Client-Trainer Relationship

Question 1

What are the 4 stages to the client trainer relationship?

Answer 1

Action
Planning
Investigation
Rapport

Question 2

Describe the movement between the 4 stages of the client-trainer relationship?

Answer 2

1) Rapport - client and trainer build a relationship of mutual understanding and trust.
2) Investigation - they review the client’s health and fitness data, any available test results, medical clearance info and clients goals and exercise history.
3) Planning - the PT begins to design a program with the client using both good listening and teaching skills.
4) Action - the client is ready to start exercising and the PT starts to effectively teach new motor skills.

Question 3

What should your voice quality be as a PT?

Answer 3

confident and firm as to communicate professionalism

Question 4

What body position is acceptable when talking to a client?

Answer 4

Leaning slightly forward and keeping arms uncrossed.

Question 5

What type of info is gathered during the investigation stage of the client-trainer relationship?

Answer 5

medical concerns
fitness assessment results
body weight
exercise history
likes and dislikes

Question 6

What is effective listening?

Answer 6

listening closely and carefully to both the words and emotions

Question 7

Personal trainers also demonstrate good listening by answering in what ways?

Answer 7

• encouraging the client to continue speaking by nodding their head or using phrases such as ‘I see’ ‘I know what you mean’ and yes
• paraphrasing their statements to allow the client to correct you if you have misunderstood
• asking open-ended questions at appropriate times to clarify points or move the convo in a productive direction
• reflecting by restating the main points and feelings in the client’s communication
• summarizing key points that have a bearing on exercise program design

Question 8

In what way should a PT limit their self-disclosure to demonstrate good understanding?

Answer 8

By limiting their own involvement to a couple sentences are bringing the focus back to the client at all times.

Question 9

What steps does the planning stage usually entail?

Answer 9

• setting goals
• generating and discussing alternatives
• formulating a plan
• evaluating the exercise program

Question 10

What is the difference between a process goal and a product goal?

Answer 10

process goals are ones that the client does such as completing 5 workouts in a week

product goals are achievements such as losing 5lb

Question 11

What are some emotional health indicators for SMART goal setting?

Answer 11

improvements in mood, energy, stress and sleep

Question 12

What are some fitness indicators for SMART goal setting? I.e things you can tailor a goal around

Answer 12

• emotional health indicators
• resting heart rate
• HR during a given submaximal workload
• muscular strength and endurance
• walking test
• flexibility
• balance
• skill level
• medical indicators such as resting BP, blood lipid levels or blood sugar levels
• body weight/size/composition

Question 13

How could you set health and fitness goals that will motivate clients for long-term adherence?

Answer 13

• Listen carefully to understand what they want to achieve before helping them define SMART goals and suggest additional goals they may not have thought of such as improved energy levels.
• Break large goals into smaller goals and even smaller goals including many process goals.
• record goals and set up a record-keeping system to track progress towards goals.
• reevaluate and revise goals and exercise recommendations periodically to prevent discouragements if large goals are not being met.

Question 14

What is motivational interviewing?

Answer 14

A method of speaking with people in a way that motivates them to make a decision to change their behaviour.

Question 15

What might motivational interviewing help?

Answer 15

it can help clients feel the need to become more active and make healthier decisions

Question 16

What is the PT’s goal during motivational interviewing?

Answer 16

To create awareness that a sedentary lifestyle can cause health problems.

Question 17

What motivational interviewing techniques should a PT use?

Answer 17

• ask probing questions about daily activity levels, health concerns and physical-activity history and lead the convo towards physical activity being important for good health
• listen effectively to both emotions and words to understand why the client does not feel the need to exercise
• provide educational information as to why sedentary lifestyles are dangerous
• keep the convo friendly as to avoid arguments and discouragement
• build self-confidence by identifying areas of success big or small
• encourage clients to generate ideas on becoming more active because they know what is likely to work best

Question 18

How can a PT enhance client success?

Answer 18

• setting up self monitoring systems

Question 19

How does self-monitoring help client adherence?

Answer 19

By increasing their self-awareness and enhancing the client-trainer communication.

They become more aware of their eating patterns, workout schedule, bad habits and the constant communication helps them feel supported.

Question 20

What statements might a visual, auditory and kinesthetic learner say?

Answer 20

Visual - oh I see
Auditory - say that one more time
Kinesthetic - this doesn’t feel right

Question 21

What is the chinese proverb about the tell show do technique?

Answer 21

Tell me and I’ll forget
Show me and I may remember
Involve me and I’ll understand

Question 22

What is motor learning?

Answer 22

The process of acquiring and improving motor skills.

Question 23

What points must be kept in mind to effectively teach motor skills?

Answer 23

• remind beginners that it takes time to practice and improve motor skills
• introduce new skills slowly and clearly with the tell show do method
• allow for focused practice by withholding feedback till the end

Question 24

When providing feedback, what should it do?

Answer 24

• provide reinforcement for what was done well
• correct errors
• motivate clients to continue practicing and improving

Question 25

What should you do if you sense distrust from your client?

Answer 25

Begin to explain your certifications and credentials.

Question 26

When do PTs develop empathy with a client?

Answer 26

When they put themselves in the client's position.

Question 27

What are the stages of learning? Describe each

Answer 27

1 - cognitive is when clients are learning and trying to understand a brand new skill 2. associative is when clients are beginning to master the basics are are ready for more specific feedback 3. autonomous is when clients are performing motor skills effectively and naturally and the PT is doing more monitoring as opposed to teaching