Orthopedic Management for the Physical Therapist
Assistant, 5th Edition by Robert C. Manske
COMPLETE CHAPTERS 1-29| EXPERT VERIFIED
QUESTIONS & 100% CORRECT SOLUTIONS +
RATIONALES
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, Chapter 01: Patient Supervision and Observation During Treatment
MULTIPLE CHOICE
1. Who is responsible for carrying out prescribed selected interventions, patient supervision, data collection,
and appropriate supervision of a patient during physical therapy?
a. Physical therapist (PT)
b. Physical therapist assistant (PTA)
c. Nursing assistant
d. Medical doctor
ACCURATE ANSWER: B
The PTA is responsible for carrying out prescribed selected interventions, patient supervision, data collection
skills, and appropriate problem-solving and clinical decision making.
REF: P. 3
2. Which of the following is NOT a purpose of the clinical patient supervision process?
a. To gather relevant information and data
b. To establish and enhance rapport, trust, and confidence
c. To prescribe interventions the patient requires
d. To assist in the management of the patient
ACCURATE ANSWER: C
PTAs do not prescribe interventions for the patient. The PTA observes, documents, and discusses patient
observations with the PT.
REF: P. 4
3. Select the open-ended question.
a. What is your pain level today on a scale of 1-10?
b. When did the pain begin?
c. Tell me about the time that you injured knee.
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d. When did you take your last pain medication?
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,ACCURATE ANSWER: C
The open-ended question leads the patient to say more than yes or no. Open-ended questions provide much
richer details about the incident or experience.
REF: P. 6
4. Which of the following statements is true regarding the working environment of PTAs?
a. PTAs work in isolation with their patient assignments.
b. PTAs work with a team of experts in all areas of a patient’s care.
c. PTAs work only with the PT in providing therapy.
d. PTAs are the most important people on the rehabilitation team when providing therapy.
ACCURATE ANSWER: B
The PTA must be aware of the key members of the rehabilitation team. Occupational therapists, PTs, nurses,
respiratory therapists, psychologists, and audiologists are only a few of the important members of the
rehabilitation team. The PTA does not work in isolation.
REF: P. 4
5. Which of the following statements would be used in a discussion with a patient?
a. Your blood pressure is 150/90, which indicates hypertension and could lead to a cerebral vascular accident if
you don’t take your medications.
b. Your blood pressure is higher than normal today, 150/90. Did you take your blood pressure medication this
morning?
c. The doctor prescribed a beta-blocker for you a month ago. Has that been helping your blood pressure?
d. The combination of your calcium-channel blocker and beta-blocker do not seem to be controlling your blood
pressure. Let’s call the doctor.
ACCURATE ANSWER: B
The PTA should learn to communicate openly, freely, and in a professional manner. The PTA must employ
appropriate and professional medical terminology with professional people—but use familiar (lay) terms to
describe the same condition to a patient or a family member.
Avoiding the use of medical jargon (hypertension, beta-blocker, calcium-channel blocker) with patients is
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required by PTAs.
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REF: P. 4
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, 6. How can a PTA demonstrate accountability in their practice?
a. Maintain timely documentation about patient interventions.
b. Maintain good rapport with patients.
c. Continue their education past their initial degree.
d. Report all findings to the supervising PT so that modifications can be made in response to changes in patient
status.
ACCURATE ANSWER: D
PTAs are responsible for reporting all findings to the supervising PT so that modifications can be made in
accordance with changes in patient status.
REF: P. 6
7. Which type of questioning would you use to find facts or obtain specific responses from a patient about an
injury to a limb or joint?
a. Open-ended questions
b. Closed-ended questions
c. A pause
d. Neutral phrase
ACCURATE ANSWER: B
Figure 1-1. Closed-ended questions are used to find out specific details, direct the discussion, or elicit specific
responses from the patient.
REF: P. 8
8. Which of the following is an example of prompting during a physical therapy session?
a. ―When you walk up the steps, which foot will you move first?‖
b. ―All right, now pick up your right foot and put it on the next step.‖
c. Point to the step and touch the patient’s right leg.
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d. Observe the behavior of the patient to see if they will lift up the correct foot while walking up the steps.
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ACCURATE ANSWER: A
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