ACE Health Coach Certification Practice Test

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What is the MOST appropriate response from a health coach for an obese client with knee and ankle pain while walking at 3.0 mph with no incline?

Increase her walking speed to 3.5 mph and slowly increase the incline

Maintain a walking speed of 3 mph, but at a 4% incline

Increase her walking speed to 4 mph with no incline

Decrease her walking speed to 2 mph with no incline

The most appropriate response for the client with knee and ankle pain while walking at 3.0 mph is to decrease her walking speed to 2 mph with no incline. This decision takes into account the client's current physical limitations and discomfort. Reducing the speed can decrease the impact and stress on her joints, especially in the knees and ankles, which are likely exacerbated by higher intensity or increased incline.

By opting for a slower pace, the client may find walking more comfortable and manageable, which can aid in maintaining consistency in her physical activity. This approach prioritizes her safety and well-being while acknowledging her current challenges. A lower speed helps in fostering a positive experience with exercise, which is essential for compliance and long-term health benefits.

The other options suggest increasing the speed or adding incline, which could lead to further discomfort or injury for the client already experiencing pain. These alternatives do not align with the immediate need for a pain-free and sustainable exercise routine.

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