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Health Coach Certification > Chapter 10: Initial Interview And Client Screening > Flashcards

Chapter 10: Initial Interview And Client Screening Flashcards

(63 cards)

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1
Q

Goal of any assessment

A

develop safe and effective exercise program

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2
Q

Behavioral assessment should revolve around

A

Gather information to create program to meet client needs

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3
Q

Potential contraindications for weight loss: 3

A

Depression

Current major stressors

Uncontrolled binging

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4
Q

Meal-replacement, support groups, diet books, increased exercise are examples of _ treatment for overweight persons

A

Self-help

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5
Q

Commercial based franchises - coaches present program to clients

A

Nonclinical treatment

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6
Q

Treatment is provided by licensed professionals and typically affiliated with a hospital or university

  • used to treat complicated or severe cases of obesity
A

Clinical treatment

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7
Q

_ mandates specific requirements for all centers promoting rapid weight loss

Rapid weight loss = lbs per week

Loss of _ % of body weigh after the se one week of participation

A

Truth in dieting regulation

More than 1.5 to 2 lbs per week

More than 1%

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8
Q

Under _ the consumer has the right to:

Ask questions about health risks of program, nutritional content, psychological support

Know the price of treatment and services

Know the program duration that is being recommended for you

A

weight loss consumers bill of rights

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9
Q

Guidelines for _:

All clients must be screened for medical and psychological conditions that make weight loss inappropriate

Clients must be classified by excess body weight and overall health risks

Care should be given by trained individuals

A

The Michigan Guidelines

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10
Q

Criteria for _:

Match btwn program and consumer

Soundness and safety of program

Outcomes of the program

A

Nutrition board for the institute of medicine IOM

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11
Q

Low-fat diet
Physical activity
Lifestyle change

For weight loss up to _ lbs

A

IOM step 1

*for weight loss of up to 10 lbs

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12
Q

Commercial weight loss
Intensify self help efforts
Support/ education

A

IOM step 2

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13
Q

Primary care physician
Monitor / supervise treatment efforts
Treat comorbid disease

A

IOM step 3

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14
Q

Very low calorie diets
Medication
Psychotherapy
Surgery

A

IOM step 4

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15
Q

Minimum expectations of a credible weight loss approach

A

Standards of care

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16
Q

IOM and NIH recommend reassessments:

A

Beginning of weight-loss
End of weight loss
Every 6 months during maintenance

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17
Q

_ is greatest with low calorie diets and rapid weight loss

A

Gallbladder disease

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18
Q

4 components of a successful program

A

Long term weight loss
Improvement in obesity related factors
Improved eating habits and physical act
Monitoring of adverse effects that might result from the program

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19
Q

Waist circumference strong indicator of abdominal obesity

Men

Women

A

Men: 40 inches or greater

Women: 35 inches or greater

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20
Q

Force of the heartbeat and the resistance of the arteries to the pumping action of the heart

A

Blood pressure

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21
Q

Must use an appropriate sized cuff as overweight clients …

A

Falsely elevated BP readings when standardized cuffs used

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22
Q

Normal BP

Prehypertension

Hypertension

A

120 / 80

120-139 / 80-89

140-159 / 90-99

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23
Q

Average resting HR

Normal range

_ may slow resting and non-resting HR

A

72 bpm

60-100 bpm

Beta blockers

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24
Q

_ % of body weight loss over six months is recommended

A

10%

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25
IOM recommends weight loss goal of _ over the first 6 months
10%
26
Treatment can be cumulative or incremental
Stepped care
27
Medications that can hamper weight loss
Psychotropic drugs | Antidepressants, anxiety, mood stabilizers
28
Weight regain within one year Within 5 years
2/3 All weight is regained
29
Anorexia- refusal to maintain _
At least 85% of ideal body weight
30
Only eating disorder where weight loss is appropriate | * when accompanied by ongoing psychotherapy
Bulimia
31
_ therapy may help clients with binge eating disorder
Cognitive behavioral therapy
32
Clients participating in self guided activity should complete... For low to moderate exercise only
PAR-Q
33
Risk classification Step 1
Identify CAD risk factors
34
Risk classification Step 2
Perform risk classification based on CAD risk factors
35
Risk classification Step 3
Determine need for medical exam/ clearance
36
HDL negative risk factor
HDL = 60mg/dL or higher
37
4 components of physical fitness
Aerobic fitness Flexibility Muscular strength and endurance Body composition
38
Positive risk factor +1 Age
Men 45 and older Women 55 and older
39
Positive risk factor +1 Family history heart attack, coronary revascularization or sudden death Father: Mother:
Father: before age 55 Mother : before age 65
40
Positive risk factor +1 Smoking (3)
Current smoker Quit within last 6 months Exposure to second hand smoke
41
Positive risk factor +1 Sedentary lifestyle
30 minutes activity 3 days week For at least 3 months
42
Positive risk factor +1 Obesity - BMI, waist
BMI 30 or greater Men 40 inches Women 35 inches
43
Positive risk factor +1 Hypertension
SBP 140 or greater DBP 90 or greater Currently on antihypertensive medications
44
Positive risk factor +1 Dyslipidemia LDL HDL Medication
LDL 130 or greater HDL less than 40 Lipid lowering medication
45
Positive risk factor +1 Dyslipidemia Serum cholesterol
200 or greater
46
Positive risk factor +1 Prediabetes Fasting plasma glucose Impaired glucose tolerance
Fasting plasma glucose 100 or greater 140 or greater
47
Risk classification Low risk Medical exam?
LESS than 2 risk factors No
48
Risk classification Moderate risk Medical exam?
2 or more risk factors Exam required for vigorous exercise
49
Risk classification High risk Medical exam?
Symptomatic or known disease ( heart murmur) Exam. Required for all types of exercise
50
_ suggests that a complicated period of psychological prep needs to precede true readiness to commit to lifestyle change
TTM transtheoretical model of behavior change
51
Behavioral assessment process must start by
What functions are being served by existing behaviors? Sarah!
52
Assessing Negative behaviors | 2
Identify how client benefits from negative behaviors Identify triggers
53
Goal of behavioral assessment is to identify connections between behaviors and
Antecedents and consequences associated with behavior
54
Lear in approach in which behaviors are influenced by consequences
Operant conditioning
55
Undesirable behavior performed too often *example
Behavioral excess Unhealthy eating habits
56
Desirable behavior not performed often enough *example
Behavioral deficit Physical activity
57
Behavioral excess Behavioral deficit Sarah!
Eating out of boredom after dinner Studying after dinner
58
1st step in functional assessment
Identify target behaviors - dietary and physical activity
59
2nd step in functional assessment
Identify situations that trigger or prevent goal behaviors from occurring
60
_ often outweighs the willingness to make a lifestyle change
INSTANT GRATIFICATION
61
3rd step in functional assessment
Gather preferences of clients
62
Best positive reinforcement to create for client
Enjoyment and mastery
63
4 th step in functional assessment
Determine past attempts and outcomes of previous lifestyle modification

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