchor moment

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

The perception of an increased susceptibility to an illness

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

Work with clients to replace negative thoughts with positive thoughts that would support behavior change

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

Your addition of vegetables to your dinners Wednesday and Thursday was a great choice."

Which of the following BEST describes person-centered care? a. Focusing on physician-led medical treatments b. Limiting healthcare integration and components c. Using authoritative healthcare providers c. Educating the patients and their families

Educating the patients and their families

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

Individuals should be understood in the context of their environments

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

Inspiring and supportive

Which term MOST accurately reflects the approach to medicine that takes into account all evidence-informed therapies that support physical, emotional, psychological, and spiritual aspects of individuals? b. Alternative medicine d. Western medicine c. Complementary medicine a. Integrative medicine

Integrative medicine

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

Introduce the client to a colleague who experiences a similar lifestyle change

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

Keeping a quiet voice in a private setting

Which of the following is an example of an internal stressor? a. Lack of perceived control c. Cold temperatures d. Loss of a job b. Physical pain

Lack of perceived control

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

Compassion

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

Affirmation

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

After i get the mail, i will perform three squats

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

Agreement on the coaching process and relationship

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

All-or-none thinking

What is an example of a physiologic or psychologic outcome of chronic stress? d. Osteoporosis c. Migraines b. Anxiety and depression a. Type 1 diabetes

Anxiety and depression

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

Asking too many assessment question

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

Assists clients in finding the "how" to make changes

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

Awareness, choice, execution

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

Begin asking questions about the client

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

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

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

Clients are accountable to themselves

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

Collaborate with the client on realistic goals to get started

Which of the following BEST describes an effective ACE Certified Health Coach? b. Determines specific goals for the client d. Collaborates with the client c. Directs the client's actions a. Supplies nutritional plans to the client

Collaborates with the client

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

Commitment, activation, taking steps

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

Conscientiousness

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

Deciding to change and experiencing a new belief in the ability to change

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

Desire, ability, reasons, need

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

Empowers the client to take action and explore barriers

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

Guide the client to develop a clear, concise plan that sets him or her up for success

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

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

As a health coach, what is one of your biggest roles in helping clients deal with their stressors? a. Helping them identify their stressors and stress triggers d. Educating them on external and internal stressors c. Sharing with them your stressors and the way you have coped b. Empathizing with them about their potential stress triggers

Helping them identify their stressors and stress triggers

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

Identifying the problem that needs to be fixed

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

Spending too much time reviewing assessment forms and asking one-directional questions

The underpinning of most mindful practice is ______________________. b. To ignore the "fight or flight" response d. To catalyze present-moment focus a. The elicitation of the relaxation response c. To focus on breath work

The elicitation of the relaxation response

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

Supports clients in self-directed learning

The negative feedback loops involved in the stress response are responsible for __________. a. Mobilizing the body's resources to address the stressor d. Supressing cortisol secretion and preventing extended elevations in hormones c. Regulating glucose metabolism to ensure blood glucose levels remain high to respond to stress b. Restricting blood flow in other areas of the body where it is not needed

Supressing cortisol secretion and preventing extended elevations in hormones

The general adaptation syndrome describes . d. The body's response to mobilize cortisol to reestablish homeostasis a. The process of adaptation to acute stress to restore homeostasis c. The effective response that terminates the allostatic responses b. The body's response and adaptation to stressors

The body's response and adaptation to stressors

The definition of allostatic load is_____________. D. An effective response to stressors, in which appropriate anticipation and engagement leads to efficient termination of allostatic responses. c. The process of adaptation to acute stress to restore homeostasis in the midst of physical, environmental, or psychosocial challenges a. The body's wear and tear that accumulates after intense, repeated, and prolonged stress b. When the body depletes its resources, resulting in compromised function of various organs and symptoms

The body's wear and tear that accumulates after intense, repeated, and prolonged stress

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

The client is the expert on him- or herself

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

The coach must believe the client is capable of change

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

To affirm a client's experience

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

To create awareness of what is most important to the client

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? d. Hold coaching sessions at another location c. Teach breathing techniques often used in yoga mediation a. Incorporate yoga into the client's current exercise program b. Suggest the client attend their fee-based yoga class weekly

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

Which of the following is included in the scope of practice of an ACE Certified Health Coach? d. Provide guidance on choosing supplements b. Prescribe effective exercise regimens c. Ask open-ended questions a. Develop complete meal plans

c. Ask open-ended questions