Program Design & Implementation Flashcards

Which goal best meets SMART criteria for a client with hypertension?

Answer: Walk 30 minutes, 5 days per week, for the next 8 weeks

SMART goals are specific, measurable, attainable, relevant, and time-bound.

Exercise should generally be postponed if a client's resting blood pressure exceeds which value?

Answer: 200/110 mmHg

Resting SBP above 200 mmHg or DBP above 110 mmHg is a relative contraindication to exercise.

A client with type 1 diabetes has blood glucose of 280 mg/dL with ketones present. What should the specialist advise?

Answer: Postpone vigorous exercise

Hyperglycemia with ketones indicates insulin deficiency, and exercise can worsen ketosis.

Which approach is most effective for improving function in a stroke survivor with hemiparesis?

Answer: Task-specific, repetitive functional training

Task-specific repetition promotes neuroplasticity and carryover to daily activities.

For a client with stable chronic heart failure, which aerobic intensity guideline is most appropriate initially?

Answer: RPE 11-14 with gradual progression

Light-to-moderate intensity guided by RPE with slow progression is safe and effective in stable heart failure.

A client stops exercising for 6 weeks and loses much of their aerobic fitness gains. Which training principle does this illustrate?

Answer: Reversibility

The reversibility principle states that fitness adaptations decline when training stops.

During a session, a cardiac client reports new chest discomfort radiating to the left arm. What is the most appropriate first action?

Answer: Stop exercise immediately and activate emergency procedures

New anginal symptoms require immediate termination of exercise and emergency response within scope of practice.