,Chapter 01: Patient Supervision and Observation During Treatment
l l l l l l l
MULTIPLElCHOICE
1. Wholislresponsiblelforlcarryingloutlprescribedlselectedlinterventions,lpatientlsupervision,ldatalcoll
ection,landlappropriatelsupervisionloflalpatientlduringlphysicalltherapy?
a. Physicalltherapistl(PT)
b. Physicalltherapistlassistantl(PTA)
c. Nursinglassistant
d. Medicalldoctor
ANS:l B
ThelPTAlislresponsiblelforlcarryingloutlprescribedlselectedlinterventions,lpatientlsupervision,ldatalc
ollectionlskills,landlappropriatelproblem-solvinglandlclinicalldecisionlmaking.
REF:l P.l3
2. WhichloflthelfollowinglislNOTlalpurposeloflthelclinicallpatientlsupervisionlprocess?
a. Tolgatherlrelevantlinformationlandldata
b. Tolestablishlandlenhancelrapport,ltrust,landlconfidence
c. Tolprescribelinterventionslthelpatientlrequires
d. Tolassistlinlthelmanagementloflthelpatient
ANS:l C
PTAsldolnotlprescribelinterventionslforlthelpatient.lThelPTAlobserves,ldocuments,landldiscussesl
patientlobservationslwithlthelPT.
REF:l P.l4
3. Selectlthelopen-endedlquestion.
a. Whatlislyourlpainllevelltodaylonlalscalelofl1-10?
b. Whenldidlthelpainlbegin?
c. Telllmelaboutltheltimelthatlyoulinjuredlknee.
d. Whenldidlyoultakelyourllastlpainlmedication?
ANS:l C
Thelopen-endedlquestionlleadslthelpatientltolsaylmorelthanlyeslorlno.lOpen-
endedlquestionslprovidelmuchlricherldetailslaboutlthelincidentlorlexperience.
REF:l P.l6
4. WhichloflthelfollowinglstatementslisltruelregardinglthelworkinglenvironmentloflPTAs?
a. PTAslworklinlisolationlwithltheirlpatientlassignments.
b. PTAslworklwithlalteamloflexpertslinlalllareasloflalpatient’slcare.
c. PTAslworklonlylwithlthelPTlinlprovidingltherapy.
d. PTAslarelthelmostlimportantlpeoplelonlthelrehabilitationlteamlwhenlprovidinglthe
rapy.
ANS:l B
, ThelPTAlmustlbelawareloflthelkeylmembersloflthelrehabilitationlteam.lOccupationalltherapists,lPT
s,lnurses,lrespiratoryltherapists,lpsychologists,landlaudiologistslarelonlylalfewloflthelimportantlme
mbersloflthelrehabilitationlteam.lThelPTAldoeslnotlworklinlisolation.
REF:l P.l4
5. Whichloflthelfollowinglstatementslwouldlbelusedlinlaldiscussionlwithlalpatient?
a. Yourlbloodlpressurelisl150/90,lwhichlindicateslhypertensionlandlcouldlleadltolalcere
brallvascularlaccidentliflyouldon’tltakelyourlmedications.
b. Yourlbloodlpressurelislhigherlthanlnormalltoday,l150/90.lDidlyoultakelyourlbloodlpres
surelmedicationlthislmorning?
c. Theldoctorlprescribedlalbeta-
blockerlforlyoulalmonthlago.lHaslthatlbeenlhelpinglyourlbloodlpressure?
d. Thelcombinationloflyourlcalcium-channellblockerlandlbeta-
blockerldolnotlseemltolbelcontrollinglyourlbloodlpressure.lLet’slcallltheldoctor.
ANS:l B
ThelPTAlshouldllearnltolcommunicatelopenly,lfreely,landlinlalprofessionallmanner.lThelPTAlmustle
mploylappropriatelandlprofessionallmedicallterminologylwithlprofessionallpeople—
butluselfamiliarl(lay)ltermsltoldescribelthelsamelconditionltolalpatientlorlalfamilylmember.
Avoidingltheluseloflmedicalljargonl(hypertension,lbeta-blocker,lcalcium-
channellblocker)lwithlpatientslislrequiredlbylPTAs.
REF:l P.l4
6. HowlcanlalPTAldemonstratelaccountabilitylinltheirlpractice?
a. Maintainltimelyldocumentationlaboutlpatientlinterventions.
b. Maintainlgoodlrapportlwithlpatients.
c. Continueltheirleducationlpastltheirlinitialldegree.
d. ReportlalllfindingsltolthelsupervisinglPTlsolthatlmodificationslcanlbelmadelinlresp
onseltolchangeslinlpatientlstatus.
ANS:l D
PTAslarelresponsiblelforlreportinglalllfindingsltolthelsupervisinglPTlsolthatlmodificationslcanlbelm
adelinlaccordancelwithlchangeslinlpatientlstatus.
REF:l P.l6
7. Whichltypeloflquestioninglwouldlyouluseltolfindlfactslorlobtainlspecificlresponseslfromlalpatie
ntlaboutlanlinjuryltolallimblorljoint?
a. Open-endedlquestions
b. Closed-endedlquestions
c. Alpause
d. Neutrallphrase
ANS:l B
Figurel1-1.lClosed-
endedlquestionslarelusedltolfindloutlspecificldetails,ldirectltheldiscussion,lorlelicitlspecificlrespons
eslfromlthelpatient.
REF:l P.l8
8. Whichloflthelfollowinglislanlexampleloflpromptinglduringlalphysicalltherapylsession?
, a. “Whenlyoulwalkluplthelsteps,lwhichlfootlwilllyoulmovelfirst?”
b. “Alllright,lnowlpickluplyourlrightlfootlandlputlitlonlthelnextlstep.”
c. Pointltolthelsteplandltouchlthelpatient’slrightlleg.
d. Observelthelbehaviorloflthelpatientltolseelifltheylwilllliftluplthelcorrectlfootlwhilelwalki
ngluplthelsteps.
ANS:l A
Promptinglalpatientltolperformlaltasklcanlbelviewedlaslthelpresentationloflalquestion.lPromptinglallo
wslpatientsltoldecipherlinformation,lsolvelproblems,landlprovidelsolutionsltolactivitiesltheylmustlov
ercomelduringlrecovery.lCueslareldirections.
REF:l P.l9
9. Wholholdslthelultimatelresponsibilitylforlthelpatient’slphysicalltherapy?
a. PTA
b. Medicalldoctor
c. Nurse
d. PT
ANS:l D
Tolminimizelthelconfusinglarraylofltreatmentlprotocols,lthelPTAlmustleffectivelylandlefficientlylc
ommunicatelwithlthelsupervisinglPTltolclarifyldifferenceslinlpatientlcare,lalwayslrememberinglthat
lthelPTlhaslthelultimatelresponsibilitylforlthelinterventionslprovided.
REF:l P.l10
10. WhichloflthelfollowinglactionslshouldlyoultakeliflyoulhavelaldisagreementlwithlthelPT?
a. RefuseltolprovideltheltreatmentlorlinterventionlonlthelPT’slplanloflcare.
b. ChangeltheltreatmentlforltheldaylandlthenlreportltolthelPTlwhatlwasldonelatlthelendlo
flthelday.
c. Followlthelplanloflcarelnolmatterlwhatlchangeslarelobservedlinlthelpatientlandldocu
mentllater.
d. DiscusslyourlfindingslandlrationalelwithlthelPTltollearnlandlprovidelbetterlcare.
ANS:l D
AlfulllunderstandingloflthelrationalelandlpurposeloflPTlinterventionslallowslforlimprovedldeliver
yloflcarelandlsafelandleffectivelcare.lPTAslcannotlchangelthelplanloflcarelbylthemselves.
REF:l P.l10
11. WhatltypeloflbehaviorlislthelPTAlusinglinlthelfollowinglexample?
ThelPTAlquicklylagreesltolthelpatient’slrequestltolslowldownlandlstopltheltreatmentlforltheldaylins
teadlofldiscussinglthelpurposelandlbenefitslofltheltreatment.
a. Dominance
b. Submission
c. Hostility
d. Warmth
ANS:l B
l l l l l l l
MULTIPLElCHOICE
1. Wholislresponsiblelforlcarryingloutlprescribedlselectedlinterventions,lpatientlsupervision,ldatalcoll
ection,landlappropriatelsupervisionloflalpatientlduringlphysicalltherapy?
a. Physicalltherapistl(PT)
b. Physicalltherapistlassistantl(PTA)
c. Nursinglassistant
d. Medicalldoctor
ANS:l B
ThelPTAlislresponsiblelforlcarryingloutlprescribedlselectedlinterventions,lpatientlsupervision,ldatalc
ollectionlskills,landlappropriatelproblem-solvinglandlclinicalldecisionlmaking.
REF:l P.l3
2. WhichloflthelfollowinglislNOTlalpurposeloflthelclinicallpatientlsupervisionlprocess?
a. Tolgatherlrelevantlinformationlandldata
b. Tolestablishlandlenhancelrapport,ltrust,landlconfidence
c. Tolprescribelinterventionslthelpatientlrequires
d. Tolassistlinlthelmanagementloflthelpatient
ANS:l C
PTAsldolnotlprescribelinterventionslforlthelpatient.lThelPTAlobserves,ldocuments,landldiscussesl
patientlobservationslwithlthelPT.
REF:l P.l4
3. Selectlthelopen-endedlquestion.
a. Whatlislyourlpainllevelltodaylonlalscalelofl1-10?
b. Whenldidlthelpainlbegin?
c. Telllmelaboutltheltimelthatlyoulinjuredlknee.
d. Whenldidlyoultakelyourllastlpainlmedication?
ANS:l C
Thelopen-endedlquestionlleadslthelpatientltolsaylmorelthanlyeslorlno.lOpen-
endedlquestionslprovidelmuchlricherldetailslaboutlthelincidentlorlexperience.
REF:l P.l6
4. WhichloflthelfollowinglstatementslisltruelregardinglthelworkinglenvironmentloflPTAs?
a. PTAslworklinlisolationlwithltheirlpatientlassignments.
b. PTAslworklwithlalteamloflexpertslinlalllareasloflalpatient’slcare.
c. PTAslworklonlylwithlthelPTlinlprovidingltherapy.
d. PTAslarelthelmostlimportantlpeoplelonlthelrehabilitationlteamlwhenlprovidinglthe
rapy.
ANS:l B
, ThelPTAlmustlbelawareloflthelkeylmembersloflthelrehabilitationlteam.lOccupationalltherapists,lPT
s,lnurses,lrespiratoryltherapists,lpsychologists,landlaudiologistslarelonlylalfewloflthelimportantlme
mbersloflthelrehabilitationlteam.lThelPTAldoeslnotlworklinlisolation.
REF:l P.l4
5. Whichloflthelfollowinglstatementslwouldlbelusedlinlaldiscussionlwithlalpatient?
a. Yourlbloodlpressurelisl150/90,lwhichlindicateslhypertensionlandlcouldlleadltolalcere
brallvascularlaccidentliflyouldon’tltakelyourlmedications.
b. Yourlbloodlpressurelislhigherlthanlnormalltoday,l150/90.lDidlyoultakelyourlbloodlpres
surelmedicationlthislmorning?
c. Theldoctorlprescribedlalbeta-
blockerlforlyoulalmonthlago.lHaslthatlbeenlhelpinglyourlbloodlpressure?
d. Thelcombinationloflyourlcalcium-channellblockerlandlbeta-
blockerldolnotlseemltolbelcontrollinglyourlbloodlpressure.lLet’slcallltheldoctor.
ANS:l B
ThelPTAlshouldllearnltolcommunicatelopenly,lfreely,landlinlalprofessionallmanner.lThelPTAlmustle
mploylappropriatelandlprofessionallmedicallterminologylwithlprofessionallpeople—
butluselfamiliarl(lay)ltermsltoldescribelthelsamelconditionltolalpatientlorlalfamilylmember.
Avoidingltheluseloflmedicalljargonl(hypertension,lbeta-blocker,lcalcium-
channellblocker)lwithlpatientslislrequiredlbylPTAs.
REF:l P.l4
6. HowlcanlalPTAldemonstratelaccountabilitylinltheirlpractice?
a. Maintainltimelyldocumentationlaboutlpatientlinterventions.
b. Maintainlgoodlrapportlwithlpatients.
c. Continueltheirleducationlpastltheirlinitialldegree.
d. ReportlalllfindingsltolthelsupervisinglPTlsolthatlmodificationslcanlbelmadelinlresp
onseltolchangeslinlpatientlstatus.
ANS:l D
PTAslarelresponsiblelforlreportinglalllfindingsltolthelsupervisinglPTlsolthatlmodificationslcanlbelm
adelinlaccordancelwithlchangeslinlpatientlstatus.
REF:l P.l6
7. Whichltypeloflquestioninglwouldlyouluseltolfindlfactslorlobtainlspecificlresponseslfromlalpatie
ntlaboutlanlinjuryltolallimblorljoint?
a. Open-endedlquestions
b. Closed-endedlquestions
c. Alpause
d. Neutrallphrase
ANS:l B
Figurel1-1.lClosed-
endedlquestionslarelusedltolfindloutlspecificldetails,ldirectltheldiscussion,lorlelicitlspecificlrespons
eslfromlthelpatient.
REF:l P.l8
8. Whichloflthelfollowinglislanlexampleloflpromptinglduringlalphysicalltherapylsession?
, a. “Whenlyoulwalkluplthelsteps,lwhichlfootlwilllyoulmovelfirst?”
b. “Alllright,lnowlpickluplyourlrightlfootlandlputlitlonlthelnextlstep.”
c. Pointltolthelsteplandltouchlthelpatient’slrightlleg.
d. Observelthelbehaviorloflthelpatientltolseelifltheylwilllliftluplthelcorrectlfootlwhilelwalki
ngluplthelsteps.
ANS:l A
Promptinglalpatientltolperformlaltasklcanlbelviewedlaslthelpresentationloflalquestion.lPromptinglallo
wslpatientsltoldecipherlinformation,lsolvelproblems,landlprovidelsolutionsltolactivitiesltheylmustlov
ercomelduringlrecovery.lCueslareldirections.
REF:l P.l9
9. Wholholdslthelultimatelresponsibilitylforlthelpatient’slphysicalltherapy?
a. PTA
b. Medicalldoctor
c. Nurse
d. PT
ANS:l D
Tolminimizelthelconfusinglarraylofltreatmentlprotocols,lthelPTAlmustleffectivelylandlefficientlylc
ommunicatelwithlthelsupervisinglPTltolclarifyldifferenceslinlpatientlcare,lalwayslrememberinglthat
lthelPTlhaslthelultimatelresponsibilitylforlthelinterventionslprovided.
REF:l P.l10
10. WhichloflthelfollowinglactionslshouldlyoultakeliflyoulhavelaldisagreementlwithlthelPT?
a. RefuseltolprovideltheltreatmentlorlinterventionlonlthelPT’slplanloflcare.
b. ChangeltheltreatmentlforltheldaylandlthenlreportltolthelPTlwhatlwasldonelatlthelendlo
flthelday.
c. Followlthelplanloflcarelnolmatterlwhatlchangeslarelobservedlinlthelpatientlandldocu
mentllater.
d. DiscusslyourlfindingslandlrationalelwithlthelPTltollearnlandlprovidelbetterlcare.
ANS:l D
AlfulllunderstandingloflthelrationalelandlpurposeloflPTlinterventionslallowslforlimprovedldeliver
yloflcarelandlsafelandleffectivelcare.lPTAslcannotlchangelthelplanloflcarelbylthemselves.
REF:l P.l10
11. WhatltypeloflbehaviorlislthelPTAlusinglinlthelfollowinglexample?
ThelPTAlquicklylagreesltolthelpatient’slrequestltolslowldownlandlstopltheltreatmentlforltheldaylins
teadlofldiscussinglthelpurposelandlbenefitslofltheltreatment.
a. Dominance
b. Submission
c. Hostility
d. Warmth
ANS:l B
