Question 1

To determine the necessity of treatment, the PTA can use functional outcomes or limitations.Identify the correct definition for a functional outcome.&#10;A) Those that include the discharge plan&#10;B) Those related only to the patient's ability to progress&#10;C) Those related to the patient's prior level of function&#10;D) Those related to the patient's medical information

Accepted Answer

A functional outcome is related to the patient's prior level of function (PLOF), the patient diagnosis, the functional limitations, assessment of the referred problem, and the treatment plan. The discharge plan, ability to progress, and medical information would not relate to the functional outcome. The patient's prior level of function would be related to the functional outcome because the therapist would know how much loss of function there was compared to the PLOF.

Question 2

What is an example of a third-party payer?&#10;A) HMO&#10;B) CMS&#10;C) Medicare&#10;D) PPO

Accepted Answer

A third-party payer is an HMO, private insurance, Champus, or private pay. CMS and Medicare are the same and are not third-party payers. A PPO is a preferred provider such as the primary care physician.

Question 3

Identify the patient who would receive physical therapy in the educational setting.&#10;A) A patient who cannot push his or her wheelchair (I)&#10;B) A patient with fetal alcohol syndrome (FAS) who cannot communicate without a communication board&#10;C) A patient with Down syndrome who cannot walk (I)&#10;D) A patient with cerebral palsy (CP) who can walk (I)

Accepted Answer

The patient with Down syndrome who cannot walk (I) would qualify for physical therapy in the educational setting. The person who cannot push his or her wheelchair, the one who cannot communicate without a communication board, and the patient with CP who can walk (I) are not educational reasons for physical therapy services in an educational setting.

Question 4

What does the phrase patient confidentiality mean to the PTA?&#10;A) Any medical person working in that facility can access the patient's records.&#10;B) The patient and his or her family have access to the medical records.&#10;C) Anyone directly treating the patient can access the patient's medical records.&#10;D) Only the physician and the treating therapist have access to the medical records.

Accepted Answer

Patient confidentiality means that only those individuals who are providing direct care of that patient can access the patient's medical records. Even if a person works in the same medical facility or is a family member, physician, or therapist, it does not give them the right to see a patient's records. In addition, the medical records for the patient are not accessible only to the physician and the treating therapist, but also to any medical personnel directly caring for the patient. Families do not have a right to access the medical records without the written permission of the patient.

Question 5

From the descriptions given, identify the patient who could no longer receive physical therapy because it would be considered maintenance therapy.&#10;A) The patient did not make measurable progress this certification period.&#10;B) The patient's active range of motion (AROM) increased by 15 degrees this past certification period.&#10;C) The patient can walk (I) within her house but not to the mailbox.&#10;D) The patient can transfer (I) from the bed to the wheelchair.

Accepted Answer

The responses related to the increase in AROM, walking (I) in the house, and transferring (I) can all be addressed with a continuation of physical therapy. The statement related to a lack of progress throughout the certification period identifies maintenance therapy, and such therapy would no longer be covered.

Question 6

There are several ways to correct a mistake made during the documentation process.Identify the incorrect method.&#10;A) Draw a single line through an error and date and initial above it.&#10;B) Draw a horizontal line through empty spaces.&#10;C) Write using pencil, so you can erase errors.&#10;D) Complete documentation using a blue pen.

Accepted Answer

The treating PTA should never use a pencil to write a note. All of the note must be in black or blue ink and errors should never be erased. All errors should be left in place with a line through the word and a rewrite to the side or above the error, with the PTA dating and initialing the change.

Question 7

Identify the statement that would be appropriate communication related to the patient.&#10;A) &#34;I noticed that the patient you were treating should be referred to OT. What is his diagnosis?&#34;&#10;B) &#34;I wanted to know what is wrong with your patient, Mr. Smith, because I am his Aunt.&#34;&#10;C) &#34;Your patient, Mrs. Jones, has an appointment next week with the neurologist,&#34; stated the receptionist.&#10;D) &#34;I saw my neighbor in your clinic and wanted to know why you are seeing him.&#34;

Accepted Answer

The only statement that could be correct is the referral given by the receptionist. As a representative of the medical facility, this person has the ability to provide such referrals. Anyone not directly treating the patient, such as another employee or family member, cannot be given information about that patient. Information can only be shared through written permission from the patient.

Question 8

It is important for the treating PTA to protect the patient in multiple ways.What is NOT an appropriate protection?&#10;A) Use of appropriate equipment&#10;B) Proper use of an incident report&#10;C) Legal responsibilities of the treating PTA&#10;D) No informed consent

Accepted Answer

The treating PTA must use the proper equipment, file an incident report when appropriate, and provide legal responsibilities to be able to treat the patient. It is also a legal requirement for the PTA to obtain written informed consent from the patient before treatment.

Question 9

Identify the statement that would indicate physical therapy.&#10;A) The patient had a traumatic amputation and will be fitted for prosthesis next week.&#10;B) The patient cannot speak or understand the spoken word.&#10;C) The patient was involved in a motor vehicle accident (MVA) and was diagnosed with a C6 spinal cord injury (SCI).&#10;D) The patient had a (R) cerebrovascular accident (CVA) and can no longer walk independently.

Accepted Answer

The only statement that identifies why a patient would specifically need physical therapy relates to the response regarding a (R) CVA and the inability to walk independently. In this case, the patient would need physical therapy to learn to walk again. Just because the patient had a traumatic amputation and will be fitted for a prosthesis next week, cannot understand or speak, and had a SCI does not entitle them to physical therapy. The patient must have some type of functional problem related to the medical diagnosis to warrant physical therapy.

Question 10

Treatment provided by a PT/PTA must meet several requirements.What are they?&#10;A) Treatment must be medically or educationally appropriate.&#10;B) Treatment must be covered by insurance and the patient.&#10;C) Treatment must be appropriate and referred by the primary care physician.&#10;D) Treatment must be covered by the patient and referred by the family physician.

Accepted Answer

For treatment to be considered appropriate, it must be medically or educationally necessary for the patient's diagnosis. Being covered by insurance/patient or being referred by a physician, are not requirements for the PT or PTA to provide treatment.

Question 11

When attempting to treat a patient, the patient has the right to refuse treatment.Which statement would be an example of such a refusal?&#10;A) The patient completed therapy and then stated she did not want to do any exercises today.&#10;B) The patient took her pain medication 5 minutes before treatment and wants you to wait.&#10;C) The patient refused treatment today, stating she was too tired.&#10;D) The patient wants you to come back in 30 minutes, after her bath, to treat her.

Accepted Answer

The answer of When attempting to treat a patient, the...

Question 12

Identify the statement below that would NOT be included in an incident report.&#10;A) Mr. Jacques fell off the mat and hurt his knee.&#10;B) Mrs. Watson hit her head on the cabinet when getting up from the plinth.&#10;C) Mr. Jones tripped on the footstool and fell down in the clinic today.&#10;D) Mrs. Smith slipped getting off of the plinth but did not fall down.

Accepted Answer

The answer of Identify the statement below that would NOT...

Question 13

Identify the correct reason for the provision of physical therapy in an educational setting.&#10;A) The patient cannot push her wheelchair from the classroom to the other side of campus, 1,000 ft.&#10;B) The patient cannot walk from the classroom to the lunchroom (I).&#10;C) The patient is now able to walk more than 100 feet today as compared to 10 feet following the last IEP.&#10;D) The patient has not had any leg spasms since last week.

Accepted Answer

The answer of Identify the correct reason for the provision...

Question 14

When filing an incident report, where should it be placed for review?&#10;A) In the patient's chart&#10;B) In the physical therapy administration office&#10;C) In a separate file with risk management&#10;D) In the physician's patient file

Accepted Answer

The answer of When filing an incident report, where should...

Question 15

What would be an appropriate statement to include in an incident report?&#10;A) The PTA reported to the PT that the patient fell today and injured her shoulder when she hit the floor.&#10;B) The patient missed the chair while sitting down, but he did not fall to the floor.&#10;C) The patient reported that the PTA stopped him from falling off the bed today.&#10;D) The PTA reported that the nursing staff &#34;dropped&#34; the patient onto the mat from standing without injury to the patient.

Accepted Answer

The answer of What would be an appropriate statement to...

Question 16

Identify the appropriate color of ink that is used predominately in legal documentation.&#10;A) Black&#10;B) Purple&#10;C) Red&#10;D) Green

Accepted Answer

The answer of Identify the appropriate color of ink that...

Question 17

An incident is anything that happens to a patient, employee, or visitor that is &#34;out of the ordinary.&#34; Which statement would require an incident report?&#10;A) The patient received a first degree burn to her arm but did not complain of any pain.&#10;B) The patient stated he slipped on the ice in front of his house and hurt his back.&#10;C) The patient fell at home today but was able to catch herself on the mat.&#10;D) The patient's daughter reported her mother fell getting out of the car today.

Accepted Answer

The answer of An incident is anything that happens to...

Question 18

Under the HIPAA Act of 1996, what safeguard should be initiated to protect the patient?&#10;A) Ensure that computer programs are not password protected.&#10;B) Always leave filing cabinets with patient information unlocked.&#10;C) Conduct conversations related to the patient in a conference room or hallway.&#10;D) Never discuss the patient by name in a public room, hallway, or elevator.

Accepted Answer

The answer of Under the HIPAA Act of 1996, what...

Question 19

When taking verbal information related to the patient by phone, it is important to provide all of the following except:&#10;A) the time and date of the call.&#10;B) a statement regarding the emotional state of the patient.&#10;C) the patient's entire medical history.&#10;D) the name of the PTA taking the information.

Accepted Answer

The answer of When taking verbal information related to the...

Question 20

Which action reflects an appropriate type of communication?&#10;A) Taking verbal phone referrals for physical therapy from another health care provider&#10;B) Providing medical information to another therapist who is not seeing the patient&#10;C) Providing information to the patient's neighbor&#10;D) Telling the patient's aide information about the patient's progress

Accepted Answer

The answer of Which action reflects an appropriate type of...

Deck 12: How Does Documentation Relate to Patient Issues?