Effgen, Fiss
r s r s
Chapter r s 01. Serving the
r s r s r s Needs r s of r s Children r s and Their r s r s Families
Multiple Choice r s
Identify the choice that best completes the statement
r s r s r s r s r s r s r s r s or answers the question.
r s r s r s
1. rs According to the ICF, impairments are:
rs r s r s r s r s r s
a. problems in functional activities. r s r s r s
b. restrictions in activities. r s r s
c. problems in physiological functions of body systems.
r s r s r s r s r s r s
d. limitations in functional skills. r s r s r s
e. limitations in participation. r s r s
2. rs Evidenced-based practice should include:
rs r s r s r s
a. expert opinion, continuing education, and personal
r s r s r s r s r s r s experience.
b. intuition, unsystematic clinical experience. r s r s r s
c. explanations based on pathophysiology. r s r s r s
d. awareness, consultation, judgment, and creativity. r s r s r s r s
3. rs rs When possible, an examination should:
r s r s r s r s
a. start with tests and measures in the clinical setting.
r s r s r s r s r s r s r s r s
b. start with observation done in the natural environment while
r s r s r s r s r s r s r s r s r s gathering
history.
r s
c. never be done in the waiting room. r s r s r s r s r s r s
d. start with determining the child’s strengths and weaknesses.
r s r s r s r s r s r s r s
4. rs rs When developing the plan of care for a child, it is important to:
r s r s r s r s r s r s r s r s r s r s r s r s
a. Determine goals and objectives before talking with the child and family.
r s r s r s r s r s r s r s r s r s r s
b. Prescribe interventions focused on the child’s impairments.
r s r s r s r s r s r s
c. Ensure goals and interventions address activity and participation.
r s r s r s r s r s r s r s
d. Focus on measurable goals for the next 2 years.
r s r s r s r s r s r s r s r s
5. rs rs In r spediatric practice, a top-down approach to assessment is preferred
r s r s r s r s r s r s r s r s r s because:
a. weaknesses are identified first, and it is child-centered.
r s r s r s r s r s r s r s
b. desired outcomes are identified first, and it is family-centered.
r s r s r s r s r s r s r s r s
c. it is the most common model used in physical therapy practice.
r s r s r s r s r s r s r s r s r s r s
d. it is a deficit-driven model.
r s r s r s r s
r s 6. Chaining techniques work best: r s r s r s
a. with those with a cognitive r s r s r s r s r s impairment.
b. as negative reinforcement. r s r s
, c. as continuous reinforcement.
r s r s
d. with discrete tasks having a clear
r s r s r s r s r s r s beginning r s and r s end.
7. r sReinforcing behaviors/skills that are increasingly closer to the desired
r s r s r s r s r s r s r s r s
behavior/skill are called:
r s r s rs
a. negative reinforcement. r s
b. behavioral programming. r s
c. positive reinforcement. r s
d. shaping.
8. rs Collaborative teams:
rs r s
a. desire consensus decision-making in determining priorities for
r s r s r s r s r s r s
goals andobjectives.
r s rs
b. provide professionals with autonomy. r s r s r s
c. discourage role release because of liability issues. r s r s r s r s r s r s
d. prefer to provide intervention in special therapy rooms.
r s r s r s r s r s r s r s
e. tell parents exactly what to do for their child.
r s r s r s r s r s r s r s r s
9. rs Physical therapists first started to work with children:
rs r s r s r s r s r s r s r s
a. in the 1940s for the treatment of children with cerebral palsy.
r s r s r s r s r s r s r s r s r s r s
b. when Sister Kenny came to the United States to meet the
r s r s r s r s r s r s r s r s r s r s
needs of children withpolio.
r s r s rs r s
c. when Berta Bobath introduced a treatment for children with cerebral
r s r s r s r s r s r s r s r s r s r s palsy.
d. during the polio epidemic in the early part of the 20th century.
r s r s r s r s r s r s r s r s r s r s r s
r s 10. External factors that may affect a child’s function include:
r s r s r s r s r s r s r s r s
a. cognitive ability, emotional stability, motivation, and language ability.
r s r s r s r s r s r s r s
b. impairments of body structures and functions and limitations in activities.
r s r s r s r s r s r s r s r s r s
c. family support, access to health care, financial resources, and accessible
r s r s r s r s r s r s r s r s r s
schools. r s
d. family and child’s goals and objectives. r s r s r s r s r s
r s 11. If one embraces the ICF model, no matter what setting a pediatric
r s r s r s r s r s r s r s r s r s r s r s r s
therapist is providing interventions in (clinic, school, home, etc.), the primary
r s r s r s rs r s r s r s r s r s r s r s
long-term goal of physical therapy shouldbe to:
r s r s r s r s rs r s r s
a. maximize the child’s strength, range of motion, and posture in
r s r s r s r s r s r s r s r s r s
order to preventsecondary impairments.
r s r s rs r s
b. minimize all physical impairments to improve the child’s
r s r s r s r s r s r s r s
motivation and self-confidence when among peers.
r s rs r s rs r s r s r s
c. maximize the child’s participation in the home, school, and community.
r s r s r s r s r s r s r s r s r s
d. walk up and down the stairs independently in less than 3
r s r s r s r s r s r s r s r s r s r s
minutes while carrying two textbooks in order to change
r s r s r s r s r s r s r s r s r s
classrooms in the time allotted between classes.
r s r s r s r s r s rs r s
e. eliminate all environmental and personal barriers to the child’s community
r s r s r s r s r s r s r s r s r s
, participation.
r s 12. A r s task analysis includes:
r s r s
a. determining the prerequisite body functions. r s r s r s r s
b. the activities required to perform the task.
r s r s r s r s r s r s
c. the cognitive requirements to perform the task.
r s r s r s r s r s r s
d. understanding the motor planning requirements of the r s r s r s r s r s r s r s task.
e. All of the above
r s r s r s
r 13. The sequence of the hierarchy of response competence
s r s r s r s r s r s r s r s r s is r s first r s skill r s acquisition
r s followed by: r s
a. fluency, maintenance, and generalization. r s r s r s
b. refinement of the skill, transfer, and attainment. r s r s r s r s r s r s
c. generalization, maintenance, and refinement. r s r s r s
d. transfer and performance in different environments.
r s r s r s r s r s
r 14. Which model of team interaction
s r s r s r s r s r s is r s most r s commonly used in r s r s r s early intervention
r s
r s programs?
a. Unidisciplinary model r s
b. Multidisciplinary model r s
c. Transdisciplinary model r s
d. Hierarchical model r s
r s 15. Determining the frequency, intensity, and duration of intervention is difficult;
r s r s r s r s r s r s r s r s r s r s
however, generalguidelines have been developed for:
r s r s r s r s r s r s
a. cerebral palsy, myelomeningocele, and traumatic brain injury.
r s r s r s r s r s r s
b. pediatric hospitals and school-based settings.r s r s r s r s
c. outpatient orthopedics and neonatal intensive care units.
r s r s r s r s r s r s
d. autism, Down syndrome, and muscular dystrophy.
r s r s r s r s r s
r s 16. Collaborative teamwork does not include: r s r s r s r s
a. role release to designated team members.
r s r s r s r s r s
b. consensus decision-making. r s
c. motor and communication skills embedded throughout the
r s r s r s r s r s r s r s interventions.
d. professionals working in isolation on their own. r s r s r s r s r s r s
e. equal participation on the team by the family.
r s r s r s r s r s r s r s
r 17. Which statement least reflects a family-centered philosophy of physical therapy
s r s r s r s r s r s r s r s r s r s
r s intervention?
a. Asking the family what their concerns are. r s r s r s r s r s r s
b. Providing the family a daily home exercise program to improve
r s r s r s r s r s r s r s r s r s
the child’s musclestrength in preparation for ambulation.
r s r s rs r s r s r s r s
c. Identifying family caregiving routines and providing consultation to assist
r s r s r s r s r s r s r s r s
family r s