Building Rapport and the Initial Investigation Stage Flashcards
the 3 attributes essential to successful relationships
1) empathy
2) warmth
3) genuineness
the stage of the client-trainer relationship that is ongoing with no clearly defined timeline
rapport
T/F: The first objective when meeting a prospective client is to first build rapport; gathering information on the client’s goals and objectives is secondary.
True
the 4 purposes of the pre-participation screening
1) identifying presence or absence of known cardiovascular, pulmonary, and/or metabolic disease, or signs or symptoms suggestive of these diseases
2) identifying medical contraindications
3) detecting at-risk individuals who should first undergo medical evaluation and clinical exercise testing
4) identifying those with medical conditions who should participate in medically supervised programs
a document used to release a personal trainer from liability for injuries resulting from a supervised exercise program, and represents a client’s voluntary abandonment of the right to file a lawsuit
release of liability waiver
the period of time it takes for disuse atrophy of muscles surrounding an injury to begin
2 days
a medication that has no primary effect on heart rate but can cause dangerous cardiac arrhythmias due to water and electrolyte imbalances
diuretics
this must be included in a pre-participation screening
health-risk appraisal
3 reasons why females have a higher RHR than men
1) smaller heart chamber size
2) lower blood volume circulating less oxygen throughout the body
3) lower hemoglobin levels
the pressure that is exerted on the artery walls as blood remains in the arteries during the filling phase of the cardiac cycle, or between beats when the heart relaxes; it is the minimum pressure that exists within one cardiac cycle
diastolic blood pressure
PAR-Q risk classification - when a medical exam is recommended before exercise
1) moderate risk and vigorous exercise
2) high risk and moderate exercise
3) high risk and vigorous exercise
PAR-Q low risk classification
<2 risk factors
PAR-Q moderate risk classification
2 or more risk factors
PAR-Q high risk classification
symptomatic, or known cardiovascular, pulmonary, renal, or metabolic disease
PAR-Q risk classification - when an exercise test is recommended before exercise
high risk individuals
PAR-Q risk classification - when doctor supervision of exercise test is recommended before exercise
high risk individuals
Age - positive risk factor criteria
Male ≥ 45 years old
Female ≥ 55 years old
Family history - positive risk factor criteria
Myocardial infarction, coronary revascularization, or sudden death:
- before 55 years old in father or other first-degree male relative
- before 65 years old in mother or other first-degree female relative
Cigarette smoking - positive risk factor criteria
current smoker or quit within previous 6 months, or exposure to environmental tobacco smoke (i.e., secondhand smoke)
Sedentary lifestyle - positive risk factor criteria
not participating in at least 30 min of moderate-intensity physical activity (40 to <60% VO2R) on at least 3 days/week for at least 3 months
Obesity - positive risk factor criteria
BMI ≥ 30 kg/m² or
Men - waist girth > 102 cm (40 in)
Women - waist girth > 88 cm (35 in)
Hypertension - positive risk factor criteria
SBP ≥ 140 mmHg and/or
DBP ≥ 90 mmHg, OR
currently on antihypertensive medication
Dyslipidemia - positive risk factor criteria
LDL ≥ 130 mg/dL (3.37 mmol/L) or
HDL < 40 mg/dL (1.04 mmol/L) or
total serum cholesterol ≥ 200 mg/dL (5.18 mmol/L) or
on lipid-lowering medication
Prediabetes - positive risk factor criteria
- Fasting plasma glucose ≥ 100 mg/dL (5.55 mmol/L), but ≤ 125 mg/dL (6.94 mmol/L), OR
- impaired glucose tolerance (IGT) where a 2-hour oral glucose tolerance test value is ≥ 140 mg/dL (7.77 mmol/L) but ≤ 199 mg/dL (11.04 mmol/L)
Negative risk factor
HDL ≥ 60 mg/DL (1.55 mmol/L)
used prior to assessments and discloses the purposes, procedures, risks, and benefits associated, but does not provide legal immunity to the trainer
informed consent (assumption of risk)
used to release a trainer from liability for injuries and the client’s voluntary abandonment of the right to file suit
liability waiver
T/F: A liability waiver protects the trainer from being sued for negligence.
False
medications that relax or open the air passages in the lungs, allowing for better air exchange
bronchodilators (asthma medications)
the traditional classification system to categorize RHRs
- sinus bradycardia (slow HR): RHR < 60 bpm
- normal sinus rhythm: RHR 60 to 100 bpm
- sinus tachycardia (fast HR): RHR > 100 bpm
average HR - overall, males, females
overall: 70-72 bpm
males: 60-70 bpm
females: 72-80 bpm
the ventral aspect of the wrist on the side of the thumb and is more difficult to palpate
radial artery
located in the neck, lateral to the trachea, and more easily palpated when the neck is slightly extended
carotid artery
the standard site of BP measurement
brachial artery
sounds made from vibrations as blood moves along the walls of the vessel
Korotkoff sounds
T/F: The first BP phase, signified by the onset of Korotkoff sounds, corresponds with SBP.
True
T/F: DBP is indicated by the 4th (significant muttering of sound) and 5th (disappearance of sound) BP phases.
True
T/F: The 5th phase is typically used for measuring DBP, but in children and adults with a 5th phase below 40 mmHg, yet appear healthy, the 4th phase may be used.
True
how to determine HR using the Borg RPE scale (6-20)
add a 0 to the RPE score (e.g., RPE of 6 = 60 bpm)
when exercise-induced feeling inventory (EFI) survey should be administered
1) initial interview
2) after completion of a workout
the 4 subscales of the EFI
1) positive engagement
2) revitalization
3) tranquility
4) physical exhaustion
time period of tracking EFI subscale scores to determine aggregated trends
4-6 weeks
