Domain IV: Professional conduct, safety and risk management

Question 1

Scope of Practice

Answer 1

Defines the range of responsibility that shouldn’t be exceeded beyond the limits and skills of your designated profession.

Question 2

Standard of Care

Answer 2

Using care and good judgment with respect to a participant’s age and condition. Meeting the professional standards established by the industry.

Question 3

Vicarious Liability

Answer 3

Stipulates that employers are responsible for their workplace environment including the conduct of employees.

Question 4

An ACE certified personal trainer must complete how many continuing education hours in what period of time to keep their certification active?

Answer 4

20 hours in 2 years

Question 5

When on the treadmill, your client becomes dizzy and passes out. She hits her head on the ground. She is unconscious and non-responsive. What is an appropriate action to take?

Answer 5

Have a coworker call 911 while you stay with her.

Question 6

What should NOT be included in an emergency response report?

Answer 6

Your opinion of what happened

Question 7

When should an emergency response report be filled out?

Answer 7

Immediately after the incident has been controlled.

Question 8

After a client falls and EMS is called, with whom can you share the incident report with?

Answer 8

The facility general manager

Question 9

What is a proper place to store an incident report?

Answer 9

In a locked filing cabinet at the gym

Question 10

Upon approaching a client who is unconscious and non-responsive, what should you check and in which order?

Answer 10

Airway, breathing and circulation

Question 11

You notice that a member of the gym has fallen to the ground. What is the first thing you should do?

Answer 11

Ask her if she is ok

Question 12

What questions should you ask a victim of a fall who is conscious?

Answer 12

Medical history

Question 13

In which situation should you call 911?

Answer 13

A client is having difficulty breathing and you are unsure of what to do

Question 14

In which situation is it not necessary to call 911?

Answer 14

Your client is vomiting and ends her session early

Question 15

What is the purpose of CPR?

Answer 15

To help the body maintain perfusion.

Question 16

On whom should you use an Automated External Defibrillator (AED)?

Answer 16

A member who is unconscious, not breathing and doesn’t have a palpable pulse.

Question 17

Howard is a diabetic client whom you have been training for 3 months. While exercising he begins to show signs of hypoglycemia. What is the best course of action?

Answer 17

Discontinue the exercise and have Howard sit down, give him something sugary to drink and monitor him.

Question 18

Your client has been running sprints outside on a hot summer day. She begins to become dizzy and pale with cool, clammy skin. What steps should you take to prevent heat stroke?

Answer 18

Have her lie down in a cool area with her feet elevated and give her fluids.

Question 19

Your client is exercising outside on a hot day and becomes confused. She has hot, bright red skin and is having difficulty breathing. She is scared and dizzy. What is the best course of action to take?

Answer 19

Discontinue exercise, begin actively cooling her and call 911.

Question 20

Your client trips over a piece of exercise equipment and falls, twisting her ankle. She cannot get up on her own and it is painful to stand on. What is the best course of action?

Answer 20

Help her to a chair, offer an ice pack and allow her to call someone to transport her to the hospital.

Question 21

In which situation is it not okay to utilize and display the ACE logo?

Answer 21

Items for sale such as videos

Question 22

Kelly has been diagnosed with a ligament sprain in her knee. She has minimal impairment and tenderness and has been advised to bear weight as tolerated. What severity level is Kelly’s ligament sprain?

Answer 22

Grade I

Question 23

At the least, how frequently should the training environment be examined for potential hazards?

Answer 23

Once a day

Question 24

What should the trainer do if an unsafe facility condition is noticed?

Answer 24

Notify management and avoid the area

Question 25

What is the best course of action if you come across a piece of exercise equipment that is broken or malfunctioning?

Answer 25

Disable or remove the equipment

Question 26

What is the best course of action if you notice a client going into shock?

Answer 26

Have her lie down with her feet elevated

Question 27

Amnesia, headache, drowsiness and nausea are signs and symptoms of which condition?

Answer 27

Concussion

Question 28

What position should you take when spotting a client during a bench press exercise?

Answer 28

Stand with a steady base above the client’s head with your hands following under the bar in case they need assistance.

Question 29

Which acronym represents a credible organization or agency which can be used as a valuable resource for the ACE personal trainer?

Answer 29

ACSM

Question 30

Your client has hypoglycemia. When is the best time to schedule his exercise?

Answer 30

He should exercise in the morning after a meal.

Question 31

What is the primary purpose of an informed consent?

Answer 31

To help clients understand the risks associated with exercise

Question 32

fulfill responsibilities through…

Answer 32

ongoing education, collaboration and awareness of professional standards and practices necessary to protect clients, stakeholders and the personal trainer

Question 33

business plan should cover all of the following…

Answer 33

Executive summary, business description, marketing plan, operational plan, risck analysis, decision-making criteria

Question 34

financial plan

Answer 34

should provide specific details for how a business will generate cash flow and produce profit.

Question 35

6 basic business models

Answer 35

sole proprietorship partnership independent contractor corporation s corporation (subchapter corporation) limited liability company

Question 36

sole proproetorship and partnership

Answer 36

sole proprietorship - one person owns the business partnership - two or more people who form a business together

Question 37

independent contractor

Answer 37

provides certain services for other individuals or businesses.

Question 38

corporation and s corporation

Answer 38

corporation - a formal business entity subject to laws, regulations and the demands of stockholders. a corporation is a leagal entity completely seperate from its owners and managers.
s corporation - combines the advantages of sole proprietorship, partner

Question 39

limited liability company

Answer 39

flexible for small and medium sized business and generally more advantages than partnerships or 2 corporations

Question 40

negligence

Answer 40

a failure to perform as a reasoable and prudent professional would perform under the similar circumstances. a reasonable and prudent person is someone who adheres to the extablished standard of care.
*the 4 elements that a plaintif must prove in a neglige

Question 41

contracts

Answer 41

provide the best method to ensure that all aspects of a relationship are properly established. whether a trainer works as an independent contractor or employee the basic tenets of contract law should be understood.

Question 42

waiver

Answer 42

voluntary abandonment of a right to file suit; not always legally binding. it is recommended that personal trainers utilize their own waivers in addition to any waivers potentially signed by a client when they joined the fitness center or club where the t

Question 43

agreement to participate

Answer 43

is a signed document that indicates the client is aware of the inherent risks and potential injuries that can occur from participation in eercise.

Question 44

informed consent

Answer 44

is a written statement signed by a client prior to testing that informs them of testing purposes, process and all potential risks and discomforts.

Question 45

tort law

Answer 45

body of law that regulates civil wrongdoing

Question 46

HIPPA (health insurance portability and accountability act)

Answer 46

law that requires health care professionals to have strict policies regarding the safetly and security of private records. written permission from the client must be obtained prior to sharing confidential information with an outside party

Question 47

FERPA (family educational rights and privacy act)

Answer 47

federal privacy law that gives parents certain protections with regard to their childrens education records and some control over the disclosure of information from the records.

Question 48

Risk management protocol

Answer 48

should consist of the following 5 steps: - risk identification - risk evaluation - selection of an approach for managing each risk - implementation - evaluation

Question 49

forms to be kept and maintained to ensure business practices conform to the standards set by the professional organization

Answer 49

• Par-Q - health history questionnaire - physicians statement and medical clearance form - fitness assessment or evaluation forms - release, waiver, or informed consent - client progress notes - incident reports

Question 50

high risk clients with cardiac disease are

Answer 50

10 times more likely tohave a cardiovascular event during exercise that those who are apparently healthy.

Question 51

professional liability insurance

Answer 51

a business and/or persoanl trainer should carry this wich transfers the risk to the insurance company in the event of an incident or claim by a client. the best insurance policies cover the cost of legal defense and any claims awarded. ACE recommends reta

Question 52

client confidentiality

Answer 52

must be kept and protected to prevent potential harm to a clients repuation and liability to the personal trainer or business. personal trainer must obtain a signed release form before disclosing any personal information about a client. * this includes po

Question 53

injury prevention program

Answer 53

area of tort law called “premises liability” regulates and incidents that result from conditions of the physical setting where training activities occur.

Question 54

dyspena

Answer 54

difficult or labored breathing signs: poor movement of the chest wall, flaring of the nostrils, straining of the neck muscles, poor air exchange from the mout and nose, pale sweaty skin and cyanosis

Question 55

apenic

Answer 55

not breathing no chest movement or sounds indicating air movement, the personal trainer should give breaths. if there is no pulse then CPR should be given.

Question 56

Heat exhaustion

Answer 56

profuse sweating, cold clammy skin, dizziness, weak rapid pulse

Question 57

heat stroke

Answer 57

hot dry skin, bright red skin color, strong rapid pulse

Question 58

contraindicated exercises

Answer 58

full squats, straight leg sit ups, double leg raises, standing bent over toe touch, cervical or lumbar hyperextension

Question 59

sprain

Answer 59

a stretching or tearing of ligaments

Question 60

strain

Answer 60

a stretching or tearing of muscles or tendons

Question 61

tendonitis

Answer 61

inflammation of a tendon and/or tendon-muscle attachment

Question 62

fascitis

Answer 62

inflammation of the connective tissue called fascia

Question 63

bursitis

Answer 63

inflammation of a bursa, typically one in the knee, elbow or shoulder *bursa is a closed fluid-filled sac or cavity that reduces friction between tissues/joints in the body

Question 64

shoulder and rotator cuff injuries

Answer 64

modifications are often needed for overhead movements such as limiting ROM and adjusting shoulder position to help prevent impingement and further injury. in general exercises with elbows are bent are prefered over straight arm exercises.

Question 65

elbow tendinitis

Answer 65

high rep exercises (15-20 reps) involving the elbow and wrist should be avoided. exercises should begin with low weight and reps gradually progress.

Question 66

greater trochanteric bursitis

Answer 66

inflammation of the trochanteric bursa, a part of the hip. avoid side lying positions, as well as squats and lunges.

Question 67

iliotibial band syndrome (ITBS)

Answer 67

commone overuse injury of the tissues located on the outer thigh and knee. clients with ITBS should return slowly to activity with an exercise program that helps to regain flexibilty and strength at the hip and lateral thigh.

Question 68

patellofemoral pain syndrome (PFPS)

Answer 68

pain in the anterior of the knee orignination from the contact of the posterior surface of the patella with the femur.

Question 69

infrapatellar tendinitis

Answer 69

inflammation of the pattellar tendon connecting the kneecap to ths shinbone AKA jumpers knee

Question 70

ankle sprains

Answer 70

a person can usually resume exercise activity in 1-2 weeks grade I sprain 4-8 weeks grade II sprain 12-16 weeks grade III sprain

Question 71

achillies tendinitis

Answer 71

inflammation of the achillies tendon. controlled eccentric exercises for the calf comples can help relieve symptoms

Question 72

inflammatory phase

Answer 72

imobilizes the injured area, blood flow is increased to bring oxygen and nutrients to repair damaged tissue. this phase can last up to 6 days

Question 73

fibroblastic/proliferation phase

Answer 73

injured area fills with collage and other cells which will eventually form a scar. this pahse starts around day 3 and lasts until aprox. day 21.

Question 74

maturation/remodeling phase

Answer 74

final phase begins around day 21 by remodeling the scar, bone or tissue that was injured. this phase can last for 2 years.

Question 75

RICE

Answer 75

should be used immediatley after musculoskelata injuries such as sprains, strains, bruises and other soft tissue injuries. Rest Ice Compresson Elevation

Question 76

pre-existing injury

Answer 76

thourough medical history and assessment is recomended for these clients to make sure if it is appropriate for them to exercise. *modified exercise programs are appropriate for localized injuries