ACSM-EP Behavior Change & Client Communication 3

Question 1

A client reports feeling embarrassed exercising in public. Which behavior change strategy is MOST appropriate to address this barrier?

Accepted Answer

Use cognitive restructuring to challenge negative self-perceptions

Answer

Cognitive restructuring helps clients identify and replace distorted thoughts about self-image with more accurate, positive perspectives.

Question 2

Which communication approach is BEST when a client resists a recommended change in their exercise routine?

Accepted Answer

Roll with the resistance and explore the client's perspective

Answer

Rolling with resistance is a core motivational interviewing principle that avoids confrontation and invites the client to explore their own ambivalence.

Question 3

In operant conditioning, which strategy involves removing an unpleasant stimulus to increase exercise behavior?

Accepted Answer

Negative reinforcement

Answer

Negative reinforcement increases behavior by removing an aversive stimulus, such as exercising to relieve stress or back pain.

Question 4

A client with low exercise self-efficacy would MOST benefit from which initial intervention?

Accepted Answer

Setting modest, achievable goals to create early success experiences

Answer

Mastery experiences — achieved through small, attainable goals — are the most powerful source of self-efficacy according to Bandura's Social Cognitive Theory.

Question 5

Which element of active listening involves paraphrasing a client's statement to confirm understanding?

Accepted Answer

Reflection

Answer

Reflection involves restating or paraphrasing what the client said in slightly different words to confirm the exercise physiologist's understanding.

ACSM Practice Test

ACSM Practice Test

ACSM-EP Behavior Change & Client Communication 3