Lesson 2: Role and Scope of Practice

Question 1

How many mins a week of exercise do most health benefits occur?

Answer 1

150 mins

Question 2

What does an licensed acupuncturist do?

Answer 2

A licensed acupuncturist is able to perform acupuncture and may have complementary medical privileges and/or la ordering privileges.

Question 3

What does a doctor of chiropractic do?

Answer 3

A doctor of chiropractic can potentially prescribe and dispense nutritional herbal supplements but follows a variety of different chiropractic philosophies/practices.

Question 4

What does an naturopathic doctor do?

Answer 4

a naturopathic doctor studies holistic and nontoxic approaches to therapy with a strong emphasis on disease prevention and optimizing wellness.

Question 5

What is the difference between a doctor of medicine and a doctor of osteopathy?

Answer 5

An D.O can do the same as an M.D which is prescribe medications, therapies and have admitting privileges at hospitals but a D.O also has instruction and practicum in osteopathic manipulation.

Question 6

What are the responsibilities of athletic trainers? (5)

Answer 6

• injury prevention
• emergency care
• therapeutic intervention
• working with team physician
• rehab of injured players after athletic injury/post-surgery

Question 7

Why does the Department of Labor expect the employment of fitness workers to increase by 13% between 2012 and 2022? (6)

Answer 7

• increasing number of baby boomers who want to stay healthy, fit and independent
• increases in businesses opening onsite fitness facilities and offering incentives for employees to join gyms
• growing concerns around childhood obesity
• increasing club memberships among young adults concerned around physical fitness
• aging population seeking relief from arthritis and other ailments through individualized exercise, yoga, pilates
• a need to replace fitness workers

Question 8

What do physical therapists and occupational therapists do?

Answer 8

Lead patients through therapeutic exercise and teach them to perform additional exercises at home to facilitate rehabilitation.

Question 9

What do athletic trainers do?

Answer 9

Teach athletes exercises to prevent injury and take them through therapeutic exercises following injury.

Question 10

What does a registered dietician do?

Answer 10

teaches clients proper nutrition through recipes, meal plans, food-prep methods and implementation of specialized diets.

Question 11

What does scope of practice mean?

Answer 11

it defines the legal range of services that professionals in a given field can provide, the settings in which those services can be provided and the guidelines or parameters that must be followed.

Question 12

As detailed in an ACE PT Scope of Practice, what must you do instead of diagnosing?

Answer 12

• receive guidelines from a physician, dietitian, therapist etc.
• follow national consensus guidelines for exercise programming for medical disorders
• screen for exercise limitations
• identify potential risk factors through screening
• refer clients to appropriate health professional

Question 13

As detailed in an ACE PT Scope of Practice, what must you do instead of prescribing anything? (3)

Answer 13

• design exercise programs
• refer to appropriate health professionals
• provide general info on healthy eating according to MyPlate Food Guidance

Question 14

As detailed in an ACE PT Scope of Practice, what must you do instead of treating injury/disease? (3)

Answer 14

• refer to appropriate health professional
• use exercise to improve overall health
• help clients follow physician/therapist advice

Question 15

As detailed in an ACE PT Scope of Practice, what must you do instead of monitoring progress for medically referred clients?

Answer 15

• document progress
• report progress to allied health professional/practitioner
• follow their guidance

Question 16

As detailed in an ACE PT Scope of Practice, what must you do instead of rehabiliation?

Answer 16

• design a program once a client has been released from rehabilitation

Question 17

As detailed in an ACE PT Scope of Practice, what must you do instead of counsel?

Answer 17

• coach
• provide general info
• refer clients to a qualified counselor/therapist

Question 18

As detailed in an ACE PT Scope of Practice, what must you do instead of working with patients?

Answer 18

• work with clients

Question 19

What is the primary purpose of professional certification programs?

Answer 19

To protect the public from harm.

Question 20

What does the ACE Code of Ethics govern?

Answer 20

It governs the ethical and professional conduct of ACE Certified PTs when working with clients, the public or other health and fitness professionals.

Question 21

What does adhering to the Health Insurance Portability and Accountability Act involve?

Answer 21

HIPAA addresses the use and disclosure of individuals protected health information, by following this, the PT maintains confidentiality of each client’s protected health info according to the same rules that govern most healthcare professions.

Question 22

It is within the scope of practice of all fitness professionals to share dietary advice endorsed/developed by the federal government including what 2 sources?

Answer 22

Dietary guidelines for americans and MyPlate recommendations

Question 23

To achieve their fitness goals, clients must adopt healthful behaviours - what can these be?

Answer 23

• a regular exercise program
• eating a more healthful diet
• initiating lifestyle changes to decrease stress

Question 24

A client stands with a lordotic posture, what do/don’t you do that is appropriate to your scope of practice?

Answer 24

DO Implement a core conditioning program to improve strength and flexibility imbalances in muscles acting on the hips and spine.

DONT diagnose the cause of their lordosis.

Question 25

A client wants to lose weight by trying the latest commercial diet, what do/don’t you do that is appropriate to your scope of practice?

Answer 25

DO help the client make more healthful choices using the dietary guidelines on choose my plate

DONT help them understand and implement the diet

Question 26

A client is cleared for exercise for physical therapy for a rotator cuff impingement, what do/don’t you do that is appropriate to your scope of practice?

Answer 26

DO implement exercises to improve shoulder stability and building on the work done in physical therapy

DONT continue the Proprioceptive Neuromuscular Fasciliation shoulder mobilization exercises used during physical therapy (you are not a physical therapist)

Question 27

A client has tight iliotibial bands, what do/don’t you do that is appropriate to your scope of practice?

Answer 27

DO teach the client self-myofascial release techniques for the IT Bands using a foam roller

DONT provide deep tissue massage to relieve the tightness

Question 28

A client has soreness following a weekend tennis tournament, what do/don’t you do that is appropriate to your scope of practice?

Answer 28

DO discuss proper technique for performing light, dynamic stretching activities for the affected areas

DONT recommend use of over the counter anti-inflammatory medications

Question 29

A client tells you she is depressed due to problems with her spouse, what do/don’t you do that is appropriate to your scope of practice?

Answer 29

DO listen with empathy and maintain their confidentiality

DONT listen and provide her with recommendations for improving the situation

Question 30

What do most allied health certification programs such as the credentials for registered dietitians, occupational therapists, nurse practitioners etc have in common with certifications from ACE?

Answer 30

They are all accredited by the National Commission for Certifying Agencies