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Test Bank for Fundamental Orthopedic Management for the Physical Therapist Assistant
5th Edition
by Robert C. Manske
All Chapters (1 -29)| Expert Verified Answers With Rationales| Graded A+
1|Page
, TESTBANKS BY TESTBANKSNERD
Chapter 1. Patient Supervision and Observation During Treatment
Manske: Fundamental Orthopedic Management for the Physical Therapist Assistant, 5th
Edition
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
ANSWER: B
The PTA is responsible for carrying out prescribed selected interventions, patient
supervision, data collection, and appropriate problem-solving and clinical decision
making.
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
ANSWER: C
PTAs do not prescribe interventions for the patient. The PTA observes, documents, and
discusses patient observations with the PT.
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.
d. When did you take your last pain medication?
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.
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.
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
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few of the important members of the rehabilitation team. The PTA does not work in
isolation.
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.”
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 required by PTAs.
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.
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.
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
ANSWER: B
Closed-ended questions are used to find out specific details, direct the discussion, or
elicit specific responses from the patient.
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.
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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ANSWER: A
Prompting a patient to perform a task can be viewed as the presentation of a question.
Prompting allows patients to decipher information, solve problems, and provide
solutions to activities they must overcome during recovery. Cues are directions.
9. Who holds the ultimate responsibility for the patient’s physical therapy?
a. PTA
b. Medical doctor
c. Nurse
d. PT
ANSWER: D
To minimize the confusing array of treatment protocols, the PTA must effectively and
efficiently communicate with the supervising PT to clarify differences in patient care,
always remembering that the PT has the ultimate responsibility for the interventions
provided.
10. Which of the following actions should you take if you have a disagreement with the PT?
a. Refuse to provide the treatment or intervention on the PT’s plan of care.
b. Change the treatment for the day and then report to the PT what was done
at the end of the day.
c. Follow the plan of care no matter what changes are observed in the
patient and document later.
d. Discuss your findings and rationale with the PT to learn and provide better care.
ANSWER: D
A full understanding of the rationale and purpose of PT interventions allows for
improved delivery of care and safe and effective care. PTAs cannot change the plan of
care by themselves.
11. When can a PTA adjust or modify a program of treatment?
a. When the PTA observes certain signs and symptoms in the patient
b. After seeking input and direction from the supervising PT
c. The PTA cannot ever change the plan of care
d. None of the above
ANSWER: B
The PTA, with direction and input from the supervising PT, can adjust or modify the
program of treatment.
12. The PTA’s clinical decision-making process should begin with
a. taking orderly and specific steps to notify the supervising PT.
b. recognizing that a problem exists.
c. adjusting the program according to the patient’s needs.
d. asking the PT to assess the patient.
ANSWER: B
The clinical decision-making process used by the PTA involves recognizing that a
problem exists, then taking orderly and specific steps to notify the supervising PT
and adjusting the program accordingly.
4|Page
Test Bank for Fundamental Orthopedic Management for the Physical Therapist Assistant
5th Edition
by Robert C. Manske
All Chapters (1 -29)| Expert Verified Answers With Rationales| Graded A+
1|Page
, TESTBANKS BY TESTBANKSNERD
Chapter 1. Patient Supervision and Observation During Treatment
Manske: Fundamental Orthopedic Management for the Physical Therapist Assistant, 5th
Edition
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
ANSWER: B
The PTA is responsible for carrying out prescribed selected interventions, patient
supervision, data collection, and appropriate problem-solving and clinical decision
making.
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
ANSWER: C
PTAs do not prescribe interventions for the patient. The PTA observes, documents, and
discusses patient observations with the PT.
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.
d. When did you take your last pain medication?
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.
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.
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
2|Page
, TESTBANKS BY TESTBANKSNERD
few of the important members of the rehabilitation team. The PTA does not work in
isolation.
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.”
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 required by PTAs.
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.
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.
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
ANSWER: B
Closed-ended questions are used to find out specific details, direct the discussion, or
elicit specific responses from the patient.
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.
d. Observe the behavior of the patient to see if they will lift up the correct foot
while walking up the steps.
3|Page
, TESTBANKS BY TESTBANKSNERD
ANSWER: A
Prompting a patient to perform a task can be viewed as the presentation of a question.
Prompting allows patients to decipher information, solve problems, and provide
solutions to activities they must overcome during recovery. Cues are directions.
9. Who holds the ultimate responsibility for the patient’s physical therapy?
a. PTA
b. Medical doctor
c. Nurse
d. PT
ANSWER: D
To minimize the confusing array of treatment protocols, the PTA must effectively and
efficiently communicate with the supervising PT to clarify differences in patient care,
always remembering that the PT has the ultimate responsibility for the interventions
provided.
10. Which of the following actions should you take if you have a disagreement with the PT?
a. Refuse to provide the treatment or intervention on the PT’s plan of care.
b. Change the treatment for the day and then report to the PT what was done
at the end of the day.
c. Follow the plan of care no matter what changes are observed in the
patient and document later.
d. Discuss your findings and rationale with the PT to learn and provide better care.
ANSWER: D
A full understanding of the rationale and purpose of PT interventions allows for
improved delivery of care and safe and effective care. PTAs cannot change the plan of
care by themselves.
11. When can a PTA adjust or modify a program of treatment?
a. When the PTA observes certain signs and symptoms in the patient
b. After seeking input and direction from the supervising PT
c. The PTA cannot ever change the plan of care
d. None of the above
ANSWER: B
The PTA, with direction and input from the supervising PT, can adjust or modify the
program of treatment.
12. The PTA’s clinical decision-making process should begin with
a. taking orderly and specific steps to notify the supervising PT.
b. recognizing that a problem exists.
c. adjusting the program according to the patient’s needs.
d. asking the PT to assess the patient.
ANSWER: B
The clinical decision-making process used by the PTA involves recognizing that a
problem exists, then taking orderly and specific steps to notify the supervising PT
and adjusting the program accordingly.
4|Page
