Client Interview And Assesment Flashcards
Dan is a new client whom you are meeting with for the first time today. He will most likely be evaluating you as a trainer through both your verbal and non-verbal communication. What stage of the client-trainer relationship are you in with Dan?
Rapport Stage
When you are first meeting a client and verbal and non-verbal communication are extremely important to consider, you are in the rapport stage.
In what stage of the client-trainer relationship are health-history and lifestyle questionnaires administered?
Investigation Stage
The investigation stage occurs between the rapport stage and planning stage, and is typically when a trainer will ask a client to fill out a health-history or lifestyle questionnaire.
Kristin is in for her second session and you are conducting fitness assessments. While you are checking her body fat percentage you ask her about types of exercise she prefers to do. What stage of the client-trainer relationship are you in with Kristin?
Investigation Stage
This is an example of gathering information, which you should do before the planning stage. This is part of the investigation stage.
Your client tells you that he understands that his family has a history of heart disease and that being overweight can increase his risk for such conditions. He is still wary of beginning any kind of exercise program and says that he has never had any weight loss success in the past. According to the Theoretical Model of Behavioral Change, what stage of change is your client in?
Precontemplation
In the precontemplation phase people are beginning to understand the implications of being inactive, but are not quite ready to commit to a change yet.
Bob is a 45-year-old man who quit smoking 2 months ago. He has not participated in any exercise program in 2 years. His body mass index (BMI) is 32. What are the exercise testing recommendations according to risk stratification based on his cardiovascular disease risk factors?
High risk, medical exam before moderate exercise.
Since Bob is over 45 years old, it has been less than 6 months since he quit smoking and he also has a BMI of 32, he has 3 points on the risk stratification scale and is considered high risk, therefore he needs to have a medical examination prior to beginning an exercise program.
What information does the Health History Questionnaire collect?
Detailed medical and health information.
The health history questionnaire collects detailed information about an individual’s health background such as medications, surgeries, family history and lifestyle information.
What information does the Informed Consent form collect?
Evidence of disclosure.
The informed consent form is where your client acknowledges their “assumption of risk”, serves as evidence of disclosure of risks and communicates the potential dangers of exercise. It does not release liability.
What information does the Exercise History and Attitude Questionnaire collect?
Previous exercise including adherence experience.
The exercise history and attitude questionnaire collects information on the client’s adherence and behavior history and is helpful in developing goals.
What blood pressure measurement is considered to be a risk factor for cardiovascular disease?
140/90 mmHg
An individual with blood pressure greater than or equal to 140 mmHg systolic and/or 90 mmHg diastolic is considered to be hypertensive, or high blood pressure, making it a risk factor for cardiovascular disease.
Chronic Obstructive Pulmonary Disease (COPD. is s condition that affects mainly which system?
Respiratory
COPD is a common respiratory problem, affecting the lungs and an individual’s oxygen carrying capacity.
Your client has been complaining of pain in her anterior lower leg. What is the best course of action to take in continuing her exercise program?
Modify the program with cross training.
The best course of action is to modify with cross training that does not aggravate the pain. This will keep her active without further injuring herself. Diagnosing and treating an injury is not within the scope of practice.
Your client is complaining of pain with extension of her elbow. She has a history of lateral epicondylitis (tennis elbow). What is the best course of action to take in continuing her exercise program?
Modify the program with cross training.
The best course of action is to modify with cross training that does not aggravate the pain. This will keep her active without further injuring herself. Diagnosing and treating an injury is not within the scope of practice.
Your new client informs you that she has diabetes and is taking insulin. What is the most important thing to do for this client?
Refer her to a physician prior to beginning an exercise program.
It is very important for a client receiving insulin for diabetes to consult with a physician prior to beginning any kind of exercise program, both for legal reasons as well as client safety.
When filling out the “medications” portion of the Health History Questionnaire, your client lets you know that he is taking a beta-blocking medication. Once obtaining a physician’s release for exercise, what is the most important difference in this client’s exercise program versus a client who is not taking beta-blockers?
Use Rate of Perceived Exertion (RPE. to determine the level at which he is exercising as his heart rate will not go up.
Beta-blockers keep a person’s heart rate from going up past a certain point, therefore rendering heart rate monitoring useless for determining the intensity at which someone is exercising. Therefore, RPE is the only way you will be able to determine if this person is exercising at the desired intensity.
When beginning an exercise program with a client, you determine that he has checked “yes” to 4 risk factors on the Health Questionnaire. The next step in the training process is to:
Give your client a form to be signed by his physician, approving the exercise program.
If a client has 1 or more risk factors, you may not legally train him or her without a signed consent form from his/her physician.
When checking a client’s heart rate, what is a commonly palpated site?
Carotid artery
The pulse can only be felt on arteries, and the most common sites are the carotid artery in the neck and the radial artery on the thumb side of the inside of the wrist.
When checking a client’s heart rate, what is a commonly palpated site?
Radial artery
The pulse can only be felt on arteries, and the most common sites are the carotid artery in the neck and the radial artery on the thumb side of the inside of the wrist.
A client’s resting heart rate should always be checked ____________________.
When the client is sitting
Although resting heart rate may be slightly lower when a client is lying down or has just woken up, it is only necessary for them to be sitting to acquire an accurate resting heart rate.
When measuring a client’s blood pressure, where should the stethoscope be placed?
On the inside of the client’s arm at the bend of the elbow.
In order to hear the blood flow when releasing the pressure of the cuff, the stethoscope must be placed on the inside of the client’s arm at the bend of the elbow.
After taking the Exercise-Induced Feeling Inventory 12 weeks into their program, your client appears to have the mood profile of “Positive Engagement”. What might your client have answered to feeling very strongly?
Enthusiastic
When a client’s mood profile shows “positive engagement” this means that their mood has been improving since beginning training, and they may answer “feel very strongly” to feelings such as refreshed, enthusiastic, relaxed or upbeat on the Exercise-Induced Feeling Inventory.
