Question 1

An individual who is found to be unable to manage physical mobility tasks even when provided with a great deal of assistance would be considered to have:&#10;A)Preclinical mobility limitation&#10;B)Minor mobility limitation&#10;C)Major mobility limitation&#10;D)Extreme mobility limitation

Accepted Answer

A major mobility limitation is characterized by an inability to perform physical mobility tasks even with a significant amount of assistance. This means the individual is completely dependent on others for assistance with tasks such as walking, standing, or transferring to and from a wheelchair. It is more severe than minor mobility limitation, which may require some assistance but the individual can still perform some tasks independently. It is also less severe than extreme mobility limitation, which typically involves complete paralysis or inability to move any part of the body.

Question 2

Which of the following is NOT a core principle for primary health care according to the World Health Organization?&#10;A)Universal access to care and coverage based on need&#10;B)Commitment to health equity as part of development oriented to social justice&#10;C)Community participation in defining and implementing health agendas&#10;D)Adequate payment for health-care providers,especially physicians

Accepted Answer

Adequate payment for health-care providers, especially physicians, is not listed as a core principle for primary health care according to the World Health Organization. The other options (A, B, and C) are all listed as core principles.

Question 3

Which of the following is NOT a suggested purpose for development of a registry?&#10;A)Record critical elements in the care plan and produce care summaries at the time of a visit&#10;B)Generate reminders to ensure proactive care&#10;C)Track progress and anticipate problems&#10;D)Evaluate therapists' efficiency and time management

Accepted Answer

Evaluating therapists' efficiency and time management is not a suggested purpose for development of a registry. The other options (A, B, and C) are all valid purposes for a registry.

Question 4

In the primary care literature,the individual who assists patients in identifying and accessing community programs and resources is known as a:&#10;A)Social worker&#10;B)Patient navigator&#10;C)Rehabilitation specialist&#10;D)Community health worker

Accepted Answer

Patient navigators specifically assist patients in overcoming barriers to healthcare, including identifying and accessing community programs and resources, making them a key role in primary care settings.

Question 5

A form of primary care emphasizing referrals to relevant agencies and assistance in making linkages is known as:&#10;A)Shared care&#10;B)Managed care&#10;C)Community care&#10;D)Community-based rehabilitation

Accepted Answer

The answer of A form of primary care emphasizing referrals...

Question 6

The Expanded Chronic Care Model adds what factor to the previously developed Chronic Care Model?&#10;A)Self-management support&#10;B)Delivery system design&#10;C)Social determinants&#10;D)Decision support

Accepted Answer

The Expanded Chronic Care Model adds the consideration of social determinants of health to the previously developed Chronic Care Model, recognizing the impact of social, economic, and environmental factors on chronic disease management and outcomes.

Question 7

A major role for physical therapy in primary care would be to:&#10;A)Identify and access services that would provide in-home meals for disabled older adults&#10;B)Provide intervention to maximize physical capacity that contributes to function&#10;C)Evaluate the home for safety and ensure funding for needed equipment&#10;D)Monitor medication management and provide medication management strategies

Accepted Answer

Physical therapy's primary role in primary care is to provide interventions to maximize physical capacity that contributes to function, such as improving strength, range of motion, balance, and mobility. While physical therapists may work with other healthcare professionals to identify and access services for patients (such as in-home meals or funding for equipment), evaluating home safety and monitoring medication management are typically outside the scope of a physical therapist's practice.

Question 8

In the Health Service Utilization frame of reference,an individual determinant would be:&#10;A)Norms and technology&#10;B)Unit of care analysis&#10;C)Resources&#10;D)Enabling

Accepted Answer

Enabling factors refer to an individual's ability to access healthcare services, such as their income, health insurance, and transportation. Therefore, enabling can be considered an individual determinant within the Health Service Utilization frame of reference. Norms and technology, unit of care analysis, and resources are more commonly considered contextual factors within this framework.

Question 9

As described in the access to care frame of reference,which of the following is NOT considered a domain of access?&#10;A)Authenticity&#10;B)Availability&#10;C)Affordability&#10;D)Acceptability

Accepted Answer

The domains of access according to the access to care frame of reference are availability, accessibility, accommodation, affordability, and acceptability. Authenticity is not one of these domains.

Question 10

Which of the following can be used as a measure of mobility disability and health status?&#10;A)Gait speed&#10;B)Depression&#10;C)Self-care performance&#10;D)Social interaction

Accepted Answer

Gait speed is a common and objective measure of mobility, particularly in older adults. It has been shown to predict future mobility disability and mortality, as well as serve as an indicator of overall health status. While depression, self-care performance, and social interaction can also be important indicators of health and disability, gait speed is a more specific and widely accepted measure.

Deck 30: Primary Care