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Exam 2 intro into PTA

Terms in this set (67)

The Physical Therapist Assistant can discharge a patient. T or F?
F
Match the following definitions
1.)Documented by the physician and is a description of the disorder or disease determined by evaluation and tests.
2.)This information is related to pathokinesiologic (movement related to a disorder) problems associated with a biomechanical or neuromuscular issue.

•Medical Diagnosis
•Physical Therapy Diagnosis
1.) medical diagnosis
2.) Physical therapy Diagnosis
Which is not an example of therapeutic exercise?
A.) Standing hip abduction x 10 reps, B with UE support for safety.
B.) Ambulated 10 minutes on the treadmill at a 3.5 mph pace for endurance training.
C.) PROM R shoulder flexion, abduction, external rotation and internal rotation. Patient in supine x 10 reps each motion.
D.) AAROM supine wand shoulder flexion x 10 reps, B
C.) PROM R shoulder flexion, abduction, external rotation and internal rotation. Patient in supine x 10 reps each motion.
Which part of the SOAP note does this statement belong in: Patient reports he has not been doing his exercises but wishes his pain would improve.
a.) Sub
b.) Objec
c.) assessment
d.) plan
Subjective
How many units is 55 minutes of billable time?
a.) 3
b.)5
c.) 2
d.)4
4
Objective information can be (CLICK ALL OF THE FOLLOWING THAT APPLY):
Measured
Heard
Observed
Felt
Measured
Heard
Observed
Felt
Prior to interventions occurring, the patient must have been given an explanation of the treatment which will include the purpose, the risks, the expected benefits, and any possible side effects of the treatment methods. T or F
True
You should refer to the documentation for information regarding previous treatments, patients might not know what certain exercises mean. T or F?
True
Which part of the SOAP note does this statement belong to: Patient was able to demonstrate his HEP with minimal corrections for posture throughout the standing therapeutic exercises, progress toward his goal of correct HEP demonstration appears to be progressing nicely.
Assessment
The assessment should NOT address effects of interventions on impairments and limitations using evidence from subjective & objective section. T or F?
False
There should always be ongoing communication between the evaluating PT and PTA regarding a patient's care. T or F
True
You bill your patients for 3 units of billable time. Likely how long was your treatment?
28 minutes
53 minutes
37 minutes
40 minutes
40 minutes
Effective listening is very important when treating patients. Which is NOT an example of effective listening?
-Empathize
-Take notes.
-Never repeat the information back to the patient.
-Repeat the information back to the patient
Never repeat the information back to the patient.
When correcting a hand-written note, you should use a red pen to cross out what is incorrect and then write the correct statement next to it in black. T or F?
F
Which part of the SOAP note does this statement belong to: Hip Flexion in supine: R hip 125 degrees.
Objective
Electronic medical record documentation is easier to read than paper documentation. T or F
True
What is the definition of "Prognosis?"
-What is the expected outcome for the patient.
-Why are we seeing the patient?
-Medical Diagnosis
-PT Diagnosis
-What is the expected outcome for the patient.
The purpose of the assessment is to:
-Address the patient's progress toward goals
-Address the patient's response to the treatment session
-Make clinical judgment regarding patient's positive or negative response to the sessions or overall treatment plan.
-All of the Above
All of the Above
Vital signs are just one of the factors than can be included in the objective as data collection. Vital Signs include which of the following: (CLICK ALL THAT APPLY)
-Blood Pressure
-Pain Rating
-Respiration Rate
-Heart Rate
Blood Pressure
Pain Rating
Respiration Rate
Heart Rate
A PTA can write the discharge summary with the facts of the functional status but goal interpretation is to be done by the PT. T or F?
True
In order to form a successful therapist/patient relationship, you must: (click all that apply)
-Listen to the patient
-Empathize with the patient
-Value the patient
-Provide quality care
Listen to the patient
Empathize with the patient
Value the patient
Provide quality care
Match the following settings with the description that fits best:
Acute Care, Skilled Nursing Facility, Outpatient, Rehab Hospital, Long term care facility, Home Health Care.

A.) Patient's require a hospital stay because they are medically fragile and are not safe enough to be at home.
B.) Provide preventative, diagnostic and treatment services for patients.
C.) Help patients return to their maximal functional capacity by rehab, social and vocational services.
D.)Patient's require a hospital stay that is less than 30 days.
E.)Patients require physical assistance to leave their home.
F.)Provides services for patient who require a stay longer than 60 days.
Acute Care - Patient's require a hospital stay that is less than 30 days.
Skilled Nursing Facility - Patient's require a hospital stay because they are medically fragile and are not safe enough to be at home.
Outpatient - Provide preventative, diagnostic and treatment services for patients.
Rehab Hospital - Help patients return to their maximal functional capacity by rehab, social and vocational services.
Long term care facility - Provides services for patient who require a stay longer than 60 days.
Home Health Care - Patients require physical assistance to leave their home.
The patient's pain level at the beginning and end of the treatment go into which portion of the SOAP Note?
Subjective
As A PTA, reviewing the plan of care set by the PT will help you rationalize why you chose specific interventions for the patient during your treatment session. T or F?
True
Which of the following is not part of the objective section of a SOAP daily treatment note?
-Progress toward goals based on the treatment interventions provided during todays treatment
-Record of any patient education associated with a treatment intervention
-Tests and Measures
-Description of Interventions
Progress toward goals based on the treatment interventions provided during todays treatment
You treat a patient for 45 minutes worth of billable time. You bill the patient the following: Therapeutic Exercise: 20 minutes (1 unit), Manual Therapy: 20 minutes (1 unit), Education: 5 minutes (0 unit). Is this billing correct?

A.)Yes it is correct.
B.)No it is not correct, 45 minutes is 3 units-your billable units only equal 2 units.
No it is not correct, 45 minutes is 3 units-your billable units only equal 2 units.
Match the following:
1.) The patient is unable to move their joint independently. Common after a surgery.
2.) Patient is not able to perform the full motion independently but can assist with the motion.
3.) Mainly performed to improve muscle strength. ROM movement is performed actively by the patient
A.)Passive Range of Motion (PROM)
B.)Active Range of Motion (AROM)
C.)Active Assistive Range of Motion (AAROM)
1.)A Passive Range of Motion (PROM)
2.)C Active Assistive Range of Motion (AAROM)
3.)B Active Range of Motion (AROM)
Treatment outcomes and progress toward goals are included in which section of the note?
Assessment
As a PTA, you will most likely be directly working with patients, PTs, OTs, COTAs, nurses, doctors, and techs. T or F?
True
Nonverbal and Verbal communication are both very important within PT. T or F?
True
Which part of the SOAP note does this statement belong to: Gait Training: ambulated 100 ft x 1 with SBA x 1 with straight cane on the R. Antalgic gait observed, short seated rest break required due to fatigue.
Objective
What is the best way to communicate with a toddler?
-Nonverbal Communication
-Verbal Communication
-Play
Play
When a patient tells you important subjective information regarding their PT care, exact words need to be written in "quotation marks." T or F?
True
Treatment interventions need to be documented by topic (ther ex, gait training, manual therapy, etc) within the objective section. T or F
True
The interventions provided throughout treatments should be both skilled and medically necessary. T or F
True
Which does NOT belong in the objective section of a daily treatment note?
-Test/Measures
-Gait Training
-Therapeutic Exercise
-Goals
goals
Which of the following is NOT a way to effectively communicate?
-Speak Clearly
-Have a good attitude
-Proper tone and volume
-Question the patient's listening abilities/mental status.
Question the patient's listening abilities/mental status
The PT/PTA relationship should be collaborative. The PTA's role is to do all of the following EXCEPT:
-Offer feedback
-Carry out delegated tasks.
-Change the POC (plan of care)
-Freely express concerns to the PT
Change the POC (plan of care)
Which part of the SOAP note does this statement belong to: Patient is scheduled to be reassessed by the evaluating PT next visit to address change in plan of care due to a new onset of back pain.
Plan
Who performs the evaluation within the practice of Physical Therapy?
physical therapist
Decreased cultural competence and biases cause communication errors. T or F?
True
Match the following intervention to it's purpose:
1.) Manual Therapy
2.) Modalities
3.) Therapeutic Exercise
4.) Gait Training
A. Addresses which assistive device is required with ambulation, WBing status.
B. Massage, Manipulation, Mobilzation.
C. Help reduce soft tissue inflammation while speeding the healing time of a soft tissue injury.
D. Addresses strength, endurance, ROM.
1.)B. Massage, Manipulation, Mobilization
2.) C. Help reduce soft tissue inflammation while speeding the healing time of a soft tissue injury.
3.) D. Addresses strength, endurance, ROM.
4.) A. Addresses which assistive device is required with ambulation, WBing status.
Which is NOT a statement that should be included in the objective information?
-Tone: Spastic RUE>LUE
-Posture: Forward head, rounded shoulders.
-L knee AROM 0-90 degrees this visit; therefore good progress made towards the pt's goal of L knee AROM 0-125 degrees.
L knee AROM 0-90 degrees this visit; therefore good progress made towards the pt's goal of L knee AROM 0-125 degrees.
You bill the patient for 20 minutes of Therapeutic Exercise, and 20 minutes of Manual Therapy. Because of the 8 minute rule, you'd only be able to bill for 2 units but your total billable time is 40 minutes which is considered 3 units. How can you correct this?

-Do nothing, it's correct.
-Therapeutic Exercise: 18 minutes, Manual Therapy 22 minutes= 40 minutes.
-Therapeutic Exercise: 21 minutes, Manual Therapy 19 minutes= 40 minutes.
-Therapeutic Exercise 23 minutes, Manual Therapy 17 minutes=40 minutes.
Therapeutic Exercise 23 minutes, Manual Therapy 17 minutes=40 minutes.
You do not need to promote autonomy/responsibility with patients, especially when issuing a home exercise program. T or F
False
AAROM is when the patient is not able to assist their joint through the available ROM. T or F
False
Empathy is the ability to imagine oneself in another person's situation and to understand their feelings, ideas, desires, action. T or F
True
In regards to a neurological practice setting, a PTA would likely treat which of the following:
-CVA (Stroke)
-THA (Total Hip Arthoplasty)
-TKA (Total Knee Arthoplasty)
-Back pain due to Spinal Stenosis
CVA (Stroke)
Assessment information cannot compare information to previous treatments. T or F?
False
Clinical judgment made by the PT based on the examination data that leads to the diagnosis, prognosis and plan of care. T or F
True
Match the following defintions.
1.) Patients response to interventions. Progress towards goals.
2.)Information the patient tells you. Pain complaints. Effectiveness of prior treatments.
3.)Includes information of what will be done at the next visit.
4.)Includes the treatment provided throughout the treatment. Observations, measurements.
a.) Subjective
b.) Objective
c.) Assessment
d.) Plan
1.) Assessment
2.) Subjective
3.) Plan
4.) Objective
Each patient will tolerate exercise progressions differently. T or F
True
Which is NOT a good example of what to do when you're dealing with a difficult patient?
-Re-focus the patient
-Remind and reinforce boundaries
-Take the bait in what the patient is arguing about
-Recognize limitations when they exist
Take the bait in what the patient is arguing about
"If zero is no pain and 10 is the worst pain imaginable, how would you rate you pain?" is an example of:
-Visual Analogue Scale for pain
-Numerical Rating System for pain
-Level of Function
-Objective information
Numerical Rating System for pain
You don't need to worry about proper spelling or appropiate grammar when documenting. T or F?
False
Which is an example of Manual Therapy?
-AAROM B shoulder flexion with wand, pt in supine.
-Soft tissue massage to lumbar paraspinals, pt in prone position.
-AROM to L hip in available range.
Soft tissue massage to lumbar paraspinals, pt in prone position.
Effective listening is important to gain insight into your patient's situation. T or F?
True
Which one is an example of a person-first language when talking about your patients?
-My stroke patient
-My Right CVA lady
-My patient who suffered a CVA
-My Lt hemi
My patient who suffered a CVA
A home exercise program (HEP) should include which of the following (pick as many as apply):
instructions
Pictures
Frequency of exercise (1-2 x a day)
Duration (10 x reps, BLE)
instructions
Pictures
Frequency of exercise (1-2 x a day)
Duration (10 x reps, BLE)
Which of the following are a part of the Plan section in a daily treatment note? (CLICK ALL THAT APPLY)
-Patients response to the treatment session
-Recommendations for necessary referrals
-Patients pain rating at the end of the session
-Plan for continued care or discharge
-Recommendations for necessary referrals
-Plan for continued care or discharge
What is an example of neuromuscular re-education?
-Standing hip abduction x 10 reps, B with UE support for safety.
-Ambulated 100 ft x 1 with cues for heel strike/toe off, modified independent.
-Proprioception training: weight shifting with UE support, gait belt on: anterior/posterior and lateral x 20 reps each with Min A x 1 to recover due to loss of balance in the posterior direction.
Proprioception training: weight shifting with UE support, gait belt on: anterior/posterior and lateral x 20 reps each with Min A x 1 to recover due to loss of balance in the posterior direction.
It is NOT important to recognize that different health beliefs, perceptions, attitudes and education styles exist for different cultural groups. T or F
False
A PTA must be able to problem solve when treating a patient. T or F
True
Which part of the SOAP note does this statement belong to: Transfer patient to aquatic therapy based on poor tolerance to land based exercises, evaluating PT to update plan of care.
Plan
What is NOT considered open posture:
-Arms crossed
-Sitting eye level with the patient
-Arms open
-Legs uncrossed
Arms crossed
Therapeutic Exercise does which of the following:
-Promotes relaxation, perserves flexbility & mobility of joints through strength, endurance, cardiovascular fitness, coordination/control and speed of movement.
-Educates patient on proper gait mechanics
-Massage
Promotes relaxation, perserves flexbility & mobility of joints through strength, endurance, cardiovascular fitness, coordination/control and speed of movement.
Nonverbal communication is verbal and/or written and messages are conveyed through body language or facial/eye expression. T or F?
False.
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