, TEST BANK Meeting the Physical Therapy Needs of Children 3/E
Effgen, Fiss
d d
Chapter 01. Serving the Needs of Children and Their Families
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. According to the ICF, impairments are:
a. problems in functional activities.
b. restrictions in activities.
c. problems in physiological functions of body systems.
d. limitations in functional skills.
e. limitations in participation.
2. Evidenced-based practice should include:
a. expert opinion, continuing education, and personal experience.
b. intuition, unsystematic clinical experience.
c. explanations based on pathophysiology.
d. awareness, consultation, judgment, and creativity.
3. When possible, an examination should:
a. start with tests and measures in the clinical setting.
b. start with observation done in the natural environment while gathering history.
c. never be done in the waiting room.
d. start with determining the child’s strengths and weaknesses.
4. When developing the plan of care for a child, it is important to:
a. Determine goals and objectives before talking with the child and family.
b. Prescribe interventions focused on the child’s impairments.
c. Ensure goals and interventions address activity and participation.
d. Focus on measurable goals for the next 2 years.
5. In pediatric practice, a top-down approach to assessment is preferred because:
a. weaknesses are identified first, and it is child-centered.
b. desired outcomes are identified first, and it is family-centered.
c. it is the most common model used in physical therapy practice.
d. it is a deficit-driven model.
6. Chaining techniques work best:
a. with those with a cognitive impairment.
b. as negative reinforcement.
, c. as continuous reinforcement.
d. with discrete tasks having a clear beginning and end.
7. Reinforcing behaviors/skills that are
d d d d d d d d increasingly d d closer d d to d d the
d desired behavior/skill are called:
d d d dd dd
a. negative reinforcement.
b. behavioral programming.
c. positive reinforcement.
d. shaping.
8. Collaborative teams:
a. desire consensus decision-making in determining
d d d d d d d d
priorities for goals andobjectives.
d d d d dd dd
b. provide professionals with autonomy.
c. discourage role release because of liability issues.
d. prefer to provide intervention in special therapy rooms.
e. tell parents exactly what to do for their child.
9. Physical therapists first started to work with children:
a. in the 1940s for the treatment of children with cerebral palsy.
b. when Sister Kenny came to the United States to meet the
needs of children withpolio.
dd dd dd d d
c. when Berta Bobath introduced a treatment for children with cerebral palsy.
d. during the polio epidemic in the early part of the 20th century.
d d 10. External factors that may affect a child’s function include:
a. cognitive ability, emotional stability, motivation, and language ability.
b. impairments of body structures and functions and limitations in activities.
c. family support, access to health care, financial resources, and accessible schools.
d. family and child’s goals and objectives.
11. If one embraces the ICF model, no matter what setting a pediatric
ddtherapist is providing interventions in (clinic, school, home, etc.), the
dd dd d d d d d d d d
d primary long-
d d d
term goal of physical therapy shouldbe to:
d d dd dd d d d d
a. maximize the child’s strength,
d range
d of motion, d d
and posture in order to preventsecondary dd dd dd
impairments.
d d
b. minimize all physical impairments to improve
d d d d d d d d d d
the child’s motivation and self-confidence when
d d d d dd dd d d d d
among peers.
d d d d
c. maximize the child’s participation in the home, school, and community.
d. walk up and down the stairs independently in less than 3 minutes d
while carrying
dd two dd textbooks in order to change
classrooms in the time allotted between classes. dd dd dd d d
e. eliminate all environmental and personal barriers to the child’s community
, participation.
d d 12. A task analysis includes:
a. determining the prerequisite body functions.
b. the activities required to perform the task.
c. the cognitive requirements to perform the task.
d. understanding the motor planning requirements of the task.
e. All of the above
d d13. The sequence of the hierarchy of response competence is first skill acquisition
dd followed by: dd
a. fluency, maintenance, and generalization.
b. refinement of the skill, transfer, and attainment.
c. generalization, maintenance, and refinement.
d. transfer and performance in different environments.
d d14. Which model of team interaction is most commonly used in early
dd intervention programs? d d
a. Unidisciplinary model
b. Multidisciplinary model
c. Transdisciplinary model
d. Hierarchical model
15. Determining the frequency, intensity, and duration of intervention is
difficult; however, generalguidelines have been developed for:
dd d d d d d d d d d d d d
a. cerebral palsy, myelomeningocele, and traumatic brain injury.
b. pediatric hospitals and school-based settings.
c. outpatient orthopedics and neonatal intensive care units.
d. autism, Down syndrome, and muscular dystrophy.
d d 16. Collaborative teamwork does not include:
a. role release to designated team members.
b. consensus decision-making.
c. motor and communication skills embedded throughout the interventions.
d. professionals working in isolation on their own.
e. equal participation on the team by the family.
17. Which statement least reflects a family-centered philosophy of physical
d d
therapy intervention?
dd dd
a. Asking the family what their concerns are.
b. Providing the family a daily home exercise program to
d d d d d d d d d d d d d d d d
improve the child’s musclestrength in preparation for
d d d d dd dd d d d d d d
ambulation. d d
c. Identifying family caregiving routines and providing consultation to assist family
Effgen, Fiss
d d
Chapter 01. Serving the Needs of Children and Their Families
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. According to the ICF, impairments are:
a. problems in functional activities.
b. restrictions in activities.
c. problems in physiological functions of body systems.
d. limitations in functional skills.
e. limitations in participation.
2. Evidenced-based practice should include:
a. expert opinion, continuing education, and personal experience.
b. intuition, unsystematic clinical experience.
c. explanations based on pathophysiology.
d. awareness, consultation, judgment, and creativity.
3. When possible, an examination should:
a. start with tests and measures in the clinical setting.
b. start with observation done in the natural environment while gathering history.
c. never be done in the waiting room.
d. start with determining the child’s strengths and weaknesses.
4. When developing the plan of care for a child, it is important to:
a. Determine goals and objectives before talking with the child and family.
b. Prescribe interventions focused on the child’s impairments.
c. Ensure goals and interventions address activity and participation.
d. Focus on measurable goals for the next 2 years.
5. In pediatric practice, a top-down approach to assessment is preferred because:
a. weaknesses are identified first, and it is child-centered.
b. desired outcomes are identified first, and it is family-centered.
c. it is the most common model used in physical therapy practice.
d. it is a deficit-driven model.
6. Chaining techniques work best:
a. with those with a cognitive impairment.
b. as negative reinforcement.
, c. as continuous reinforcement.
d. with discrete tasks having a clear beginning and end.
7. Reinforcing behaviors/skills that are
d d d d d d d d increasingly d d closer d d to d d the
d desired behavior/skill are called:
d d d dd dd
a. negative reinforcement.
b. behavioral programming.
c. positive reinforcement.
d. shaping.
8. Collaborative teams:
a. desire consensus decision-making in determining
d d d d d d d d
priorities for goals andobjectives.
d d d d dd dd
b. provide professionals with autonomy.
c. discourage role release because of liability issues.
d. prefer to provide intervention in special therapy rooms.
e. tell parents exactly what to do for their child.
9. Physical therapists first started to work with children:
a. in the 1940s for the treatment of children with cerebral palsy.
b. when Sister Kenny came to the United States to meet the
needs of children withpolio.
dd dd dd d d
c. when Berta Bobath introduced a treatment for children with cerebral palsy.
d. during the polio epidemic in the early part of the 20th century.
d d 10. External factors that may affect a child’s function include:
a. cognitive ability, emotional stability, motivation, and language ability.
b. impairments of body structures and functions and limitations in activities.
c. family support, access to health care, financial resources, and accessible schools.
d. family and child’s goals and objectives.
11. If one embraces the ICF model, no matter what setting a pediatric
ddtherapist is providing interventions in (clinic, school, home, etc.), the
dd dd d d d d d d d d
d primary long-
d d d
term goal of physical therapy shouldbe to:
d d dd dd d d d d
a. maximize the child’s strength,
d range
d of motion, d d
and posture in order to preventsecondary dd dd dd
impairments.
d d
b. minimize all physical impairments to improve
d d d d d d d d d d
the child’s motivation and self-confidence when
d d d d dd dd d d d d
among peers.
d d d d
c. maximize the child’s participation in the home, school, and community.
d. walk up and down the stairs independently in less than 3 minutes d
while carrying
dd two dd textbooks in order to change
classrooms in the time allotted between classes. dd dd dd d d
e. eliminate all environmental and personal barriers to the child’s community
, participation.
d d 12. A task analysis includes:
a. determining the prerequisite body functions.
b. the activities required to perform the task.
c. the cognitive requirements to perform the task.
d. understanding the motor planning requirements of the task.
e. All of the above
d d13. The sequence of the hierarchy of response competence is first skill acquisition
dd followed by: dd
a. fluency, maintenance, and generalization.
b. refinement of the skill, transfer, and attainment.
c. generalization, maintenance, and refinement.
d. transfer and performance in different environments.
d d14. Which model of team interaction is most commonly used in early
dd intervention programs? d d
a. Unidisciplinary model
b. Multidisciplinary model
c. Transdisciplinary model
d. Hierarchical model
15. Determining the frequency, intensity, and duration of intervention is
difficult; however, generalguidelines have been developed for:
dd d d d d d d d d d d d d
a. cerebral palsy, myelomeningocele, and traumatic brain injury.
b. pediatric hospitals and school-based settings.
c. outpatient orthopedics and neonatal intensive care units.
d. autism, Down syndrome, and muscular dystrophy.
d d 16. Collaborative teamwork does not include:
a. role release to designated team members.
b. consensus decision-making.
c. motor and communication skills embedded throughout the interventions.
d. professionals working in isolation on their own.
e. equal participation on the team by the family.
17. Which statement least reflects a family-centered philosophy of physical
d d
therapy intervention?
dd dd
a. Asking the family what their concerns are.
b. Providing the family a daily home exercise program to
d d d d d d d d d d d d d d d d
improve the child’s musclestrength in preparation for
d d d d dd dd d d d d d d
ambulation. d d
c. Identifying family caregiving routines and providing consultation to assist family
