,Chapter 01: Patient Supervision and Observation During Treatment
g g g g g g g
MULTIPLEgCHOICE
1. Whogisgresponsiblegforgcarryinggoutgprescribedgselectedginterventions,gpatientgsupervision,gdatagc
ollection,gandgappropriategsupervisiongofgagpatientgduringgphysicalgtherapy?
a. Physicalgtherapistg(PT)
b. Physicalgtherapistgassistantg(PTA)
c. Nursinggassistant
d. Medicalgdoctor
ANS:g B
ThegPTAgisgresponsiblegforgcarryinggoutgprescribedgselectedginterventions,gpatientgsupervision,gda
tagcollectiongskills,gandgappropriategproblem-solvinggandgclinicalgdecisiongmaking.
REF:g P.g3
2. WhichgofgthegfollowinggisgNOTgagpurposegofgthegclinicalgpatientgsupervisiongprocess?
a. Toggathergrelevantginformationgandgdata
b. Togestablishgandgenhancegrapport,gtrust,gandgconfidence
c. Togprescribeginterventionsgthegpatientgrequires
d. Togassistgingthegmanagementgofgthegpatient
ANS:g C
PTAsgdognotgprescribeginterventionsgforgthegpatient.gThegPTAgobserves,gdocuments,gandgdiscusse
sgpatientgobservationsgwithgthegPT.
REF:g P.g4
3. Selectgthegopen-endedgquestion.
a. Whatgisgyourgpainglevelgtodaygongagscalegofg1-10?
b. Whengdidgthegpaingbegin?
c. Tellgmegaboutgthegtimegthatgyouginjuredgknee.
d. Whengdidgyougtakegyourglastgpaingmedication?
ANS:g C
Thegopen-endedgquestiongleadsgthegpatientgtogsaygmoregthangyesgorgno.gOpen-
endedgquestionsgprovidegmuchgrichergdetailsgaboutgthegincidentgorgexperience.
REF:g P.g6
4. WhichgofgthegfollowinggstatementsgisgtruegregardinggthegworkinggenvironmentgofgPTAs?
a. PTAsgworkgingisolationgwithgtheirgpatientgassignments.
b. PTAsgworkgwithgagteamgofgexpertsgingallgareasgofgagpatient’sgcare.
c. PTAsgworkgonlygwithgthegPTgingprovidinggtherapy.
d. PTAsgaregthegmostgimportantgpeoplegongthegrehabilitationgteamgwhengprovidinggt
herapy.
ANS:g B
, ThegPTAgmustgbegawaregofgthegkeygmembersgofgthegrehabilitationgteam.gOccupationalgtherapists
,gPTs,gnurses,grespiratorygtherapists,gpsychologists,gandgaudiologistsgaregonlygagfewgofgthegimport
antgmembersgofgthegrehabilitationgteam.gThegPTAgdoesgnotgworkgingisolation.
REF:g P.g4
5. Whichgofgthegfollowinggstatementsgwouldgbegusedgingagdiscussiongwithgagpatient?
a. Yourgbloodgpressuregisg150/90,gwhichgindicatesghypertensiongandgcouldgleadgtogagc
erebralgvasculargaccidentgifgyougdon’tgtakegyourgmedications.
b. Yourgbloodgpressuregisghighergthangnormalgtoday,g150/90.gDidgyougtakegyourgbloodgp
ressuregmedicationgthisgmorning?
c. Thegdoctorgprescribedgagbeta-
blockergforgyougagmonthgago.gHasgthatgbeenghelpinggyourgbloodgpressure?
d. Thegcombinationgofgyourgcalcium-channelgblockergandgbeta-
blockergdognotgseemgtogbegcontrollinggyourgbloodgpressure.gLet’sgcallgthegdoctor.
ANS:g B
ThegPTAgshouldglearngtogcommunicategopenly,gfreely,gandgingagprofessionalgmanner.gThegPTAgm
ustgemploygappropriategandgprofessionalgmedicalgterminologygwithgprofessionalgpeople—
butgusegfamiliarg(lay)gtermsgtogdescribegthegsamegconditiongtogagpatientgorgagfamilygmember.
Avoidinggthegusegofgmedicalgjargong(hypertension,gbeta-blocker,gcalcium-
channelgblocker)gwithgpatientsgisgrequiredgbygPTAs.
REF:g P.g4
6. HowgcangagPTAgdemonstrategaccountabilitygingtheirgpractice?
a. Maintaingtimelygdocumentationgaboutgpatientginterventions.
b. Maintainggoodgrapportgwithgpatients.
c. Continuegtheirgeducationgpastgtheirginitialgdegree.
d. ReportgallgfindingsgtogthegsupervisinggPTgsogthatgmodificationsgcangbegmadegingr
esponsegtogchangesgingpatientgstatus.
ANS:g D
PTAsgaregresponsiblegforgreportinggallgfindingsgtogthegsupervisinggPTgsogthatgmodificationsgcangbeg
madegingaccordancegwithgchangesgingpatientgstatus.
REF:g P.g6
7. Whichgtypegofgquestioninggwouldgyougusegtogfindgfactsgorgobtaingspecificgresponsesgfromgagp
atientgaboutganginjurygtogaglimbgorgjoint?
a. Open-endedgquestions
b. Closed-endedgquestions
c. Agpause
d. Neutralgphrase
ANS:g B
Figureg1-1.gClosed-
endedgquestionsgaregusedgtogfindgoutgspecificgdetails,gdirectgthegdiscussion,gorgelicitgspecificgresp
onsesgfromgthegpatient.
REF:g P.g8
8. Whichgofgthegfollowinggisgangexamplegofgpromptinggduringgagphysicalgtherapygsession?
, a. “Whengyougwalkgupgthegsteps,gwhichgfootgwillgyougmovegfirst?”
b. “Allgright,gnowgpickgupgyourgrightgfootgandgputgitgongthegnextgstep.”
c. Pointgtogthegstepgandgtouchgthegpatient’sgrightgleg.
d. Observegthegbehaviorgofgthegpatientgtogseegifgtheygwillgliftgupgthegcorrectgfootgwhileg
walkinggupgthegsteps.
ANS:g A
Promptinggagpatientgtogperformgagtaskgcangbegviewedgasgthegpresentationgofgagquestion.gPrompting
gallowsgpatientsgtogdecipherginformation,gsolvegproblems,gandgprovidegsolutionsgtogactivitiesgtheyg
mustgovercomegduringgrecovery.gCuesgaregdirections.
REF:g P.g9
9. Whogholdsgthegultimategresponsibilitygforgthegpatient’sgphysicalgtherapy?
a. PTA
b. Medicalgdoctor
c. Nurse
d. PT
ANS:g D
Togminimizegthegconfusinggarraygofgtreatmentgprotocols,gthegPTAgmustgeffectivelygandgefficientl
ygcommunicategwithgthegsupervisinggPTgtogclarifygdifferencesgingpatientgcare,galwaysgrememberin
ggthatgthegPTghasgthegultimategresponsibilitygforgtheginterventionsgprovided.
REF:g P.g10
10. WhichgofgthegfollowinggactionsgshouldgyougtakegifgyoughavegagdisagreementgwithgthegPT?
a. RefusegtogprovidegthegtreatmentgorginterventiongongthegPT’sgplangofgcare.
b. ChangegthegtreatmentgforgthegdaygandgthengreportgtogthegPTgwhatgwasgdonegatgthege
ndgofgthegday.
c. Followgthegplangofgcaregnogmattergwhatgchangesgaregobservedgingthegpatientgandgd
ocumentglater.
d. DiscussgyourgfindingsgandgrationalegwithgthegPTgtoglearngandgprovidegbettergcare.
ANS:g D
AgfullgunderstandinggofgthegrationalegandgpurposegofgPTginterventionsgallowsgforgimprovedgdeliv
erygofgcaregandgsafegandgeffectivegcare.gPTAsgcannotgchangegthegplangofgcaregbygthemselves.
REF:g P.g10
11. WhatgtypegofgbehaviorgisgthegPTAgusinggingthegfollowinggexample?
ThegPTAgquicklygagreesgtogthegpatient’sgrequestgtogslowgdowngandgstopgthegtreatmentgforgthegday
ginsteadgofgdiscussinggthegpurposegandgbenefitsgofgthegtreatment.
a. Dominance
b. Submission
c. Hostility
d. Warmth
ANS:g B
g g g g g g g
MULTIPLEgCHOICE
1. Whogisgresponsiblegforgcarryinggoutgprescribedgselectedginterventions,gpatientgsupervision,gdatagc
ollection,gandgappropriategsupervisiongofgagpatientgduringgphysicalgtherapy?
a. Physicalgtherapistg(PT)
b. Physicalgtherapistgassistantg(PTA)
c. Nursinggassistant
d. Medicalgdoctor
ANS:g B
ThegPTAgisgresponsiblegforgcarryinggoutgprescribedgselectedginterventions,gpatientgsupervision,gda
tagcollectiongskills,gandgappropriategproblem-solvinggandgclinicalgdecisiongmaking.
REF:g P.g3
2. WhichgofgthegfollowinggisgNOTgagpurposegofgthegclinicalgpatientgsupervisiongprocess?
a. Toggathergrelevantginformationgandgdata
b. Togestablishgandgenhancegrapport,gtrust,gandgconfidence
c. Togprescribeginterventionsgthegpatientgrequires
d. Togassistgingthegmanagementgofgthegpatient
ANS:g C
PTAsgdognotgprescribeginterventionsgforgthegpatient.gThegPTAgobserves,gdocuments,gandgdiscusse
sgpatientgobservationsgwithgthegPT.
REF:g P.g4
3. Selectgthegopen-endedgquestion.
a. Whatgisgyourgpainglevelgtodaygongagscalegofg1-10?
b. Whengdidgthegpaingbegin?
c. Tellgmegaboutgthegtimegthatgyouginjuredgknee.
d. Whengdidgyougtakegyourglastgpaingmedication?
ANS:g C
Thegopen-endedgquestiongleadsgthegpatientgtogsaygmoregthangyesgorgno.gOpen-
endedgquestionsgprovidegmuchgrichergdetailsgaboutgthegincidentgorgexperience.
REF:g P.g6
4. WhichgofgthegfollowinggstatementsgisgtruegregardinggthegworkinggenvironmentgofgPTAs?
a. PTAsgworkgingisolationgwithgtheirgpatientgassignments.
b. PTAsgworkgwithgagteamgofgexpertsgingallgareasgofgagpatient’sgcare.
c. PTAsgworkgonlygwithgthegPTgingprovidinggtherapy.
d. PTAsgaregthegmostgimportantgpeoplegongthegrehabilitationgteamgwhengprovidinggt
herapy.
ANS:g B
, ThegPTAgmustgbegawaregofgthegkeygmembersgofgthegrehabilitationgteam.gOccupationalgtherapists
,gPTs,gnurses,grespiratorygtherapists,gpsychologists,gandgaudiologistsgaregonlygagfewgofgthegimport
antgmembersgofgthegrehabilitationgteam.gThegPTAgdoesgnotgworkgingisolation.
REF:g P.g4
5. Whichgofgthegfollowinggstatementsgwouldgbegusedgingagdiscussiongwithgagpatient?
a. Yourgbloodgpressuregisg150/90,gwhichgindicatesghypertensiongandgcouldgleadgtogagc
erebralgvasculargaccidentgifgyougdon’tgtakegyourgmedications.
b. Yourgbloodgpressuregisghighergthangnormalgtoday,g150/90.gDidgyougtakegyourgbloodgp
ressuregmedicationgthisgmorning?
c. Thegdoctorgprescribedgagbeta-
blockergforgyougagmonthgago.gHasgthatgbeenghelpinggyourgbloodgpressure?
d. Thegcombinationgofgyourgcalcium-channelgblockergandgbeta-
blockergdognotgseemgtogbegcontrollinggyourgbloodgpressure.gLet’sgcallgthegdoctor.
ANS:g B
ThegPTAgshouldglearngtogcommunicategopenly,gfreely,gandgingagprofessionalgmanner.gThegPTAgm
ustgemploygappropriategandgprofessionalgmedicalgterminologygwithgprofessionalgpeople—
butgusegfamiliarg(lay)gtermsgtogdescribegthegsamegconditiongtogagpatientgorgagfamilygmember.
Avoidinggthegusegofgmedicalgjargong(hypertension,gbeta-blocker,gcalcium-
channelgblocker)gwithgpatientsgisgrequiredgbygPTAs.
REF:g P.g4
6. HowgcangagPTAgdemonstrategaccountabilitygingtheirgpractice?
a. Maintaingtimelygdocumentationgaboutgpatientginterventions.
b. Maintainggoodgrapportgwithgpatients.
c. Continuegtheirgeducationgpastgtheirginitialgdegree.
d. ReportgallgfindingsgtogthegsupervisinggPTgsogthatgmodificationsgcangbegmadegingr
esponsegtogchangesgingpatientgstatus.
ANS:g D
PTAsgaregresponsiblegforgreportinggallgfindingsgtogthegsupervisinggPTgsogthatgmodificationsgcangbeg
madegingaccordancegwithgchangesgingpatientgstatus.
REF:g P.g6
7. Whichgtypegofgquestioninggwouldgyougusegtogfindgfactsgorgobtaingspecificgresponsesgfromgagp
atientgaboutganginjurygtogaglimbgorgjoint?
a. Open-endedgquestions
b. Closed-endedgquestions
c. Agpause
d. Neutralgphrase
ANS:g B
Figureg1-1.gClosed-
endedgquestionsgaregusedgtogfindgoutgspecificgdetails,gdirectgthegdiscussion,gorgelicitgspecificgresp
onsesgfromgthegpatient.
REF:g P.g8
8. Whichgofgthegfollowinggisgangexamplegofgpromptinggduringgagphysicalgtherapygsession?
, a. “Whengyougwalkgupgthegsteps,gwhichgfootgwillgyougmovegfirst?”
b. “Allgright,gnowgpickgupgyourgrightgfootgandgputgitgongthegnextgstep.”
c. Pointgtogthegstepgandgtouchgthegpatient’sgrightgleg.
d. Observegthegbehaviorgofgthegpatientgtogseegifgtheygwillgliftgupgthegcorrectgfootgwhileg
walkinggupgthegsteps.
ANS:g A
Promptinggagpatientgtogperformgagtaskgcangbegviewedgasgthegpresentationgofgagquestion.gPrompting
gallowsgpatientsgtogdecipherginformation,gsolvegproblems,gandgprovidegsolutionsgtogactivitiesgtheyg
mustgovercomegduringgrecovery.gCuesgaregdirections.
REF:g P.g9
9. Whogholdsgthegultimategresponsibilitygforgthegpatient’sgphysicalgtherapy?
a. PTA
b. Medicalgdoctor
c. Nurse
d. PT
ANS:g D
Togminimizegthegconfusinggarraygofgtreatmentgprotocols,gthegPTAgmustgeffectivelygandgefficientl
ygcommunicategwithgthegsupervisinggPTgtogclarifygdifferencesgingpatientgcare,galwaysgrememberin
ggthatgthegPTghasgthegultimategresponsibilitygforgtheginterventionsgprovided.
REF:g P.g10
10. WhichgofgthegfollowinggactionsgshouldgyougtakegifgyoughavegagdisagreementgwithgthegPT?
a. RefusegtogprovidegthegtreatmentgorginterventiongongthegPT’sgplangofgcare.
b. ChangegthegtreatmentgforgthegdaygandgthengreportgtogthegPTgwhatgwasgdonegatgthege
ndgofgthegday.
c. Followgthegplangofgcaregnogmattergwhatgchangesgaregobservedgingthegpatientgandgd
ocumentglater.
d. DiscussgyourgfindingsgandgrationalegwithgthegPTgtoglearngandgprovidegbettergcare.
ANS:g D
AgfullgunderstandinggofgthegrationalegandgpurposegofgPTginterventionsgallowsgforgimprovedgdeliv
erygofgcaregandgsafegandgeffectivegcare.gPTAsgcannotgchangegthegplangofgcaregbygthemselves.
REF:g P.g10
11. WhatgtypegofgbehaviorgisgthegPTAgusinggingthegfollowinggexample?
ThegPTAgquicklygagreesgtogthegpatient’sgrequestgtogslowgdowngandgstopgthegtreatmentgforgthegday
ginsteadgofgdiscussinggthegpurposegandgbenefitsgofgthegtreatment.
a. Dominance
b. Submission
c. Hostility
d. Warmth
ANS:g B
