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Health Coach Certification > Chapter 10: Initial Interview And Client Screening > Flashcards

Chapter 10: Initial Interview And Client Screening Flashcards

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ACE ® Health Coach flashcards
1
Q

Goal of any assessment

A

develop safe and effective exercise program

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2
Q

Behavioral assessment should revolve around

A

Gather information to create program to meet client needs

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3
Q

Potential contraindications for weight loss: 3

A

Depression

Current major stressors

Uncontrolled binging

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4
Q

Meal-replacement, support groups, diet books, increased exercise are examples of _ treatment for overweight persons

A

Self-help

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5
Q

Commercial based franchises - coaches present program to clients

A

Nonclinical treatment

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6
Q

Treatment is provided by licensed professionals and typically affiliated with a hospital or university

  • used to treat complicated or severe cases of obesity
A

Clinical treatment

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7
Q

_ mandates specific requirements for all centers promoting rapid weight loss

Rapid weight loss = lbs per week

Loss of _ % of body weigh after the se one week of participation

A

Truth in dieting regulation

More than 1.5 to 2 lbs per week

More than 1%

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8
Q

Under _ the consumer has the right to:

Ask questions about health risks of program, nutritional content, psychological support

Know the price of treatment and services

Know the program duration that is being recommended for you

A

weight loss consumers bill of rights

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9
Q

Guidelines for _:

All clients must be screened for medical and psychological conditions that make weight loss inappropriate

Clients must be classified by excess body weight and overall health risks

Care should be given by trained individuals

A

The Michigan Guidelines

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10
Q

Criteria for _:

Match btwn program and consumer

Soundness and safety of program

Outcomes of the program

A

Nutrition board for the institute of medicine IOM

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11
Q

Low-fat diet
Physical activity
Lifestyle change

For weight loss up to _ lbs

A

IOM step 1

*for weight loss of up to 10 lbs

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12
Q

Commercial weight loss
Intensify self help efforts
Support/ education

A

IOM step 2

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13
Q

Primary care physician
Monitor / supervise treatment efforts
Treat comorbid disease

A

IOM step 3

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14
Q

Very low calorie diets
Medication
Psychotherapy
Surgery

A

IOM step 4

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15
Q

Minimum expectations of a credible weight loss approach

A

Standards of care

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16
Q

IOM and NIH recommend reassessments:

A

Beginning of weight-loss
End of weight loss
Every 6 months during maintenance

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17
Q

_ is greatest with low calorie diets and rapid weight loss

A

Gallbladder disease

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18
Q

4 components of a successful program

A

Long term weight loss
Improvement in obesity related factors
Improved eating habits and physical act
Monitoring of adverse effects that might result from the program

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19
Q

Waist circumference strong indicator of abdominal obesity

Men

Women

A

Men: 40 inches or greater

Women: 35 inches or greater

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20
Q

Force of the heartbeat and the resistance of the arteries to the pumping action of the heart

A

Blood pressure

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21
Q

Must use an appropriate sized cuff as overweight clients …

A

Falsely elevated BP readings when standardized cuffs used

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22
Q

Normal BP

Prehypertension

Hypertension

A

120 / 80

120-139 / 80-89

140-159 / 90-99

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23
Q

Average resting HR

Normal range

_ may slow resting and non-resting HR

A

72 bpm

60-100 bpm

Beta blockers

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24
Q

_ % of body weight loss over six months is recommended

A

10%

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25
Q

IOM recommends weight loss goal of _ over the first 6 months

A

10%

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26
Q

Treatment can be cumulative or incremental

A

Stepped care

27
Q

Medications that can hamper weight loss

A

Psychotropic drugs

Antidepressants, anxiety, mood stabilizers

28
Q

Weight regain within one year

Within 5 years

A

2/3

All weight is regained

29
Q

Anorexia- refusal to maintain _

A

At least 85% of ideal body weight

30
Q

Only eating disorder where weight loss is appropriate

* when accompanied by ongoing psychotherapy

A

Bulimia

31
Q

_ therapy may help clients with binge eating disorder

A

Cognitive behavioral therapy

32
Q

Clients participating in self guided activity should complete…

For low to moderate exercise only

A

PAR-Q

33
Q

Risk classification

Step 1

A

Identify CAD risk factors

34
Q

Risk classification

Step 2

A

Perform risk classification based on CAD risk factors

35
Q

Risk classification

Step 3

A

Determine need for medical exam/ clearance

36
Q

HDL negative risk factor

A

HDL = 60mg/dL or higher

37
Q

4 components of physical fitness

A

Aerobic fitness
Flexibility
Muscular strength and endurance
Body composition

38
Q

Positive risk factor

+1

Age

A

Men 45 and older

Women 55 and older

39
Q

Positive risk factor

+1

Family history heart attack, coronary revascularization or sudden death
Father:
Mother:

A

Father: before age 55

Mother : before age 65

40
Q

Positive risk factor

+1

Smoking (3)

A

Current smoker

Quit within last 6 months

Exposure to second hand smoke

41
Q

Positive risk factor

+1

Sedentary lifestyle

A

30 minutes activity

3 days week

For at least 3 months

42
Q

Positive risk factor

+1

Obesity - BMI, waist

A

BMI 30 or greater

Men 40 inches

Women 35 inches

43
Q

Positive risk factor

+1

Hypertension

A

SBP 140 or greater

DBP 90 or greater

Currently on antihypertensive medications

44
Q

Positive risk factor

+1

Dyslipidemia

LDL
HDL
Medication

A

LDL 130 or greater

HDL less than 40

Lipid lowering medication

45
Q

Positive risk factor

+1

Dyslipidemia

Serum cholesterol

A

200 or greater

46
Q

Positive risk factor

+1

Prediabetes

Fasting plasma glucose

Impaired glucose tolerance

A

Fasting plasma glucose 100 or greater

140 or greater

47
Q

Risk classification

Low risk

Medical exam?

A

LESS than 2 risk factors

No

48
Q

Risk classification

Moderate risk

Medical exam?

A

2 or more risk factors

Exam required for vigorous exercise

49
Q

Risk classification

High risk

Medical exam?

A

Symptomatic or known disease ( heart murmur)

Exam. Required for all types of exercise

50
Q

_ suggests that a complicated period of psychological prep needs to precede true readiness to commit to lifestyle change

A

TTM transtheoretical model of behavior change

51
Q

Behavioral assessment process must start by

A

What functions are being served by existing behaviors?

Sarah!

52
Q

Assessing Negative behaviors

2

A

Identify how client benefits from negative behaviors

Identify triggers

53
Q

Goal of behavioral assessment is to identify connections between behaviors and

A

Antecedents and consequences associated with behavior

54
Q

Lear in approach in which behaviors are influenced by consequences

A

Operant conditioning

55
Q

Undesirable behavior performed too often

*example

A

Behavioral excess

Unhealthy eating habits

56
Q

Desirable behavior not performed often enough

*example

A

Behavioral deficit

Physical activity

57
Q

Behavioral excess

Behavioral deficit

Sarah!

A

Eating out of boredom after dinner

Studying after dinner

58
Q

1st step in functional assessment

A

Identify target behaviors - dietary and physical activity

59
Q

2nd step in functional assessment

A

Identify situations that trigger or prevent goal behaviors from occurring

60
Q

_ often outweighs the willingness to make a lifestyle change

A

INSTANT GRATIFICATION

61
Q

3rd step in functional assessment

A

Gather preferences of clients

62
Q

Best positive reinforcement to create for client

A

Enjoyment and mastery

63
Q

4 th step in functional assessment

A

Determine past attempts and outcomes of previous lifestyle modification

Health Coach Certification (19 decks)

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