Test Bank for Evidence Based Physical Examination Best
Practices for Health and Well Being Assessment 1st Edition
9780826164537 | All Chapters with Answers and Rationals
Clinical factors in evidence? - ANSWER: unwarranted practice variation
exposure of medical errors
harm resulting from previously accepted theories
expectation that providers demonstrate continued competence over time
Errors in reasoning? - ANSWER: ascertainment bias
confirmation bias
recency effect
representativeness exclusivity
value bias
What are some health care system factors? - ANSWER: increased health care costs
payment policies based one evidence
evolution of information technologies
development of consumer driven health care
What is APTA's Vision 2020? - ANSWER: autonomous practice
direct access
doctor of physical therapy
evidence-base practice
practitioner of choice
professionalism
What is the patient/client management model? - ANSWER: 1. examination
2. evaluation
3. diagnosis
4. prognosis
5. intervention
6. outcomes
What is patient-centered care? - ANSWER: knowledge
understanding
goals
preferences
values
environment
What is the societal context of PT practice? - ANSWER: cultural influences
social influences
economic influences
political influences
What is evidence-based medicine? - ANSWER: the conscientious, explicit and judicious use of current
best evidence in making decisions about the care of individual patients
What 3 things does EBPT do? - ANSWER: 1. open and thoughtful clinical decision-making about the
physical therapy management of a patient/client
2. integrates the best available evidence with clinical judgment and the patient/client's preferences
and values
, 3. considers the larger social context in which physical therapy services are provided, to optimize
patient/client outcomes and quality of life
Evidence - ANSWER: POTENTIALLY any empirical observation about patients/clients
PREFERABLY systematic research, sometimes from the basic sciences of medicine, but especially from
patient-centered clinical studies
Clinical Expertise - ANSWER: more effective and efficient patient/client management based on
experience, learning, and reflection about practice
Clinical expertise includes the ability to identify and evaluate the what? - ANSWER: 1. patient's unique
health status, diagnosis, and prognosis
2. benefits and risks of potential interventions
3. patient's resources and limitations
Patient/client preferences and values - ANSWER: Unique preferences, concerns and expectations
EX: "What might happen if I agree to let you perform the intervention?" "What might happen if I
refuse to let you perform the intervention?"
What is essential in dealing with patient/client preferences and values? - ANSWER: collaboration
What are the focus areas of EBPT? - ANSWER: usefulness of diagnostic tests and clinical measures
usefulness of prognostic factors
efficacy, effectiveness, and safety of interventions
outcomes of care
usefulness of self-report outcomes measures
Diagnosis - ANSWER: a process that includes integrating and evaluating the data that are obtained
during the PT examination to describe the patient/client condition in terms that will guide the PT in
determining the prognosis, plan of care, and intervention strategies
What are some examples of diagnostic tests? - ANSWER: special tests
radiographs
labs
cardiovascular stress tests
biopsies
surgical exploration
What are some examples of measures? - ANSWER: range of motion
strength
vital signs
wound dimensions
sensation
prognosis - ANSWER: prediction of the natural course of a condition, or its risk for development;
predicted optimal level of improvement through intervention and the amount of time required to
achieve that level
prognostic factor - ANSWER: a characteristic that increases or decreases the likelihood of an
individual's eventual outcome
What are the prognostic factors? - ANSWER: demographic - age, gene, ethnicity, education,
socioeconomic status
disease-specific - severity of disease or injury, acuity or chronicity
co-morbidities - other conditions present that influence outcome
other - insurance coverage, access to health care
Practices for Health and Well Being Assessment 1st Edition
9780826164537 | All Chapters with Answers and Rationals
Clinical factors in evidence? - ANSWER: unwarranted practice variation
exposure of medical errors
harm resulting from previously accepted theories
expectation that providers demonstrate continued competence over time
Errors in reasoning? - ANSWER: ascertainment bias
confirmation bias
recency effect
representativeness exclusivity
value bias
What are some health care system factors? - ANSWER: increased health care costs
payment policies based one evidence
evolution of information technologies
development of consumer driven health care
What is APTA's Vision 2020? - ANSWER: autonomous practice
direct access
doctor of physical therapy
evidence-base practice
practitioner of choice
professionalism
What is the patient/client management model? - ANSWER: 1. examination
2. evaluation
3. diagnosis
4. prognosis
5. intervention
6. outcomes
What is patient-centered care? - ANSWER: knowledge
understanding
goals
preferences
values
environment
What is the societal context of PT practice? - ANSWER: cultural influences
social influences
economic influences
political influences
What is evidence-based medicine? - ANSWER: the conscientious, explicit and judicious use of current
best evidence in making decisions about the care of individual patients
What 3 things does EBPT do? - ANSWER: 1. open and thoughtful clinical decision-making about the
physical therapy management of a patient/client
2. integrates the best available evidence with clinical judgment and the patient/client's preferences
and values
, 3. considers the larger social context in which physical therapy services are provided, to optimize
patient/client outcomes and quality of life
Evidence - ANSWER: POTENTIALLY any empirical observation about patients/clients
PREFERABLY systematic research, sometimes from the basic sciences of medicine, but especially from
patient-centered clinical studies
Clinical Expertise - ANSWER: more effective and efficient patient/client management based on
experience, learning, and reflection about practice
Clinical expertise includes the ability to identify and evaluate the what? - ANSWER: 1. patient's unique
health status, diagnosis, and prognosis
2. benefits and risks of potential interventions
3. patient's resources and limitations
Patient/client preferences and values - ANSWER: Unique preferences, concerns and expectations
EX: "What might happen if I agree to let you perform the intervention?" "What might happen if I
refuse to let you perform the intervention?"
What is essential in dealing with patient/client preferences and values? - ANSWER: collaboration
What are the focus areas of EBPT? - ANSWER: usefulness of diagnostic tests and clinical measures
usefulness of prognostic factors
efficacy, effectiveness, and safety of interventions
outcomes of care
usefulness of self-report outcomes measures
Diagnosis - ANSWER: a process that includes integrating and evaluating the data that are obtained
during the PT examination to describe the patient/client condition in terms that will guide the PT in
determining the prognosis, plan of care, and intervention strategies
What are some examples of diagnostic tests? - ANSWER: special tests
radiographs
labs
cardiovascular stress tests
biopsies
surgical exploration
What are some examples of measures? - ANSWER: range of motion
strength
vital signs
wound dimensions
sensation
prognosis - ANSWER: prediction of the natural course of a condition, or its risk for development;
predicted optimal level of improvement through intervention and the amount of time required to
achieve that level
prognostic factor - ANSWER: a characteristic that increases or decreases the likelihood of an
individual's eventual outcome
What are the prognostic factors? - ANSWER: demographic - age, gene, ethnicity, education,
socioeconomic status
disease-specific - severity of disease or injury, acuity or chronicity
co-morbidities - other conditions present that influence outcome
other - insurance coverage, access to health care
