rapistgAssistant,g 5/EgManske
Chapterg1.gPatientgSupervisiongandgObservationgDuringgTreatment
Manske:gFundamentalgOrthopedicgManagementgforgthegPhysicalgTherapistgAssistant,g5
thgEdition
MULTIPLEgCHOICE
1. Whogisgresponsiblegforgcarryinggoutgprescribedgselectedginterventions,gpatientgsupervision,gdat
agcollection,gandgappropriategsupervisiongofgagpatientgduringgphysicalgtherapy?
a. Physicalgtherapistg(PT)
b. Physicalgtherapistgassistantg(PTA)
c. Nursinggassistant
d. Medicalgdoctor
ANS:g B
ThegPTAgisgresponsiblegforgcarryinggoutgprescribedgselectedginterventions,gpatientgsupervision,
gdatagcollection,gandgappropriategproblem-solvinggandgclinicalgdecisiongmaking.
2. WhichgofgthegfollowinggisgNOTgagpurposegofgthegclinicalgpatientgsupervisiongprocess?
a. Toggathergrelevantginformationgandgdata
b. Togestablishgandgenhancegrapport,gtrust,gandgconfidence
c. Togprescribeginterventionsgthegpatientgrequires
d. Togassistgingthegmanagementgofgthegpatient
ANS:g C
PTAsgdognotgprescribeginterventionsgforgthegpatient.gThegPTAgobserves,gdocuments,gandgdiscu
ssesgpatientgobservationsgwithgthegPT.
3. Selectgthegopen-endedgquestion.
a. Whatgisgyourgpainglevelgtodaygongagscalegofg1-10?
b. Whengdidgthegpaingbegin?
c. Tellgmegaboutgthegtimegthatgyouginjuredgknee.
d. Whengdidgyougtakegyourglastgpaingmedication?
ANS:g C
Thegopen-endedgquestiongleadsgthegpatientgtogsaygmoregthangyesgorgno.gOpen-
endedgquestionsgprovidegmuchgrichergdetailsgaboutgthegincidentgorgexperience.
4. WhichgofgthegfollowinggstatementsgisgtruegregardinggthegworkinggenvironmentgofgPTAs?
a. PTAsgworkgingisolationgwithgtheirgpatientgassignments.
b. PTAsgworkgwithgagteamgofgexpertsgingallgareasgofgagpatient’sgcare.
c. PTAsgworkgonlygwithgthegPTgingprovidinggtherapy.
d. PTAsgaregthegmostgimportantgpeoplegongthegrehabilitationgteamgwhengprovidin
ggtherapy.
ANS:g B
ThegPTAgmustgbegawaregofgthegkeygmembersgofgthegrehabilitationgteam.gOccupationalgtherapi
sts,gPTs,gnurses,grespiratorygtherapists,gpsychologists,gandgaudiologistsgaregonlygagfewgofgthegi
mportantgmembersgofgthegrehabilitationgteam.gThegPTAgdoesgnotgworkgingisolation.
5. Whichgofgthegfollowinggstatementsgwouldgbegusedgingagdiscussiongwithgagpatient?
, a. “Yourgbloodgpressuregisg150/90gwhichgindicatesghypertensiongandgcouldgleadgtog
agcerebralgvasculargaccidentgifgyougdon’tgtakegyourgmedications.”
b. “Yourgbloodgpressuregisghighergthangnormalgtoday,g150/90.gDidgyougtakegyourgbloo
dgpressuregmedicationgthisgmorning?”
c. “Thegdoctorgprescribedgagbeta-
blockergforgyougagmonthgago.gHasgthatgbeenghelpinggyourgbloodgpressure?”
d. “Thegcombinationgofgyourgcalcium-channelgblockergandgbeta-
blockergdognotgseemgtogbegcontrollinggyourgbloodgpressure.gLet’sgcallgthegdoctor.
”
ANS:g B
ThegPTAgshouldglearngtogcommunicategopenly,gfreely,gandgingagprofessionalgmanner.gThegPT
Agmustgemploygappropriategandgprofessionalgmedicalgterminologygwithgprofessionalgpeople—
butgusegfamiliarg(lay)gtermsgtogdescribegthegsamegconditiongtogagpatientgorgagfamilygmember.
Avoidinggthegusegofgmedicalgjargong(hypertension,gbeta-blocker,gcalcium-
channelgblocker)gwithgpatientsgisgrequiredgbygPTAs.
6. HowgcangagPTAgdemonstrategaccountabilitygingtheirgpractice?
a. Maintaingtimelygdocumentationgaboutgpatientginterventions.
b. Maintainggoodgrapportgwithgpatients.
c. Continuegtheirgeducationgpastgtheirginitialgdegree.
d. ReportgallgfindingsgtogthegsupervisinggPTgsogthatgmodificationsgcangbegmadegi
ngresponsegtogchangesgingpatientgstatus.
ANS:g D
PTAsgaregresponsiblegforgreportinggallgfindingsgtogthegsupervisinggPTgsogthatgmodificationsgca
ngbegmadegingaccordancegwithgchangesgingpatientgstatus.
7. Whichgtypegofgquestioninggwouldgyougusegtogfindgfactsgorgobtaingspecificgresponsesgfromg
agpatientgaboutganginjurygtogaglimbgorgjoint?
a. Open-endedgquestions
b. Closed-endedgquestions
c. Agpause
d. Neutralgphrase
ANS:g B
Closed-
endedgquestionsgaregusedgtogfindgoutgspecificgdetails,gdirectgthegdiscussion,gorgelicitgspecificgre
sponsesgfromgthegpatient.
8. Whichgofgthegfollowinggisgangexamplegofgpromptinggduringgagphysicalgtherapygsession?
a. “Whengyougwalkgupgthegsteps,gwhichgfootgwillgyougmovegfirst?”
b. “Allgright,gnowgpickgupgyourgrightgfootgandgputgitgongthegnextgstep.”
c. Pointgtogthegstepgandgtouchgthegpatient’sgrightgleg.
d. Observegthegbehaviorgofgthegpatientgtogseegifgtheygwillgliftgupgthegcorrectgfootgwhi
legwalkinggupgthegsteps.
ANS:g A
Promptinggagpatientgtogperformgagtaskgcangbegviewedgasgthegpresentationgofgagquestion.gPromp
tinggallowsgpatientsgtogdecipherginformation,gsolvegproblems,gandgprovidegsolutionsgtogactiviti
esgtheygmustgovercomegduringgrecovery.gCuesgaregdirections.
9. Whogholdsgthegultimategresponsibilitygforgthegpatient’sgphysicalgtherapy?
, a. PTA
b. Medicalgdoctor
c. Nurse
d. PT
ANS:g D
Togminimizegthegconfusinggarraygofgtreatmentgprotocols,gthegPTAgmustgeffectivelygandgefficie
ntlygcommunicategwithgthegsupervisinggPTgtogclarifygdifferencesgingpatientgcare,galwaysgreme
mberinggthatgthegPTghasgthegultimategresponsibilitygforgtheginterventionsgprovided.
10. WhichgofgthegfollowinggactionsgshouldgyougtakegifgyoughavegagdisagreementgwithgthegPT?
a. RefusegtogprovidegthegtreatmentgorginterventiongongthegPT’sgplangofgcare.
b. ChangegthegtreatmentgforgthegdaygandgthengreportgtogthegPTgwhatgwasgdonegatgt
hegendgofgthegday.
c. Followgthegplangofgcaregnogmattergwhatgchangesgaregobservedgingthegpatientgan
dgdocumentglater.
d. DiscussgyourgfindingsgandgrationalegwithgthegPTgtoglearngandgprovidegbettergcare.
ANS:g D
AgfullgunderstandinggofgthegrationalegandgpurposegofgPTginterventionsgallowsgforgimprovedgdel
iverygofgcaregandgsafegandgeffectivegcare.gPTAsgcannotgchangegthegplangofgcaregbygthemselves
.
11. WhengcangagPTAgadjustgorgmodifygagprogramgofgtreatment?
a. WhengthegPTAgobservesgcertaingsignsgandgsymptomsgingthegpatient
b. AftergseekingginputgandgdirectiongfromgthegsupervisinggPT
c. ThegPTAgcannotgevergchangegthegplangofgcare
d. Nonegofgthegabove
ANS:g B
ThegPTA,gwithgdirectiongandginputgfromgthegsupervisinggPT,gcangadjustgorgmodifygthegprogram
gofgtreatment.
12. ThegPTA’sgclinicalgdecision-makinggprocessgshouldgbegingwith
a. takinggorderlygandgspecificgstepsgtognotifygthegsupervisinggPT.
b. recognizinggthatgagproblemgexists.
c. adjustinggthegprogramgaccordinggtogthegpatient’sgneeds.
d. askinggthegPTgtogassessgthegpatient.
ANS:g B
Thegclinicalgdecision-
makinggprocessgusedgbygthegPTAginvolvesgrecognizinggthatgagproblemgexists,gthengtakingg
orderlygandgspecificgstepsgtognotifygthegsupervisinggPTgandgadjustinggthegprogramgaccordi
ngly.
13. Whichgofgthegfollowinggbehaviorsgexemplifiesgagwell-adaptedgPTA?
a. Constantlygasksgaboutgthegrationalegforgtreatment.
b. Establishesgthemselvesgasgangeagerglearner.
c. Isgopengtoginnovativegwaysgofgmanaginggvariousgpathologicgconditions.
d. Allgofgthegabove.
ANS:g D
, Thegwell-
adaptedgPTAgviewsganygapparentgroadblocksgasglearninggopportunities.gThegPTAgisgadvisedgto
gtakegadvantagegofgthegbroadgknowledgegandgexperiencegofgmanygPTs,gconstantlyginquiregabo
utgthegrationalegandgscientificgbasisgforgagparticulargprogram,gandgestablishghim-
gorgherselfgasgangeagerglearninggparticipantgwhogisgopengtoginnovativegwaysgofgmanaginggvari
ousgpathologicgconditions.
14. WhygdogPTAsgandgPTsguseggeneralgscalesgofgmeasurement?
a. Togstandardizegassessmentgandgmoregaccuratelygmeasuregpatientgprogress
b. Togshortengthegamountgofgtimegneededgtogdocumentgthegpatient’sgcondition
c. Togdemonstrategknowledgegofgmedicalgterminology
d. Nonegofgthegabove
ANS:g A
Generalgscalesgaregusedgtogstandardizegassessmentgandgmoregaccuratelygmeasuregpatientgprogre
ss.