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NSCA- CSPS Rationale and Considerations for Training Special Populations Questions and Complete Solutions Graded A+

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NSCA- CSPS Rationale and Considerations for Training Special Populations Questions and Complete Solutions Graded A+ A shift to a more palliative emphasis and away from the purely curative approach is indicative of an increased emphasis on - Answer: quality of life rather than the traditional concentration on quantity of life p 2 Palliative means - Answer: efforts to reduce consequences of disease process (from google: care that affords relief - but not a cure) p. 2 Curative means - Answer: efforts with emphasis on survival and life extension (from google: care that tends to overcome disease and promote recovery) p. 2 1) have inherent characteristics that require specific exercise equipment and facility access compared to the general population and may require specific exercise programming and specifically prepared exercise professional supervision; they have particular requirements for safe and effective exercise training (definition # 1 from p 2) 2) are groups of individuals who, when considered with regard to exercise, differ from the general, apparently healthy adult population with respect to recommendations for exercise programming. These populations may exhibit characteristics that require condition specific recommendations for exercise as well as appropriate precautions and contraindications to exercise in order to receive effective and safe training (definition #2 from p 5) 3) include those with chronic and temporary health conditions (definition #3 from p 7) p 2 - Answer: Special Populations metabolic syndrome - Answer: is characterized by: (a) overweight or obesity (b) undesirable lipid profiles (c) high blood pressure (d) high resting blood glucose levels p. 2 Benefits of exercise are: - Answer: 1. enhanced weight loss and improved weight maintenance 2. Increased ability to perform important daily task 3. Improved psychological mood 4. Reduced chances of developing disease processes such as cardiovascular disease, diabetes, obesity, hypertension p. 2,3 The negative consequences of a sedentary lifestyle are - Answer: 1. sedentary lifestyles are a leading cause of preventable death 2. increases risk of numerous disease processes including cardiovascular disease, diabetes, hypertension, obesity, osteoporosis, and lipid disorders p. 3 Accessibility to exercise opportunities involves - Answer: appropriate architectural and equipment issues and appropriate training supervision p 3 Scope of practice of exercise professional includes - Answer: conducting health appraisals and physical assessments as well as designing and suspervising exercise training. The exercise professional should not engage in any activities that are presented as physical therapy or counseling but rather refer clients to an appropriate licensed clinician. p. 6 Reasons commonly cited for not leading an active lifestyle are - Answer: 1. changes in modern societies that reduce the physical nature of daily activities ie transportation & using mechanized equipment instead of labor 2. lack of opportunities within local communities (the shift in community development from smaller locally based units to extended suburban sprawl has dramatically reduced walking and cycling as realistic options for daily transportation) 3. time issues or convenience issues 4. lack of motivation or interest in exercise 5. la ck of personal management skills or support systems 6. lack of confidence to to participate safely p. 4 The commonly cited barriers to increased participation in regular physical activity that can be addressed by an exercise professional are p 4 - Answer: 1. time issues or convenience issues 2. lack of motivation or interest in exercise 3. lack of personal management skills or support systems 4. lack of confidence to to participate safely The characteristics of special populations with regard to exercise training and testing may be that they - Answer: require condition specific recommendations for exercise as well as appropriate precautions and contraindications to exercise in order to receive effective and safe training p 5 Exercise professionals should refer clients who - Answer: exhibit pain that limits motion, swelling of a joint or muscle, or limited range of motion to a medical or allied health professional for appropriate treatment p. 7 Certified Special Population Specialists (CSPSs) are - Answer: fitness professionals who, using an individualized approach, assess, motivate, educate, and train special population clients of all ages regarding their health and fitness needs, preventively, and in collaboration with healthcare professionals. CSPSs design safe and effective exercise programs, provide the guidance to help clients achieve their personal health/fitness goals, and recognize and respond to emergency situations p 7 Cardiovascular conditions and disorders include - Answer: Hypertension Peripheral artery disease Angina Chronic Heart Failure Myocardial infarction Atrial fibrillation Pacemakers and Implantable Cardioverter Defibrillators Valvular disorders Cardiovascular Surgical Procedures: Coronary Artery Bypass Graft and Percutaneous Transluminal Coronary Angioplasty p 8 Pulmonary Conditions and disorders include - Answer: Asthma Pulmonary Hypertension Chronic Obstructive Pulmonary Disease (COPD) (ie emphysema, chronic bronchitis) Chronic Restrictive Pulmonary Disease (CRPD) (ie fibrosis, sarcoidosis) Cystic Fibrosis p 8 Metabolic conditions and disorders include - Answer: Obesity Type 2 Diabetes Mellitus Type 1 Diabetes Mellitus Dyslipidemia Hypothyroidism and Hyperthyroidism Chronic Kidney Disease p 8 Immunologic and Hematologic Disorders include - Answer: Rheumatoid arthritis Lupus Chronic Fatigue syndrome Fibromyalgia HIV/AIDS (human immunodeficiency virus/acquired immunodeficiency syndrome) Sickle Cell Disease Hemophilia p 8 Musculoskeletal conditions and disorders include - Answer: Osteoporosis Limb amputations Osteoarthritis Lower back conditions Frailty Joint replacements Sarcopenia Posture conditions Cystic fibrosis p 8 Neuromuscular conditions and disorders include - Answer: Multiple Sclerosis Parkinson's Disease Muscular Dystrophy Cerebral Palsy Traumatic Brain Injuries Stroke Spinal Cord Injuries Epilepsy p 8 Female-specific conditions include - Answer: Female Athlete Triad Pregnancy and Postpartum Menopause and Postmenopause p 8 Cognitive Conditions and Disorders include - Answer: Autism Spectrum Disorder Down Syndrome Intellectual Disability Dementia and Alzheimer's Disease p 8 Inclusive Fitness is - Answer: a growing approach to exercise training in which persons with special needs are able to train in mainstream environments rather than in the traditional model of training in specialized secluded settings (rehabilitation settings) p 10 Americans with Disabilities Act (ADA) - Answer: specifically prohibits discrimination against persons with disabilities in the workplace, public accommodations, transportation, and governmental activities as well as public and private settings for physical activity and exercise training p 10 The Americans with Disability Act (ADA) rights with regard to exercise training - Answer: 1. rights of individuals to pursue an active lifestyle 2. right to an integrated setting 3. right to participate in any recreation or exercise activity offered to the general public 4 right to reasonable accomodations 5. right to adaptive equipment 6. right to assessment and evaluation What type of business would be exempt from the requirements of the Americans with Disabilities Act (ADA)? - Answer: Smaller businesses with fewer than 15 employees p. 11 Standards for acceptable entry into and passage throughout the facility are usually based on the proven needs of the... - Answer: ..... the wheelchair user p 11 Standards for entry with doors for ADA include - Answer: doorway lever handles and automated door opening systems. A less preferable but acceptable accommodation would be a staff member assigned to open doors in a timely manner p 11 According to ADA standards, facilities must provide a continuous path that is at least - Answer: 36 inches wide with recommendations for pathways to be at least 48 inches wide p 11 Areas for wheelchair turnaround must be at least - Answer: 60 inches in diameter p 11 Generalized recommendations for space requirements in exercise training areas usually call for - Answer: 3-foot distance between all exercise stations p 11 ADA stipulates there must be an open floor space beside at least one of each type of exercise equipment of - Answer: at least 3 by 4 feet p 12 ADA specifies that an option must be available for each type of - Answer: training (ie strength, cardiovascular) for each special population p 12 Cardiovascular training with arms for special populations are - Answer: arm cranking systems p 12 When treating disease or disability, what would moving from curative efforts to palliative efforts represent? - Answer: more emphasis on quality of life p 13 Which of these barriers to exercise training currently represents a unique accessibility issue for those with physical disabilities or chronic diseases? a. lack of personal management skills or social support b. inadequate time to exercise c. inadequate financial resources d. lack of properly trained exercise professionals - Answer: d. lack of properly trained exercise professionals p 13 Which of the following is a benefit of an exercise professional establishing a good relationship with medical professionals? a. provides an opportunity for the medical professional to suggest specific exercises b. allows the exercise professional to receive accurate advice in treating medical issues in clients c. makes direct referrals of clients to a qualified exercise professional more likely d. gives the exercise professional access to clients' medical records - Answer: c. makes direct referrals of clients to a qualified exercise professional more likely p 14 All of the following describe the scope of practice of an exercise professional except a. assessing current health status b. assessing a clients physical goals c. designing an exercise program to meet a client's goals d. designing a stretching program to reduce joint pain and swelling - Answer: d. designing a stretching program to reduce joint pain and swelling p 14

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NSCA- CSPS Rationale and
Considerations for Training Special
Populations Questions and Complete
Solutions Graded A+
A shift to a more palliative emphasis and away from the purely curative approach is indicative of an
increased emphasis on - Answer: quality of life rather than the traditional concentration on quantity of
life p 2



Palliative means - Answer: efforts to reduce consequences of disease process (from google: care that
affords relief - but not a cure) p. 2



Curative means - Answer: efforts with emphasis on survival and life extension (from google: care that
tends to overcome disease and promote recovery) p. 2



1) have inherent characteristics that require specific exercise equipment and facility access compared to
the general population and may require specific exercise programming and specifically prepared
exercise professional supervision; they have particular requirements for safe and effective exercise
training (definition # 1 from p 2)

2) are groups of individuals who, when considered with regard to exercise, differ from the general,
apparently healthy adult population with respect to recommendations for exercise programming. These
populations may exhibit characteristics that require condition specific recommendations for exercise as
well as appropriate precautions and contraindications to exercise in order to receive effective and safe
training (definition #2 from p 5)

3) include those with chronic and temporary health conditions (definition #3 from p 7)

p 2 - Answer: Special Populations



metabolic syndrome - Answer: is characterized by:

(a) overweight or obesity

(b) undesirable lipid profiles

(c) high blood pressure

(d) high resting blood glucose levels p. 2

, Benefits of exercise are: - Answer: 1. enhanced weight loss and improved weight maintenance

2. Increased ability to perform important daily task

3. Improved psychological mood

4. Reduced chances of developing disease processes such as cardiovascular disease, diabetes, obesity,
hypertension p. 2,3



The negative consequences of a sedentary lifestyle are - Answer: 1. sedentary lifestyles are a leading
cause of preventable death 2. increases risk of numerous disease processes including cardiovascular
disease, diabetes, hypertension, obesity, osteoporosis, and lipid disorders p. 3



Accessibility to exercise opportunities involves - Answer: appropriate architectural and equipment issues
and appropriate training supervision p 3



Scope of practice of exercise professional includes - Answer: conducting health appraisals and physical
assessments as well as designing and suspervising exercise training. The exercise professional should not
engage in any activities that are presented as physical therapy or counseling but rather refer clients to
an appropriate licensed clinician. p. 6



Reasons commonly cited for not leading an active lifestyle are - Answer: 1. changes in modern societies
that reduce the physical nature of daily activities ie transportation & using mechanized equipment
instead of labor

2. lack of opportunities within local communities (the shift in community development from smaller
locally based units to extended suburban sprawl has dramatically reduced walking and cycling as realistic
options for daily transportation)

3. time issues or convenience issues

4. lack of motivation or interest in exercise

5. la ck of personal management skills or support systems

6. lack of confidence to to participate safely

p. 4



The commonly cited barriers to increased participation in regular physical activity that can be addressed
by an exercise professional are p 4 - Answer: 1. time issues or convenience issues
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