A trainer is working with a client who makes a statement about always feeling hungry...

NASM’s scope of practice clearly states that personal trainers cannot diagnose medical conditions or prescribe treatments. When a client expresses symptoms such as persistent hunger and fatigue, which could indicate various medical issues (including but not limited to diabetes), the correct and ethical response is to refer them to a qualified healthcare professional.

Saying “That means you haven’t eaten enough today” (Option A) is speculative and assumes a cause without evidence. Suggesting a possible diagnosis such as “consistent with diabetes” (Option C) steps outside the trainer’s scope of practice. Recommending performance supplements (Option D) without first ruling out underlying health issues is inappropriate and potentially unsafe. By encouraging the client to consult a doctor, the trainer remains within scope, ensures client safety, and upholds professional responsibility.