Deck 7: Measurement and Documentation

Question 1

Which best describes a minimal clinically important difference (MCID)?

A) The minimal level of change required in response to an intervention before the outcome would be considered worthwhile in terms of a patient or client's function or quality of life
B) The greatest level of change required in response to an intervention before the outcome would be considered worthwhile in terms of a patient or client's function or quality of life
C) The minimal level of change required in response to an intervention before the outcome would be considered useless in terms of a patient or client's function or quality of life
D) The greatest level of change required in response to an intervention before the outcome would be considered useless in terms of a patient or client's function or quality of life

Answer 1

A
MCID is the minimal level of change required in response to an intervention before the outcome would be considered worthwhile in terms of a patient or client's function or quality of life.

Question 2

What is required from a clinician to create a patient-identified problem?

A) Final outcomes of treatment at patient discharge from therapy
B) Only the initial diagnosis
C) Only the objective data collective during the evaluation
D) All data collected in the patient evaluation

Answer 2

D
Problems are identified with data collection.

Question 3

When performing an examination,which of the following is the most accurate?

A) Initial data collection from referral information or the medical record regarding the patient's current medical stability and functional status will limit the examination strategy.
B) The client's goals for physical therapy should be disregarded.
C) The examination begins with and is centered on the client's self-identified problems that may reflect specific impairments; limitations in activity; or restrictions in client-identified roles at home, work, and the community.
D) It is not necessary to examine other body systems other than those stated in the diagnosis.

Answer 3

C
Data collection guides,not limits,the examination strategy.The client's goals are an important part of the process,and other body systems may be affected by the diagnosis and should be screened or examined as needed.

Question 4

What is the best example of an interval measurement?

A) A classification of heart failure
B) Grade 1 angina
C) 0° Celsius
D) 0° Kelvin

Question 5

Which best describes validity?

A) A measurement that is ordered or ranked
B) The consistency or reproducibility of a measurement
C) Measurements that provide meaningful information and accurately reflect the characteristic for which the measure is intended
D) A measurement that has a high level of relative error

Question 6

Which best describes reliability?

A) A measurement that is ordered or ranked
B) The consistency or reproducibility of a measurement
C) Measurements that provide meaningful information and accurately reflect the characteristic for which the measure is intended
D) A measurement that has a high level of relative error

Question 7

Which is true regarding variability?

A) The characteristic being measured may demonstrate a certain degree of variability.
B) Testing instruments will not have an impact.
C) Low interrater reliability will not impact the long-term changes in a patient.
D) High intrarater reliability will have a negative impact of showing changes in a patient over time.

Question 8

Which best describes ratio measurements?

A) Measurements that have units on a scale with equal distance between consecutive measurements and an arbitrary zero point
B) Measurements that have scales with units that are equal in size and have a zero point that indicates absence of the attribute being measured
C) Measurements that are categorized or ranked
D) Measurements that have no rank or order

Question 9

Which of the following is not an objective measurement?

A) Heart rate measured by a computerized ECG system
B) Assessment of a patient's breath sounds
C) Blood pressure measured with an intraarterial catheter
D) Oxygen consumption measured with a metabolic system

Question 10

Which of the following is true?

A) When deciding whether a measurement is a ratio or interval, the attribute that is being measured is irrelevant.
B) Interval measurements can only have negative values and cannot be subjected to some arithmetic operations.
C) For a measurement to be of value to a therapist, the measure should be both reliable (reproducible) and valid (meaningful).
D) Categorical measurements are considered ordinal if being assigned to multiple categories.

Question 11

Which best describes sensitivity?

A) Sensitivity is the ability of a measurement to identify individuals who have negative results or who do not have the characteristic.
B) A false-positive result means that the test result was positive but the characteristic was present.
C) A false-positive result means that the test result was negative but the characteristic was absent.
D) Sensitivity is the ability of a measurement to identify the characteristic that is being measured.

Question 12

Which of the following is not a type or level of measurement?

A) Nominal
B) Ordinal
C) Ratio
D) Segmental

Question 13

Which is the best example of a nominal measurement?

A) A classification of heart failure
B) Grade 1 angina
C) 0° Celsius
D) 0° Kelvin

Question 14

Which principle is not a consideration regarding performing tests and measures?

A) Care must be taken to use procedures that can be replicated for future comparisons.
B) Measures should be made with a subjective and open mind.
C) Documenting the conditions in which a measure was made is also important.
D) In clinics where more than one therapist is likely to evaluate or treat a patient, written procedures for performing measurements are needed.

Question 15

What is the purpose of the physical therapy diagnosis?

A) It eliminates the problem list.
B) It ignores the physician's diagnosis.
C) It has no purpose.
D) It serves to drive the selection of interventions.

Question 16

Which is the best example of a ratio measurement?

A) 0° Celsius
B) A classification of heart failure
C) 0° Kelvin
D) Grade 1 angina

Question 17

Which is true regarding validity?

A) Measurements are always reliable and valid.
B) Measurements provide meaningful information and accurately reflect the characteristic for which the measure is intended.
C) Concurrent validity is when a measurement accurately reflects measurements made outside of an accepted standard.
D) Measurements with predictive validity can be used to only estimate the probability of occurrence of a past event.

Question 18

How does the therapist determine if a goal has been met?

A) By assuming the patient is telling the truth
B) By asking the patient's family member
C) By observing or measuring the activity of the goal
D) By asking another clinician

Question 19

When selecting tests and measures,which is most accurate?

A) Characteristics or qualities of measurements, such as reliability and validity, should not influence the therapist's decision.
B) The risk-to-benefit ratio implies that the risk is always worth the data collected.
C) Selected tests and measures should be relevant as measured by their potential ability to impact the direction of the examination and intervention.
D) Environmental or personal factors do not influence the selection.

Question 20

Which best describes specificity?

A) A false-negative result has a negative test result even though the disease or characteristic is absent.
B) A high number of false-negative results would produce a high specificity.
C) Specificity is the ability of a measurement to identify individuals who have negative results or who do not have the characteristic.
D) Specificity is the ability of a measurement to identify individuals who have positive results or who have the characteristic that is being measured,