NBC-HWC EXAM - XAM 250

NBC-HWC EXAM -XAM 250

REAL EXAM QUESTIONS AND CORRECT

DETAILED ANSWERS (100% CORRECT AND

VERIFIED ANSWERS) |AGRADE

What is not true about the recommendations from MyPlate?

• It's important to eat a variety of fruits, vegetables, grains, protein foods, and

dairy and fortified soy alternatives.

• Choose options for meals, beverages, and snacks that have limited added sugars,

saturated fat, and sodium.

• Beans, peas, and lentils are part of the Protein Group only, not the Vegetable

Group.

• Select a variety of protein foods to improve nutrient intake and health benefits,

including at least 8 ounces of cooked seafood per week.

• Make half your grains whole grains. - ANSWER- C.

During the initial or intake session, the coach will most likely be sure to:

• Gauge the client's intentions for coaching
• Review their wellness assessment
• Review the client's vision and long-term goals
• Share relevant health information to help the client gain interest in where to

start with their goals.

• Establish or refine client's short-term SMART goals or action steps for what will

be accomplished between sessions - ANSWER- A.

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When a coach is applying the 5-D cycle as an application of appreciative inquiry, what might be a helpful question in a routine follow-up session with a client in the "discover" phase?

• So, what was your best learning experience since last time we met?
• What is the most important topic for us to focus on in the 30 minutes we have

together?

• What possibilities generate excitement for you looking forward?
• It sounds like your priority goals of nutrition and movement really align with

the vision you hold of being an active athlete for years to come. Would you like to begin to create a roadmap for getting started?

• You mentioned losing 5lbs and eating more vegetables; how do these tie into the

larger vision you hold for yourself? - ANSWER- A.

You have been working with your 25-year old client toward her long-term goals of weight loss. She is a competitive athlete in powerlifting and has a competition coming up in 1 month and is trying to make a particular weight class of 63kg, in order to compete in that category. She has decided to try reducing sodium in her diet as an experiment to see how it impacts her scale weight. What might be the

most appropriate first response as the coach:

• You'll need to make sure you follow the DASH diet
• The DASH diet recommends active activity-level women in your age category

need 2400 calories daily.

• How will you know you're going about the sodium reduction in a safe way to

support your needs?

• How are you going to track your sodium?
• You'll need to work with a registered dietician for individualized

recommendations for your diet.

• Staying true to my code of ethics, I can't supervise sodium reduction. -

ANSWER- C.

The question is looking for the best "first response". 2 / 4

F is also true, that as a coach we can't supervise sodium reduction. And while we do follow the code of ethics, it would be the scope of practice guidelines, in particular that tell us that. While answer D is also ok, it may not be the best, as the coach may want to be more curious first about what information/resources/support from a professional she has to hold the client's health and safety first and foremost.E is a close answer, and a correct safe approach for sure. C could be a way to check in first if they might already have professional guidance on this - they might already have a dietician and this would elicit what they know/have as support first.

Your client has been newly referred to work with you, as the health coach, from their practitioner. The client has been struggling with skin conditions that are uncomfortable, painful, and getting worse as well as daily irritable bowel symptoms. The practitioner has let the client know that it would be beneficial to consider an autoimmune protocol diet, with a fairly rigid selection of what foods are included, for at least 6-8 weeks, and then considering if and when a re- introduction process might take place.When you ask the client about their reaction to the practitioner's recommendations, she responds, sharing that this would mean a complete overhaul of every meal, and basically her entire pantry and refrigerator. She "can't see how she could even get through 3 days of eating that way" and says "I won't waste food that we have on hand". Which is not likely the most helpful approach in return, from the coach?

• Help the client know that you understand their needs, emotions, and

circumstances

• Accepting the client right where they are
• Help bolster their appreciation for the pro's of changing
• Help them identify some of the possible solutions
• Help bolster hope when they are sorting through the barriers of change -

ANSWER- D would be least helpful."D" is an answer more closely associated with the Preparation stage of change in the transtheoretical model, whereas the other answers are more closely connected to supporting precontemplation stage

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Your client is a heavy smoker and you've identified which stage of change they are in. Which stage of change would it be MOST appropriate to ask permission to share information about some of the scientific evidence of immediate benefits of quitting smoking?

• Precontemplation
• Planning
• Contemplation
• Preparation
• Action - ANSWER- C. Contemplation. CPM p.97 - because in contemplation

the pros and cons are equal and sharing information can help to tip the balance and create the mindset shift needed.

You are not sure what stage of change a client is in with regards to altering their drinking habits and so you use a simple readiness to change assessment. The client circles the statement that says, "I can't do it." Which stage of change are they most likely in?

• Preparation
• Ambivalence
• Contemplation
• Precontemplation
• Uncertainty - ANSWER- D. Precontemplation

Your client has talked about exercise. You are not sure which stage of change they're in and so ask them to complete a readiness to change assessment on how they feel about starting exercising. Which statement would NOT typically be included in a readiness to change assessment?

• I saw how exercise transformed my friend
• I may do it.
• I will do it
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