Chronic Disease Prevention & Lifestyle Management Flashcards
7 cards from real CHC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Chronic Disease Prevention & Lifestyle Management flashcards as text
A client newly diagnosed with hypertension asks what the target blood pressure goal is according to the American Heart Association. What should the health coach relay?
Answer: Below 130/80 mmHg for most adults
The 2017 ACC/AHA guidelines define the treatment target for most adults with hypertension as less than 130/80 mmHg.
Which health coaching approach is most appropriate when a client expresses ambivalence about changing their alcohol consumption?
Answer: Use reflective listening and explore the pros and cons of change together
Reflective listening and exploring ambivalence through motivational interviewing is the standard client-centered approach for behavior change conversations.
What is the role of fiber in chronic disease prevention, and how much does the average American consume daily versus the recommended amount?
Answer: Fiber reduces CVD and T2D risk; Americans average ~15g vs. 25–38g recommended
Dietary fiber lowers LDL, improves glycemic control, and feeds beneficial gut microbiota; Americans consume about 15g/day versus the 25–38g recommendation.
A client asks why health coaches screen for food insecurity. Which best explains the relationship between food insecurity and chronic disease?
Answer: Food insecurity is associated with poorer diet quality, higher obesity rates, and increased T2D and CVD risk
Food insecurity restricts access to nutritious food, drives consumption of cheap high-calorie options, and is strongly linked to obesity, diabetes, and cardiovascular disease.
When evaluating a client's readiness to adopt a plant-forward diet, which question most directly assesses their self-efficacy?
Answer: How confident are you, on a scale of 1–10, that you can prepare plant-based meals most days?
Self-efficacy is the belief in one's ability to perform a specific behavior; a confidence rating directly measures this construct.
A health coach notices that a client's lab work shows elevated HbA1c of 6.2%. How should the coach interpret and act on this finding?
Answer: Recognize this falls in the prediabetes range and intensify lifestyle coaching while deferring to the physician
HbA1c 5.7–6.4% indicates prediabetes; health coaches should intensify lifestyle support within their scope while ensuring the physician leads medical management.
Which environmental modification strategy most effectively supports a client in increasing daily step count without adding scheduled exercise time?
Answer: Using active transportation, taking stairs, and setting movement reminders throughout the workday
Non-exercise activity thermogenesis (NEAT) strategies like walking to work, using stairs, and breaking up sitting time are highly effective for increasing total daily movement without structured exercise.