CHC Chronic Disease Prevention & Lifestyle Management 2

Question 1

A client with prediabetes asks about the most effective lifestyle change to prevent progression to type 2 diabetes. What should a health coach prioritize?

Accepted Answer

Achieving 5–7% body weight loss through diet and exercise

Answer

The Diabetes Prevention Program showed that modest weight loss of 5–7% combined with 150 minutes of weekly activity reduces T2D risk by ~58%.

Question 2

Which behavioral change technique is MOST effective when a client consistently fails to meet their physical activity goals?

Accepted Answer

Use motivational interviewing to explore ambivalence

Answer

Motivational interviewing helps uncover intrinsic motivation and resolve ambivalence, which underlies sustained behavior change.

Question 3

A sedentary client with hypertension wants to start exercising. Which approach best reflects FITT principle application for this population?

Accepted Answer

Moderate-intensity aerobic activity 30 min/day, 5 days/week, building gradually

Answer

Current guidelines for hypertension recommend moderate-intensity aerobic exercise most days of the week, progressing gradually from a sedentary baseline.

Question 4

Which dietary pattern has the strongest evidence for reducing cardiovascular disease risk?

Accepted Answer

Mediterranean diet

Answer

The Mediterranean diet, rich in olive oil, vegetables, legumes, and fish, has the strongest evidence base for CVD risk reduction across multiple large trials.

Question 5

A health coach is working with a client to reduce sodium intake. Which food category contributes the largest proportion of sodium in the typical American diet?

Accepted Answer

Processed and packaged foods

Answer

Roughly 70% of dietary sodium in the US comes from processed and packaged foods, not salt added at the table.

(CHC) Certified Health Coach Practice Test

(CHC) Certified Health Coach Practice Test

CHC Chronic Disease Prevention & Lifestyle Management 2