Question 1

How can a PT or PTA determine a patient's cognitive level?

Accepted Answer

A) By asking questions related to person, place, and thing 
B) By asking questions related to the weather, time of day, and the person's gender 
C) By asking questions about the person's prior level of function 
D) By asking questions about the person's name, occupation, and educational level 
A) By asking questions related to person, place, and thing 
B) By asking questions related to the weather, time of day, and the person's gender 
C) By asking questions about the person's prior level of function 
D) By asking questions about the person's name, occupation, and educational level A

Question 2

According to the APTA's Guide to Physical Therapist Practice, there are five elements of physical therapy patient management.What is the first step that should be completed in this process?

Accepted Answer

A) Examination 
B) Evaluation 
C) Diagnosis 
D) Intervention 
A) Examination 
B) Evaluation 
C) Diagnosis 
D) Intervention A

Question 3

What information would be included in the subjective section of the SOAP note when the PT completes the initial evaluation?

Accepted Answer

A) Referral to another medical practitioner 
B) Active range of motion (AROM) parameters 
C) The patient's progress 
D) Pain level prior to treatment 
A) Referral to another medical practitioner 
B) Active range of motion (AROM) parameters 
C) The patient's progress 
D) Pain level prior to treatment D

Question 4

It is important to use appropriate terminology when referring to the patient in the documentation process.This process is known as "person-first terminology." Identify the correct statement that meets the requirements of person-first terminology.

Accepted Answer

A) The paralyzed patient, Mr.Jones, was able to walk 20 feet today. 
B) The CVA patient was doing better today. 
C) Mrs.Smith, who has a left transtibial amputation, is getting her prosthesis today. 
D) The TBI male in room 603 was combative today and needed to be moved. 
A) The paralyzed patient, Mr.Jones, was able to walk 20 feet today. 
B) The CVA patient was doing better today. 
C) Mrs.Smith, who has a left transtibial amputation, is getting her prosthesis today. 
D) The TBI male in room 603 was combative today and needed to be moved.

Question 5

Why is it important to know the patient's pain level prior to the treatment session?

Accepted Answer

A) To determine whether the patient needs pain medication 
B) To determine whether the patient cannot perform the exercises that day 
C) To determine whether the patient has increased or decreased pain following the treatment session 
D) It has no bearing on the treatment session. 
A) To determine whether the patient needs pain medication 
B) To determine whether the patient cannot perform the exercises that day 
C) To determine whether the patient has increased or decreased pain following the treatment session 
D) It has no bearing on the treatment session.

Question 6

A judgment about the level of optimal improvement the patient may attain and the amount of time needed to reach that level is the definition of:

Accepted Answer

A) evaluation. 
B) intervention. 
C) examination. 
D) prognosis. 
A) evaluation. 
B) intervention. 
C) examination. 
D) prognosis.

Question 7

The anticipated discharge plans would be part of what section within the initial evaluation completed by the PT?

Accepted Answer

A) Plan of care 
B) Prognosis 
C) Tests and measures 
D) Systems review 
A) Plan of care 
B) Prognosis 
C) Tests and measures 
D) Systems review

Question 8

When the PT performs the evaluation of the patient, what would be the most important factor to consider related to the evaluation process?

Accepted Answer

A) Functional abilities 
B) Cognitive abilities 
C) Communication abilities 
D) Quality of movement 
A) Functional abilities 
B) Cognitive abilities 
C) Communication abilities 
D) Quality of movement

Question 9

What does the diagnosis help the PT determine during the evaluation process?

Accepted Answer

A) Ability of the patient to progress through the plan of care 
B) Amount of support that will be provided by the patient's family 
C) Impact on the patient's ability to learn and communicate 
D) Impairments and functional limitations of the patient 
A) Ability of the patient to progress through the plan of care 
B) Amount of support that will be provided by the patient's family 
C) Impact on the patient's ability to learn and communicate 
D) Impairments and functional limitations of the patient

Question 10

In which portion of the PT note would completion of the therapeutic goals be included?

Accepted Answer

A) Subjective data 
B) Summation of care 
C) Plan of care 
D) Initial evaluation 
A) Subjective data 
B) Summation of care 
C) Plan of care 
D) Initial evaluation

Question 11

The ability of patients to catch themselves if they lose their balance or their center of gravity shifts too far in one direction is defined as:

Accepted Answer

A) abnormal reflex patterns. 
B) automatic reactions. 
C) autonomic reactions. 
D) abnormal postural changes. 
A) abnormal reflex patterns. 
B) automatic reactions. 
C) autonomic reactions. 
D) abnormal postural changes.

Question 12

The patient's medical record includes, but is not limited to, 11 sections.Choose the section that is usually not included in the medical record.

Accepted Answer

A) History 
B) Plan of care 
C) Tests and measures 
D) Parent's occupation 
A) History 
B) Plan of care 
C) Tests and measures 
D) Parent's occupation

Question 13

Within the component section of the evaluation, the PT looks at the patient's tone.How does tone affect the outcome of the evaluation?

Accepted Answer

A) Changes in tone can make the patient fatigue much more quickly. 
B) Changes in tone can affect the patient's functional abilities. 
C) Changes in tone can affect the patient's ability to think. 
D) Changes in tone do not affect the patient's ability to walk. 
A) Changes in tone can make the patient fatigue much more quickly. 
B) Changes in tone can affect the patient's functional abilities. 
C) Changes in tone can affect the patient's ability to think. 
D) Changes in tone do not affect the patient's ability to walk.

Question 14

Evaluating the ability of the patient to move in a smooth, coordinated manner as he or she transitions in and out of a position is known as evaluating:

Accepted Answer

A) cognitive abilities. 
B) normal reflex patterns. 
C) motor planning. 
D) quality of movement. 
A) cognitive abilities. 
B) normal reflex patterns. 
C) motor planning. 
D) quality of movement.

Question 15

Why is it important to document reasons for skilled therapeutic intervention in the initial evaluation?

Accepted Answer

A) To help the patient learn what activities are important for his or her return to work 
B) To provide the caregiver or family with a home exercise program 
C) To provide evidence to third-party payers that PT services are necessary 
D) To prove to the treating facility that PT services are needed 
A) To help the patient learn what activities are important for his or her return to work 
B) To provide the caregiver or family with a home exercise program 
C) To provide evidence to third-party payers that PT services are necessary 
D) To prove to the treating facility that PT services are needed

Question 16

Choose the item that would not be included in the section of the initial examination process that reviews the patient's history.

Accepted Answer

A) Social history 
B) Medications 
C) Goals and outcomes 
D) Functional status 
A) Social history 
B) Medications 
C) Goals and outcomes 
D) Functional status

Question 17

What helps determine the type of documentation used when treating a patient?

Accepted Answer

A) Patient's diagnosis 
B) Type of setting 
C) The plan of care 
D) The third-party payer 
A) Patient's diagnosis 
B) Type of setting 
C) The plan of care 
D) The third-party payer

Question 18

The PT has asked the PTA to perform an initial evaluation on a patient, stating, "You have watched me do evaluations for over 2 years now and I think you are ready to do this one.I will watch you, make changes to it, and sign it when you are finished." What would be the appropriate course of action for the PTA?

Accepted Answer

A) Tell the PT that the evaluation is not within the PTA's scope of practice and refuse to complete it. 
B) Tell the PT that, as a PTA, he or she only feels comfortable doing the objective section of the evaluation. 
C) Complete the evaluation and have the PT review it and sign it. 
D) Report the PT to his or her supervisor. 
A) Tell the PT that the evaluation is not within the PTA's scope of practice and refuse to complete it. 
B) Tell the PT that, as a PTA, he or she only feels comfortable doing the objective section of the evaluation. 
C) Complete the evaluation and have the PT review it and sign it. 
D) Report the PT to his or her supervisor.

Question 19

When the patient is ready for the discharge process, who is responsible for discharge from physical therapy services?

Accepted Answer

A) Primary care physician 
B) Nursing supervisor 
C) PT 
D) PTA 
A) Primary care physician 
B) Nursing supervisor 
C) PT 
D) PTA

Question 20

Documentation responsibilities are shared by the PT and the PTA.Identify the responsibility that the PTA may complete within his or her scope of practice.

Accepted Answer

A) Discharge summary 
B) Initial evaluation 
C) Progress note 
D) Changes to plan of care 
A) Discharge summary 
B) Initial evaluation 
C) Progress note 
D) Changes to plan of care

How can a PT or PTA determine a patient's cognitive level?

According to the APTA's Guide to Physical Therapist Practice, there are five elements of physical therapy patient management.What is the first step that should be completed in this process?

What information would be included in the subjective section of the SOAP note when the PT completes the initial evaluation?

It is important to use appropriate terminology when referring to the patient in the documentation process.This process is known as "person-first terminology." Identify the correct statement that meets the requirements of person-first terminology.

Why is it important to know the patient's pain level prior to the treatment session?

A judgment about the level of optimal improvement the patient may attain and the amount of time needed to reach that level is the definition of:

The anticipated discharge plans would be part of what section within the initial evaluation completed by the PT?

When the PT performs the evaluation of the patient, what would be the most important factor to consider related to the evaluation process?

What does the diagnosis help the PT determine during the evaluation process?

In which portion of the PT note would completion of the therapeutic goals be included?

The ability of patients to catch themselves if they lose their balance or their center of gravity shifts too far in one direction is defined as:

The patient's medical record includes, but is not limited to, 11 sections.Choose the section that is usually not included in the medical record.

Within the component section of the evaluation, the PT looks at the patient's tone.How does tone affect the outcome of the evaluation?

Evaluating the ability of the patient to move in a smooth, coordinated manner as he or she transitions in and out of a position is known as evaluating:

Why is it important to document reasons for skilled therapeutic intervention in the initial evaluation?

Choose the item that would not be included in the section of the initial examination process that reviews the patient's history.

What helps determine the type of documentation used when treating a patient?

When the patient is ready for the discharge process, who is responsible for discharge from physical therapy services?

Documentation responsibilities are shared by the PT and the PTA.Identify the responsibility that the PTA may complete within his or her scope of practice.

Introduction to Documentation

The World Health Organization and the International Classification of Functioning, Disability and Health

Demystifying the Icd-10 Coding System

Reimbursement Issues Related to Documentation

Documentation Content and Organization

How Does Documentation Relate to Patient Issues

Legal and Ethical Issues Related to Documentation

Introduction to the Soap Note

What Is Subjective Data and Why Is It Important

What Is Objective Data and Why Is It Important

What Is Assessment Data and Why Is It Important

What Is the Plan and Why Is It Important

Putting the Pieces Together

Filters

Exam 6: Physical Therapy Patient Management and Documentation Responsibilities

How can a PT or PTA determine a patient's cognitive level?

According to the APTA's Guide to Physical Therapist Practice, there are five elements of physical therapy patient management.What is the first step that should be completed in this process?

What information would be included in the subjective section of the SOAP note when the PT completes the initial evaluation?

It is important to use appropriate terminology when referring to the patient in the documentation process.This process is known as "person-first terminology." Identify the correct statement that meets the requirements of person-first terminology.

Why is it important to know the patient's pain level prior to the treatment session?

A judgment about the level of optimal improvement the patient may attain and the amount of time needed to reach that level is the definition of:

The anticipated discharge plans would be part of what section within the initial evaluation completed by the PT?

When the PT performs the evaluation of the patient, what would be the most important factor to consider related to the evaluation process?

What does the diagnosis help the PT determine during the evaluation process?

In which portion of the PT note would completion of the therapeutic goals be included?

The ability of patients to catch themselves if they lose their balance or their center of gravity shifts too far in one direction is defined as:

The patient's medical record includes, but is not limited to, 11 sections.Choose the section that is usually not included in the medical record.

Within the component section of the evaluation, the PT looks at the patient's tone.How does tone affect the outcome of the evaluation?

Evaluating the ability of the patient to move in a smooth, coordinated manner as he or she transitions in and out of a position is known as evaluating:

Why is it important to document reasons for skilled therapeutic intervention in the initial evaluation?

Choose the item that would not be included in the section of the initial examination process that reviews the patient's history.

What helps determine the type of documentation used when treating a patient?

When the patient is ready for the discharge process, who is responsible for discharge from physical therapy services?

Documentation responsibilities are shared by the PT and the PTA.Identify the responsibility that the PTA may complete within his or her scope of practice.

Introduction to Documentation

The World Health Organization and the International Classification of Functioning, Disability and Health

Demystifying the Icd-10 Coding System

Reimbursement Issues Related to Documentation

Documentation Content and Organization

How Does Documentation Relate to Patient Issues

Legal and Ethical Issues Related to Documentation

Introduction to the Soap Note

What Is Subjective Data and Why Is It Important

What Is Objective Data and Why Is It Important

What Is Assessment Data and Why Is It Important

What Is the Plan and Why Is It Important

Putting the Pieces Together

Filters