Prepare for the ACE Health Coach certification exam with these practice questions and answers. This covers behavior change, motivational interviewing, and wellness coaching.
Q: Which of the following aptitudes related to health improvement involves creating a sense of autonomy, competence, and relatedness to life?a. The ability to enjoyb. The ability to choosec. The ability to keep developingd. The ability to see meaning
Answer: C
Q: From a coaching perspective, what is often a major limitation for client success?a. A client’s inner critical voiceb. A client’s listening skillsc. A client’s lack of knowledged. A client’s schedule
Answer: A
Q: Which of the following terms represents the ability to recognize one’s own feelings, as well as the feelings of others?a. Psychological intelligenceb. Emotional intelligencec. Behavioral intelligenced. Interpersonal intelligence
Answer: B
Q: Which of the following components of emotional intelligence involves understanding the emotions, needs, and concerns of others?a. Self-awarenessb. Self-regulationc. Empathyd. Social skills
Answer: C
Q: Jason is a successful health coach who enjoys a very full schedule working with a variety of clients. When asked about why they think Jason is so good at his job, his clients often report that Jason communicates clearly, makes them feel like they are part of a cooperative team, and inspires them to work hard. These characteristics describe which competency within the arena of emotional intelligence?a. Self-awarenessb. Self-regulationc. Empathyd. Social skills
Answer: D
Q: When Susan meets with her health coach, Matthew, she appreciates how Matthew summarizes what she says and then asks if there is anything that was misunderstood in his summary. What communication skill is Matthew using in this situation?a. Active listeningb. Motivational interviewingc. Positive listeningd. Empathetic questioning
Answer: A
Q: If a client perceives changing his or her eating habits as unbearable because of the feeling of having to give everything up at once, he or she is likely suffering from a type of cognitive style called _______________.a. Full-preference thinkingb. Dissociative disorderc. Neuro-linguistic programmingd. Absolutistic demanding
Answer: D
Q: Which of the following fields of practice is most similar to what health coaches offer to clients in their services?a. Personal/life coachingb. Family counselingc. Sports performance coachingd. Behavioural counselling
Answer: A
Q: Which response best describes a health coach’s role in facilitating behavioral change?a. A health coach directs the behavior to be changedb. A health coach develops the plan of action for changec. A health coach creates the environment to foster changed. A health coach manages the rewards and consequences as a result of change
Answer: C
Q: If a client has an uncontrolled chronic condition (such as diabetes) or a history of diet failures or weight-cycling, a referral to which of the following healthcare professionals would be most appropriate?a. Registered dietitianb. Licensed behavioral specialistc. Nutritionistd. Occupational therapist
Answer: A
Q: Renee is a health coach who works with many clients who have chronic health conditions. She communicates regularly with her clients’ physicians to keep them informed of their progress in her programs. In her communications, Renee is careful to document client measurements and any noticeable symptoms, which are characteristics of what element of the SOAP note?a. Subjectiveb. Objectivec. Assessmentd. Plan
Answer: B
Q: If, for whatever reason, the client-health coach relationship must be discontinued, which of the following responses represents the best exit strategy for the health coach?a. Hiring a lawyer to communicate with the client that the business relationship is no longer tenable for the partiesb. Stating upfront that if certain landmarks are not achieved within a particular agreed-upon timeframe, the relationship may need to be terminatedc. Providing a full refund for any services rendered to the client in exchange for future referrals to the health coach’s businessd. Recommending that the client seek his or her own professional help elsewhere due to an inability to resolve conflict
Answer: B
Q: Knowing your own capabilities, having integrity, taking responsibility for results, and having a clear intent are components of what kind of trust when developing the foundation of a relationship?a. Relationship trustb. Self-trustc. Character trustd. Rapport trust
Answer: B
Q: Which of the following communication components involves creating a carefully constructed message so that the intent of the communication is understood?a. Planningb. Encodingc. Decodingd. Offering feedback
Answer: B
Q: Tory is a new client who enjoys helping others and is not comfortable making quick decisions. During your initial interview with Tory, she reveals that she is very focused on her relationships with her family and friends and that she spends much of her free time helping them in various ways. Which personality type best describes Tory?a. Dominantb. Cautiousc. Inspiringd. Supportive
Answer: D
Q: Abbey is a research scientist at a chemical company. Upon hiring a health coach to help her manage her weight and improve her eating habits, she explains that she is skeptical of most weight-loss programs and would like to see any peer-reviewed research that supports the health coach’s recommendations. Which personality type best describes Abbey?a. Dominantb. Cautiousc. Inspiringd. Supportive
Answer: B
Q: According to early research on factors involved when conveying a message, approximately what total percentage of the message communicated is made up of nonverbal language?a. 17b. 38c. 55d. 90
Answer: D
Q: During the initial goal-setting process, Danny asks his client, Sarah, the following questions: “How have things changed for you because of your weight? What do you believe will happen if you continue as you are now? If things were to improve, what needs to be different? What do you believe are the costs of changing and the benefits of changing?” What type of investigatory technique is Danny using to evoke thoughtful responses from Sarah?a. Motivational interviewingb. Funnel-type questioningc. Empathetic interviewingd. Leading questioning
Answer: A
Q: When health coaches encourage clients to engage in regular physical activity, make healthy nutrition choices, and properly manage emotional stress, they are facilitating a reduced risk of _______________.a. Behavioral relapsesb. Musculoskeletal injuriesc. Nutritional deficienciesd. Hypokinetic diseases
Answer: D
Q: Within the medical fitness field’s continuum of care, at what point does the health coach typically begin to work with a client?a. Before the client receives any medical attentionb. When the client initiates primary care with a physicianc. During the period when the client is seeing a physical therapistd. When the client is ready for post-rehabilitation or post-medical care services
Answer: D
Q: Which of the following factors of operant conditioning heavily influences behavioral outcomes and occurs after a behavior is executed?a. Antecedentsb. Response consequencesc. Stimulus controld. Social support
Answer: B
Q: The cornerstone of cognitive behavioral therapy is that a client’s ____________ determine how he or she behaves, not the external events that actually take place.a. Actionsb. Demographicsc. Attitudesd. Beliefs
Answer: D
Q: Jim has been hearing a lot from his friend, Mike, about Mike’s new health coach. Currently, Jim engages in a sporadic walk, or even a visit to the gym, but he is very inconsistent with physical activity. Jim often asks Mike about specifics for creating his own plan. Mike suggests that Jim set up an appointment with his health coach to investigate weight-loss programs, health clubs, and planning how a diet and/or exercise program can fit into his lifestyle and schedule. Jim tells Mike he will arrange to meet with Mike’s health coach. In what stage of change is Jim?a. Precontemplationb. Contemplationc. Preparationd. Action
Answer: C
Q: During a brief encounter at a health fair where Elizabeth is promoting her services as a health coach, she asks her potential new client, Jack, “On a scale of 1 to 10, how ready do you believe you are to make this change or adopt this healthy behavior?” Jack answers, “I’d say about a 3.” Based on his answer, in which stage of change would you categorize Jack?a. Precontemplationb. Contemplationc. Preparationd. Action
Answer: A
Q: Which of the following strategies would be most appropriate for a client who has been working on incorporating physical activity into his lifestyle and has made it to the maintenance stage of behavior change?a. Plan for potential lapsesb. Reiterate the long-term benefits of adherencec. Explain and personalize the inherent risks of physical activityd. Help the client identify social support
Answer: A
Q: _______________ can act as both a determinant and an outcome of behavioral change.a. Self-determinationb. Self-esteemc. Self-efficacyd. Self-confidence
Answer: C
Q: Before shopping, Jessica makes a grocery list and avoids purchasing non-listed items, with the intent that if poor quality food is not in the house, it will not be eaten. Jessica is using which of the following strategies to facilitate healthy eating?a. Shapingb. Stimulus controlc. Goal-settingd. Extrinsic feedback
Answer: B
Q: When Jack was in elementary school, he participated in physical education activities only because he had to, simply to avoid punishment. Today, Jack has a career as a health coach and participates in daily exercise because he truly enjoys the way it makes him feel while he is doing it. Which of the following types of motivation best describes Jack’s physical-activity experiences when he was a child?a. Integrated regulationb. Identified regulationc. Introjected regulationd. External regulation
Answer: D
Q: Paul, a very busy accountant, has a goal of incorporating exercise into his daily schedule. When tax season approaches, Paul knows his schedule will become even more hectic and as each day wears on, his work-related list of responsibilities typically gets longer. Based on available research conducted on the topic of self-control, which of the following responses would be the best approach to help Paul stick to his exercise plan?a. Plan to block out the lunch hour and reserve it for daily workoutsb. Schedule daily workouts at the fitness center on the way home from workc. Plan to fit in “mini” exercise sessions between meetings with clients throughout the dayd. Schedule daily morning exercise sessions, before the workday starts
Answer: D
Q: Which of the following statements is least accurate regarding an individual’s self-control?a. Self-control is a limited resourceb. The force of habit requires a high level self-controlc. Coping with stress requires a certain level of self-controld. Self-control appears to be renewed daily
Answer: B
Q: _______________ is the most common reason that people abandon their plans to change behavior.a. A busy scheduleb. Stressc. Depressiond. Lack of knowledge
Answer: B
Q: Which of the following lifestyle-modification strategies deals specifically with helping clients achieve success early in their programs by setting realistic goals that they can reasonably accomplish?a. Strengthen autonomous motivation to changeb. Increase readiness to changec. Encourage clients to modify environmental cuesd. Look for ways to increase self-efficacy
Answer: D
Q: Janna has said in the past, “I must be perfect in my weight-control behaviors.” Recently, she has been guided by a health coach to rephrase such thoughts as, “Nobody is perfect. I am making improvements in several areas, such as drinking more water and stretching daily, and I am getting healthier and stronger every day.” What behavior-modification technique did the health coach use in this instance?a. Problem-solvingb. Self-assessmentc. Cognitive restructuringd. Negative mood management
Answer: C
Q: In which stage of behavior change do clients experience the highest levels of self-efficacy, and thus self-reliance?a. Contemplationb. Preparationc. Actiond. Maintenance
Answer: D
Q: Within which of the following spheres of the social-ecological model does a health coach have the most influence over his or her clients?a. Communityb. Schoolc. Interpersonald. Individual
Answer: C
Q: Patricia realizes that for her client, Rick, to feel motivated he needs to experience a connection with other people with similar interests. Thus, Patricia identifies other people in the fitness center where she works who are interested in the same kind of walking program that Rick is. Ultimately, she helps to form a walking club on the weekends for Rick and the other members. This is an example of which strategy for establishing self-reliance in clients?a. Establish self-efficacy through goal-settingb. Encourage clients to practice behaviors on their ownc. Help clients find and implement a support systemd. Help clients create or maintain an environment that fosters success
Answer: C
Q: Todd has hired Matt as his health coach to help him make better nutrition choices. Todd confided in Matt that he often finds himself snacking on junk food during the workday and while at home watching television. Which of the following approaches would be the most appropriate first step for Matt to suggest to help Todd create an environment that fosters success?a. Ask Todd to identify those places or cues that encourage unhealthy behaviors by taking an inventory of his home and workspaceb. Recommend that Todd to throw out all of his junk food he has stored at work and at homec. Suggest that Todd place a note that says “get up and walk” on his refrigerator at homed. Educate Todd about healthy snaking versus eating junk food and ask him to keep a food log for one week
Answer: A
Q: A primary difference between disaccharides, oligosaccharides, and polysaccharides is _______________.a. The number of sugar compounds linked together that make up the moleculeb. The number of calories per gram of the carbohydrate in which the molecule is foundc. That each different molecule is found in different types of caloric sweetenersd. That each different molecule is found in different types of non-caloric sweeteners
Answer: A
Q: Why do food manufacturers tend to favor high-fructose corn syrup over other types of caloric sweeteners for use in their products?a. Decreased cost of productionb. Increased feelings of satietyc. Reduced risk of insulin resistanced. Decreased amount of “empty calories”
Answer: A
Q: Which of the following terms represents a positive nitrogen balance, in which the body produces more protein than it breaks down and which occurs in times of growth such as childhood, pregnancy, recovery from illness, and in response to resistance training when overloading the muscles promotes protein synthesis?a. Catabolismb. Anabolismc. Hypermetabolismd. Hypometabolism
Answer: B
Q: Which of the following types of fatty-acid structures represents the chemical form in which most fat exists in food as well as in the body?a. Adipocytesb. Phospholipidsc. Cholesterold. Triglycerides
Answer: D
Q: Which of the following structures of the gastrointestinal tract represents the site of the majority of food digestion and absorption in the human body?a. Mouthb. Stomachc. Small intestined. Large intestine
Answer: C
Q: In which of the following nutrients might a client become deficient if he or she has a medical condition or is taking a medication that impairs fat absorption?a. Folateb. Calciumc. Vitamin Cd. Vitamin A
Answer: D
Q: The latest hydration recommendations for the average adult exerciser are to __________.a. Drink 8 ounces of fluids before, during, and after most types of exercisesb. Follow individualized hydration regimens and let thirst be the guide – if thirsty, drink waterc. Avoid over-hydration (hyponatremia) by limiting fluid intake until after an exercise sessiond. Reduce the risk of dehydration by drinking enough fluids while exercising to gain weight during the exercise session
Answer: B
Q: Jeffery is a 65-year-old retiree who has hypertension and is currently limiting his sodium intake to 2,300 mg per day. According to the 2015-2020 Dietary Guidelines for Americans, to what amount could Jeffery limit his daily sodium intake for even greater blood pressure reduction?a. 1000mgb. 1500mgc. 2000mgd. 1800mg
Answer: B
Q: For the first time since their inception, the 2010 Dietary Guidelines for Americans explicitly recommend that Americans _______________.a. Limit fat intakeb. Reduce sodiumc. Minimize trans fatty acidsd. Eat less
Answer: D
Q: Review the nutrition information below. Which of the following represents the percentage of calories from carbohydrate, protein, and fat in a serving of this food item?Nutrition InformationServing size: 3 tablespoons (30 g), Servings per container: About 22, Amount per serving, Calories: 217, Total fat: 21 g, Saturated fat: 2 g, Trans fat: 0 g, Cholesterol: 0 mg, Sodium: 0 mg, Total carbohydrate: 3 g, Dietary fiber: 2 g, Sugars: 1 g, Protein: 4 g,a. 6% carbohydrate; 7% protein; 87% fatb. 10% carbohydrate; 15% protein; 75% fatc. 13% carbohydrate; 17% protein; 70% fatd. 20% carbohydrate; 25% protein; 55% fat
Answer: A
Q: John is a 175-pound, healthy, recreational exerciser. According to the American Dietetic Association (Academy of Nutrition and Dietetics) and the American College of Sports Medicine, how much daily protein intake is appropriate for John?a. 30 to 48 gb. 50 to 68 gc. 70 to 88 gd. 90 to 108 g
Answer: C
Q: According to the ACE Position Statement on Nutritional Supplements, what should a health coach do if he or she works at a place of business that expects the health coach to promote or sell nutritional supplements?a. Consider changing employers to find a location that does not require health coaches to sell nutritional supplementsb. Take a continuing education course to add the credential of “nutritionist” to the health coach’s qualificationsc. Before selling any nutritional supplements to clients, inform them that the federal government does not regulate these itemsd. Ensure that the health coach’s employer possesses adequate insurance coverage for him or her should a problem arise
Answer: D
Q: Which of the following snacks would be most beneficial for post-exercise fueling to replenish glycogen stores and facilitate muscle repair?a. Whole-grain toast with peanut butterb. Plain white bagel with cream cheesec. Carrots, celery, and raisinsd. Bowl of mixed berries
Answer: A
Q: Which of the following strategies would contradict the National Eating Disorders Association’s recommendations for dealing with a client who is suspected of having, or who has been diagnosed with, an eating disorder?a. Suggest weekly body-weight checks to ensure the client is staying on trackb. Do not assume that reducing body fat or weight will improve performancec. Help other fitness professionals recognize the signs of eating disordersd. Emphasize the health risks of low weight
Answer: A
Q: Which of the following tools for understanding a client’s current dietary habits makes it LEAST likely that the client will forget to include foods in the process?a. Food diaryb. Food recordc. 24-hour recalld. Food-frequency questionnaire
Answer: D
Q: Which of the following responses represents the two overarching concepts put forth by the 2010 Dietary Guidelines for Americans?a. Maintain calorie balance to achieve and sustain a healthy weight and focus on nutrient-dense foods and beveragesb. Prevent a gradual age-related weight gain and prevent decreases in metabolism over timec. Consult a healthcare provider about weight-loss strategies and ensure appropriate management of chronic conditionsd. Choose more nutrient-dense foods and reduce foods or food components consumed in excessive amounts
Answer: A
Q: Which of the following activities would be outside the scope of practice for a health coach working with clients?a. A health coach refers her overweight and obese clients to a website known for healthy recipesb. After determining his morbidly obese client needs to lose significant weight, a health coach gives the client advice on a very-low-calorie dietc. A health coach gives a competitive athlete eating strategies for pre- and post-exercise nutritiond. After being hired at a health club, a health coach develops and implements a lecture series educating members on weight-loss physiology
Answer: B
Q: Kerry is 5’7″ and weighs 190 lb. What is her BMI?a. 19 kg/m2b. 25 kg/m2c. 30 kg/m2d. 35 kg/m2
Answer: C
Q: Obesity that occurs later in life is associated with _______________.a. An increase in the number of adipocytesb. An enlargement of the existing fat cellsc. A pear-shaped body-fat distribution patternd. More fat distributed in the extremities versus the trunk
Answer: B
Q: Which of the following nutrients is the most metabolically costly to convert and store as fat in the body (i.e., which nutrient takes the most energy to break down and store as body fat if there is an excess of this type of nutrient present)?a. Carbohydrateb. Fatc. Proteind. Alcohol
Answer: C
Q: What component of human daily energy expenditure contributes the least amount of energy to the overall daily total?a. Resting metabolic rateb. Basal metabolic ratec. Thermic effect of foodd. Activity thermogenesis
Answer: C
Q: Which of the following hormones is produced by the pancreatic ß-cells and secreted in response to elevated blood glucose levels?a. Insulinb. Leptinc. Ghrelind. Cholecystokinin
Answer: A
Q: What hormone has been found in obese children and adults to circulate in direct proportion to adipose tissue mass when weight is stable, in amounts four times higher than in lean individuals?a. Insulinb. Leptinc. Ghrelind. Cholecystokinin
Answer: B
Q: Which of the following environmental factors is independently associated with obesity?a. The presence of supermarkets in one’s neighborhoodb. Working near many fast-food restaurantsc. Living more than 25 miles away from the workplaced. Living in a low-income neighborhood
Answer: D
Q: Over the past year, Cynthia has gained 15 pounds. Assuming this weight gain is the result of excess energy intake, how many total extra calories has Cynthia consumed beyond her body’s average daily needs to create the added weight over the past year?a. 35,000 caloriesb. 46,500 caloriesc. 52,500 caloriesd. 60,000 calories
Answer: C
Q: Which type of diet has been shown (more than the others listed) to promote satiety and thermogenesis?a. Carbohydrate-restricted dietb. High-fat dietc. High-protein dietd. Detoxification diet
Answer: C
Q: Which of the following statements about the glycemic index is true?a. The glycemic index of a food reflects its overall nutritional valueb. The glycemic index of a food is affected by cooking, ripeness, protein and fat content, and handlingc. A high-glycemic food is less nutritious than a low-glycemic foodd. Low-glycemic foods cause a spike in blood glucose may lead to overeating and subsequent weight gain
Answer: B
Q: Which of the following statements about programming for weight loss is most accurate?a. Fasting allows an individual to lose weight rapidly and is appropriate for kick-starting long-term weight lossb. Carbohydrate-restricted diets appear to be best eating plan for both short- and long-term weight lossc. In general, bariatric surgery is the most effective tool for helping people lose weight and keep it off long-termd. Increasing activity, with a modest restriction in calories, is the most advisable way to tip the scale toward weight loss
Answer: D
Q: Which of the following medical symptoms of untreated anorexia nervosa (AN) is directly related to arrythmias of the heart?a. Low potassium levelsb. Atrophy of the gutc. Diminished peristalsisd. Osteopenia or osteoporosis
Answer: A
Q: What psychological problem is most frequently suffered both by individuals with anorexia nervosa and bulimia nervosa?a. Obsessive-compulsive disorderb. Post-traumatic stress disorderc. Schizophreniad. Depression
Answer: D
Q: What are the three symptoms associated with the female athlete triad?a. Dysmenorrhea, anorexia nervosa, and osteoporosisb. Amenorrhea, disordered eating, and osteoporosisc. Oligomenorrhea, disordered eating, and osteopeniad. Amenorrhea, bulimia nervosa, and osteopenia
Answer: B
Q: Which of the following statements about self-efficacy is most accurate?a. If a client’s self-efficacy is high, he or she will be more likely to drop outb. Client self-efficacy levels should be evaluated for the first time about midway through a lifestyle-management programc. Self-efficacy is a dynamic construct, meaning that it can change from day to dayd. Clients with low self-efficacy should be challenged with vigorous-intensity workouts at the very beginning of their exercise programs
Answer: C
Q: Which of the following responses represents a factor that can erroneously lead clients to put the responsibility of program success on the health coach, removing their own personal responsibility from the equation?a. Lack of rapportb. Decreased self-efficacyc. Past experienced. Unclear expectations
Answer: D
Q: When interviewing clients, Stacey matches their gestures, facial expressions, and body positioning to promote a strong connection. What approach for enhancing rapport is Stacey demonstrating when she mirrors her clients in this way?a. Nonverbal communicationb. Active listeningc. Empathyd. Mimicry
Answer: A
Q: Which of the following components of communication is a learned skill that is demonstrated by showing concern and genuine interest?a. Active listeningb. Empathyc. Open-ended questioningd. Sympathy
Answer: B
Q: The psychological environment of the client-health coach relationship is most related to _______________.a. Customer serviceb. Communicationc. First impressionsd. Personality
Answer: A
Q: Conducting an initial full session of body measurements and strength and cardiovascular tests on a new, overweight client could be disadvantageous because _______________.a. Newcomers to a lifestyle-modification program are essentially going to “fail” most assessments, which may be harmful to self-efficacy, rapport, or program enthusiasmb. New clients should not be charged for a session of assessments since there is no program progress being made in the allotted timec. Assessments should be conducted one per session so that the time for exercise is not drastically reducedd. The time spent discussing the results and explaining how they relate to the client’s goals will typically take more time than the session allows
Answer: A
Q: Which of the following statements about self-help weight-loss programs is true?a. The safety, effectiveness, and quality of self-help approaches are consistent across most programsb. In general, in self-help programs, one basic approach is recommended for everyone, with little or no individualizationc. Most self-help weight-loss programs are associated with commercial-based franchise, with coaches available as resourcesd. Self-help programs are typically run as an outpatient track associated with a hospital or university
Answer: B
Q: The Department of Consumer Affairs of New York City was the first agency to introduce a “Truth-in-Dieting” regulation as a result of the _______________.a. High cost associated with weight-loss programsb. Large number of consumers who were participating in weight-loss programc. Increased opportunity to tax rapid-weight-loss centers’ earningsd. Deceptive practices of many rapid-weight-loss centers
Answer: D
Q: According to the Institute of Medicine’s stepped levels of care for obesity treatment in Weighing the Options: Criteria for Evaluating Weight-Management Programs, in which step is it appropriate to introduce a very-low-calorie diet?a. Step 1b. Step 2c. Step 3d. Step 4
Answer: D
Q: Based on the Institute of Medicine’s stepped levels of care for obesity treatment in Weighing the Options: Criteria for Evaluating Weight-Management Programs, in which step can a health coach begin to promote lifestyle change through education, support, and structure?a. Step 1b. Step 2c. Step 3d. Step 4
Answer: A
Q: Which of the following pencil-and-paper assessments is limited by its lack of detail, which may overlook important health conditions, medications, and past injuries?a. Physical Activity Readiness Questionnaire (PAR-Q)b. American College of Sports Medicine (ACSM) coronary artery disease risk factor stratificationc. Exercise history and attitude questionnaired. Weight-loss readiness quiz
Answer: A
Q: Based on Jeremy’s health data below, which assessment results would you mark as positive risk factors (+1) using the ACSM atherosclerotic cardiovascular disease risk factor thresholds?Jeremy is a 45-year-old restaurateur who works 60 hours or more each week. His physical activity consists of the time he spends walking through his restaurant meeting and greeting customers. The following data are Jeremy’s assessment results from his latest visit with his physician.Body weight: 240 lb, Height: 5′ 10″, LDL cholesterol: 150 mg/dL, HDL cholesterol: 45 mg/dL, Blood pressure: 140/90 mmHga. LDL cholesterol, HDL cholesterol, and blood pressureb. Age, sedentary lifestyle, BMI, LDL cholesterol, and blood pressurec. Age, body weight, LDL cholesterol, and HDL cholesterold. Sedentary lifestyle, BMI, HDL cholesterol, and blood pressure
Answer: B
Q: Based on the number of positive risk factors determined in the previous question, which of the following intensity recommendations is most appropriate for Jeremy to start with at this time?a. Exercise intensity equivalent to 40-60% VO2maxb. Exercise intensity equivalent to 50-70% VO2maxc. Exercise intensity equivalent to 55-75% VO2maxd. Exercise intensity equivalent to 75-85% VO2max
Answer: A
Q: Cynthia is a client who struggles with her choices and portions when she eats out for lunch, which she does almost daily. This type of behavior, which Cynthia would like to change, is labeled _______________.a. Behavioural disintegrationb. Behavioural laxityc. Behavioural excessd. Behavioural deficit
Answer: C
Q: Harvey has unsuccessfully tried to lose weight in the past. He hires a health coach to help him achieve his weight-loss goals this time. Harvey says his pursuit to lose weight is always brought on by suggestions from his wife and his physician, who are both concerned about his health. He doesn’t share their enthusiasm, but is willing to try it again. Which term best describes Harvey’s motivation to change his weight?a. Intrinsic motivationb. Extrinsic motivationc. Self-motivationd. Familial motivation
Answer: B
Q: Clients who pursue lifestyle behavioral change for their own personal achievement and enjoyment are more likely to _______________.a. Failb. Drop outc. Persistd. Relapse
Answer: C
Q: Which of the following responses best represents the two main characteristics that are most effective when setting small goals?a. Small goals must be meaningful to the client and be within immediate reachb. Small goals should be set by the health coach and achievable within a short time periodc. Small goals will be more effective if they are initially general and chosen by the clientd. Small goals must be relevant to the health coach’s program and be achieved within one year
Answer: A
Q: Nick, Liza’s new health coach, asks her to write down the advantages and disadvantages of a lifestyle behavior she would like to change. Liza decides she would like to exercise more, so she writes down all of her positive and negative perceptions about exercise, which ultimately helps her connect with the benefits of change and remove barriers to change. What tool did Nick use to help Liza realize the pros and cons of changing her behavior?a. Exercise history and attitude questionnaireb. Physical-activity preferences worksheetc. Personal-belief questionnaired. Decisional balance worksheet
Answer: D
Q: Which of the following terms best describes bodily fat that is necessary for normal functioning and is incorporated into the nerves, brain, heart, lungs, liver, and mammary glands?a. Triglyceridesb. Essential fatc. Nonessential fatd. Adipocytes
Answer: B
Q: John’s circumference measurements are 42 inches at the waist and 36 inches at the hips. Based on these results, which of the following statements is true?a. John exhibits gynoid obesityb. John’s waist-to-hip ratio places him in the “average” categoryc. John exhibits android obesityd. John’s waist-to-hip ratio places him in the “good” category
Answer: C
Q: Individuals with “normal-weight obesity” reinforce the concept that which of the following health measures can be inherently inaccurate?a. Waist-to-hip ratio (WHR)b. Skinfold measurementsc. Body mass index (BMI)d. Bioelectrical impedance analysis (BIA)
Answer: C
Q: Christina is a 60-year-old woman who weighs 190 pounds (86 kg) and has an estimated body fat of 36%. Her goal is to reduce her body fat to 23%. What will her corresponding body weight be when she reaches her goal of 23% body fat?a. 138 lbb. 148 lbc. 158 lbd. 168 lb
Answer: C
Q: Which of the following body-composition estimation methods requires the technician to practice the skill many times before becoming proficient at the technique?a. Skinfold measurementsb. Circumference measurementsc. Bioelectrical impedance analysis (BIA)d. Near infrared interactance (NIR)
Answer: A
Q: During John’s first exercise session with his new health coach, Mitch, he learns how to find his pulse for heart-rate monitoring. Mitch teaches him to palpate his wrist below the palm on the same side as his thumb. Which pulse site is Mitch teaching John to use?a. Carotid arteryb. Radial arteryc. Ulnar arteryd. Femoral artery
Answer: B
Q: After several minutes of sitting and talking with his new client, Terry takes an estimation of his client’s resting heart rate (RHR). Peter, Terry’s client, appears to have a RHR of 120 bpm. Which of the following terms best represents an accurate description of Peter’s RHR at this instance?a. Bradycardiab. Normal sinus rhythmc. Tachycardiad. Junctional rhythm
Answer: C
Q: The initial evaluation with a deconditioned 35-year-old male client reveals that his RHR is 75 bpm. What is his target heart rate (THR) range at 50-70% of heart-rate reserve (HRR)?a. 120 to 141 bpmb. 130 to 151 bpmc. 140 to 161 bpmd. 150 to 171 bpm
Answer: B
Q: Jody is Clara’s new obese client. After her first blood pressure assessment on Jody, Clara realized that she used a standard-sized blood pressure cuff instead of the appropriate size cuff for the measurement. What was the likely result of this first measurement?a. A blood pressure reading with amplified Korotkoff soundsb. A blood pressure reading void of Korotkoff soundsc. A falsely elevated blood pressure readingd. A falsely low blood pressure reading
Answer: C
Q: Which one of the following statements is true about the use of ratings of perceived exertion (RPE)?a. Initially, very active individuals may find it difficult to use RPE chartsb. The 0 to 10 scale should be used to gauge intensity only when the health coach needs to measure heart rate via the RPEc. Men tend to underestimate exertion, while women tend o overestimate exertiond. Conditioned individuals may overrate their exercise intensity if they focus on the muscular tension requirement of the exercise rather than cardiorespiratory effort
Answer: C
Q: During the administration of the talk test to her new client, Teresa, Lisa stops the test when Teresa claims that reciting the Pledge of Allegiance is becoming uncomfortable and breathing is getting more difficult. At what point did Lisa stop the test?a. First ventilator threshold (VT1)b. Second ventilator threshold (VT2)c. Third ventilator threshold (VT3)d. Fourth ventilator threshold (VT4)
Answer: A
Q: Sherry is a successful full-time hair stylist who is seeking a health coach to help her strengthen her postural muscles to ease the aches and pains she feels as a result of holding her arms up throughout the day as she works on her clients. During a static postural assessment, you notice that Sherry has slightly exaggerated kyphotic and lordotic spinal curves. In which of the following planes of motion does Sherry’s spinal deviation occur?a. Sagittalb. Frontalc. Coronald. Transverse
Answer: A
Q: Which of the following tests is designed to specifically assess static balance with the removal of visual sensory perception?a. Stork-stand balance testb. Sharpened Romberg testc. Trunk extensor endurance testd. Modified hurdle-step test
Answer: B
Q: Which of the following terms best represents a lack of core and gluteal muscle strength to counteract the force of the hip flexors and erector spinae during the squat movement?a. Glute dominanceb. Hamstrings dominancec. Quadriceps dominanced. Lumbar dominance
Answer: D