Deck 10: Professional Standards: Scope of Practice, Assessment, Treatment Planning, Informed Consent, Documentation, and Networking With Health Care Providers

Question 1

What are chiropractic adjustments considered in relation to massage therapy?

A) An exclusion
B) A delegation
C) Within scope of practice
D) Within standard of care

Answer 1

A
Explanation: Exclusion means something that is outside scope of practiced. Massage therapists cannot provide services or apply techniques that would require a separate state license to practice, such as psychotherapy, chiropractic procedures, acupuncture, physical or occupational therapy, or any other branch of medicine, unless they have the appropriate state license.

Question 2

Which term describes professional activities that can be performed legally by members of a licensed profession?

A) Scope of practice
B) Informed consent
C) Client documentation
D) Professional reference

Answer 2

A
Explanation: Scope of practice refers to professional activities that can be performed legally by members of a licensed profession as well as the context in which these activities can be applied. Scope of practice is defined by state law or practice act.

Question 3

Which term means the act of exchanging thoughts, feelings, and behaviors?

A) Literacy
B) Documentation
C) Assessment
D) Communication

Answer 3

D
Explanation: Communication is the act of exchanging thoughts, feelings, and behaviors. Massage therapists have a duty to factually communicate and report.

Question 4

Which acronym stands for an interview strategy that provides an organizational framework to the interview?

A) APIE
B) PPALM
C) OPPQRST
D) SOAP

Question 5

Which type of pain scale consists of a straight horizontal or vertical line with the endpoints defining extreme limits?

A) Visual analog
B) FACES rating
C) Numeric rating
D) Verbal descriptor

Question 6

Which example is of a closed-ended question?

A) Can you tell me about your headaches?
B) What brings you to the clinic?
C) Does pain radiate down your left leg?
D) How can I help you be more comfortable?

Question 7

Which type of question is defined as requiring affirmative, denial, or factual answers?

A) Open-ended
B) Closed-ended
C) Exploratory
D) Reflective

Question 8

Which example is of an open-ended question?

A) Does it hurt to raise your right arm?
B) Does pain radiate down your left leg?
C) How does your headache feel?
D) Can you take more pressure on this area?

Question 9

Which method is within the scope of practice for massage therapists?

A) Herbalism
B) Acupuncture
C) Hot pack application
D) Nutritional counseling

Question 10

According to James Borg, which type of human communication is expressed 93% of the time?

A) Written words
B) Spoken words
C) Tone of voice
D) Body language

Question 11

Which term means an evaluation that identifies an individuals' health status, treatment goals, and how these goals will be addressed by the health care provider?

A) Planning
B) Assessment
C) Documentation
D) Implementation

Question 12

Which concept is the emotional bond people experience when concerns, feelings, and ideas are mutually expressed?

A) Rapport
B) Memory
C) Self-esteem
D) Reinforcement

Question 13

Which term means the capacity of and individual to obtain and understand information and services to make appropriate wellness care decisions?

A) Health literacy
B) Research literacy
C) Assessment
D) Documentation

Question 14

How many years does the National Certification Board for Therapeutic Massage and Bodyworkers recommend that therapists maintain client records after the last date of client service?

A) 1
B) 4
C) 7
D) 10

Question 15

Which area is the most appropriate for the massage therapist to conduct the client interview?

A) Office lobby
B) Office break room
C) Parking lot
D) Private treatment room

Question 16

Which type of questions is defined as offering little restriction when answering and allows for reflection and clarification of thoughts and feelings?

A) Open-ended
B) Closed-ended
C) Exploratory
D) Reflective

Question 17

What is an effective interview skill?

A) Look at the clipboard as much as or more than at the client
B) Use closed-ended questions only when talking with the client
C) Stay focused on the client's discussion about personal relationships
D) Listen actively and signal interest with eye contact and occasional nodding

Question 18

What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)?

A) Prevent client personal health information from being shared among professionals
B) Protect the storage and transmission of client personal health information
C) Determine what personal health care information the client is allowed to release
D) Determine how much the client can charge for personal health information

Question 19

Which term refers to the degree of prudence or caution reasonable individuals follow who have similar training and who work under similar circumstances?

A) Exclusion
B) Delegation
C) Scope of practice
D) Standard of care

Question 20

Which method is recommended to protect client information?

A) Apply the double-lock rule
B) Keep family members out of the filing room
C) Store records offsite from where services are provided
D) Record all client information while at home

Question 21

What is considered the most credible evidence in legal proceedings?

A) Documentation
B) Assessment
C) Massage therapist's memory
D) Client's memory

Question 22

Which concept is the documented process of developing a client's therapy?

A) Informed consent
B) Practice agreement
C) Treatment planning
D) Professional reference

Question 23

How soon can massage therapy usually be applied to a recently injured area?

A) 1-2 days
B) 3-4 days
C) 4-6 days
D) 6-8 days

Question 24

Which acronym stands for the current soft tissue injury protocol?

A) RICE
B) MCE
C) PICO
D) OPPQRST

Question 25

What effect has research shown massage therapy to have on patients who have undergone surgery?

A) Decreased sleep
B) Increased blood pressure
C) Increased pain
D) Decreased anxiety

Question 26

Which classification is given to a client who has a long-term chronic or terminal disease?

A) Medically fragile
B) Medically viable
C) Unreliable
D) Compliant

Question 27

What is the purpose of the PICO approach?

A) Create a way to document the treatment session
B) Develop a clinical question for treatment planning
C) Obtain permission to proceed with the treatment
D) Establish pain level before the treatment

Question 28

Which risk factor requires avoiding vigorous massage techniques on the lower extremities for 12 weeks after surgery?

A) Weakened muscle tone
B) Lack of balance
C) Blood clots
D) Hypertension

Question 29

In the OPPQRST pain assessment guideline, what does S stand for?

A) Site
B) Sharp
C) Sensation
D) Superficial

Question 30

What does the C in PICO stand for?

A) Change
B) Culture
C) Chronic
D) Comparison

Question 31

Which part of informed consent is covered by discussing techniques, methods, and products?

A) Expected benefits
B) Procedural details
C) Therapist qualifications
D) Office policies

Question 32

What is the term for withdrawing or modifying permission for treatment?

A) Professional conduct
B) Informed consent
C) Explanation of risks
D) Right of refusal

Question 33

Which component is essential for informed consent?

A) Competency
B) Technical communication
C) Health literacy
D) Compliance

Question 34

Using which method is appropriate for documentation?

A) Correction fluid and tape to correct errors
B) Commonly accepted medical abbreviations
C) Best judgment when diagnosing conditions
D) Black ink when writing treatment notes

Question 35

Which term means permission given by a client after being educated in all the relevant facts regarding treatment?

A) Scope of practice
B) Informed consent
C) Client documentation
D) Professional reference

Question 36

What can the consent process also be viewed as?

A) Limited liability
B) Indemnity clause
C) Therapeutic contract
D) Arbitration agreement

Question 37

Which term means the process of collecting, confirming, and recording client information?

A) Debriefing
B) Agreement
C) Assessment
D) Documentation

Question 38

When documenting client progress, how should goals be expressed?

A) Subjectively
B) Creatively
C) In functional terms
D) In abstract terms

Question 39

In PPALM, what does the L stand for?

A) Limitations
B) Length
C) Lifestyle
D) Language

Question 40

Which acronym stands for pain assessment guidelines?

A) APIE
B) SOAP
C) HIPAA
D) OPPQRST

Question 41

Which entity is most likely to require documentation of referrals or prescriptions?

A) Massage licensing board
B) Business license office
C) Health insurance company
D) Liability insurance company

Question 42

Which documentation can the massage therapist elect to provide for the prescriber as client sessions are completed?

A) Progress report
B) Medical prescription
C) Medical release
D) Informed consent

Question 43

In the CARE documentation format, what does the R stand for?

A) Referrals
B) Restrictions
C) Response of the client
D) Recommendations for the client

Question 44

Which type of information is obtained from the client or client's family and friends?

A) Objective
B) Subjective
C) Treatment
D) Assessment

Question 45

In both the SOAP and the APIE documentation formats, what does P stand for?

A) Plan
B) Pattern
C) Palpation
D) Participant

Question 46

Which type of information is defined as being measurable and verifiable?

A) Objective
B) Subjective
C) Treatment
D) Assessment

Question 47

In the F-DAR system of documentation, what does the D stand for?

A) Dominant
B) Distal
C) Data
D) Duration

Question 48

In the APIE documentation format, what does the I stand for?

A) Informed
B) Interview
C) Individual
D) Implementation

Question 49

Which term means an order from an authorized health care provider for medications, medical treatments, or medical devices?

A) Referral
B) Prescription
C) Medical release
D) Informed consent

Question 50

Which term means the act of recommending products or services to address a client's problem?

A) Referral
B) Prescription
C) Medical release
D) Informed consent