Exam questions

In which stage of the Transtheoretical Model of Behavior Change is a client ready to adopt and live a healthy lifestyle?

A person in the preparation phase may be somewhat sporadic in their activity level, but is ready to make the change to a healthy lifestyle.

Bill is a 50-year-old man with a family history of heart disease. His body mass index is 20 and he has been running 3 miles 3-4 days a week for a year. What are the exercise testing recommendations according to risk stratification based on his cardiovascular disease risk factors?

Although Bill is at a higher than average fitness level for his age, because he is over 45 years old and has a family history of heart disease, he has 2 points on the risk factor scale, therefore requiring a medical exam before any vigorous exercise is initiated.

Wendy is a 50-year-old woman who has not exercised in 3 years. She has no family history of heart disease and is a non-smoker. What are the exercise testing recommendations according to risk stratification based on her cardiovascular disease risk factors?

Although Wendy has been living a sedentary lifestyle, since she is a woman under 55 without any other risk cardiovascular factors she only has 1 point on the risk stratification scale, which means she does not need a medical exam before beginning any exercise program.

What blood pressure measurement is considered to be a risk factor for cardiovascular disease

An individual with blood pressure greater than or equal to 140 mmHg systolic and/or 90 mmHg diastolic is considered to be hypertensive, or high blood pressure, making it a risk factor for cardiovascular disease.

Chronic Obstructive Pulmonary Disease (COPD. is s condition that affects mainly which system?

COPD is a common respiratory problem, affecting the lungs and an individual's oxygen carrying capacity

When answering the Physical Activity Readiness Questionnaire (PAR-Q), your client answers "yes" to a bone or joint problem that could be made worse by a change in physical activity. What is the next step in his fitness program?

If a client answers "yes" to one or more of the questions on the PAR-Q it is necessary for them to talk with their doctor about their readiness to begin an exercise program before any other actions are taken, especially before a fitness appraisal.

When answering the Physical Activity Readiness Questionnaire (PAR-Q), your client answers "yes" to chest pain during physical activity as well as currently taking a prescription blood pressure medication. What is the next step in his fitness program?

If a client answers "yes" to one or more of the questions on the PAR-Q it is necessary for them to talk with their doctor about their readiness to begin an exercise program before any other actions are taken, especially before a fitness appraisal.

John understands that his family has a history of heart disease and that being overweight can increase his risk for such conditions. He has no intention of being on any kind of exercise program since he believes he has never had any weight loss success in the past. According to the Transtheoretical Model of Behavioral Change (TTM), what stage of change is John in?

In the precontemplation phase, people are beginning to understand the implications of being inactive, but are not quite ready to commit to a change yet. They have no intention of starting to exercise in the foreseeable future (within 6 months) and tend to focus on the negatives of changing their behavior.

According to the ACE Integrated Fitness Training Model, what step in the training process best follows the testing of resting measures such as heart rate and blood pressure?

It is considered best to test a client's static posture after taking resting measures but before getting into training.

Bob is a 45-year-old man who quit smoking 2 months ago. He has not participated in any exercise program in 2 years. His body mass index (BMI) is 32. What are the exercise testing recommendations according to risk stratification based on his cardiovascular disease risk factors?

Since Bob is over 45 years old, it has been less than 6 months since he quit smoking and he also has a BMI of 32, he has 3 points on the risk stratification scale. Note that since Bob has a BMI above 25, you have to assume prediabetes which makes him symptomatic. Based on these factors, Bob is considered high risk, therefore he needs to have a medical examination prior to beginning an exercise program.

This Questionnaire serves as a non-invasive, minimal health-risk appraisal designed to determine contraindications to exercise.

The PAR-Q is a simple questionnaire designed to screen for readiness for low to moderate intensity training.

Your client has been complaining of pain in her anterior lower leg. What is the best course of action to take in continuing her exercise program?

The best course of action is to modify with cross training that does not aggravate the pain. This will keep her active without further injuring herself. Diagnosing and treating an injury is not within the scope of practice

What information does the Exercise History and Attitude Questionnaire collect?

The exercise history and attitude questionnaire collects information on the client's adherence and behavior history and is helpful in developing goals.

What information does the Health History Questionnaire collect?

The health history questionnaire collects detailed information about an individual's health background such as medications, surgeries, family history and lifestyle information.

What information does the Informed Consent form collect?

The informed consent form is where your client acknowledges their "assumption of risk", serves as evidence of disclosure of risks and communicates the potential dangers of exercise. It does not release liability.

In what stage of the client-trainer relationship are health-history and lifestyle questionnaires administered?

The investigation stage occurs between the rapport stage and planning stage, and is typically when a trainer will ask a client to fill out a health-history or lifestyle questionnaire.

Kristin is in for her second session and you are conducting fitness assessments. While you are checking her body fat percentage you ask her about types of exercise she prefers to do. What stage of the client-trainer relationship are you in with Kristin?

This is an example of gathering information, which you should do before the planning stage. This is part of the investigation stage.

Dan is a new client whom you are meeting with for the first time today. He will most likely be evaluating you as a trainer through both your verbal and non-verbal communication. What stage of the client-trainer relationship are you in with Dan?

When you are first meeting a client and verbal and non-verbal communication are extremely important to consider, you are in the rapport stage.