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Exercise Prescription > STEP 2 - ASSESS: PHYSICAL ACTIVITY, FITNESS & LIFESTYLE > Flashcards

STEP 2 - ASSESS: PHYSICAL ACTIVITY, FITNESS & LIFESTYLE Flashcards

1
Q 
TO DO LIST:
1.
2.
3.
4.
A
  1. Confirm the results of the pre-participation health screen and the client’s goals
  2. Confirm, if necessary, the client’s stage of change using the Stage of Change Questionnaire (SOC-Q)
  3. Administer a full or partial fitness assessment. This may include any or all of the following: Physical Activity and Sedentary Behavior Questionnaire, anthropometric measures, a preferred aerobic fitness protocol, and relevant musculoskeletal fitness protocols
  4. Record the results and Health Benefit Ratings for discussion in STEP 3 - ADVISE
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2
Q

For each test protocol that is used as part of the complete assessment, explain…

A
  • The fitness component being measured
  • Why the fitness component is important to health
  • How the test protocol will be completed and scored, including any test termination criteria
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3
Q

Clear instructions and demonstration of proper technique will help ensure safety and build the client’s confidence. This will also improve accuracy and standardization of the results.

TRUE OR FALSE?

A

True

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4
Q

Encourage the client to do their best in the fitness assessment, but take care to avoid…

A

pushing them beyond their limits

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5
Q

Ensure that pertinent information such as _________________________________________
_________________________________________ is recorded on the Client Information Sheet.

A

time and date, temperature of room (if significantly different than normal), equipment used and settings, any deviation from the set protocol.

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6
Q

Which term should be used?

‘Obese person’
OR
‘Person with obesity’

A

‘person with obesity’

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7
Q

The Physical Activity and Sedentary Behavior Questionnaire provides an approximation of…

A

a client’s physical and sedentary behavior for a typical week.

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8
Q

Health Benefit Ratings (HBR) are used to summarize…

A

a client’s assessment results in terms that clients will find easy to understand and remember. They help client’s understand where they fit on a five-point scale from excellent to poor, in comparison to others of the same age and gender.

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9
Q

BMI and WC are classified by health risks rather than HBRs based on the North American Population

TRUE OR FALSE?

A

True

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10
Q

The Stages of Readiness for Change Questionnaire can be helpful in identifying…

A

a client’s stage of motivational readiness for change, which will inform the QEP in deciding appropriate strategies for enhancing commitment to change.

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11
Q

Excess body fat (particularly when located around the abdomen) signals increased risk of a variety of health problems, including…

A

Type II diabetes, hypertension, dyslipidemia, coronary artery disease, stroke, arthritis and certain forms of cancer

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12
Q

BMI tells the client whether their weight is appropriate for their ______.

A

Height

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13
Q

BMI is not a direct measure of body fatness, rather it is correlated with health risk and is a predictor of mortality at the population level.

TRUE OR FALSE?

A

True

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14
Q

When taking height ask the client to…

A
  • Remove footwear
  • Stand erect against the wall with feet together
  • Arms at sides
  • Heels and back should be touching the wall
  • Look straight ahead
  • Stand as tall as possible
  • Take a deep inhalation
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15
Q

Before weighing a client make sure they…

A

Remove any heavy clothing and empty their pockets

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16
Q

Record weight in kilograms to the nearest _____ kg

A

0.1 kg

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17
Q

Record weight in _________.

A

Kilograms to the nearest 0.1 kg

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18
Q

BMI = ________ / _________

A

Weight (kg) / (Height (m))^2

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19
Q

Should a client decline the WC measurement, assess the heath risk using ________ alone

A

BMI

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20
Q

Waist circumference uses anthropometric tape which is placed around a client’s waist at the level of the ___________

A

iliac crest

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21
Q

Waist circumference gives an indication of …

A

visceral adiposity

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22
Q

Before starting the protocol to take WC…

A

ask the client of they are comfortable clearing their abdomen of all clothing and accessories, and if permission is given for the QEP to touch their skin.

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23
Q

The QEP should demonstrate on themselves exactly ____________ for waist circumference.

A

where the client will be touched

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24
Q

For WC measurement describe the position the client should be placed in

A
  • Feet shoulder width apart

- Arms crossed over the chest in relaxed manner

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25
Q

While taking WC position yourself on the client’s ______ side on one knee

A

right

26
Q

Is it acceptable for the QEP to kneel directly in front of the client’s body to take waist circumference?

A

NO

27
Q

Take the WC measure at the superior edge of the iliac crest. To find this landmark…

A

palpate the upper right hipbone of the client until the uppermost lateral border of the iliac crest is found

28
Q

WC:
Position tape directly around the abdomen so that the inferior edge of the tape is at the level of the landmarked point.
Use a _____________ technique to bring the zero line of the tape in line with the measuring aspect of the tape.

A

cross-handed

29
Q

WC measurement is taken to the nearest ________.

A

0.5 cm

30
Q

The CSEP - PATH provides four different protocols to estimate aerobic fitness, these are:

A

mCAFT

Treadmill walking test

One mile walk test

Cycle ergometer test

31
Q

mCAFT:

A

a multi-stage test to estimate VO2 max for ages 15-69 years.

32
Q

The individual sessions in the mCAFT last ___ minutes each.

A

3

33
Q

The mCAFT test ends when…

A

the client reaches 85% of HRmax or another test termination criterion occurs

34
Q

Aerobic Fitness Test Termination Criteria:

A

An aerobic test will end when/if the client:

  • Asks to stop
  • Reaches the ceiling heart rate (85% HRmax)
  • Shows signs of physiological distress
  • Cannot maintain the cadence (for the mCAFT and cycle ergometer test)
  • Equipment fails
35
Q

What are some signs of physiological distress, that is observed will end an aerobic test?

A
  • begins to stagger
  • complains of dizziness
  • extreme leg pain
  • nausea
  • chest pain
  • facial pallor
36
Q

Once an aerobic test is terminated, immediately proceed to the active recovery period. For clients who end the test unexpectedly due to physiological distress…

A

monitor HR, BP, and other symptoms. Be prepared to activate the Emergency Action Plan.

37
Q

Upon the completion of the aerobic fitness test, have the client…

A

continue to move at a light intensity for 3 minutes

38
Q

During Active Recovery, record HR every ____ minute(s)

A

1

39
Q

If a client does not feel sufficiently recovered after 3 minutes of active recovery…

A

complete another 2 minutes of very light active recovery before sitting

40
Q

After active recovery, once the client is sitting, measure the client’s HR and BP at ___ and ___ minutes. If after the ___ minutes the clients values have returned below the cutoff values, the client is ready to move on. If not have the client…

Clients with HR or BP values that remain above pre-screening cutoffs at this time should…

A

1 and 3

remain seated, wait another 2 minutes and then measure the HR and BP again

postpone the remainder of the assessment to a later date

41
Q

Should you demonstrate the stepping sequence to the client before beginning the mCAFT?

A

YES

42
Q

Prior to starting the mCAFT, calculate the client’s…

A

85% HRmax

43
Q

Before the mCAFT test…

A

Place a marker on the wall in front of the steps and ask the client to concentrate in it while stepping

44
Q

The stepping instructions are as follows (mCAFT):

A
  • the client is to step (not run)
  • and to lead with left or right foot as preferred
  • the lead foot can be switched at the end of each three minute segment if desired (or at the bottom of each step)
  • both feet should be placed on the top step (complete foot plant)
  • legs fully extended at top
  • back upright
  • client is to stop and remain motionless when the music stops
45
Q

When taking HR manually during the mCAFT, start counting at the verbal signal “COUNT” and stop at he first sound of the verbal signal “STOP”, teh first beat is counted as ____.

A

1

46
Q

mCAFT: at the start of stage 7 for men (stage 8 for women), ask the client to switch to…

A

the one-step procedure

47
Q

After completing the mCAFT test, calculate the client’s…

A

estimated VO2 max

48
Q

The Ebbling Single-Stage Treadmill Walking Test is a submaximal test to estimate ______ in ______, non-athletic adults aged _______ years.

A

VO2 max

low-risk

20-59

49
Q

In addition to calculating the client’s 85% HRmax before the Single-Stage Treadmill walking test, calculate…

A

50% and 70% of the predicted HR-max

Record each of these values on the data collection worksheet

50
Q

The first 4 minutes of the Treadmill Walking Test is at __% grade and serves as ________

A

0% grade

warm-up

51
Q

During the first 4 minutes of the Treadmill Walking Test select a speed that bring the HR to within the calculated _____________. If the HR is not within this range within the first minute of walking adjust accordingly.

A

50-70% range

52
Q

During the Treadmill Walking Test, at the end of the 4 minute warm-up, immediately…

A

increase the grade to 5% (without changing the speed) and have the client walk for another 4 minutes.

53
Q

During the Treadmill Walking Test, record the client’s HR during the final ____ seconds of each minute the SSHR (steady-state heart rate) is reached when the heart rate does not vary by ________. If the HR differs by _______ in the last minute at being at the 5% grade, extend the walking by another _______.

A

15

greater than 5 bpm

greater than 5 bpm

1 minute

54
Q

For the One Mile Walk Test, ask the client to walk at a light to moderate pace for ____ minutes before commencing the walk test.

A

3

55
Q

The One Mile Walk Test is a submaximal test to estimate ______ in adults aged ________ years. The client is asked to walk ______ m as quickly as possible.

This walking test is suitable for sedentary and/or older clients

TRUE OR FALSE?

A

VO2 max

20-69 years

True

56
Q

After the 3 minute warm-up for the One Mile Walk Test, direct the client to begin walking 1600 m as quickly as possible while…

A

maintaining a consistent pace throughout

57
Q

During the One Mile Walk Test record the client’s HR during _____________ and the ______________ on the data collection sheet. HR may be collected using a HR monitor or manually using a ______ second count immediately….

A

final minute of walking

the time to complete 1600 m

upon completion of the walk

58
Q

For the Cycle Ergometer Test the first workload for all clients is ___________, depending on the model of the cycle ergometer, the revolutions per minute (RPM) may need to be monitored and kept at _____ rpm.

A

150 kpm(min^-1) (25W)

50 rpm (set a metronome at 50 rpm if needed)

59
Q

For the Cycle Ergometer Test , record the HR during the final ____ seconds of each minute. The SSHR is the _______ of the HR taken during the last ___ minute(s) of each workload. If the HR differs by ____ bpm in minutes ___ and ___of a given workload, extend the workload by ________ minute(s).

A

15

average

2

greater than 5

2 and 3

1

60
Q

For the Cycle Ergometer Test, the _____________ determines the load sequence for second, and thus, subsequent workloads.

A

HR during the last minute of the first workload

61
Q

The Cycle Ergometer Test continues in ___- minute workloads until…

A

3-minute workloads

there are two consecutive workloads where the SSHR is between 110 bpm and HRmax

62
Q

The YMCA Cycle Ergometer Test is a submaximal exercise test used to estimate _____ for ages ______ years. It uses a series of ____ - minute workloads that each progress in intensity so the HR increases to between ____ bpm and ______ for ____ consecutive workloads.

A

VO2 max

15-69 years

3 - minute workloads

110 bpm and 85% HRmax

for 2 consecutive workloads.

Exercise Prescription (3 decks)

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