Chapter 9: Client Consultation and Health Apprasial

Question 1

This is intended as a mutual sharing of information with the expected outcomes of assessing client-trainer compatibility, discussing goals, and developing a client trainer agreement

Answer 1

initial interview

Question 2

T/F: The preparticipation health screening forms should be completed and analyzed prior to an service being provided and activity occurs

Answer 2

T

Question 3

PAR-Q (Physical Activity Readiness Questionaire) and Health/Medical questionaire are examples of this

Answer 3

health appraisal instruments

Question 4

This document requires self-recall of observations and signs and symptoms exerienced by the client, in addition to confirmation of diagnosis by a physician

Answer 4

PAR-Q

Question 5

Limitation of the PAR-Q

Answer 5

it was designed essentially to determine the safety of exercise and not the risk for coronary artery disease

Question 6

This can asses the appropriateness of moderate to vigorous levels of exercise in that it can identify positive coronary risk factors associated with a litany of variables

Answer 6

Health/Medical Questionnaire

Question 7

These usually consist of questions to evaluate personal choices and patterns related to dietary intake, managment of stress, level of physical activity, and other practices that may affect a person’s health

Answer 7

lifestyle inventory

Question 8

This gives clients information about the content and process of the program delivery system.

Answer 8

informed consent

Question 9

The contents of this document should be conveyed in both writing and verbally before the administration of any testing or participation in activities to insure the client understand the risks and benefits associated with the program

Answer 9

informed consent

Question 10

Informed consent should include the following 5

Answer 10

detailed description of the program
risks and benefits associated with participation
confidentiality clause
responsibilities of the participant
and documentation of acceptance of the terms described in the form

Question 11

This is an agreement by a client, before beginning participation, to give up, relinquish, or waive the participant’s rights to legal remedy (damages) in the event of injury, even when such injury arises as a result of provider negligence

Answer 11

assumption of risk (waiver)

Question 12

T/F: After the client signs the assumpution of risk (waiver) document, they are no longer legally responsible for any duty to perform in a competent and professional mannor

Answer 12

F

Question 13

The purpose of an assumption of risk (waiver) is to do this

Answer 13

limit liability

Question 14

T/F: an assumption of risk (waiver) must identify potential risks associated with participation and establish that the client voluntarily assumes responsability.

Answer 14

T

Question 15

This is important to have performed on minor clients

Answer 15

preparticipation physical examination

Question 16

T/F: parents have the right to execute assumption of risk (waivers) in their child’s behalf

Answer 16

F

Question 17

an aspect of personal behavior or lifestyle, an enviornmental exposure or inherited characterisitc which on the basis of epidemiologic evidence is known to be associated with health related conditions considered important to prevent

Answer 17

positive risk factor

Question 18

This is a positive risk factor for CAD: Aging

Answer 18

Men 45+

women 55+

Question 19

This is a positive risk factor for CAD: Family history

Answer 19

Myocardial infarction, coronary revascularization, or sudden death before 55 YO, and 65 YO in first degree male and female relatives respectively

Question 20

This is a positive risk factor for CAD: Smoking

Answer 20

Been a smoker in the last 6 months, or high exposure to smoke

Question 21

This is a positive risk factor for CAD: sedentary lifestyle

Answer 21

Not participating in atleast 30 min of moderate intensity (40-60% vo2max) atleast 3 days/week for three months

Question 22

This is a positive risk factor for CAD: obesity

Answer 22

BMI of 30+

waist girth of greater than 102 cm and 88 cm in men and women respectively

Question 23

This is a positive risk factor for CAD: hypertension

Answer 23

BP greatr than or equal to 140/90, confirmed on two occasions
or on antihypertensive medication

Question 24

This is a positive risk factor for CAD: dyslipidemia

Answer 24

LDL 130+
HDL less than 40
total cholesterol 200+

Question 25

This is a positive risk factor for CAD: prediabetes

Answer 25

fasting glucose 100+ but less than 126, confirmed on two seperate occasions

Question 26

This is a negative risk factor for CAD: High HDL

Answer 26

60+

Question 27

Persons who store excess weight here are at increased risk of CAD

Answer 27

Waist/abdomen

Question 28

In addition to CAD these diseases and medical conditions should be screened for

Answer 28

Chronic cardiovascular, pulmonary, metabolic, and orthopedic conditions

Question 29

intermittent claudication

Answer 29

calf cramping

Question 30

Chronic bronchitis, emphysema, and asthma are considered to be syndromes associated with this

Answer 30

COPD, Chronic obstructive pulmonary disease

Question 31

This is the immediate cause of death in all sudden cardiac death cases which are not contributed to marfan syndrome in individuals less than 35 YO

Answer 31

ventricular arrhythmias

Question 32

How many risk factors of sudden cardiac death are necessary to warrant referral for a cardiovascular examination

Answer 32

1

Question 33

This is more approriate to judge exercise intensity than training heart rate in an individual who is using beta-blockers

Answer 33

RPE

Question 34

The ability to do this gives the personal trainer the foundation to eventually identify whether it is appropriate to assess and train an individual or refer the individual to a physician for medical clearance

Answer 34

stratify risk

Question 35

asymptomatic men and women who have 1 or less CVD risk factors

Answer 35

low risk

Question 36

asympotomatic men and women who have 2 or greater risk factors for CVD

Answer 36

moderate risk

Question 37

Individuals with known cardiac, or vascular problems, COPD, cystic fibrosis, diabetes, thyroid disorders, renal or liver disease, or have 1 or more risk factors for sudden cardiac death

Answer 37

high risk

Question 38

a nondiagnostic practical assessment, typically referred to as a field test, that is inexpensive, easy to administer, and does not normally require maximal effort

Answer 38

submaximal test

Question 39

T/F: Certified personal trainers are not allowed to administer submaximal tests

Answer 39

F, but a physician may also be required if the client is considered high risk

Question 40

this type of test is commonly performed in a clinical setting, with use of speicalized diagnostic equipment to assess an individuals functional capacity througy maximal effort

Answer 40

maximal test

Question 41

This type of test often requires physicians to supervise do to the high risk of complications and diagnostic capabilities

Answer 41

maximal test

Question 42

it is not necessary to have a current medical examination and an exercise test prior to participation in moderate and vigorous exercise.

Answer 42

low risk

Question 43

it is not necessary for a physician to supervise a sub/maximal exercise test

Answer 43

low risk

Question 44

it is not necessary to ahve a current medical examination and exercise test for moderate exercise, however, those are recommended for vigorous exercise

Answer 44

moderate risk

Question 45

it is not necessary for a physician to supervise a submaximal exercise test, but physician supervision is recommended for a maximal test

Answer 45

Moderate risk

Question 46

it is recommended that a current medical examination and exercise test be performed prior to moderate or vigorous exercise

Answer 46

High risk

Question 47

it is recommended that a physician supervise either a sub/maximal exercise test

Answer 47

high risk

Question 48

an assessment of the individuals functional capacity, classification of ability to participate based on the evaluation, identification of preexisting conditions that may be worsened by exercise, prescribed medications, and fitness program recommendations

Answer 48

physician referral form