PTA Law Exam Practice
-
A physical therapist assistant modifies an existing plan of care after receiving verbal approval from the supervising physical therapist. The most formal mechanism to acknowledge the therapist’s approval is to:
-
Notify the director of rehabilitation.
-
Send a letter to the referring physician.
-
Contact the patient’s third party payer.
-
Document the supervising physical therapist’s approval in the medical record.
-
The 'PTA Law Exam Practice' quiz assesses knowledge of legal and ethical considerations in physical therapy. It covers topics like patient rights, ADA compliance, and professional conduct, ensuring therapists are well-versed in legal responsibilities and patient care ethics.
Quiz Preview
- 2.
A physical therapist assistant completes daily documentation to the medical record. Which of the following documentation activities would be inappropriate for a physical therapist assistant?
-
A reaction to treatment
-
Patient compliance
-
Discharge summary
-
Treatment or services provided
Correct Answer
A. Discharge summaryExplanation
A physical therapist assistant is responsible for assisting the physical therapist in providing treatment and services to patients. They may document the patient's reaction to treatment, their compliance with the treatment plan, and the specific treatments or services provided. However, a discharge summary is typically completed by the physical therapist or another healthcare professional who has overseen the patient's entire course of treatment. It provides a comprehensive summary of the patient's condition, progress, and recommendations for further care after they are discharged from the therapy program. Therefore, it would be inappropriate for a physical therapist assistant to complete a discharge summary.Rate this question:
-
- 3.
You are treating a 63-year-old male for back pain who is referred to an orthopedic surgeon 60 miles out of town. The orthopedic surgeon owns his private clinic and tells the patient he must have physical therapy at his clinic. The patient approaches you because driving 20 minutes, or more, increases pain. What should you tell the patient?
-
The physician is a fraud and trying to make more money for his own physical therapy practice.
-
The physician owns his clinic, which is illegal; find another physician.
-
Tell the patient he has the right to attend the clinic of his choice. If he has any concerns he should talk to his family physician who originally referred him for physical therapy.
-
Since the patient is a lawyer and interested in the physical therapy profession, discuss the legal and ethical information with him.
Correct Answer
A. Tell the patient he has the right to attend the clinic of his choice. If he has any concerns he should talk to his family physician who originally referred him for physical therapy.Explanation
The correct answer is to tell the patient that he has the right to attend the clinic of his choice and if he has any concerns, he should talk to his family physician who originally referred him for physical therapy. This answer is appropriate because it respects the patient's autonomy and right to make decisions about his own healthcare. It also acknowledges the importance of discussing any concerns with the referring physician, who is familiar with the patient's medical history and can provide guidance and support.Rate this question:
-
- 4.
When the physical therapist or physical therapist assistant writes a progress note, he or she may use a SOAP note. What does the “A” stand for?
-
Activity
-
Assessment
-
Action
-
Acute symptoms
Correct Answer
A. AssessmentExplanation
The "A" in SOAP note stands for Assessment. In a progress note, the physical therapist or physical therapist assistant will assess the patient's condition and progress. This may include evaluating the effectiveness of previous treatments, analyzing test results, and making judgments about the patient's current status and future course of action.Rate this question:
-
- 5.
The role of the physical therapist assistant may vary from clinic to clinic. Which of the following duties generally should not be performed by the assistant?
-
Crutch ambulation.
-
Hot packs and ice packs.
-
Ultrasound
-
Initial evaluations
Correct Answer
A. Initial evaluationsExplanation
The physical therapist assistant's role may vary in different clinics, but generally, they should not perform initial evaluations. Initial evaluations are typically conducted by the physical therapist to assess the patient's condition and develop a treatment plan. The assistant's duties usually involve assisting the therapist in implementing the treatment plan, which may include tasks like crutch ambulation, applying hot and ice packs, and performing ultrasound treatments. However, the responsibility of conducting initial evaluations is usually reserved for the physical therapist.Rate this question:
-
- 6.
The same patient is very concerned about the cancer spreading. You read in her chart that the physician was not able to remove all of the cancer, it has spread. On the next treatment session she asks you if the surgery was successful. Since the physician is unaccessible, what do you tell her?
-
You are deeply sorry but it wasn’t 100% successful.
-
You are deeply sorry but you’re sure the doctor did the best he could, as he is one of the top surgeons.
-
You have no idea whether or not surgery was successful.
-
Tell her you are not able to provide that information. She will have to discuss it with her surgeon.
Correct Answer
A. Tell her you are not able to provide that information. She will have to discuss it with her surgeon.Explanation
The correct answer is to tell the patient that you are not able to provide that information and that she will have to discuss it with her surgeon. This is the most appropriate response because as a healthcare professional, you should not provide medical information or make assumptions about the success of a surgery without consulting the surgeon. It is important for the patient to have accurate and reliable information from the person who performed the surgery.Rate this question:
-
- 7.
A physical therapist assistant is working without a physical therapist in the clinic for 3 days. The assistant can do all the following EXCEPT:
-
Supervise rehabilitation exercises.
-
Modify treatment plan.
-
Gait training.
-
Write progress notes.
Correct Answer
A. Modify treatment plan.Explanation
The physical therapist assistant is able to supervise rehabilitation exercises, provide gait training, and write progress notes. However, modifying the treatment plan is typically the responsibility of the physical therapist, who has the expertise and knowledge to make appropriate adjustments based on the patient's progress and needs.Rate this question:
-
- 8.
You are a physical therapist assistant in a large clinic and are working in the gym area. You observe a patient who, 10 weeks following anterior cruciate ligament surgery, is performing his exercises without any effort. You should:
-
Call the doctor and tell him or her that the physical therapist needs to reevaluate the patient.
-
Do nothing until the physical therapist notices the need to increase the patient’s workout.
-
Alter the patient’s program as you think necessary.
-
Consult your supervising physical therapist and give your recommended treatment changes.
Correct Answer
A. Consult your supervising physical therapist and give your recommended treatment changes.Explanation
In this scenario, the correct answer is to consult the supervising physical therapist and give recommended treatment changes. As a physical therapist assistant, it is important to communicate any observations or concerns about a patient's progress to the supervising physical therapist. By consulting the supervising physical therapist and providing recommended treatment changes, the patient's program can be adjusted to ensure appropriate progression and maximize their recovery. This approach ensures that the patient receives the necessary attention and expertise from the physical therapy team.Rate this question:
-
- 9.
A physical therapist assistant is growing more and more disenchanted with her current job because she is responsible for an unfair proportion of the current patient load. An appropriate response to this situation would be:
-
Explain your present situation to the board of directors.
-
Confront other staff members and inform them that you are being treated unfairly.
-
Communicate directly with the supervising therapist and relay your concerns.
-
Refrain from addressing the topic since you will be labeled as a troublemaker.
Correct Answer
A. Communicate directly with the supervising therapist and relay your concerns.Explanation
The best course of action in this situation would be to communicate directly with the supervising therapist and relay your concerns. By addressing the issue with the person in charge, you can express your dissatisfaction and discuss possible solutions or adjustments to the patient load. This approach allows for open and honest communication, which can lead to a resolution and potential improvement in the situation. Confronting other staff members or refraining from addressing the issue may not effectively address the problem or lead to a positive outcome.Rate this question:
-
- 10.
A physical therapist assistant is employed in a large rehabilitation center that has recently seen a significant increase in patient census. The increase has placed a considerable strain on the physical therapy department and unskilled volunteer’s often-complete tasks, which were previously performed by physical therapists and physical therapist assistants. The therapist is very concerned by this pattern, but does not know where to turn. Which of the following steps would be the most appropriate to bring this to the department’s attention?
-
Schedule an appointment to discuss your patient care concerns with the facilities chief financial officer.
-
Disregard the situation since the increase in patient census is only a temporary phenomenon.
-
Discuss your patient care concerns with your immediate supervisor and suggest possible staffing alternatives.
-
Instruct the director of rehabilitation to hire an additional therapist as quickly as possible.
Correct Answer
A. Discuss your patient care concerns with your immediate supervisor and suggest possible staffing alternatives.Explanation
The most appropriate step to bring the concern to the department's attention would be to discuss the patient care concerns with the immediate supervisor and suggest possible staffing alternatives. This step allows the therapist to communicate their concerns directly to someone who has the authority to address the issue and make necessary changes. By suggesting possible staffing alternatives, the therapist can contribute to finding a solution that will alleviate the strain on the department and ensure that tasks are being performed by qualified professionals.Rate this question:
-
- 11.
SOAP is an acronym that refers to:
-
Medical records
-
Malpractice
-
Dictation equipment
-
Telephone equipment
Correct Answer
A. Medical recordsExplanation
SOAP is an acronym commonly used in the medical field to refer to a method of organizing and documenting patient information. It stands for Subjective, Objective, Assessment, and Plan. Each letter represents a different section of a patient's medical record. The subjective section includes the patient's reported symptoms and medical history, the objective section includes the results of physical examinations and diagnostic tests, the assessment section includes the healthcare provider's diagnosis and evaluation of the patient's condition, and the plan section includes the recommended treatment and follow-up care. Therefore, SOAP is directly related to medical records.Rate this question:
-
- 12.
Patient documentation is important and necessary for:
-
Communication with other staff
-
Legal implications
-
Quality assurance
-
Research
-
All of the above
Correct Answer
A. All of the aboveExplanation
Patient documentation is important and necessary for various reasons. Firstly, it facilitates effective communication with other staff members, ensuring that everyone involved in the patient's care is informed and updated. Secondly, it holds legal implications as it serves as a legal record of the patient's condition, treatment, and progress, which can be used for legal purposes if needed. Additionally, patient documentation is crucial for quality assurance, as it allows healthcare providers to review and assess the quality of care provided. Finally, patient documentation is valuable for research purposes, as it provides data and insights that can contribute to medical research and advancements. Therefore, all of the above reasons highlight the importance and necessity of patient documentation.Rate this question:
-
- 13.
When the physical therapist or physical therapist assistant writes a progress note, he or she may use a SOAP note. What does the “A” stand for?
-
Activity
-
Assessment
-
Action
-
Acute symptoms
Correct Answer
A. AssessmentExplanation
The "A" in SOAP note stands for Assessment. This refers to the therapist's evaluation and analysis of the patient's progress, including any changes in their condition, functional abilities, and treatment outcomes. It involves interpreting the data collected during the session and making clinical judgments about the patient's response to therapy. The assessment helps guide further treatment planning and decision-making.Rate this question:
-
- 14.
What does the acronym “POMR” stand for?
-
Physical/occupational medicine record
-
Performance objective medical record
-
Problem-oriented medical record
-
Preferred-oriented medical record
Correct Answer
A. Problem-oriented medical recordExplanation
The acronym "POMR" stands for Problem-oriented medical record. This type of medical record is organized around a patient's specific problems or issues, rather than being organized by medical specialty or chronologically. It allows healthcare providers to focus on the patient's current problems, make assessments, and develop treatment plans. This approach helps to improve the efficiency and effectiveness of healthcare delivery by promoting a systematic and comprehensive approach to patient care.Rate this question:
-
- 15.
A therapist provides an in-service to the rehabilitation department on the Americans with Disabilities Act. Which of the following individuals would not be covered under the Act?
-
A 28-year-old with a documented learning disability.
-
A 46 year old with severe mental retardation.
-
A 14 year old that is blind
-
A 36 year old homosexual
Correct Answer
A. A 36 year old homosexualExplanation
The Americans with Disabilities Act (ADA) prohibits discrimination based on disability, but it does not specifically include sexual orientation as a protected category. Therefore, a 36-year-old homosexual individual would not be covered under the Act. The Act primarily focuses on providing equal opportunities and protections for individuals with physical or mental disabilities.Rate this question:
-
- 16.
Which of the following would not be found in the objective section of a SOAP note?
-
Range of motion measurements
-
Description of present treatment
-
Vital signs
-
Long-term goals
Correct Answer
A. Long-term goalsExplanation
Long-term goals would not be found in the objective section of a SOAP note because the objective section focuses on objective and measurable information such as vital signs and range of motion measurements. Long-term goals are typically included in the assessment or plan section of the SOAP note, where the healthcare provider outlines the long-term treatment goals and plans for the patient.Rate this question:
-
- 17.
An effective manager should adhere to all of the following guidelines except:
-
Maintain a mutual commitment to goals.
-
Provide staff with the opportunity to develop professionally.
-
Allow participation in decision making.
-
Delegate undesirable tasks to subordinates.
Correct Answer
A. Delegate undesirable tasks to subordinates.Explanation
An effective manager should adhere to all of the following guidelines except delegating undesirable tasks to subordinates. This is because an effective manager should not pass on tasks that they themselves find undesirable or unpleasant to their subordinates. Instead, they should lead by example and be willing to take on any task that needs to be done, regardless of its desirability. This helps to build trust and respect among team members and promotes a positive work culture.Rate this question:
-
- 18.
A physical therapist working on a team with a physical therapist assistant would be incorrect in asking an assistant to perform which of the following tasks?
-
Modify treatment plan or goals.
-
Apply and measure assistive or adaptive devices.
-
Identify changes in treatment outcome
-
Administer therapeutic modalities.
Correct Answer
A. Modify treatment plan or goals.Explanation
A physical therapist working on a team with a physical therapist assistant would be incorrect in asking an assistant to modify treatment plan or goals. This is because modifying treatment plans and goals requires advanced knowledge and expertise that only a licensed physical therapist possesses. The assistant's role is to assist the physical therapist in implementing the treatment plan, not to make changes to it.Rate this question:
-
- 19.
A physical therapist assistant provides patient coverage for a physical therapist on vacation. The physical therapist assistant should be allowed to perform all of the following except:
-
Supervise exercise activities.
-
Modify plan of care.
-
Gait training activities.
-
Write daily progress notes.
Correct Answer
A. Modify plan of care.Explanation
A physical therapist assistant is responsible for providing patient coverage for a physical therapist on vacation. They are trained and qualified to perform various tasks, including supervising exercise activities, conducting gait training activities, and writing daily progress notes. However, modifying the plan of care is typically the responsibility of the physical therapist, as they have the expertise and knowledge to make appropriate adjustments based on the patient's condition and progress. Therefore, the physical therapist assistant should not be allowed to modify the plan of care.Rate this question:
-
- 20.
You are on rounds in the psychiatric ward as a physical therapy assistant intern. You are given the following information on a patient: he is pessimistic, irritable, lacks self-confidence, and has a gloomy outlook on life. What could be the most likely diagnosis, or problem, this patient is experiencing?
-
Hysteria
-
Depression
-
Psychopath
-
Schizophrenia
Correct Answer
A. DepressionExplanation
Based on the given information, the patient's symptoms of being pessimistic, irritable, lacking self-confidence, and having a gloomy outlook on life are consistent with depression. Depression is a mood disorder characterized by persistent feelings of sadness, hopelessness, and a loss of interest in activities. These symptoms align with the patient's overall negative and pessimistic outlook. Hysteria, psychopath, and schizophrenia do not specifically match the symptoms described, making depression the most likely diagnosis.Rate this question:
-
- 21.
SOAP progress notes are:
-
Problem solving
-
Unstructured
-
Too long
-
Uncommon form of note writing
Correct Answer
A. Problem solvingExplanation
SOAP progress notes are a common form of note writing in healthcare. They are structured and organized, allowing healthcare professionals to document the patient's problems, assessment, plan, and progress. Problem solving is an important aspect of SOAP progress notes as it helps healthcare professionals analyze and address the patient's issues effectively. These notes are not unstructured or too long, and they are a common and widely used form of documentation in healthcare settings.Rate this question:
-
- 22.
In a SOAP note the “S” stands for subjective data. Which of the following is classified as subjective information?
-
Physical examination
-
Diagnosis
-
Prescribed treatment and progress note
-
Patient’s family history
Correct Answer
A. Patient’s family historyExplanation
Subjective information refers to information that is based on personal opinions, feelings, and experiences rather than on objective facts. In a SOAP note, the "S" stands for subjective data, which includes information provided by the patient or their family. Therefore, the patient's family history is classified as subjective information as it is based on their personal account and is subject to their interpretation and recall.Rate this question:
-
- 23.
A therapist is employed at a physician owned physical therapy clinic that charges for treatment by the modality. One of the physicians who is an owner of the practice requests that all of his patients receive a minimum of heat, ultrasound, and electrical stimulation during each treatment session. The therapist feels that the modalities are of little clinical benefit with many of the patients. The most immediate response would be to:
-
Ignore the physician’s request and treat each patient as you feel is indicated.
-
Discuss the situation with the supervising physical therapist.
-
Report the physician’s conduct to the American Medical Association.
-
Inform the physician he is abusing the health care system.
Correct Answer
A. Discuss the situation with the supervising physical therapist.Explanation
The therapist should discuss the situation with the supervising physical therapist because they are facing a conflict between the physician's request and their professional judgment. By discussing the situation with the supervising physical therapist, the therapist can seek guidance and advice on how to handle the situation professionally and ethically. This approach allows for open communication and collaboration within the clinic to address the issue effectively. Reporting the physician's conduct to the American Medical Association or accusing the physician of abusing the healthcare system may not be the most immediate or appropriate response in this situation.Rate this question:
-
- 24.
The role of the physical therapist assistant varies widely depending on individual department policy. Which of the following duties is generally not performed by the physical therapist assistant?
-
Adjusting ambulation equipment
-
Application of heat and cold modalities
-
Documentation including initial examinations and discharge summaries.
-
Wound care
Correct Answer
A. Documentation including initial examinations and discharge summaries.Explanation
The physical therapist assistant's role involves assisting the physical therapist in various tasks, such as adjusting ambulation equipment, applying heat and cold modalities, and providing wound care. However, documentation including initial examinations and discharge summaries is generally not performed by the physical therapist assistant. This duty is typically handled by the physical therapist, as it requires a higher level of expertise and responsibility.Rate this question:
-
- 25.
A physical therapy assistant is employed in an understaffed outpatient physical therapy clinic. The director of rehabilitation asks the therapist to complete an initial examination on a patient who needs to be seen immediately. The most appropriate response to the director’s request would be to:
-
Explain that physical therapist assistants are not permitted to perform initial examinations.
-
Complete the initial examination, but have the patient schedule with a physical therapist for the next visit
-
Complete the initial examination and continue to treat the patient independently.
-
Explain the situation to the patient and allow the patient to make an informed decision.
Correct Answer
A. Explain that physical therapist assistants are not permitted to perform initial examinations.Explanation
The most appropriate response to the director's request would be to explain that physical therapist assistants are not permitted to perform initial examinations. This is because physical therapist assistants are not qualified to make initial assessments and diagnoses, as this falls under the scope of practice of a physical therapist. It is important to adhere to professional regulations and ensure that patients receive the appropriate level of care from qualified professionals.Rate this question:
-
- 26.
A physical therapist assistant consistently falls behind with his documentation due to an excessive patient load. The assistant has addressed this issue on numerous occasions with the supervising physical therapist without any success. The most appropriate action is:
-
Discuss the situation with another physical therapist.
-
Ignore the situation and attempt to complete documentation in a timely fashion.
-
Seek new employment.
-
Discuss the situation with the director of rehabilitation.
Correct Answer
A. Discuss the situation with the director of rehabilitation.Explanation
The correct answer is to discuss the situation with the director of rehabilitation. This is the most appropriate action because the assistant has already tried addressing the issue with the supervising physical therapist without success. By discussing the situation with the director of rehabilitation, the assistant can escalate the issue and seek a resolution to the problem of falling behind with documentation. This may lead to finding a solution that can help manage the excessive patient load and improve the assistant's ability to complete documentation in a timely fashion.Rate this question:
-
- 27.
A therapist notices a student using improper guarding technique on a patient that appears to be unstable. The most immediate therapist action should be:
-
Discuss the situation with the student’s clinical instructor.
-
Leave the student an anonymous note describing proper guarding technique
-
Offer suggestions to improve the student’s technique
-
Ignore the situation since you are not the clinical instructor.
Correct Answer
A. Offer suggestions to improve the student’s techniqueExplanation
The therapist should offer suggestions to improve the student's technique because it is their responsibility to ensure the safety and well-being of the patient. By providing guidance and feedback, the therapist can help the student correct their improper guarding technique and prevent any potential harm to the patient. Discussing the situation with the student's clinical instructor or leaving an anonymous note may not address the issue immediately, and ignoring the situation would be neglecting their duty as a therapist.Rate this question:
-
- 28.
S.O.A.P. notes are a common form of documentation in a variety of health care settings. Which of the following would not be found in the objective section of a S.O.A.P. note?
-
Measurement of pertinent changes in mental status.
-
Description of present treatment.
-
Vital sign measurements.
-
Short and long term goals.
Correct Answer
A. Short and long term goals.Explanation
In a S.O.A.P. note, the objective section typically includes measurable and observable information about the patient's condition. This may include vital sign measurements, measurement of pertinent changes in mental status, and description of present treatment. Short and long term goals, on the other hand, are usually documented in the assessment or plan sections of the note, as they are subjective and future-oriented rather than objective observations.Rate this question:
-
- 29.
14. A therapist treating a patient overhears two of his colleagues discussing another patient’s case in the charting area. The therapist is concerned that his patient may overhear the same conversation. The most appropriate action is to:
-
Discuss the situation with the director of rehabilitation.
-
Confront the therapist and ask them if their behavior is professional
-
move the patient away from the charting area.
-
Inform the therapists that their conversation may be audible to patients.
Correct Answer
A. Inform the therapists that their conversation may be audible to patients.Explanation
The most appropriate action in this situation is to inform the therapists that their conversation may be audible to patients. This approach addresses the therapist's concern about the patient potentially overhearing the conversation without causing conflict or confrontation. By bringing this to the attention of the therapists, they can be made aware of the situation and take steps to ensure patient confidentiality and privacy. Discussing the situation with the director of rehabilitation or confronting the therapist directly may not be necessary or effective in resolving the issue.Rate this question:
-
- 30.
Which of the following are causes of liability in the Physical Therapy Dept. for which the physical therapist assistant is responsible?
-
Faulty equipment
-
Water on the floors, hydro area
-
Failure to give appropriate instructions
-
Failure to communicate with the physical therapist
-
All of the above.
Correct Answer
A. All of the above.Explanation
The physical therapist assistant is responsible for liability in the Physical Therapy Dept. for several reasons. Faulty equipment can lead to accidents and injuries, making the assistant liable. Water on the floors in the hydro area can cause slips and falls, for which the assistant can be held responsible. Failure to give appropriate instructions can result in incorrect exercises or treatments, leading to potential harm and liability. Lastly, failure to communicate with the physical therapist can lead to misunderstandings or mistakes in patient care, making the assistant liable. Therefore, all of the mentioned factors can cause liability for the physical therapist assistant.Rate this question:
-
- 31.
A patient placed on a hot pack is burned. Who is responsible for the burn?
-
PT aide who placed the hot pack on the burn
-
PT aide and the therapist supervising the aide
-
Patient for not ringing the bell as instructed to do when it started getting hot
-
PT aide and the department chairman
Correct Answer
A. PT aide and the therapist supervising the aideExplanation
The PT aide and the therapist supervising the aide are responsible for the burn because it is their duty to ensure the safety and well-being of the patient. The therapist should have properly trained and supervised the aide to prevent any harm to the patient. Therefore, both the PT aide and the therapist share responsibility for the burn.Rate this question:
-
- 32.
6. An employee with a disclosed disability informs her employer that she is unable to perform an essential function of her job unless her workstation is modified. Which of the following would provide the employer with a legitimate reason for not granting the employee’s request?
-
The accommodation would cost hundreds of dollars.
-
The accommodation would require an expansion of the employee’s present workstation.
-
The accommodation would fundamentally alter the operation of the business.
-
The accommodation would not address the needs of other employees.
Correct Answer
A. The accommodation would fundamentally alter the operation of the business.Explanation
The employer would have a legitimate reason for not granting the employee's request if the accommodation would fundamentally alter the operation of the business. This means that making the requested modification to the employee's workstation would result in significant changes to the way the business operates, potentially affecting other employees or the overall efficiency of the company. In such cases, the employer may argue that the accommodation is not reasonable or feasible.Rate this question:
-
- 33.
A group of health care professionals participate in a family conference for a patient with a spinal cord injury. During the conference one of the participants summarizes the patient’s progress with bathing and dressing activities. This type of information is typically conveyed by a/an:
-
Nurse.
-
2. Physical therapist.
-
Occupational therapist.
-
Case manager.
Correct Answer
A. Occupational therapist.Explanation
During a family conference for a patient with a spinal cord injury, the participant who summarizes the patient's progress with bathing and dressing activities is typically an occupational therapist. Occupational therapists specialize in helping patients regain their independence in daily activities such as bathing and dressing. They assess the patient's abilities and provide interventions to improve their functional skills and promote independence in self-care tasks. Therefore, it is the role of an occupational therapist to convey this type of information during a family conference.Rate this question:
-
- 34.
You have just taken goniometry measurements on a patient. In which part of a SOAP note would you record these measurements?
-
Subjective
-
Objective
-
Assessment
-
Plan
Correct Answer
A. ObjectiveExplanation
In a SOAP note, the objective section is where you would record goniometry measurements. This section focuses on the objective findings of the patient's assessment, including measurable data such as vital signs, physical examination findings, and test results. Goniometry measurements fall under the physical examination findings category as they involve measuring the range of motion of joints. Therefore, recording these measurements in the objective section is appropriate.Rate this question:
-
- 35.
In a problem-oriented medical record, a physical therapist assistant writes “patient states that his left knee pops when he stands up.” In which section would this be recorded?
-
Subjective
-
Objective
-
Assessment
-
Plan
Correct Answer
A. SubjectiveExplanation
In a problem-oriented medical record, the subjective section is where the patient's complaints, symptoms, and personal statements are recorded. Therefore, when the physical therapist assistant writes "patient states that his left knee pops when he stands up," it would be recorded in the subjective section. This section focuses on the patient's perspective and subjective experiences, providing valuable information for further assessment and treatment planning.Rate this question:
-
- 36.
In a SOAP note, short-term goals are listed:
-
Before long-term goals.
-
After long-term goals.
-
Before the objective section.
-
It does not matter.
Correct Answer
A. Before long-term goals.Explanation
Short-term goals are listed before long-term goals in a SOAP note. This is because short-term goals are specific and achievable objectives that need to be accomplished in a shorter period of time, while long-term goals are broader objectives that may take a longer time to achieve. By listing short-term goals before long-term goals, healthcare professionals can prioritize and focus on the immediate objectives that need to be addressed in the patient's care plan.Rate this question:
-
- 37.
3. A physician refers a patient rehabilitating from an intertrochanteric fracture to physical therapy. On the referral form the physician specifies the use of continuous ultrasound at 2.4 W/cm2 over the fracture site. The most appropriate therapist action is to:
-
Treat the patient as indicated on the referral form.
-
Request that the patient obtain a new referral from the physician.
-
Use another more acceptable modality.
-
Contact the referring physician.
Correct Answer
A. Contact the referring physician.Explanation
The most appropriate therapist action is to contact the referring physician. This is because the physician specified the use of continuous ultrasound at 2.4 W/cm2 over the fracture site, which is considered a high intensity and potentially harmful dose. It is important for the therapist to clarify and confirm the intended treatment plan with the physician to ensure the safety and well-being of the patient.Rate this question:
-
- 38.
A therapist should record observed information on range of motion and functional ability in the ________ section of a S.O.A.O. note?
-
Subjective
-
Objective
-
Assessment
-
Plan
Correct Answer
A. ObjectiveExplanation
In a S.O.A.P. note, the objective section is where the therapist should record observed information on range of motion and functional ability. The objective section focuses on measurable and observable data, such as the therapist's observations and measurements during the session. This information helps to provide an accurate and objective assessment of the client's progress and functional abilities.Rate this question:
-
- 39.
A male therapist prepares to treat a female patient using a soft tissue massage technique. The therapist would like to ensure that the patient does not misinterpret the purpose of the treatment technique. The most appropriate action is to:
-
Transfer the patient to another therapist’s schedule.
-
Request a female staff member to be present during treatment.
-
Select another less invasive technique.
-
Discharge the patient from physical therapy.
Correct Answer
A. Request a female staff member to be present during treatment.Explanation
To ensure that the patient does not misinterpret the purpose of the treatment technique, the therapist should request a female staff member to be present during treatment. This action helps to create a safe and comfortable environment for the patient, as having another female present can help alleviate any concerns or misunderstandings about the therapist's intentions. It also promotes professionalism and ethical practice by ensuring that appropriate boundaries are maintained during the treatment process.Rate this question:
-
- 40.
Suicide may include all of the following except?
-
Occurs as a result of a feeling of hopelessness
-
Patient experiences a sense of rejection
-
Common in adolescents
-
May not be prevented
Correct Answer
A. May not be preventedExplanation
The given options describe different aspects of suicide. The first option states that suicide may occur as a result of a feeling of hopelessness, which is a common contributing factor. The second option mentions that the patient experiences a sense of rejection, which can also be a factor leading to suicide. The third option states that suicide is common in adolescents, which is a demographic that is indeed at a higher risk. However, the fourth option states that suicide may not be prevented, which is incorrect. Suicide prevention strategies and interventions exist to help individuals in crisis and reduce the risk of suicide.Rate this question:
-
- 41.
The five stages of death and dying described by Kubler-Ross includes all of the following except?
-
Denial
-
Anger
-
Depression
-
Acceptance
-
All are included
Correct Answer
A. All are includedExplanation
The correct answer is "All are included." This means that all of the stages of death and dying described by Kubler-Ross are included in the five stages, which are denial, anger, depression, and acceptance.Rate this question:
-
- 42.
5. A therapist treats a 26-year-old male with complete C6 tetraplegia. During treatment the patient makes a culturally insensitive remark that the therapist feels is offensive. The most appropriate therapist action is to:
-
Document the incident in the medical record.
-
Transfer the patient to another therapist’s schedule.
-
Discharge the patient from physical therapy.
-
Inform the patient that the remark was offensive and continue with treatment
Correct Answer
A. Inform the patient that the remark was offensive and continue with treatmentExplanation
The most appropriate therapist action is to inform the patient that the remark was offensive and continue with treatment. This allows the therapist to address the issue directly with the patient and educate them about the impact of their remark. It also provides an opportunity for the therapist to establish boundaries and promote cultural sensitivity in the therapeutic relationship. Discharging the patient or transferring them to another therapist's schedule may not address the underlying issue and may hinder the patient's progress in therapy. Documenting the incident in the medical record is important for documentation purposes, but it should not be the only action taken.Rate this question:
-
- 43.
Therapists often have extremely busy schedules and must therefore make the most of the scheduled time they have with each patient. Which of the following would not improve the patient/therapist relationship?
-
Sit down when talking to the patient.
-
Call attention to how busy you are, but let the patient know you enjoy the time you spend with them.
-
Remove the patient from hospital traffic or busy areas where distractions may occur.
-
Look the patient in the eye during conversation.
Correct Answer
A. Call attention to how busy you are, but let the patient know you enjoy the time you spend with them.Explanation
Calling attention to how busy the therapist is, even if they also mention that they enjoy the time spent with the patient, would not improve the patient/therapist relationship. This may make the patient feel like they are a burden or that their time with the therapist is not valued. It is important for therapists to create a safe and supportive environment for their patients, and focusing on their own busyness may hinder this.Rate this question:
-
- 44.
In a problem-oriented medical record, a physical therapist assistant notes that the “patient complained of pain in back when sitting.” In which section of the SOAP note should this information be placed?
-
Subjective
-
Objective
-
Assessment
-
Plan
Correct Answer
A. SubjectiveExplanation
The information about the patient complaining of pain in the back when sitting should be placed in the Subjective section of the SOAP note. This section is used to document the patient's subjective experiences, symptoms, and complaints, as reported by the patient or caregiver. It provides important context for the healthcare provider to understand the patient's condition and guide further assessment and treatment.Rate this question:
-
- 45.
Health maintenance organizations may limit physical therapy coverage based on:
-
Number of visits per member
-
Number of procedures
-
Frequency of visits
-
Duration of each physical therapy treatment
Correct Answer
A. Number of visits per memberExplanation
Health maintenance organizations may limit physical therapy coverage based on the number of visits per member. This means that they may have a set limit on the number of times a member can receive physical therapy within a certain time period. This restriction helps to control costs and ensure that resources are allocated efficiently. By setting a limit on the number of visits per member, the health maintenance organization can manage their budget and ensure that all members have access to necessary medical services.Rate this question:
-
- 46.
A patient in a rehabilitation hospital confides to her therapist that she has been physically abused by her husband in the past and is concerned about returning home following discharge. The most appropriate therapist action is to:
-
Call adult protective services.
-
Contact the patient’s case manager.
-
Ask the patient to leave her husband.
-
4. Contact the patient’s spouse.
Correct Answer
A. Call adult protective services.Explanation
In this scenario, the patient confides in the therapist about being physically abused by her husband. The therapist's primary responsibility is to ensure the safety and well-being of the patient. By calling adult protective services, the therapist can involve the appropriate authorities who are trained to handle cases of abuse and protect the patient from further harm. Contacting the patient's case manager may not provide immediate intervention, and asking the patient to leave her husband may not be safe or feasible without proper support. Contacting the patient's spouse may potentially put the patient at risk. Therefore, calling adult protective services is the most appropriate action to ensure the patient's safety.Rate this question:
-
- 47.
A therapist instructs a patient that appears to be disinterested in a home exercise program. Which therapist action would be the most appropriate?
-
Allow the patient to select exercise activities.
-
Explain to the patient the importance of the home exercise program.
-
Explain to the patient the consequences of refusing treatment.
-
Discontinue the treatment session.
Correct Answer
A. Explain to the patient the importance of the home exercise program.Explanation
The most appropriate therapist action would be to explain to the patient the importance of the home exercise program. By doing so, the therapist can help the patient understand the benefits of the program and motivate them to participate. This approach allows the patient to make an informed decision and potentially increase their engagement in the home exercise program.Rate this question:
-
- 48.
A therapist treats a 15-year-old female of Spanish descent. The patient speaks only a few works of English and has significant difficulty understanding the therapist’s instructions. The most appropriate therapist reaction is to:
-
Speak strongly and directly to the patient.
-
Encourage frequent feedback from the patient.
-
Utilize an interpreter.
-
Emphasize nonverbal communication.
Correct Answer
A. Utilize an interpreter.Explanation
Given that the patient speaks only a few words of English and has significant difficulty understanding the therapist's instructions, the most appropriate therapist reaction would be to utilize an interpreter. This would ensure effective communication between the therapist and the patient, allowing for accurate understanding of instructions and providing the necessary treatment.Rate this question:
-
- 49.
There are many guidelines that are useful for clinicians attempting to avoid unnecessary litigation. Which of the following would be considered the most essential?
-
Conduct a thorough initial examination.
-
Instruct patients carefully in all exercise activities.
-
Keep the referring physician informed.
-
Maintain accurate and timely documentation.
Correct Answer
A. Maintain accurate and timely documentation.Explanation
Maintaining accurate and timely documentation is considered the most essential guideline for clinicians attempting to avoid unnecessary litigation. This is because proper documentation provides a clear record of the patient's condition, treatment, and progress, which can be crucial in case of any legal disputes. It helps in demonstrating that the clinician followed standard protocols, provided appropriate care, and communicated effectively with the patient and other healthcare providers. Accurate and timely documentation also ensures continuity of care and facilitates effective communication among the healthcare team.Rate this question:
-
Quiz Review Timeline (Updated): May 20, 2024 +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
-
Current Version
-
May 20, 2024Quiz Edited by
ProProfs Editorial Team -
Oct 13, 2013Quiz Created by
Amatsya
Back to top