Test bank For Fundamental Orthopedic Management for the Physical Therapist Assistant, 5th Edition, Robert Manske, ...

TEST BANK Fundamental Orthopedic Management for the Physica
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lTherapist Assistant, 5/E Manske
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Chapter 1. Patient Supervision and Observation During Treatment
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Manske: Fundamental Orthopedic Management for the Physical Therapist Assistan
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t, 5th Edition
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MULTIPLEmCHOICE

1. Whomismresponsiblemformcarryingmoutmprescribedmselectedminterventions,mpatientmsupervision,mda
tamcollection,mandmappropriatemsupervisionmofmampatientmduringmphysicalmtherapy?
a. Physicalmtherapistm(PT)
b. Physicalmtherapistmassistantm(PTA)
c. Nursingmassistant
d. Medicalmdoctor
ANS:m B
ThemPTAmismresponsiblemformcarryingmoutmprescribedmselectedminterventions,mpatientmsupervision,m
datamcollection,mandmappropriatemproblem-solvingmandmclinicalmdecisionmmaking.

2. WhichmofmthemfollowingmismNOTmampurposemofmthemclinicalmpatientmsupervisionmprocess?
a. Tomgathermrelevantminformationmandmdata
b. Tomestablishmandmenhancemrapport,mtrust,mandmconfidence
c. Tomprescribeminterventionsmthempatientmrequires
d. Tomassistminmthemmanagementmofmthempatient
ANS:m C
PTAsmdomnotmprescribeminterventionsmformthempatient.mThemPTAmobserves,mdocuments,mandmdi
scussesmpatientmobservationsmwithmthemPT.

3. Selectmthemopen-endedmquestion.
a. Whatmismyourmpainmlevelmtodaymonmamscalemofm1-10?
b. Whenmdidmthempainmbegin?
c. Tellmmemaboutmthemtimemthatmyouminjuredmknee.
d. Whenmdidmyoumtakemyourmlastmpainmmedication?
ANS:m C
Themopen-endedmquestionmleadsmthempatientmtomsaymmoremthanmyesmormno.mOpen-
endedmquestionsmprovidemmuchmrichermdetailsmaboutmthemincidentmormexperience.

4. WhichmofmthemfollowingmstatementsmismtruemregardingmthemworkingmenvironmentmofmPTAs?
a. PTAsmworkminmisolationmwithmtheirmpatientmassignments.
b. PTAsmworkmwithmamteammofmexpertsminmallmareasmofmampatient’smcare.
c. PTAsmworkmonlymwithmthemPTminmprovidingmtherapy.
d. PTAsmaremthemmostmimportantmpeoplemonmthemrehabilitationmteammwhenmprovidi
ngmtherapy.
ANS:m B
ThemPTAmmustmbemawaremofmthemkeymmembersmofmthemrehabilitationmteam.mOccupationalmthera
pists,mPTs,mnurses,mrespiratorymtherapists,mpsychologists,mandmaudiologistsmaremonlymamfewmofmth
emimportantmmembersmofmthemrehabilitationmteam.mThemPTAmdoesmnotmworkminmisolation.

5. Whichmofmthemfollowingmstatementsmwouldmbemusedminmamdiscussionmwithmampatient?

, a. “Yourmbloodmpressuremism150/90mwhichmindicatesmhypertensionmandmcouldmleadmt
omamcerebralmvascularmaccidentmifmyoumdon’tmtakemyourmmedications.”
b. “Yourmbloodmpressuremismhighermthanmnormalmtoday,m150/90.mDidmyoumtakemyourmblo
odmpressuremmedicationmthismmorning?”
c. “Themdoctormprescribedmambeta-
blockermformyoumammonthmago.mHasmthatmbeenmhelpingmyourmbloodmpressure?”
d. “Themcombinationmofmyourmcalcium-channelmblockermandmbeta-
blockermdomnotmseemmtombemcontrollingmyourmbloodmpressure.mLet’smcallmthemdoctor
.”
ANS:m B
ThemPTAmshouldmlearnmtomcommunicatemopenly,mfreely,mandminmamprofessionalmmanner.mThemPT
Ammustmemploymappropriatemandmprofessionalmmedicalmterminologymwithmprofessionalmpeople
—
butmusemfamiliarm(lay)mtermsmtomdescribemthemsamemconditionmtomampatientmormamfamilymmember.
Avoidingmthemusemofmmedicalmjargonm(hypertension,mbeta-blocker,mcalcium-
channelmblocker)mwithmpatientsmismrequiredmbymPTAs.

6. HowmcanmamPTAmdemonstratemaccountabilityminmtheirmpractice?
a. Maintainmtimelymdocumentationmaboutmpatientminterventions.
b. Maintainmgoodmrapportmwithmpatients.
c. Continuemtheirmeducationmpastmtheirminitialmdegree.
d. ReportmallmfindingsmtomthemsupervisingmPTmsomthatmmodificationsmcanmbemmade
m inmresponsemtomchangesminmpatientmstatus.
ANS:m D
PTAsmaremresponsiblemformreportingmallmfindingsmtomthemsupervisingmPTmsomthatmmodificationsmc
anmbemmademinmaccordancemwithmchangesminmpatientmstatus.

7. Whichmtypemofmquestioningmwouldmyoumusemtomfindmfactsmormobtainmspecificmresponsesmfro
mmampatientmaboutmanminjurymtomamlimbmormjoint?
a.Open-endedmquestions
b.Closed-endedmquestions
c.Ampause
d.Neutralmphrase
ANS:m B
Closed-
endedmquestionsmaremusedmtomfindmoutmspecificmdetails,mdirectmthemdiscussion,mormelicitmspecific
mresponsesmfrommthempatient.




8. Whichmofmthemfollowingmismanmexamplemofmpromptingmduringmamphysicalmtherapymsession?
a. “Whenmyoumwalkmupmthemsteps,mwhichmfootmwillmyoummovemfirst?”
b. “Allmright,mnowmpickmupmyourmrightmfootmandmputmitmonmthemnextmstep.”
c. Pointmtomthemstepmandmtouchmthempatient’smrightmleg.
d. Observemthembehaviormofmthempatientmtomseemifmtheymwillmliftmupmthemcorrectmfootmw
hilemwalkingmupmthemsteps.
ANS:m A
Promptingmampatientmtomperformmamtaskmcanmbemviewedmasmthempresentationmofmamquestion.mPr
omptingmallowsmpatientsmtomdecipherminformation,msolvemproblems,mandmprovidemsolutionsmtom
activitiesmtheymmustmovercomemduringmrecovery.mCuesmaremdirections.

9. Whomholdsmthemultimatemresponsibilitymformthempatient’smphysicalmtherapy?

, a. PTA
b. Medicalmdoctor
c. Nurse
d. PT
ANS:m D
Tomminimizemthemconfusingmarraymofmtreatmentmprotocols,mthemPTAmmustmeffectivelymandmeffici
entlymcommunicatemwithmthemsupervisingmPTmtomclarifymdifferencesminmpatientmcare,malwaysmrem
emberingmthatmthemPTmhasmthemultimatemresponsibilitymformtheminterventionsmprovided.

10. WhichmofmthemfollowingmactionsmshouldmyoumtakemifmyoumhavemamdisagreementmwithmthemPT?
a. RefusemtomprovidemthemtreatmentmorminterventionmonmthemPT’smplanmofmcare.
b. ChangemthemtreatmentmformthemdaymandmthenmreportmtomthemPTmwhatmwasmdonematm
themendmofmthemday.
c. Followmthemplanmofmcaremnommattermwhatmchangesmaremobservedminmthempatientma
ndmdocumentmlater.
d. DiscussmyourmfindingsmandmrationalemwithmthemPTmtomlearnmandmprovidembettermcare.
ANS:m D
AmfullmunderstandingmofmthemrationalemandmpurposemofmPTminterventionsmallowsmformimprovedm
deliverymofmcaremandmsafemandmeffectivemcare.mPTAsmcannotmchangemthemplanmofmcarembymthe
mselves.

11. WhenmcanmamPTAmadjustmormmodifymamprogrammofmtreatment?
a. WhenmthemPTAmobservesmcertainmsignsmandmsymptomsminmthempatient
b. AftermseekingminputmandmdirectionmfrommthemsupervisingmPT
c. ThemPTAmcannotmevermchangemthemplanmofmcare
d. Nonemofmthemabove
ANS:m B
ThemPTA,mwithmdirectionmandminputmfrommthemsupervisingmPT,mcanmadjustmormmodifymthemprogra
mmofmtreatment.

12. ThemPTA’smclinicalmdecision-makingmprocessmshouldmbeginmwith
a. takingmorderlymandmspecificmstepsmtomnotifymthemsupervisingmPT.
b. recognizingmthatmamproblemmexists.
c. adjustingmthemprogrammaccordingmtomthempatient’smneeds.
d. askingmthemPTmtomassessmthempatient.
ANS:m B
Themclinicalmdecision-
makingmprocessmusedmbymthemPTAminvolvesmrecognizingmthatmamproblemmexists,mthenmtakingm
orderlymandmspecificmstepsmtomnotifymthemsupervisingmPTmandmadjustingmthemprogrammaccordi
ngly.

13. Whichmofmthemfollowingmbehaviorsmexemplifiesmamwell-adaptedmPTA?
a. Constantlymasksmaboutmthemrationalemformtreatment.
b. Establishesmthemselvesmasmanmeagermlearner.
c. Ismopenmtominnovativemwaysmofmmanagingmvariousmpathologicmconditions.
d. Allmofmthemabove.
ANS:m D

, Themwell-
adaptedmPTAmviewsmanymapparentmroadblocksmasmlearningmopportunities.mThemPTAmismadvised
mtomtakemadvantagemofmthembroadmknowledgemandmexperiencemofmmanymPTs,mconstantlyminquir

emaboutmthemrationalemandmscientificmbasismformamparticularmprogram,mandmestablishmhim-
morm
herselfmasmanmeagermlearningmparticipantmwhomismopenmtominnovativemwaysmofmmanagingmva
riousmpathologicmconditions.

14. WhymdomPTAsmandmPTsmusemgeneralmscalesmofmmeasurement?
a. Tomstandardizemassessmentmandmmoremaccuratelymmeasurempatientmprogress
b. Tomshortenmthemamountmofmtimemneededmtomdocumentmthempatient’smcondition
c. Tomdemonstratemknowledgemofmmedicalmterminology
d. Nonemofmthemabove
ANS:m A
Generalmscalesmaremusedmtomstandardizemassessmentmandmmoremaccuratelymmeasurempatientmpro
gress.