ACE Health and Wellness Coaching Practice Test
offer to educate the client on the DASH eating plan and to help develop DASH-focused nutrition goal
A new client who was recently diagnosed with hypertension has been advised by a physician to adhere to the DASH eating plan and cleared to start an exercise program. What is the best next step for the health coach to take with this client?
losing 8 to 17 pounds
A new client, who is sedentary, stands 5'4", and weighs 176 pounds, wants to set a new weight-loss goal. Which would be the most appropriate six month weight-loss goal for this client?
discuss with the client how to increase the number of days he or she walks for exercise
A new overweight client was recently diagnosed with osteoporosis. The client currently participates in yoga five days a week, with the occasional 30-minute walk one or two days a week. Which response is most appropriate regarding this client's program?
discuss with the client options for beginning low-to-moderate intensity exercise such as brisk walking at a pace he or she can sustain, explaining that regular exercise at this level has been found to reduce body weight and symptoms of osteoarthritis
A sedentary client who has obesity approaches a health coach with interest in becoming physically active to lose weight and reduce symptoms of osteoarthritis, especially in the knees. The client asks the health coach, "where do we being?" What is the most appropriate response?
>300 minutes of moderate-intensity physical activity per week
According the Physical Activity Guidelines for Americans, what is the criteria for a client categorized as having a "high" level of physical activity?
dominant and cautious
According to the DISC model, a client described as a task-oriented personality would most likely display which two personality characteristics?
1 in 5
According to the US Dept. of Health and Human Services, how many deaths in the US are related to smoking?
to consider any biases, beliefs, and values when it comes to serving this population
An ACE Certified Health Coach has started to coach a group of seniors with health considerations with which the coach has no experience. What would be the most important first step before working with this population?
perceived susceptibility and perceived seriousness
Based on the health belief model, what are the PRIMARy motivators for a sedentary client starting a weight-loss program after his or her father, who is overweight, experiences a massive heart attack?
intellectual
Engaging in activities that stimulate and challenge mental faculties to enhance one's mental fitness best describes which SAMHSA dimension of health?
ask the client about increasing the duration to 45 minutes on the days they walk
For two months, a client has been walking at a low-to-moderate intensity for 30 minutes, five days a week. Due to new commitments, the client is struggling to walk one or two days per week. What is the best modification of the exercise program so that it is more feasible for the client?
70%
For what percentage of global death is chronic disease responsible?
clients who are at higher fitness levels
For which type of client would the talk test be least appropriate?
to create a values-based approach to making lifestyle changes, which can motivate a client
How can values be used to motivate a client with depression, anxiety, or chronic stress?
by preventing the brain fluids from removing harmful substances
How do sleep problems affect cognitive functions and dementia?
directing clients in the process of change
How would an ACE Certified Health Coach fall into the "expert trap?"
refer the client to a clinical professional in the health coach's network
If a health coach has a client who is exhibiting symptoms of severe depression, the health coach should...
kidney disease
If left untreated, hypertension can lead to _____.
inspiring and supportive
Using the DISC model , a client described as people-oriented would MOST likely display which two personality types?
goal, reality, options, will
What are the four stages of the GROW model?
health coaches are equal partners with their clients
What best describes the relationship of an ACE Health Coach and a client?
ask open-ended questions about what the client already knows about hypoglycemia
What can a health coach do to assuage a client who has diabetes who fears having a hypoglycemic episode while exercising?
women
What demographic is most affected by osteoporosis?
oranges
What is a good source of folate?
physical activity
What is a key component to managing, and perhaps reversing, prediabetes?
family history
What is a non-modifiable risk factor of atherosclerotic cardiovascular disease?
lack of knowledge
What is a provider barrier when it comes to addressing alcohol use in a patient?
improvements in psychophysiological state
What is one of the reasons that exercise has a positive effect on sleep quality?
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
What is the FITT principle when coaching clients on resistance training?
2-3 days/week; 40-50% 1-RM (very light to light intensity); no specific duration; 10-15 reps; single set
What is the FITT recommendation for a senior client beginning a resistance-training program?
to explore the client's own personal values, reasons, and motivations for change
What is the best explanation for why a health coach would ask a client referred by a therapist, "What are your thoughts on why an exercise program might be good for you?"
the health coach is considering social determinants of health to understand the opportunities and barriers to improving the client's health outcomes
What is the best reason a health coach would ask a client about employment, support systems, and access to healthcare?
create a safe physical and psychological space for clients
What is the best strategy a health coach can adopt to foster an inclusive environment?
reinforce to the client that he or she has the underlying skills and assist with establishing goals focused on dietary changes
What is the best strategy for a client who has been successful with adopting an exercise plan and now wants to work on making healthy food choices?
discuss with the client the ability to consume more food sources that contain heme iron
What is the best strategy to help a client whose recent blood work revealed low iron and borderline anemia?
helping the client to identify his or her antecedents and consequences of the tobacco use behavior
What is the best way a health coach can help a client who is trying to quit smoking?
31.6
What is the body mass index of a client who is 5'11" and weighs 225lb?
understand the client's values
What is the essential first step for a coach to help a client with hypertension reach his goals?
knowing the individual needs of the participants
What is the key to being an effective group coach?
cancer
What is the leading cause of morbidity and mortality worldwide?
obtain a written consent from the client
What is the most appropriate next step for a health coach who would like to use a client's success story on a website and blog?
work with the client to create a SMART goal for increasing the duration of his or her walks
What is the most appropriate strategy for a client with obesity who is currently walking for 20 minutes two or three times per week and wants to increase his or her aerobic exercise?
30 weeks
What is the most appropriate timeframe for a client to lose 60 pounds?
one drink per day
What is the recommended alcohol intake for women?
75-90%
What percentage of all heart attacks are explained by conventional risk factors?
encourage the use of SMART goals to keep the client on track in anticipation of, and to overcome, barriers that interfere with adherence
What strategy would be MOST important to implement when working with a client who is in the action stage of change regarding eating and nutrition behaviors?
umbrella liability insurance
What type of insurance would be the most appropriate for a health coach to purchase to add additional coverage to an existing policy?
have the primary goal and focus of each session be about feeling good and accomplishing smaller, manageable tasks
What would be the most appropriate initial approach to implement with a postpartum client who thinks she will not be able to return to running marathons or lose the extra baby weight?
suggest keeping a sleep log recording wake and bedtime, feelings on days they exercise, and what they eat and drink before bed
What would be the most appropriate next step to take with a client who is having trouble getting to sleep and staying asleep at night?
refer the client to an appropriate healthcare professional for evaluation
What would be the most appropriate response to a client who has had persistent low-back pain for the past two months and is now having trouble sleeping?
overweight, high
What would the classification and disease risk be for a female client with a body mass index of 28.9 kg/m2 and a waist circumference of 35.4 inches?
to affirm a client's experience
When is it most appropriate for an ACE Certified Health Coach to share a personal experience?
statements of understanding about the client's message
Which BEST describes reflections made by a coach to a client?
waist-to-hip ratio = 0.96
Which characteristic is most associated with an increased risk for a cardiovascular incident during exercise?
provider well-being
Which element is being advocated as an addition to the "triple aim" of healthcare, making it a "quadruple aim"?
the socio-ecological model
Which model best considers both a client's commitment and access to healthy food and activity options?
continuing to help the client find ways to stay active and reminding him or her of the benefits of adhering to a program
Which of the following actions would be most beneficial to prevent relapses for a client who is trying to become more physically active?
paid at regular intervals for ongoing work
Which of the following best describes being an employee at a facility?
spending too much time administering assessments and asking one-directional questions
Which of the following best describes the "assessment trap"?
a sedentary client who discusses the pros and cons of physical activity with a health coach
Which of the following clients is in the contemplation stage fo the trans theoretical model of behavior change?
a client who recognizes the health benefits of physical activity and participates in soccer and tennis most days of the week
Which of the following clients would be described as primarily intrinsically motivated?
continue to celebrate the client's successes and discuss solutions to the obstacle of the friend having knee surgery
Which of the following coaching strategies would be most appropriate for a client who is overweight and whose walking partner of the past two months will be having knee surgery and unable to participate for three months?
offer to help a client do some research about a supplement, but refer him or her to a dietitian for specific recommendations
Which of the following is in the scope of practice of a health coach?
carbohydrate: 65%; protein: 15%; fat: 20%
Which of the following options has percentages for each macronutrient that fall within the Acceptable Macronutrient Distribution Range (AMDR)?
defending
Which of the following signs of discord is characterized by deflecting blame?
the body does not produce, or produce sufficient amounts of, insulin
Which of the following statements about type 1 diabetes is most accurate?
"you are worried about this impacting your family time"
Which of the following statements best represents reflective listening?
discuss the client's sleep hygiene habits and help create goals focused on ways to get a good nights sleep
Which of the following strategies would be best to help a client whose busy schedule and stress at work are adversely affecting his or her sleep quality?
the health coach should support the client in finding ways to effectively enhance resilience
Which of the following techniques would be best for a health coach working with a client who overeats when stressed?
suggest keeping a food diary that the client can use to document the foods eaten, portion sizes, mood, hunger, fullness, and satisfaction
Which of the following techniques would be best to help a client who struggles with being overweight to avoid overeating when emotional?
statins
Which one of the key cardioprotective medications lowers total and LDL cholesterol and decreases vascular inflammation?
feedback from another health coach
Which resource may be MOST helpful for an ACE Certified Health Coach to improve his or her emotional intelligence traits?
practice a commitment to values
Which strategy is most appropriate for a client who has a low distress tolerance?
integrative medicine
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?
encourages clients to explore their ambivalence
Why is it best to implement a guiding style of communication?
in order for there to be adequate protein intake to build, repair, and maintain lean tissue
Why is it important to meet the Recommended Dietary Allowance for protein when a client is trying to lose weight?
often, people with abnormal lipids have other cardiovascular disease risk factors
Why is it important to refer a client with dyslipidemia to an appropriate exercise specialist before beginning a structured exercise program?
choosing to embrace the fluidity of being present without attachment to any aspect of an experience
One of the pillars of mindfulness is letting go, which involves...
2,370 calories
A bag of chips has 15 servings, each of the which contains 15 grams of carbohydrates, 2 grams of protein, and 10 grams of fat. How many total calories does this bag of pretzels have?
almost 12 weeks
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?
mirror the client by smiling and giving a thumbs up
A client enthusiaastically communicates recent success with watching portion sizes, filling up on raw vegetables, and only having one glass of wine. Which is the best nonverbal response?
paraphrasing
A client explains why he or she did not meet the fitness goals for the week. The health coach responds, "I understood you have a number of barriers that have prevented you from meeting your fitness goals." This demonstrates which verbal listening skill?
limit intake of saturated fat to 10% or less of calories
A client has an optimal LDL-cholesterol level, but a HDL-cholesterol level of 35 mg/dL and total cholesterol of 205 mg/dL. Which of the following general dietary recommendations would be most appropriate?
verify that he is under medical care and has been compliant with his medical evaluations
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 ten years. How should an ACE Certified Health Coach proceed?
all-or-nothing thinking
A client states "I had two beers and tortilla chips. I won't be able to get back on track." What kind of cognitive distortion is the client displaying?
physical therapist
A client with a history of back pain that often "flares up" and limits activity should be referred to which licensed professional?
create opportunities to increase self-efficacy
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?
self-efficacy
A client's positive attitude and belief that he or she will be successful best describes strength in which of the following?
41%
A food has 440 kcal, 20 grams of which come from fat. What percentage of the total calories comes from fat?
"you have a lot of family demands, which has caused you to work out one time in the past two weeks, and you feel better when you exercise"
A health coach asks a client why she has only attended one exercise session in the past two weeks. The client folds her arms across her chest and says, "Yeah, what about it? It's only been a couple of weeks. I have a lot of family demands. I do feel better working out, but what do you want me to do about it?" Which response best illustrates a double-sided reflective listening response?
refer the client to an appropriate health care professional, such as the client's primary physician
A long-time client has recently appeared moody, doesn't have an appetite, and has lost 10lbs in the past week. What is the best strategy to address this situation?
ask the client about the thirst and hunger symptoms and encourage the client to evaluate the pros and cons of incorporating healthy behaviors
A new client diagnosed with prediabetes does not understand his or her physician's concern about the diagnosis. The client is feeling fine, but admits to being thirsty and hungry a lot lately. What strategies intervention would be most effective for this client based on his or her current stage of change?
explore the client's values and ask that he or she tell you more about the exercise routine
A new client is frustrated that he or she is 20 pounds over his or her ideal weight after exercising six days a week for 45 minutes. The client also reports always feeling tired. What course of action would be most appropriate?
objective
In which section of a client's SOAP notes would it be most appropriate to record a weight loss of 4 pounds?
reality
In which stage of the GROW model would an ACE Certified Health Coach ask, "What is the effect of your current situation on eating more healthfully?"
maintenance
Reinforcing the need for a transition from external to internal rewards would be MOST appropriate at which stage of change?
a variety of nutrient-dense foods in appropriate portion sizes
The American Diabetes Association recommends...
potassium, magnesium, and calcium
The Dietary Approaches to Stop Hypertension Eating Plan is rich in what minerals?
3 cups
The Dietary Guidelines suggest adults consume ____ of milk.
the elicitation of the relaxation response
The underpinning of most mindful practices is...
