,TESTBANK for The Role of the Physical Therapist
Assistant Regulations and Responsibilities 3rd
Edition Holly M. Clynch
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many
new editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
,Chapter 1: The History of Physical Therapy and the Physical Therapist Assistant
True/False
1. Debate over the proper utilization of the PTA began in the early 1990s.
ANS: False
OBJ: Describe the initial concerns and issues related to PTA task direction and skill
performance.
Rationale: “From the beginning [1967], despite uniform educational standards and the
APTA’s attempt to standardize the PTA’s role, PTs debated how to utilize the services
provided by PTAs.”
2. The correct title for the PTA is physical therapy assistant.
ANS: False
OBJ: Discuss the factors that led to the creation of the physical therapist assistant (PTA)
position.
Rationale: “Eventually, the title physical therapist assistant was deliberately chosen
over “physical therapy assistant” to reflect that the role was to directly assist the PT in the
delivery of services”
3. In the late 1990s, the job market in physical therapy was showing signs of saturation.
ANS: True
OBJ: Identify historical and current trends in demands for PTA services and PTA
educational program enrollment.
Rationale: “In the mid- to late 1990s, the job market in physical therapy was beginning to
show signs of saturation as more PTs and PTAs graduated each year from an increasing
number of educational programs. This number reached a tipping point when, in 2000,
reimbursement changes brought about by implementation of the federal government’s
1997 Balanced Budget Act (BBA) resulted in nationwide staffing changes.”
Multiple Choice
,4. Which of the following was a key event in the early development of the PT profession?
A. Polio epidemics in the early 1900s
B. The Civil War
C. Greater awareness of the benefits of prolonged bedrest
D. Increased mortality rates of injured soldiers in World War I
ANS: A
OBJ: Identify key events in the early development of the physical therapy profession.
Rationale: “The profession of physical therapy developed in the United States primarily
as a result of two major events: the polio epidemic of the early 1900s and World War I.”
Civil War was before the creation of the role, prolonged bedrest is not beneficial,
mortality rates decreased in WWI.
5. The woman considered to be the first American PT was:
A. Catherine Worthingham
B. Mary McMillan
C. Nancy Watts
D. Elizabeth Kenny
ANS: B
OBJ: Identify key events in the early development of the physical therapy profession.
Rationale: “Mary McMillan, born in the United States but trained in England, is widely
considered the first American PT.”
6. Which of the following influenced the APTA’s decision to formally create the PTA
position?
A. A surplus of PTs in the marketplace
B. Medicare restrictions to reimbursement for PT services
C. The change to the entry-level DPT degree
D. A desire to have uniformly trained support personnel in the profession
ANS: D
OBJ: Discuss the factors that led to the creation of the physical therapist assistant (PTA)
position.
Rationale: There was a shortage of PTs in the marketplace, Medicare included coverage
for PT services, the entry-level DPT degree did not happen until later.
7. Nancy Watts identified four categories of factors that should be taken into
consideration when a PT is deciding which tasks should be directed to a PTA. Which of
the following is included in those factors?
,A. The age of the PT and PTA
B. The stability of the patient
C. The age of the patient
D. The amount of available time that the PT and PTA have on their schedules
ANS: B
OBJ: Describe the initial concerns and issues related to PTA task direction and skill
performance.
Rationale: See bulleted list in chapter under “Development of the PTA.”
8. The first two colleges to have PTA educational programs began educating students in:
A. 1960
B. 1965
C. 1967
D. 1971
ANS: C
OBJ: Identify key events in the early development of the physical therapy profession.
Rationale: “In 1967, Miami Dade Community College (now Miami Dade College) and
St. Mary’s Junior College (now St. Catherine University) admitted and began educating
students for the role of the PTA.”
9. In the document “Core Values for the Physical Therapist and Physical Therapist
Assistant,” which of the following is listed as a core value?
A. Intelligence
B. Ethics
C. Empathy
D. Social responsibility
ANS: D
OBJ: Compare and contrast the use of the term “professional” versus “professionalism”
in regard to the PTA.
Rationale: See document in the chapter.
10. In the document, “Core Values for the Physical Therapist and Physical Therapist
Assistant,” which of the following is not listed as a core value?
A. Excellence
B. Integrity
C. Leadership
D. Collaboration
,ANS: C
OBJ: Compare and contrast the use of the term “professional” versus “professionalism”
in regard to the PTA.
Rationale: See the document in the chapter.
11. According the APTA, the term “professional” in physical therapy refers only to the
PT and not the PTA because a PTA:
A. Lacks autonomy in decision-making
B. Takes a different licensure examination
C. Does not perform initial evaluations
D. Is awarded an associate’s degree
ANS: A
OBJ: Compare and contrast the use of the term “professional” versus “professionalism”
in regard to the PTA.
Rationale: “The APTA’s core documents and positions historically have also been
developed under the premise that the term ‘professional’ refers only to the PT and
therefore should not be used to describe a PTA. The rationale for that distinction relates
to the historical definition of a profession; one facet of this definition states that
professionals have autonomy in decision-making.”
12. Which of the following terms describes a patient/client’s ability to receive PT
services without first obtaining a referral from a physician?
A. Evaluation
B. Informed consent
C. Diagnosis
D. Direct access
ANS: D
OBJ: Discuss the profession’s focus for the future as outlined in the vision statement of
the American Physical Therapy Association (APTA).
Rationale: “All jurisdictions in the United States now allow some form of direct access,
in which patients/clients are able to receive physical therapy services directly, without
having to obtain a referral from another health-care provider to do so.”
13. The term “autonomous practice” includes which of the following concepts?
A. Elimination of PTAs in the delivery of physical therapy services
B. PTs demonstrating the ability to make independent judgments
C. PTs being required to refer patients to other providers
,D. PTs only being able to treat patients who have diagnosed injuries and illnesses
ANS: PTs demonstrating the ability to make independent judgments.
OBJ: Discuss the profession’s focus for the future as outlined in the vision statement of
the American Physical Therapy Association (APTA).
Rationale: PTs “most often provide their services in a manner that reflects autonomous
practice, defined by the APTA to include exercising independent, self-determined
judgment, and having the ability [emphasis added—they are not required to refer] to refer
patients/clients to other health-care providers and other professionals. . . . All
jurisdictions in the United States now allow some form of direct access, in which
patients/clients are able to receive physical therapy services directly, without having to
obtain a referral from another health-care provider to do so.”
14. The APTA’s most recent vision statement for the profession states that we will
transform society and improve the human experience by:
A. Advancing practice
B. Educating patients
C. Performing new research
D. Optimizing movement
ANS: D
OBJ: Discuss the profession’s focus for the future as outlined in the vision statement of
the American Physical Therapy Association (APTA).
Rationale: See the vision statement in chapter.
,Chapter 2: Physical Therapist Practice Settings
True/False
1. The Guide to Physical Therapy Practice describes conditions seen in physical therapy
and the types of tools used to treat those conditions.
ANS: True
OBJ: Describe the purpose of the American Physical Therapy Association’s (APTA’s)
Guide to Physical Therapist Practice.
Rationale: “The Guide also describes the types of conditions seen in physical therapy and
the many types of tests, measures, and interventions used by clinicians to treat those
conditions.”
2. The International Classification of Functioning, Disability and Health (ICF) model of
patient categorization focuses more on the patient’s level of function than on the patient’s
diagnosis.
ANS: True
OBJ: Explain how the International Classification of Functioning, Disability and Health
and the Biopsychosocial Model of Health can be applied to individualize each patient’s
needs, goals, and interventions.
Rationale: “[In the ICF model] health and disability are classified in a manner that is not
mutually exclusive. The focus, therefore, should be less on the condition and more on the
impact of the associated functional loss on one’s activities and ability to participate in
society.”
3. A patient who is unable to drive and lacks transportation to an outpatient clinic
automatically qualifies for receiving in-home PT services.
ANS: False
OBJ: Describe typical practice settings in which PTs and PTAs are employed.
Rationale: “Merely being unable to drive or lacking transportation to an outpatient clinic
is not sufficient justification for receiving physical therapy in the home.”
4. PTAs are allowed to work in most of the same practice settings as PTs.
,ANS: True
OBJ: Describe typical practice settings in which PTs and PTAs are employed.
Rationale: “PTAs work in most of the same practice settings and with most of the same
types of patients as do PTs.”
5. Wound care is part of the physical therapist’s scope of practice.
ANS: True
OBJ: Identify common patient conditions seen and interventions provided by PTs and
PTAs in typical practice settings.
Rationale: “PTs, and to a lesser extent PTAs, may be involved in the application of
hydrotherapy or electrotherapy to encourage wound healing.”
6. A patient admitted to a transitional care unit usually plans on returning to a previous
living setting or lesser level of care.
ANS: True
OBJ: Describe typical practice settings in which PTs and PTAs are employed.
Rationale: “However, any patient admitted to a TCU is admitted under the assumption
that the placement is short term.”
Multiple Choice
7. PTs and PTAs help patients achieve maximum functional ability by decreasing:
A: Strength, coordination, and flexibility
B. Cardiovascular endurance
C. The likelihood of repetitive-use injuries
D. Circulation to healing wounds
ANS: C
OBJ: Give examples of activities and techniques that physical therapists (PTs) and
physical therapist assistants (PTAs) use to help an individual improve movement skills
and achieve maximum functional ability.
Rationale: C is only item that should be decreased by the PT; all others should be
increased.
, 8. Services provided by physical therapists in the acute care setting are least likely to be
provided in:
A. The emergency room
B. The inpatient rehabilitation unit
C. The cardiac care unit
D. The operating room
ANS: D
OBJ: Describe typical practice settings in which PTs and PTAs are employed.
Rationale: Cardiac rehabilitation, ER PT, and IPR are all identified as specialized areas in
acute care PT.
9. Which of the following is not considered a specialty area within outpatient physical
therapy?
A. Sports medicine
B. Industrial medicine
C. Hospice care
D. Aquatic therapy
ANS: C
OBJ: Identify common patient conditions seen and interventions provided by PTs and
PTAs in typical practice settings.
Rationale: “Other specialized areas of outpatient practice include the following: sports
medicine . . . aquatic therapy . . . industrial medicine.” Hospice is not considered to be
part of outpatient practice.
10. A newly graduated PTA is most likely to get a position in which of the following
settings?
A. Grade school
B. Home care agency
C. Transitional care unit within a skilled nursing facility
D. An outpatient clinic specializing in women’s health
ANS: C
OBJ: Describe how PTAs are utilized in various practice settings and with different
patient populations.
Rationale: Pediatrics, home care, and women’s health are all identified in the textbook as
settings in which PTAs need more experience prior to working in them.
Assistant Regulations and Responsibilities 3rd
Edition Holly M. Clynch
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many
new editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
,Chapter 1: The History of Physical Therapy and the Physical Therapist Assistant
True/False
1. Debate over the proper utilization of the PTA began in the early 1990s.
ANS: False
OBJ: Describe the initial concerns and issues related to PTA task direction and skill
performance.
Rationale: “From the beginning [1967], despite uniform educational standards and the
APTA’s attempt to standardize the PTA’s role, PTs debated how to utilize the services
provided by PTAs.”
2. The correct title for the PTA is physical therapy assistant.
ANS: False
OBJ: Discuss the factors that led to the creation of the physical therapist assistant (PTA)
position.
Rationale: “Eventually, the title physical therapist assistant was deliberately chosen
over “physical therapy assistant” to reflect that the role was to directly assist the PT in the
delivery of services”
3. In the late 1990s, the job market in physical therapy was showing signs of saturation.
ANS: True
OBJ: Identify historical and current trends in demands for PTA services and PTA
educational program enrollment.
Rationale: “In the mid- to late 1990s, the job market in physical therapy was beginning to
show signs of saturation as more PTs and PTAs graduated each year from an increasing
number of educational programs. This number reached a tipping point when, in 2000,
reimbursement changes brought about by implementation of the federal government’s
1997 Balanced Budget Act (BBA) resulted in nationwide staffing changes.”
Multiple Choice
,4. Which of the following was a key event in the early development of the PT profession?
A. Polio epidemics in the early 1900s
B. The Civil War
C. Greater awareness of the benefits of prolonged bedrest
D. Increased mortality rates of injured soldiers in World War I
ANS: A
OBJ: Identify key events in the early development of the physical therapy profession.
Rationale: “The profession of physical therapy developed in the United States primarily
as a result of two major events: the polio epidemic of the early 1900s and World War I.”
Civil War was before the creation of the role, prolonged bedrest is not beneficial,
mortality rates decreased in WWI.
5. The woman considered to be the first American PT was:
A. Catherine Worthingham
B. Mary McMillan
C. Nancy Watts
D. Elizabeth Kenny
ANS: B
OBJ: Identify key events in the early development of the physical therapy profession.
Rationale: “Mary McMillan, born in the United States but trained in England, is widely
considered the first American PT.”
6. Which of the following influenced the APTA’s decision to formally create the PTA
position?
A. A surplus of PTs in the marketplace
B. Medicare restrictions to reimbursement for PT services
C. The change to the entry-level DPT degree
D. A desire to have uniformly trained support personnel in the profession
ANS: D
OBJ: Discuss the factors that led to the creation of the physical therapist assistant (PTA)
position.
Rationale: There was a shortage of PTs in the marketplace, Medicare included coverage
for PT services, the entry-level DPT degree did not happen until later.
7. Nancy Watts identified four categories of factors that should be taken into
consideration when a PT is deciding which tasks should be directed to a PTA. Which of
the following is included in those factors?
,A. The age of the PT and PTA
B. The stability of the patient
C. The age of the patient
D. The amount of available time that the PT and PTA have on their schedules
ANS: B
OBJ: Describe the initial concerns and issues related to PTA task direction and skill
performance.
Rationale: See bulleted list in chapter under “Development of the PTA.”
8. The first two colleges to have PTA educational programs began educating students in:
A. 1960
B. 1965
C. 1967
D. 1971
ANS: C
OBJ: Identify key events in the early development of the physical therapy profession.
Rationale: “In 1967, Miami Dade Community College (now Miami Dade College) and
St. Mary’s Junior College (now St. Catherine University) admitted and began educating
students for the role of the PTA.”
9. In the document “Core Values for the Physical Therapist and Physical Therapist
Assistant,” which of the following is listed as a core value?
A. Intelligence
B. Ethics
C. Empathy
D. Social responsibility
ANS: D
OBJ: Compare and contrast the use of the term “professional” versus “professionalism”
in regard to the PTA.
Rationale: See document in the chapter.
10. In the document, “Core Values for the Physical Therapist and Physical Therapist
Assistant,” which of the following is not listed as a core value?
A. Excellence
B. Integrity
C. Leadership
D. Collaboration
,ANS: C
OBJ: Compare and contrast the use of the term “professional” versus “professionalism”
in regard to the PTA.
Rationale: See the document in the chapter.
11. According the APTA, the term “professional” in physical therapy refers only to the
PT and not the PTA because a PTA:
A. Lacks autonomy in decision-making
B. Takes a different licensure examination
C. Does not perform initial evaluations
D. Is awarded an associate’s degree
ANS: A
OBJ: Compare and contrast the use of the term “professional” versus “professionalism”
in regard to the PTA.
Rationale: “The APTA’s core documents and positions historically have also been
developed under the premise that the term ‘professional’ refers only to the PT and
therefore should not be used to describe a PTA. The rationale for that distinction relates
to the historical definition of a profession; one facet of this definition states that
professionals have autonomy in decision-making.”
12. Which of the following terms describes a patient/client’s ability to receive PT
services without first obtaining a referral from a physician?
A. Evaluation
B. Informed consent
C. Diagnosis
D. Direct access
ANS: D
OBJ: Discuss the profession’s focus for the future as outlined in the vision statement of
the American Physical Therapy Association (APTA).
Rationale: “All jurisdictions in the United States now allow some form of direct access,
in which patients/clients are able to receive physical therapy services directly, without
having to obtain a referral from another health-care provider to do so.”
13. The term “autonomous practice” includes which of the following concepts?
A. Elimination of PTAs in the delivery of physical therapy services
B. PTs demonstrating the ability to make independent judgments
C. PTs being required to refer patients to other providers
,D. PTs only being able to treat patients who have diagnosed injuries and illnesses
ANS: PTs demonstrating the ability to make independent judgments.
OBJ: Discuss the profession’s focus for the future as outlined in the vision statement of
the American Physical Therapy Association (APTA).
Rationale: PTs “most often provide their services in a manner that reflects autonomous
practice, defined by the APTA to include exercising independent, self-determined
judgment, and having the ability [emphasis added—they are not required to refer] to refer
patients/clients to other health-care providers and other professionals. . . . All
jurisdictions in the United States now allow some form of direct access, in which
patients/clients are able to receive physical therapy services directly, without having to
obtain a referral from another health-care provider to do so.”
14. The APTA’s most recent vision statement for the profession states that we will
transform society and improve the human experience by:
A. Advancing practice
B. Educating patients
C. Performing new research
D. Optimizing movement
ANS: D
OBJ: Discuss the profession’s focus for the future as outlined in the vision statement of
the American Physical Therapy Association (APTA).
Rationale: See the vision statement in chapter.
,Chapter 2: Physical Therapist Practice Settings
True/False
1. The Guide to Physical Therapy Practice describes conditions seen in physical therapy
and the types of tools used to treat those conditions.
ANS: True
OBJ: Describe the purpose of the American Physical Therapy Association’s (APTA’s)
Guide to Physical Therapist Practice.
Rationale: “The Guide also describes the types of conditions seen in physical therapy and
the many types of tests, measures, and interventions used by clinicians to treat those
conditions.”
2. The International Classification of Functioning, Disability and Health (ICF) model of
patient categorization focuses more on the patient’s level of function than on the patient’s
diagnosis.
ANS: True
OBJ: Explain how the International Classification of Functioning, Disability and Health
and the Biopsychosocial Model of Health can be applied to individualize each patient’s
needs, goals, and interventions.
Rationale: “[In the ICF model] health and disability are classified in a manner that is not
mutually exclusive. The focus, therefore, should be less on the condition and more on the
impact of the associated functional loss on one’s activities and ability to participate in
society.”
3. A patient who is unable to drive and lacks transportation to an outpatient clinic
automatically qualifies for receiving in-home PT services.
ANS: False
OBJ: Describe typical practice settings in which PTs and PTAs are employed.
Rationale: “Merely being unable to drive or lacking transportation to an outpatient clinic
is not sufficient justification for receiving physical therapy in the home.”
4. PTAs are allowed to work in most of the same practice settings as PTs.
,ANS: True
OBJ: Describe typical practice settings in which PTs and PTAs are employed.
Rationale: “PTAs work in most of the same practice settings and with most of the same
types of patients as do PTs.”
5. Wound care is part of the physical therapist’s scope of practice.
ANS: True
OBJ: Identify common patient conditions seen and interventions provided by PTs and
PTAs in typical practice settings.
Rationale: “PTs, and to a lesser extent PTAs, may be involved in the application of
hydrotherapy or electrotherapy to encourage wound healing.”
6. A patient admitted to a transitional care unit usually plans on returning to a previous
living setting or lesser level of care.
ANS: True
OBJ: Describe typical practice settings in which PTs and PTAs are employed.
Rationale: “However, any patient admitted to a TCU is admitted under the assumption
that the placement is short term.”
Multiple Choice
7. PTs and PTAs help patients achieve maximum functional ability by decreasing:
A: Strength, coordination, and flexibility
B. Cardiovascular endurance
C. The likelihood of repetitive-use injuries
D. Circulation to healing wounds
ANS: C
OBJ: Give examples of activities and techniques that physical therapists (PTs) and
physical therapist assistants (PTAs) use to help an individual improve movement skills
and achieve maximum functional ability.
Rationale: C is only item that should be decreased by the PT; all others should be
increased.
, 8. Services provided by physical therapists in the acute care setting are least likely to be
provided in:
A. The emergency room
B. The inpatient rehabilitation unit
C. The cardiac care unit
D. The operating room
ANS: D
OBJ: Describe typical practice settings in which PTs and PTAs are employed.
Rationale: Cardiac rehabilitation, ER PT, and IPR are all identified as specialized areas in
acute care PT.
9. Which of the following is not considered a specialty area within outpatient physical
therapy?
A. Sports medicine
B. Industrial medicine
C. Hospice care
D. Aquatic therapy
ANS: C
OBJ: Identify common patient conditions seen and interventions provided by PTs and
PTAs in typical practice settings.
Rationale: “Other specialized areas of outpatient practice include the following: sports
medicine . . . aquatic therapy . . . industrial medicine.” Hospice is not considered to be
part of outpatient practice.
10. A newly graduated PTA is most likely to get a position in which of the following
settings?
A. Grade school
B. Home care agency
C. Transitional care unit within a skilled nursing facility
D. An outpatient clinic specializing in women’s health
ANS: C
OBJ: Describe how PTAs are utilized in various practice settings and with different
patient populations.
Rationale: Pediatrics, home care, and women’s health are all identified in the textbook as
settings in which PTAs need more experience prior to working in them.
