Section 2 Flashcards
An ACE CPT is working with a new client who has had a consistent exercise history. During the interview the client explains that she enjoys all types of exercise & loves the way a workout makes her feel. What is this client’s motivation?
Autonomous motivation
Which of the following will most strongly influence a client’s current self-efficacy levels?
a) past performance experiences
b) mood state & emotional belief
c) physiological state
d) positive feedback from others
Past performance experiences
An ACE CPT receives a call from an individual who is inquiring ab training in the gym, which she has never done previously. She seems very apprehensive & nervous, stating that she knows she needs to be more active but is not sure training is right for her. What stage of change is the caller in?
Contemplation
According to the health belief model, which of the following refers to people’s perceptions of how likely they are to develop an illness?
Perceived susceptibility
An ACE CPT is working w/ a long-term client who is in the maintenance stage of change. What would be a good goal for this client?
Maintain interest & reduce risk of boredom
What is an important strategy for dealing with client lapses?
Discuss lapses with the client in advance
What describes the self-perception that a person can successfully perform a task?
Competence
A client who is beginning to master the hip-hinge basics of a squat & is ready to receive more specific feedback so the movement can be refined & perfected is in what stage of learning?
Associative stage
What could cause a barrier to exercise if included in the exercise preparticipation health-screening process for a client?
Risk-factor profiling or classification
Which of the following is a factor identified as an important risk modulator of exercise-related cardio events?
desired intensity level
What form collects more detailed medical & health info beyond the preparticipation health screening?
Lifestyle & health-history questionnaire
What antihypertensive medication increases the excretion of water & electrolytes through the kidneys?
diuretics
What is MetS?
Metabolic Syndrome; cluster of factors ass. w/ increased risk for coronary heart disease & diabetes - abdominal obesity indicated by a waist circumference >=40 in. in men & 35 in. in women; levels of triglycerides >= 150mg/dL; high density lipprotein levels <40 & 50 mg/Dl in men & women; blood-pressure levels >= 130/85 mmHg; & fasting blood glucose levels >= 100 mg/dL
What is Type 1 diabetes?
Form of diabetes caused by destruction of insulin producing beta cells in the pancreas, which leads to little or no insulin secretion; generally develops in childhood & requires regular insulin injections
What is Type 2 diabetes?
Most common form; typically develops in adulthood & is characterized by a reduced sensitivity of the insulin target cells to available insulin, usually ass. w/ obesity
What is operant conditioning?
a learning approach that considers the manner in which behaviors are influenced by their consequences
What is the definition of locus control?
The degree to which people attribute outcomes to internal factors, such as effort & ability, as opposed to external factors such as luck or the actions of others. People who tend to attribute events & outcomes to internal factors are said to have an internal locus of control
What are the 5 stages of behavioral change?
1) precontemplation
2) contemplation
3) preparation
4) action
5) maintenance
What are traits & goals of precontemplation?
Unaware or under-aware of problem or believe it cannot be solved;
increase awareness of risks of maintaining status quo & benefits of making change; focus on addressing something relevant to them; have them start thinking about change
What are traits & goals of contemplation?
aware of problem & weight benefits vs risks of change; have little understanding of how to go about changing
collaboratively explore available options; support cues to action & provide basic structured guidance upon request from client & w/ permission
What are traits & goals of preparation?
seeking opportunities to engage in the target behavior;
co-create an action plan w/ frequent positive feedback & reinforcements on their progress
What are the traits & goals of action?
desire for opportunities to maintain activities; changing beliefs & attitudes; high risk for lapses or returns to undesirable behavior
establish new behavior as habit through motivation and adherence to the desired behavior
What are the traits & goals of maintenance?
empowered but desire a means to maintain adherence; good capability to deal w/ lapses;
maintain support systems; maintain interest & avoid boredom or burnout
What process is exemplified by a client choosing a gym that is on the direct route between home & work?
stimulus control
The gentleman sitting next o you on a plane asks a number of questions about exercise. He says that he does not currently exercise, but he has been thinking about joining a gym and asks you for recommendations. Which stage of behavioral change is he most likely in?
Contemplation
What are the 6 sources of self-efficacy?
1) past performance experience
2) vicarious experience
3) verbal persuasion
4) physiological state appraisals
5) emotional state & mood appraisals
6) imaginal experiences
What is the Lifestyle & health-history questionnaire?
A type of form utilized by PTs & healthcare professionals that gathers an individual’s personal medical info, family health history & individual health behaviors
What is the associative stage of learning?
the second stage of learning a motor skill, when performers begin to master the fundamentals & can concentrate on skill refinement
What is the definition of arthritis?
inflammation of a joint, a state characters by the inflammation of joints
What is the cognitive stage of learning?
the first stage of learning a motor skill when performers make many gross errors & have extremely variable performances
What is OARS?
Open-ended questions, affirmations, reflective listening, summarizing
conversational skills
Which of the following behaviors would most likely help you develop rapport with a client during the initial session?
a) looking away form client freq. to prevent staring; sitting w/ good posture & a slight forward lean,
b) speaking in a soft, friendly voice; leaning against the chair armrest w/ forearms loosely crossed,
c) holding direct, friendly eye contact; maintaining a constant smile & enthusiasm throughout the session,
d) speaking w/ confidence; using fluid hand gestures while speaking & hands comfortably resting when listening
d) speaking w/ confidence; using fluid hand gestures while speaking & hands comfortably resting when listening
Which of the following is most effective in helping a client develop program adherence?
a) providing the client w/ frequent changes in the program to prevent boredom,
b) having the client self-monitor by keeping an exercise journal
c) implementing a reward system for each training session
d) conducting fitness assessments every week to measure progress
B) having the client self-monitor by keeping an exercise journal