A health coach is meeting with a new client for the first time. Which of the following strategies is MOST important for establishing trust and rapport during the initial session?
Behavior Change Coaching
Question · Easy
According to the transtheoretical model of behavior change, a client who acknowledges they need to eat healthier but has not yet made any specific plans to change their diet is in which stage?
Chapter 1: Exam Overview, Blueprint & Coaching Philosophy
1.1 ACE Health Coach Credential, Exam Logistics & Scoring
Study guide
A health coach is using motivational interviewing with a client who expresses ambivalence about starting a regular walking routine. Which of the following responses BEST exemplifies the spirit of motivational interviewing?
Question · Medium
Which of the following BEST describes self-efficacy in the context of health behavior change?
A client tells their health coach, 'I know I should eat better, but every time I try, I end up going back to fast food within a week.' Which coaching strategy would be MOST appropriate?
According to the health belief model, which factor is MOST likely to prompt a client to adopt a healthier behavior?
1.2 The Five Domains & Blueprint Architecture
A health coach notices that a client becomes defensive when discussing their eating habits. Which response demonstrates the motivational interviewing technique of 'rolling with resistance'?
Which of the following is an example of intrinsic motivation for adopting a physical activity routine?
A health coach is working with a client who recently experienced a relapse after six weeks of maintaining a healthier diet. According to the transtheoretical model, which is the MOST appropriate response?
The elicit-provide-elicit (E-P-E) strategy used in health coaching is BEST described as:
1.3 Core Coaching Philosophy & The Healthcare Continuum
A health coach is working with a client from a cultural background that emphasizes collective decision-making within the family. How should the coach approach goal-setting with this client?
Which of the following BEST represents the concept of 'honoring the client as the expert in their own life'?
According to social cognitive theory, which of the following is the MOST powerful source for building self-efficacy?
A client in the preparation stage of change tells their health coach they plan to start walking 30 minutes each day beginning next week. Which coaching approach is MOST appropriate?
Chapter 2: Behavior-Change Theories & Cognitive Models
2.1 The Transtheoretical Model of Behavior Change
A health coach is facilitating a group coaching session and notices that one participant dominates the conversation while others remain quiet. What is the MOST effective strategy?
Which of the following statements BEST reflects the concept of 'change talk' in motivational interviewing?
A health coach asks a client, 'On a scale of 1 to 10, how important is it for you to reduce your stress levels?' The client responds with a 6. Which follow-up question BEST supports the motivational interviewing process?
Question · Hard
Which behavior-change model emphasizes the interaction between personal factors, environmental influences, and behavior as a dynamic, reciprocal system?
2.2 Self-Efficacy, Social Cognitive Theory & Health Belief Model
A health coach wants to support a client in building accountability for their health goals. Which strategy is MOST consistent with an empowerment-based coaching approach?
Which of the following is an example of an open-ended question a health coach might use during an initial coaching session?
According to the ecological model of behavior change, which factor operates at the broadest level of influence on health behavior?
A health coach is working with a client who has been in the maintenance stage of regular physical activity for eight months but is showing signs of decreased motivation. Which strategy is MOST appropriate?
2.3 Self-Determination Theory & Motivation Dynamics
What is the PRIMARY purpose of using affirmations in the OARS framework of motivational interviewing?
A health coach is working with a client who expresses feeling overwhelmed by multiple health goals. Which approach is MOST consistent with effective coaching practice?
A health coach is conducting an initial client interview. The client mentions they have been diagnosed with type 2 diabetes and hypertension. What is the health coach's FIRST priority?
Conducting Assessments
Which of the following assessment tools is MOST appropriate for a health coach to use when evaluating a client's readiness for behavior change?
2.4 Positive Psychology, Appreciative Inquiry & Character Strengths
During a client assessment, a health coach identifies that the client has multiple non-modifiable risk factors for cardiovascular disease. Which of the following is a non-modifiable risk factor?
A client's health history questionnaire reveals they are taking a beta-blocker medication. How should this information influence the health coach's approach?
A health coach is interpreting the results of a client's lifestyle assessment. The assessment reveals that the client sleeps an average of 5 hours per night and reports high stress levels. What is the MOST appropriate action?
Which of the following situations MOST clearly warrants a referral from a health coach to a healthcare professional?
Chapter 3: The Coaching Process & Motivational Interviewing
3.1 The Spirit of Motivational Interviewing & PACE Principles
When conducting assessments via telehealth, which consideration is MOST important for the health coach?
A health coach is reviewing a client's health history and notices the client has indicated a family history of type 2 diabetes, a BMI of 29, and a sedentary lifestyle. Which of the following BEST describes how the coach should interpret this information?
Which of the following represents a social determinant of health that a health coach should identify during client assessment?
During an assessment interview, a client reveals they are struggling with feelings of hopelessness and have lost interest in activities they previously enjoyed. What is the health coach's MOST appropriate response?
3.2 Core Communication Skills — The OARS Framework
A health coach uses the PAR-Q+ (Physical Activity Readiness Questionnaire for Everyone) with a new client. What is the PRIMARY purpose of this tool?
A health coach is working with a client whose primary language is not English. Which assessment strategy is MOST appropriate?
A health coach is assessing a new client's nutrition habits. Which approach is within the health coach's scope of practice?
When interpreting client assessment results, a health coach identifies that the client has limited access to healthcare due to financial constraints. Which concept does this BEST represent?
3.3 Navigating Ambivalence, Change Talk & Sustain Talk
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