CWP Assessment and Diagnosis 2 — Questions and Answers
Question 1: A wellness practitioner uses the SF-36 Health Survey with a client. Which domain does this tool specifically measure?
- Blood glucose regulation
- Health-related quality of life (Correct answer)
- Nutritional deficiency severity
- Sleep apnea risk staging
Correct answer: Health-related quality of life
The SF-36 measures eight domains of health-related quality of life, including physical functioning, vitality, and mental health.
Question 2: When performing a functional movement screen (FMS), a score of '0' on any pattern indicates which of the following?
- Optimal mobility and stability
- Minor compensation requiring monitoring
- Pain during the movement pattern (Correct answer)
- Bilateral asymmetry only
Correct answer: Pain during the movement pattern
An FMS score of 0 indicates the client experienced pain during the movement, making it a red flag requiring referral before wellness programming.
Question 3: A client's waist-to-hip ratio (WHR) is 0.92. According to WHO standards, how should a male client with this result be classified?
- Low risk
- Moderate risk
- High risk (Correct answer)
- Extremely high risk
Correct answer: High risk
For males, a WHR above 0.90 is classified as high risk for cardiovascular and metabolic disease according to WHO guidelines.
Question 4: Which assessment tool is BEST suited for identifying a client's readiness to change health behaviors using the Transtheoretical Model?
- AUDIT-C screening tool
- Stages of Change questionnaire (Correct answer)
- CAGE alcohol assessment
- PHQ-9 depression screen
Correct answer: Stages of Change questionnaire
The Stages of Change questionnaire maps directly to the Transtheoretical Model, categorizing clients into pre-contemplation, contemplation, preparation, action, or maintenance.
Question 5: During a comprehensive wellness intake, a practitioner discovers a client has uncontrolled hypertension (BP 172/104). What is the MOST appropriate next step?
- Begin a light aerobic program immediately
- Refer to a physician before continuing wellness programming (Correct answer)
- Administer a stress management protocol only
- Recheck blood pressure in two weeks
Correct answer: Refer to a physician before continuing wellness programming
Uncontrolled stage-2 hypertension is a contraindication for exercise programming, requiring physician clearance before any wellness interventions.
Question 6: A wellness practitioner administers the Pittsburgh Sleep Quality Index (PSQI). A global score above what threshold indicates poor sleep quality?
- 3
- 5 (Correct answer)
- 8
- 10
Correct answer: 5
A PSQI global score greater than 5 distinguishes poor sleepers from good sleepers with high sensitivity and specificity.
Question 7: Which anthropometric measurement has the strongest independent association with visceral adiposity and metabolic syndrome risk?
- Body mass index (BMI)
- Waist circumference (Correct answer)
- Skinfold thickness at the thigh
- Hip circumference alone
Correct answer: Waist circumference
Waist circumference is the single best anthropometric predictor of visceral fat and metabolic syndrome risk, outperforming BMI in many studies.
CWP Assessment and Diagnosis 2
A wellness practitioner uses the SF-36 Health Survey with a client.
Which domain does this tool specifically measure?