PCM 2 Midterm Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Acute care defined by PT - CORRECT ANSWER any immediate or traumatic change
in medical status that affects the pts movement/changes their medical status-- usually
resulting in a hospital stay
Goal of acute care PT - CORRECT ANSWER to get the patient out of hospital as soon
as possible
Benefits of early mobility - CORRECT ANSWER decrease hospital stay and cost
Decrease hospital incident return
Presurgery PT can anticipate needs before surgery
The healthier and more educated the pt, the better off the pt is
Role of the PT in acute care - CORRECT ANSWER movement specialist that ensures
the pt can move around efficiently to conserve energy safely so they do not reproduce pain,
can negotiate tiny spaces, walk on different surfaces, balance while sitting on toilet, gait train
How is PT typically initiated in acute care - CORRECT ANSWER physician or nurse
taking care f pt notices they could benefit from PT
Consult from medical staff
Indicated for surgical procedure or dx
Pt comes into ED with some impairment
,How can an OT assist PT in acute care - CORRECT ANSWER makes sure the pt can
do adls: feeding, hygiene, grooming
Focusing on fine motor skills and what the actual task is doing
How can a nurse assist PT in acute care - CORRECT ANSWER help pt get out of bed
or get them walking (when safe) and ensures practice and repetition for the new skills being
relearned
For clinical decision making in acute care, there are 8 themes and 4 core constructs. What are
these 4 core constructs - CORRECT ANSWER 1. Collection of analysis of medical
info
2. Application of specialized PT knowledge
3. Communication used to gain knowledge
4. Communication to provide info
What are the 4 results of the 4 core constructs of clinical decision making in acute care PT -
CORRECT ANSWER 1. Continual dynamic assessment
2. Professional responsibility to advocate for our pts, ourselves and our profession
3. Complex environment
4. Guides decision making for pt care on a micro and macro scale
What is the key to a quick and efficient d/c of the pt from acute care - CORRECT
ANSWER clinical reasoning skills and communication between all health care
professionals
Reasons to focus acute care PT tx on improving mobility - CORRECT ANSWER 1.
Prevent deconditioning
2. Prevent pneumonia
3. Prevent pressure ulcers
4. Improves total body function
,What is the sequence of showing empathetic communication to your pt according to Dr.
Gorman - CORRECT ANSWER approaching the pt hx interview:
Learn about your pt
Build rapport
Adapt your style to specific situations/interactions
Discuss sensitive topics
Display cultural awareness
What are the 3 dimensions of cultural competence - CORRECT ANSWER self
awareness
Respectful communication
Collaborative partnership/mutual respect
Lay language when communicating with the pt shoulder be at what grade reading level -
CORRECT ANSWER 5th to 8th grade
Examples of being an active listener - CORRECT ANSWER 1. Eval pts tone of voice
2. Observing non verbal cues
3. Listening for main theme then reflecting that info back to the pt
4. Focusing on consent of the message instead of why it is communicated
5. Clarifying the message to ensure understanding
The ability to understand and share the feelings of others - CORRECT
ANSWER empathy
, The ability to engage your pt as an active participant in their care - CORRECT
ANSWER empowerment
General principles to empower your pt - CORRECT ANSWER 1. Inquire about pt's
perspective
2. Express interests in the person, not the problem
3. Follow pt's lead, elicit emotional content and share info
4. Make clinical reasoning transparent
5. Reveal the limits of your own knowledge- be humble
An event which results in a person coming to rest inadvertently on the ground or the floor or
other lower level surface - CORRECT ANSWER fall
What is the most common adverse event in the acute and post acute setting - CORRECT
ANSWER falls
What factors place someone at increased risk of fall - CORRECT ANSWER 1.
PLOF/prior falls
2. Cognition, behavior, CLOF
3. Poly pharmacy
4. Bowel and bladder function
5. Dx associated with falls
6. Vision
7. Lines and equipment
What can prevent falls - CORRECT ANSWER alarm system
Footwear
Medications
Toileting schedule
Lighting
QUESTIONS AND CORRECT ANSWERS
Acute care defined by PT - CORRECT ANSWER any immediate or traumatic change
in medical status that affects the pts movement/changes their medical status-- usually
resulting in a hospital stay
Goal of acute care PT - CORRECT ANSWER to get the patient out of hospital as soon
as possible
Benefits of early mobility - CORRECT ANSWER decrease hospital stay and cost
Decrease hospital incident return
Presurgery PT can anticipate needs before surgery
The healthier and more educated the pt, the better off the pt is
Role of the PT in acute care - CORRECT ANSWER movement specialist that ensures
the pt can move around efficiently to conserve energy safely so they do not reproduce pain,
can negotiate tiny spaces, walk on different surfaces, balance while sitting on toilet, gait train
How is PT typically initiated in acute care - CORRECT ANSWER physician or nurse
taking care f pt notices they could benefit from PT
Consult from medical staff
Indicated for surgical procedure or dx
Pt comes into ED with some impairment
,How can an OT assist PT in acute care - CORRECT ANSWER makes sure the pt can
do adls: feeding, hygiene, grooming
Focusing on fine motor skills and what the actual task is doing
How can a nurse assist PT in acute care - CORRECT ANSWER help pt get out of bed
or get them walking (when safe) and ensures practice and repetition for the new skills being
relearned
For clinical decision making in acute care, there are 8 themes and 4 core constructs. What are
these 4 core constructs - CORRECT ANSWER 1. Collection of analysis of medical
info
2. Application of specialized PT knowledge
3. Communication used to gain knowledge
4. Communication to provide info
What are the 4 results of the 4 core constructs of clinical decision making in acute care PT -
CORRECT ANSWER 1. Continual dynamic assessment
2. Professional responsibility to advocate for our pts, ourselves and our profession
3. Complex environment
4. Guides decision making for pt care on a micro and macro scale
What is the key to a quick and efficient d/c of the pt from acute care - CORRECT
ANSWER clinical reasoning skills and communication between all health care
professionals
Reasons to focus acute care PT tx on improving mobility - CORRECT ANSWER 1.
Prevent deconditioning
2. Prevent pneumonia
3. Prevent pressure ulcers
4. Improves total body function
,What is the sequence of showing empathetic communication to your pt according to Dr.
Gorman - CORRECT ANSWER approaching the pt hx interview:
Learn about your pt
Build rapport
Adapt your style to specific situations/interactions
Discuss sensitive topics
Display cultural awareness
What are the 3 dimensions of cultural competence - CORRECT ANSWER self
awareness
Respectful communication
Collaborative partnership/mutual respect
Lay language when communicating with the pt shoulder be at what grade reading level -
CORRECT ANSWER 5th to 8th grade
Examples of being an active listener - CORRECT ANSWER 1. Eval pts tone of voice
2. Observing non verbal cues
3. Listening for main theme then reflecting that info back to the pt
4. Focusing on consent of the message instead of why it is communicated
5. Clarifying the message to ensure understanding
The ability to understand and share the feelings of others - CORRECT
ANSWER empathy
, The ability to engage your pt as an active participant in their care - CORRECT
ANSWER empowerment
General principles to empower your pt - CORRECT ANSWER 1. Inquire about pt's
perspective
2. Express interests in the person, not the problem
3. Follow pt's lead, elicit emotional content and share info
4. Make clinical reasoning transparent
5. Reveal the limits of your own knowledge- be humble
An event which results in a person coming to rest inadvertently on the ground or the floor or
other lower level surface - CORRECT ANSWER fall
What is the most common adverse event in the acute and post acute setting - CORRECT
ANSWER falls
What factors place someone at increased risk of fall - CORRECT ANSWER 1.
PLOF/prior falls
2. Cognition, behavior, CLOF
3. Poly pharmacy
4. Bowel and bladder function
5. Dx associated with falls
6. Vision
7. Lines and equipment
What can prevent falls - CORRECT ANSWER alarm system
Footwear
Medications
Toileting schedule
Lighting
