Page 1 of 32
TEXAS PHYSICAL THERAPY RULES EXAM WITH
180 QUESTIONS AND WELL ELABORATED
ANSWERS JUST RELEASED THIS YEAR
QUESTION: 1. Discuss who is responsible for the discharge summary; determine the PTAs role.
322.1 - ANSWER✔✔PT provides final documentation for discharge.PTA may participate by
providing subjective and objective patient info to the supervising PT.
QUESTION: 2. Discuss the role of the PT in providing therapy services. 322.2 - ANSWER✔✔(1)
The PT holds primary responsibility for physical therapy care rendered under his supervision.
(2) The PT's professional responsibilities include, but are not limited to:
(A) Performance and documentation of the initial physical therapy examination and evaluation
of the patient;
(B) Interpretation of the practitioner's referral;
(C) Development and documentation of a plan of care;
(D) Implementation of, or directing implementation of, the plan of care;
(E) Delegation of tasks to appropriate personnel;
(F) Direction and supervision of the PTA and physical therapy aide;
(G) Completion and accuracy of the patient's physical therapy record;
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(H) Performance and documentation of the reexamination and reevaluation of the patient as
described in this section; and when necessary, modification of the plan of care;
(I) Discharge of a patient or discontinuation of treatment;
(J) Development of any follow-up plan for the patient; and
Texas Board of Physical Therapy Examiners March 2018
5
(K) Collaboration with members of the health care team when appropriate.
(3) The PT shall not implement any plan of care that, in his judgment, is contraindicated.
QUESTION: 3. Discuss the PTAs role in the following areas: 322.2
a. responding to acute changes in pts status
b. educating other healthcare providers, patients, families
c. identifying architectural barriers
d. patient/family interaction
e. communication skills
f. recognizing strengths/limitations/scope of practice
g. safe, legal, ethical practice
h. basic concepts of the healthcare system
i. basic principles of administration - ANSWER✔✔PTA may be assigned responsibilities by a
supervising PT to:
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(A) screen patients designated by a PT as possible candidates for physical therapy services (See
§322.1(b) of this title (relating to Evaluation and screening));
(B) provide physical therapy services as specified in the physical therapy plan of care (See
§322.1(c) of this title (relating to Physical therapy plan of care development and
implementation)) which may include but are not limited to:
(i) preparing patients, treatment areas, and equipment;
(ii) implementing treatment programs that include therapeutic exercises; gait training and
techniques; ADL training techniques; administration of therapeutic heat and cold;
administration of ultrasound; administration of therapeutic electric current; administration of
ultraviolet; application of traction; performance of intermittent venous compression;
application of external bandages, dressings, and support; performance of goniometric
measurement;
(iii) modifying treatment techniques as indicated in the plan of care;
(C) respond to acute changes in physiological state;
(D) teach other health care providers, patients, and families to perform selected treatment
procedures and functional activities; and
(E) identify architectural barriers and report them to the PT.
QUESTION: 5. Identify areas that the Board has specifically stated that a PTA may not do. 322.2
- ANSWER✔✔PTA may NOT
A) specify and/or perform definitive (decisive, conclusive, final) evaluative and assessment
procedures;
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(B) alter a plan of care or goals;
(C) recommend wheelchairs, orthoses, prostheses, other assistive devices, or alterations to
architectural barriers to persons;
(D) sign progress notes which design or modify the plan of care.
QUESTION: 6. Discuss the role of the PT aide/tech in patient treatment. 322.2 -
ANSWER✔✔The role of the physical therapy aide.
(1) All rules governing the services provided by a PTA are further modified for the physical
therapy aide.
(2) A physical therapy aide may be assigned responsibilities by the supervising PT or PTA to
provide services as specified in the physical therapy plan of care within the scope of on-the-job
training with supervision by a PT or PTA who is on the premises and readily available to respond
in person.
(3) A physical therapy aide may not:
(A) perform any evaluative or assessment activities;
(B) initiate physical therapy treatment, to include exercise instruction; or
(C) write or sign physical therapy documents in the permanent record, except as provided for in
§322.1(e) of this title (relating to Documentation of treatment).
QUESTION: 7. Discuss the supervision of PTAs and techs. 322.3 - ANSWER✔✔(1) A supervising
PT or PTA is responsible for the supervision of, and the physical therapy services provided by,
the PT aide.
TEXAS PHYSICAL THERAPY RULES EXAM WITH
180 QUESTIONS AND WELL ELABORATED
ANSWERS JUST RELEASED THIS YEAR
QUESTION: 1. Discuss who is responsible for the discharge summary; determine the PTAs role.
322.1 - ANSWER✔✔PT provides final documentation for discharge.PTA may participate by
providing subjective and objective patient info to the supervising PT.
QUESTION: 2. Discuss the role of the PT in providing therapy services. 322.2 - ANSWER✔✔(1)
The PT holds primary responsibility for physical therapy care rendered under his supervision.
(2) The PT's professional responsibilities include, but are not limited to:
(A) Performance and documentation of the initial physical therapy examination and evaluation
of the patient;
(B) Interpretation of the practitioner's referral;
(C) Development and documentation of a plan of care;
(D) Implementation of, or directing implementation of, the plan of care;
(E) Delegation of tasks to appropriate personnel;
(F) Direction and supervision of the PTA and physical therapy aide;
(G) Completion and accuracy of the patient's physical therapy record;
, Page 2 of 32
(H) Performance and documentation of the reexamination and reevaluation of the patient as
described in this section; and when necessary, modification of the plan of care;
(I) Discharge of a patient or discontinuation of treatment;
(J) Development of any follow-up plan for the patient; and
Texas Board of Physical Therapy Examiners March 2018
5
(K) Collaboration with members of the health care team when appropriate.
(3) The PT shall not implement any plan of care that, in his judgment, is contraindicated.
QUESTION: 3. Discuss the PTAs role in the following areas: 322.2
a. responding to acute changes in pts status
b. educating other healthcare providers, patients, families
c. identifying architectural barriers
d. patient/family interaction
e. communication skills
f. recognizing strengths/limitations/scope of practice
g. safe, legal, ethical practice
h. basic concepts of the healthcare system
i. basic principles of administration - ANSWER✔✔PTA may be assigned responsibilities by a
supervising PT to:
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(A) screen patients designated by a PT as possible candidates for physical therapy services (See
§322.1(b) of this title (relating to Evaluation and screening));
(B) provide physical therapy services as specified in the physical therapy plan of care (See
§322.1(c) of this title (relating to Physical therapy plan of care development and
implementation)) which may include but are not limited to:
(i) preparing patients, treatment areas, and equipment;
(ii) implementing treatment programs that include therapeutic exercises; gait training and
techniques; ADL training techniques; administration of therapeutic heat and cold;
administration of ultrasound; administration of therapeutic electric current; administration of
ultraviolet; application of traction; performance of intermittent venous compression;
application of external bandages, dressings, and support; performance of goniometric
measurement;
(iii) modifying treatment techniques as indicated in the plan of care;
(C) respond to acute changes in physiological state;
(D) teach other health care providers, patients, and families to perform selected treatment
procedures and functional activities; and
(E) identify architectural barriers and report them to the PT.
QUESTION: 5. Identify areas that the Board has specifically stated that a PTA may not do. 322.2
- ANSWER✔✔PTA may NOT
A) specify and/or perform definitive (decisive, conclusive, final) evaluative and assessment
procedures;
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(B) alter a plan of care or goals;
(C) recommend wheelchairs, orthoses, prostheses, other assistive devices, or alterations to
architectural barriers to persons;
(D) sign progress notes which design or modify the plan of care.
QUESTION: 6. Discuss the role of the PT aide/tech in patient treatment. 322.2 -
ANSWER✔✔The role of the physical therapy aide.
(1) All rules governing the services provided by a PTA are further modified for the physical
therapy aide.
(2) A physical therapy aide may be assigned responsibilities by the supervising PT or PTA to
provide services as specified in the physical therapy plan of care within the scope of on-the-job
training with supervision by a PT or PTA who is on the premises and readily available to respond
in person.
(3) A physical therapy aide may not:
(A) perform any evaluative or assessment activities;
(B) initiate physical therapy treatment, to include exercise instruction; or
(C) write or sign physical therapy documents in the permanent record, except as provided for in
§322.1(e) of this title (relating to Documentation of treatment).
QUESTION: 7. Discuss the supervision of PTAs and techs. 322.3 - ANSWER✔✔(1) A supervising
PT or PTA is responsible for the supervision of, and the physical therapy services provided by,
the PT aide.
