Atrial flutter.

Atrial fibrillation.

Premature atrial contractions.

Atrial tachycardia.

Annual practice sessions involving all staff.

Emergency plan that constantly refers to national established guidelines (e.g., ACLS) without addressing unique features of the program.

Emergency drills carried out on a regular basis and documented.

Scenarios developed to increase the applicability of the emergency plan practice

sessions.

6.78 kcal . min-1

11.58 kcal· min-1

20.85 kcal. min-1

25.47 kcal· min-1

The manager should maintain a hands-off approach.

The manager should be involved only in the budgeting and final approval.

The manager should be the only person involved in program development.

The manager should be active as a program developer as well as a resource,

supporter, and critic for programs developed by other staff.

AACVPR.

American College of Physicians.

American Heart Association.

ACSM.

Selling memberships at any cost is key.

You know more than they do, so be aggressive.

Honesty and an understanding of the needs of the potential member are always the

best way.

Long-term agreements make more money than short-term agreements.

A legal form.

A process that is backed up by a form.

Something that only a lawyer can provide to an exercise program.

Being an informed consumer to ensure that one undertakes the proper exercise program.

Prolonged walking.

Jogging.

Step-class exercise.

Swimming.

The athlete should reduce fat intake to 10% of total calories.

The athlete should increase protein intake to threefold the RDA.

The athlete should have a greater intake of grains, fruits, vegetables, and lean sources of protein.

There should be no change in calories.

195 bpm.

166 bpm.

177 bpm.

102 bpm.

Is required by federal law.

Provides a "road map" for interventions.

Is a requirement for insurance reimbursement.

Provides raw data for analysis in CQI or outcomes assessment.

Resistance exercise training is dangerous and should be avoided.

A physician-supervised exercise test is not necessary to establish exercise intensity.

Anginal pain is normal during exercise, and participants should be pushed through the pain.

Exercise intensity should be set at an HR of 10 bpm less than the level at which signs/symptoms were evidenced during an exercise test.

Height/weight charts.

Total body weight.

WHR.

Total body water.

Avoiding muscle strengthening exercises that involve low resistance.

Avoiding activities that involve the Valsalva maneuver.

Monitoring a client who is taking diuretics for arrhythmias.

Avoiding exercise if resting systolic BP is greater than 200 mm Hg or diastolic BP is greater than 115 mm Hg.

ECG electrodes.

Temporary wages.

Rental fees for the facility space.

Consultant fees.

Digitalis toxicity.

Hypocalcemia.

Hypokalemia.

Acute pericarditis.

Is based on historical features of program administration.

Adapts to trends in program services.

Is limited in scope and practice.

Is the same for the entire client population served.

181.72 mL . kg-1 . min-1

18.17 mL. kg-1 . min-1

29.76 mL . kg-1 . min-1

27.96 mL . kg-1 . min-1

They help in evaluation of a program.

They offer music not found on tapes or CDs.

They help to provide facts in any legal issues.

They help the front desk to monitor paid and unpaid clients.

50W.

100W.

200W.

300W.

To determine the specific needs and interests of the target market.

To determine the quality of potential fitness instructor who could be hired in the area.

To determine the needs of management before developing the budget.

To determine the need for new or different exercise equipment.

1.52 L . min-1

773.0 mL . min-1

0.840 L· min-1

0.774 L· min-1

Negligence is breaking a tort law and can ruin an instructor's career.

State taxes often are related to profit, which is governed by tort laws.

Tort laws are related to worker's compensation regulations.

They relate to the Americans with Disabilities Act (ADA)

12 steps per minute.

32 steps per minute.

25 steps per minute.

96 steps per minute.

Cleaning the equipment.

Emergency procedures and evaluations.

Marketing and promotions.

Managing the fitness billing.

9.11 mL . kg-1 . min-1

11.9 mL . kg-1 . min-1

24 mL . kg-1 . min-1

20.81 mL . kg-1 . min-1

The law.

The client rights statement.

Policies and procedures.

A check and balance for management and clients.

75 bpm

125 bpm

200 bpm

300 bpm

Fitness equipment costs.

If a company is making or losing money.

Viability, identification of problems, and a plan for the future of a program.

Assets and liabilities of the financial plan.

Polarization.

Repolarization.

Automaticity.

Depolarization.

Clients with functionally limiting chronicdisease.

Clients with comorbid disease states.

Asymptomatic clients with a functional capacity of 10 MET.

Clients at 1 week after CABG surgery.

Increased muscle viscosity, allowing easier and smoother contractions.

Reduced muscle tension and increased relaxation.

Improved coordination by allowing greater ease of movement.

Increased ROM.

10%initial body weight in first 6 months.

20 pounds in 2 months.

5 pounds per week for the first 6 weeks, then weight maintenance.

BMI of less than 18.5.

Increase portion sizes at meals.

Eat more high-calorie foods (e.g., candy bars, soft drinks).

Eat one extra meal per day.

Snack on energy- and nutrient-dense foods (e.g., fig bars, nuts and dried fruit).

The client exhibits mild cardiac symptoms of angina, occurring intermittently during exercise and sometimes at home while reading.

The client has a functional capacity of greater than 8 MET with hemodynamic responses appropriate to this level of exercise.

The client is noncompliant with smoking cessation and weight loss intervention programs.

The client is unable to palpate HR, deliver RPEs, or maintain steady workload intensity during activity.

Sweat as much as possible.

Exercise at 85% of HRR.

Perform resistance exercise three to five times per week.

Expend 300 to 500 calories per exercise session.

Fat.

Blood glucose.

Muscle glycogen.

Protein.

A referred pain from a herniated lumbar disk.

Rotator cuff strain or impingement.

angina.

Advanced stages of multiple sclerosis.

All records must be kept by the program director/manager under lock and key.

Data must be available to all individuals who need to see it.

Data should be kept on file for at least 1 year before being discarded.

Sensitive information (e.g., participant's name) needs to be protected.

The exercise leader should be fit enough to exercise with any of his or her participants.

Most people are not bored by exercise and can easily find time to participate in an exercise program.

The exercise leader should adjust the exercise intensity based on individual differences in fitness.

Periodic fitness assessment may provide evidence of improvement in fitness for some participants.

Very LDL-C, <120 mg/dL.

LDL-C, <125 mg/dL.

HDL-C, >30 mg/dL.

LDL-C, <100 mg/dL.

Risk stratification can be modeled after the criteria published by the AACVPR.

Risk stratification can be useful for participant entry criteria, exercise testing guidelines, ECG monitoring, and supervision guidelines.

Risk stratification can be tied to insurance reimbursement.

Risk stratification often is used to determine the intensity of prescribed exercise.

8 to 12.

12 to 16.

14 to 18.

6 to 10.

Vitamin A.

Vitamin D.

Vitamin E.

Vitamin K.

75% of HRR.

30 bpm above the standing resting HR.

40% of HRR.

(220 - age) X 0.85.