NBHWC - National Board for Health & Wellness Coaching Behavior Change Theories Questions and Answers

Question 1

A client tells their coach, 'I know I need to quit smoking.
I've set a quit date for two weeks from now and I've already bought some nicotine patches.' According to the Transtheoretical Model (Stages of Change), which stage is this client demonstrating?

Accepted Answer

Preparation

Answer

Contemplation

Answer

Action

Answer

Maintenance

Question 2

A coach is working with a client who wants to start exercising but feels intimidated by the gym. The coach suggests exploring online workout videos the client can do at home. This strategy primarily supports which core psychological need from Self-Determination Theory?

Accepted Answer

Competence

Answer

Autonomy

Answer

Relatedness

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Motivation

Question 3

A client with prediabetes is resistant to changing their diet. To explore the client's 'perceived susceptibility' from the Health Belief Model, which question would be most appropriate for the coach to ask?

Accepted Answer

What do you believe might happen if you don't make any changes to your diet?

Answer

How might your life be better if you were able to manage your blood sugar?

Answer

What makes it difficult for you to choose healthier foods right now?

Answer

Who in your life could support you in making these dietary changes?

Question 4

According to Albert Bandura's Social Cognitive Theory, a client's belief in their own capability to successfully complete a task, such as meal prepping for the week, is known as:

Accepted Answer

Self-efficacy

Answer

Outcome expectancy

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Reciprocal determinism

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Observational learning

Question 5

A client explains, 'I want to start walking during my lunch break, and I think it would make me feel more energetic. However, all of my coworkers go out for fast food, and I feel pressured to join them.' Within the Theory of Planned Behavior, the coworkers' influence represents which construct?

Accepted Answer

Subjective Norm

Answer

Attitude Toward Behavior

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Perceived Behavioral Control

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Behavioral Intention

Question 6

Which of the following best distinguishes the Transtheoretical Model (TTM) from the Theory of Planned Behavior (TPB)?

Accepted Answer

The TTM is a stage-based model that views change as a process over time, while the TPB focuses on the predictive factors of behavioral intention at a single point in time.

Answer

The TTM focuses solely on intrinsic motivation, whereas the TPB incorporates social pressure and perceived control.

Answer

The TTM is primarily used for physical activity interventions, while the TPB is used for dietary change.

Answer

The TTM posits that self-efficacy is the only factor for change, while the TPB uses three different factors.