CR Phase III and IV

Question 1

What are the main goals of Phase III in cardiac rehab?

Answer 1

Sustain or improve overall health, encourage a cardio-protective lifestyle, monitor risk factors, and provide ongoing motivation.

Question 2

How does Phase IV differ from Phase III in terms of patient responsibility?

Answer 2

Phase IV emphasizes self-directed exercise and sustained lifestyle adherence with periodic health check-ins.

Question 3

What is identity-based habit change in cardiac rehab?

Answer 3

It is focusing on creating habits aligned with a ‘cardio-protective’ identity to support long-term behavior changes.

Question 4

How does self-efficacy influence adherence in cardiac rehab programs?

Answer 4

Higher self-efficacy increases motivation, autonomy, and adherence to rehabilitation programs.

Question 5

What factors improve exercise adherence in Phase III cardiac rehab?

Answer 5

Supervision, social support, individualized exercise plans, and regular progress check-ins.

Question 6

Why is supervision beneficial in cardiac rehab programs?

Answer 6

Supervision increases adherence, improves exercise execution, and provides social support.

Question 7

What are the benefits of a Mediterranean diet for cardiac patients?

Answer 7

Reduces rates of coronary heart disease, ischemic stroke, and total cardiovascular disease.

Question 8

How does carb counting help patients with DMII?

Answer 8

Carb counting is essential for managing blood sugar, especially for those on insulin, as it helps maintain glucose control.

Question 9

What is the recommended safe rate of weight loss in cardiac rehab?

Answer 9

Aiming for 1-2 lbs per week with a daily calorie deficit of 500-1000 calories is recommended.

Question 10

How often should blood glucose be monitored in DMII patients?

Answer 10

Frequency depends on individual factors like treatment type, A1C level, and hypoglycemia risk.

Question 11

How does reducing sodium intake affect blood pressure?

Answer 11

Lowering sodium intake can significantly improve blood pressure control, reducing HTN.

Question 12

What are the benefits of the DASH diet for HTN management?

Answer 12

The DASH diet helps lower blood pressure by reducing sodium and emphasizing fruits, vegetables, and whole grains.

Question 13

What is the most effective approach to smoking cessation?

Answer 13

Combining behavioral counseling with pharmacologic interventions is the most effective approach.

Question 14

How does combining counseling with pharmacologic treatment impact smoking cessation success?

Answer 14

It increases the chances of sustaining a quit attempt and reducing relapse rates.

Question 15

In a smoking cessation scenario, what motivational interviewing techniques might help a patient who smokes for stress management?

Answer 15

Explore reasons for stress, identify coping mechanisms, and support patient-driven goals for quitting.

Question 16

How would you address adherence issues in a 61-year-old with poor DMII management?

Answer 16

Use motivational interviewing to improve understanding, support health literacy, and set achievable goals.

Question 17

Why is individualizing exercise programs important in cardiac rehab?

Answer 17

Individualized programs are tailored to patient needs, increasing adherence and engagement.

Question 18

What role do regular check-ups play in improving long-term adherence?

Answer 18

They allow for adjustments in the program to prevent boredom and support progress, boosting adherence.

Question 19

What is the focus of Phase III in cardiac rehab?

Answer 19

Focuses on training and maintaining cardiovascular fitness with lifestyle modifications.

Question 20

Why is readiness to change important in cardiac rehab?

Answer 20

Interventions must match the patient’s stage of readiness for effective adherence and behavior change.

Question 21

What are common adherence barriers in cardiac rehab?

Answer 21

Boredom, lack of support, and mismatched goals can reduce long-term adherence.

Question 22

What is the primary goal of the SilverSneakers program?

Answer 22

To improve physical and emotional health while slowing health declines in older adults.

Question 23

What is the significance of the FITT principle in cardiac rehab?

Answer 23

It stands for Frequency, Intensity, Time, Type, ensuring personalized and effective exercise programming.

Question 24

What are lifestyle modifications emphasized in Phase III cardiac rehab?

Answer 24

Exercise, healthy eating, weight management, blood sugar control, and smoking cessation.

Question 25

How does plant-based eating impact cardiovascular health?

Answer 25

It reduces cardiovascular mortality and improves BMI, cholesterol, and HbA1c levels.