Chapter 6- Building rapport and initial investigation Stage Flashcards

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1
Q

Important Skills and factors for communication

A
  • environment
  • Effective Communication
  • Voice Quality
  • Listening
  • Interviewing techniques
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2
Q

Interview Techniques

A
  • Encouragers
  • Paraphrasing: restating essence of content
  • Probing: open ended questions
  • Reflecting: restating feelings or content of what sya
  • Clarifying: Verifying understanding of content
  • Informing: Expanding on shared info
  • Confronting:Mild to strong feedback to client
  • Questioning: open and closed questions
  • Deflecting: Changing focus of one individual to another
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3
Q

Communication Styles

A
  • Preaching Style: judgmental and lecture type format
  • Educating Style: Information, relavant info in concise manor
  • Counseling Style: supportive, collaborative effort to problem solve
  • Directing Style: instructive, provide instructions and directions.
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4
Q

what is the Physical Activity Readiness Questionnaire (PAR-Q)

A

minimal yet safe pre exercising screening measure for low to moderate activity. Not for Vigorous.

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5
Q

What is Risk Stratification

A

Testing to determine need for medical intervention

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6
Q

what age adds +1 for risk stratification?

A

Men equal or over 45 years

Women equal or over 55 years

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7
Q

What Family History is +1 for risk stratifciation?

A

Myocardial infraction, coronary revascularization, or suppen death before:
55 years of age in father or other first degree male relative
65 years of age in mother or other first degree female relative

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8
Q

Cigarette Smoking +1 factor?

A

Current smoker, or quit within the last 6 months, or exposure to environmental tobacco smoke

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9
Q

Sedentary lifestyle +1 Factor?

A

Not participating in at least 30 minutes of moderate intensity physical activity at least 3/days per week for 3 months.

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10
Q

Obesity +1 Factor?

A

BMI greater or equal to 30
Or waist girth greater than
102 CM for men
88 cm for women

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11
Q

Hypertension +1 risk factor?

A

Systolic BP greater or equal to 140

diastolic BP greater or equal to 90

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12
Q

Dyslipidemia +1 Risk factor?

A

Low density Lipoprotein (LDL) greater or equal 130
or HDL less than 40
or on lipid lowering medication
or total serum cholesterol is greater or equal to 200

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13
Q

Prediabetes+1 Risk Factor?

A

fasting plasma glucose between 100 and 125

or impaired glucose tolerance greater than 140 but less than 199

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14
Q

HDL Cholerol -1

A

Greater or equal to 60 HDL cholesterol subtract 1

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15
Q

Risk Classification Table

A

less than 2 Low risk no medical attention
Greater or equal to 2, moderate risk medical for vigorous
Symptomatic or known cario, pulmonary, renal, or metabolic disease need medical exam

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16
Q

What is an informed consent form?

A

assumption of risk, they have been notified of rissk. use before assessments. Not a liability waiver.

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17
Q

what is an agreement and release of liability waiver?

A

release personal trainer from liability. client cannot file suit.

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18
Q

What is a health history questionairre

A

detailed medical info beyond risk factor screen.

19
Q

What is an exercise history and attitude questionairre?

A

detailed background on client previous exercise history.

20
Q

What is a medical release form?

A

clients medical information and explains physical activity limitation.

21
Q

What are testing forms?

A

Recording testing and measuring data.

22
Q

What is atherisclerosis?

A

fatty deposits of cholesterol and calcium accumulate on the walls of the arteries, causing them to harden and thicken and lose elasticity

23
Q

What is a myocardial infraction?

A

Heart attack

24
Q

What is Angina?

A

Pressure or tightness in the chest can also be experienced in the arm, shoulder or jaw. can be accompanied by shortness of breath, sweating, nausea,

25
Q

What are common respiratory problems?

A

Bronchitis, emphysema, asthma, and chronic obstructive pulmonary disease

26
Q

What are examples of overuse injuries?

A

runner’s knee, swimmer’s shoulder, tennis elbow, shin splints, IT Band Syndrome.

27
Q

what is metabolic disease and the most common types?

A

interfere with the metabolism or the utilization of energy.

Diabetes and thyroid disease.

28
Q

What is a hernia?

A

bulge or protrusion of abdominal contents into the groin or through abdominal wall. Hernia is a contraindication for weight lifting.

29
Q

What does beta blocking agents do?

A

Block sympathetic response and catecholamines so reduces resting, exercise, and maximal heart rate. Use RPE instead of HR when exercising.

30
Q

How do Calcium channel blockers affect HR?

A

Can increase, decrease, or have to impact on the heart rate. variable and dose related response.

31
Q

Angitensin converting enzyme

A

No affect at heart rate, but do impact blood pressure.

32
Q

How do diuretics affect HR?

A

They have no affect on HR but can cause dangerous arythmias due to electroyte imbalance

33
Q

How does Asthma medications affect HR?

A

Increases sympathetic nervous system so can increase exercise capacity.

34
Q

How do cold medications impact HR?

A

Causes vasoconstriction and can raise BP and HR.

35
Q

Where are the two most common areas to measure HR through Palpated sites?

A

Radial Artery: wrist on side of thumb

Cartoid artery: in neck lateral to trachea

36
Q

What is considered Brachycardia, normal sinus rhythm, or sinus tachycardia??

A

Brachycardia (Slow)- RHE less than 60
normal sinus rhythm- RHR 60-100
Tachycardia (Fast)- RHE greater than 100

37
Q

What is women’s average RHR and why is it lower?

A

Women’s 72-80 bpm.

lower becasue of smaller heart chamber size, lower blood volume curculating, lower hemoglobin

38
Q

How do you measure clients RHR?

A

Have them sit and not move for a couple minutes.
Use finger or stethescope
can measure for 30 or 60 seconds, but that can be hard so it is easier to measure for 10 to 15 seconds and multiply.

39
Q

how to measure BP?

A

Use a BP cuff and stethescope.
Close valve, inflate cuff, put stethescope on brachial artery
Slowly turn the knob and listen for kortotkoff sound.

40
Q

What is normal BP, prehypertensive, and stage 1 and stage 2 hypertensive?

A

normal BP: less 120 SBP and less 80 DBP
Prehypertensive: 120-139 SBP and 80-89 DBP
Stage 1: 140-159 SBP and 90-99 DBP
Stage 2: Greater 160 SBP and Greater 100 DBP

41
Q

What are the 2 RPE scales?

A

BORG 15 point scale: 6-20 scale

Modified 10-20

42
Q

What is the exercise induced Feeling inventory (EFI)?

A

quantifies a clients emotions and feelings following an exercise.

43
Q

After how long a period of time does disuse atrophy in the muscles surrounding the injury begin?

A

After 2 days of inactivity

44
Q

What is not a purpose of pre participation survey?

A

To Identify behavior change.
The purposes of the pre-participation screening include the following:

Identifying the presence or absence of known cardiovascular, pulmonary, and/or metabolic disease, or signs or symptoms suggestive of cardiovascular, pulmonary, and/or metabolic diseaseIdentifying individuals with medical contraindications (health conditions and risk factors) who should be excluded from exercise or physical activity until those conditions have been corrected or are under controlDetecting at-risk individuals who should first undergo medical evaluation and clinical exercise testing before initiating an exercise programIdentifying those individuals with medical conditions who should participate in medically supervised programs