IAHC Chronic Disease Management and Prevention 1 — Questions and Answers
Question 1: An IAHC coach working with a client who has type 2 diabetes should focus coaching on:
- Adjusting insulin dosages based on meal logs
- Supporting lifestyle changes such as physical activity and dietary choices within the client's care plan (Correct answer)
- Diagnosing and managing blood glucose targets
- Prescribing a diabetic meal plan
Correct answer: Supporting lifestyle changes such as physical activity and dietary choices within the client's care plan
IAHC coaches support lifestyle behavior changes that complement medical care for diabetes but do not prescribe, diagnose, or adjust clinical treatment.
Question 2: In primary prevention coaching, an IAHC coach works with clients who:
- Already have a chronic disease and need management support
- Are at risk but have not yet developed a chronic condition (Correct answer)
- Are recovering from surgery
- Have been discharged from a hospital after a cardiac event
Correct answer: Are at risk but have not yet developed a chronic condition
Primary prevention targets people before disease onset, using behavior change coaching to reduce risk factors like inactivity, poor diet, and unmanaged stress.
Question 3: Which modifiable risk factor is most strongly associated with both type 2 diabetes and cardiovascular disease, making it a key IAHC coaching target?
- Genetic heritage
- Physical inactivity and poor dietary patterns (Correct answer)
- Age and gender
- Thyroid function
Correct answer: Physical inactivity and poor dietary patterns
Physical inactivity and poor nutrition are leading modifiable drivers of both type 2 diabetes and heart disease, making them priority targets in IAHC prevention coaching.
Question 4: When coaching a client with hypertension, IAHC coaches support adherence to which lifestyle recommendation most consistently backed by guidelines?
- Eliminating all carbohydrates from the diet
- The DASH diet and regular aerobic exercise (Correct answer)
- Supplementing with magnesium and potassium independently
- Limiting fluid intake to reduce blood volume
Correct answer: The DASH diet and regular aerobic exercise
The DASH (Dietary Approaches to Stop Hypertension) diet and aerobic exercise are the most evidence-supported lifestyle interventions for blood pressure management.
Question 5: An IAHC coach supporting a client through cancer survivorship should prioritize which coaching domain?
- Chemotherapy side effect management
- Physical activity, fatigue management, emotional wellbeing, and quality of life improvements (Correct answer)
- Tumor marker monitoring between oncology visits
- Radiation dosage scheduling
Correct answer: Physical activity, fatigue management, emotional wellbeing, and quality of life improvements
Cancer survivorship coaching focuses on lifestyle supports for recovery, including physical activity to reduce fatigue, emotional resilience, and sustainable quality-of-life improvements.
Question 6: What does 'secondary prevention' mean in the context of IAHC chronic disease coaching?
- Preventing a disease from ever occurring in healthy individuals
- Early detection and management to prevent a diagnosed disease from worsening (Correct answer)
- Rehabilitating end-stage disease complications
- Supporting family members of chronically ill clients
Correct answer: Early detection and management to prevent a diagnosed disease from worsening
Secondary prevention targets people already diagnosed with a condition, using coaching to slow progression and prevent complications through behavior change.
IAHC Chronic Disease Management and Prevention 1
An IAHC coach working with a client who has type 2 diabetes should focus coaching on: