Deck 41: The Patient in the Community

Question 1

Which interaction will provide the patient with the optimal outcome when setting up a plan of care?

A) Strategies to help the patient stay motivated
B) Information about living with a chronic condition
C) Review of current pathology
D) Helping the patient to take charge of his or her care

Answer 1

D
All of the interventions listed will be beneficial to help the patient plan for the best possible outcome.Allowing the patient to be an active leader in his or her own care has been shown in research to provide for better outcomes.How patients self-manage largely reflects their health-related quality of life.

Question 2

After a patient has settled into his or her home or new place of residence after an acute illness,he or she may benefit from which of the following?

A) Additional therapy despite repeated plateaus in improvement
B) Support groups in the form of peer and family encouragement
C) Abstaining from viewing information on the Internet
D) Maintaining current levels of function because of comfort

Answer 2

B
Although reassessment is an excellent way to continue advancing function,repeated plateaus may be the ceilings for improvement.Supports groups help to encourage and empower the patient to continue advancing his or her recovery.The Internet provides access to information and other support mechanisms,but the information should be referenced with established information and the patient's physician.A patient who becomes complacent does not have the drive to continuing improving his or her current situation.

Question 3

The pulse oximeter is a used to evaluate oxygen saturation of which of the following?

A) Arterial blood
B) Venous blood
C) Capillary blood
D) Heart rate

Answer 3

A
Oxygen saturation is a measurement of the blood ability to deliver oxygen.Arterial blood has the highest concentrations of O₂ and venous blood the lowest.Capillaries are the site of gas exchange where levels of O₂ and CO₂ are more balanced.Heart rate is not the primary function of oximeters,although many have the capability to measure this.

Question 4

Why is it important for home health physical therapists to be familiar with acute care conditions?

A) Some patients may be discharged from the hospital directly to their homes.
B) Because of third-party payer cutbacks, patients are now discharged from the acute setting in a more acute stage of their pathology.
C) Patients are more likely to have a relapse in their homes.
D) The therapist is solely responsible for the care of patients after they return home.

Question 5

Physical therapy services are beneficial during a episode of cardiopulmonary disease at what stage of the recovery?

A) During the acute stages of a disease process
B) During the recovery stages of a disease process
C) When the patient has return to independent functioning
D) Physical therapy can be beneficial at all stages

Question 6

Positive self-management involves the combination of which of the following?

A) Positive emotional outlook
B) Active involvement in decision making
C) Maintenance of a lifestyle that is as optimal as possible
D) All of the above

Question 7

The goal of helping a patient accomplish what he or she wants day with regard to return to function excludes which of the following?

A) Knowledge of symptoms
B) Reliance on a support system
C) Return to prior level of function immediately
D) Goal setting that allows easy achievement

Question 8

Which of the following is a priority among impairments found during the recovery of an episode of cardiac or pulmonary issues according to the text?

A) Ineffective sleep
B) Nonemergent breathing problems
C) Nutritional concerns
D) Pain

Question 9

To increase functional gains made during therapy,the rehabilitation team should perform which of the following?

A) Encourage the patient during therapy to work as hard as possible.
B) Help the patient complete tasks even if patient effort is minimal.
C) Incorporate therapy goals into all aspects of care.
D) Set goals that just out of reach to help the patient strive.

Question 10

What has research has shown to be an obstacle that may limit a patient's ability to progress in functioning?

A) Illiteracy
B) Correct use of medication
C) Knowledge of the current condition
D) All of the above

Question 11

Why should vital signs and oximetry be evaluated after each intervention in patients recovering from cardiac or pulmonary conditions?

A) To determine their effectiveness in progression of heart rate and oxygen saturation
B) To determine if there is an effect of medication on heart rate and respiratory rate
C) To determine if increases in heart rate and respiratory rate are proportional to activity
D) To ensure sound documentation

Question 12

Vital signs and oximetry should be performed during the evaluation in which position first?

A) Standing
B) Sitting
C) Walking
D) Supine

Question 13

When a goal or functional outcomes has been met,it is the responsibility of the physical therapist to do which of the following?

A) Discharge the patient from further care.
B) Reassess the patient's status and set new goals if the patient has the potential for more progress.
C) Encourage the patient to perform exercise on his or her own from this point.
D) Set goals to advance the level of function beyond the prior level of function.

Question 14

Documentation is used to fulfill which of the following physical therapy needs?

A) Third-party reimbursement, functional gains, and progress toward goals
B) Functional gains, safety with transfers, and nutritional guidelines set for the patient
C) Medication lists that are beneficial for the patient, progress toward goals, and third-party reimbursement
D) Orders for O₂, progression of goals, and functional limitations

Question 15

With regard to Medicare guidelines considering O₂ saturation during exercise or recovery,which of the following is considered to be the minimal SpO₂ requirement to be placed on O₂?

A) 80%
B) 85%
C) 88%
D) 90%

Question 16

When considering patient education about returning home,the therapist should gain understanding of which of the following?

A) The caregiver and patient's ability to interpret the medication schedule
B) The therapist's ability to monitor the patient's signs and symptoms in response to activity
C) The validity and reliability of the therapist's assessments
D) The patient's ability to determine the need for emergency services

Question 17

What is the outcome of patients who only perform what is prescribed to them?

A) They are more motivated.
B) They are less motivated.
C) They are not taking advantage of their unique position on the rehabilitation team as a leader.
D) The have taken advantage of the unique position on the rehabilitation team as a leader.

Question 18

What is the definition of optimal health or function?

A) How the patient's health and function is related to his or her personal circumstances
B) Completion of a rehabilitation program
C) Limitations of third-party payers
D) Decisions made by the health care team supporting the patient to discontinue treatment

Question 19

How can a patient best carry out an effective plan?

A) The patient is taught to identify problems and manage them.
B) The patient is given a list of exercises to complete each day.
C) The patient is placed in a skilled nursing facility to begin rehabilitation.
D) The caregivers request the patient be place at home because of the previous independent status at home.

Question 20

When patients are discharged to home care,which of the following is not a priority for recovering cardiac or pulmonary patients?

A) Continuity of care
B) Availability of caregivers
C) Meal planning
D) Education about plan of therapy, exercise, and disease state