Deck 11: Examination of Functional Status and Activity Level
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Deck 11: Examination of Functional Status and Activity Level
1
When is a timed test to examine speed of task performance important?
A)Wheelchair propulsion from class to class
B)Walking in a grocery store
C)Ability to dress in the morning to get to school
D)Ability to run to catch the bus
A)Wheelchair propulsion from class to class
B)Walking in a grocery store
C)Ability to dress in the morning to get to school
D)Ability to run to catch the bus
A
2
During performance-based testing what would be the most appropriate direction to give the patient?
A)Let's see how much help you need to stand up.
B)How well do you think you can stand up?
C)Let me help you into a standing position.
D)Stand up from the mat as best as you can.
A)Let's see how much help you need to stand up.
B)How well do you think you can stand up?
C)Let me help you into a standing position.
D)Stand up from the mat as best as you can.
D
3
When an interviewer is asking a patient for a self-report of functional status,what should the interviewer avoid?
A)Short,concise questions
B)Prompting for answers
C)Formatted questions
D)Documenting assistance
A)Short,concise questions
B)Prompting for answers
C)Formatted questions
D)Documenting assistance
B
4
The therapist asks the patient to perform a wheelchair-to-bed transfer.What type of testing is this considered?
A)Performance-based testing
B)Self-report testing
C)Activity level assessment
D)Functional independence testing
A)Performance-based testing
B)Self-report testing
C)Activity level assessment
D)Functional independence testing
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5
What term best describes the personal behaviors that occur in an individual as a consequence of disease that are internalized and experienced?
A)Illness
B)Psychosis
C)Pathology
D)Etiology
A)Illness
B)Psychosis
C)Pathology
D)Etiology
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6
What is one disadvantage of a functional performance measure such as the Timed Up and Go Test?
A)It is difficult to observe the task performed by the patient during the testing.
B)The patient can have as much help as needed to perform the task well.
C)It fails to measure how the task would be accomplished in the "real" world.
D)The test includes too many different tasks that are confusing to the patient.
A)It is difficult to observe the task performed by the patient during the testing.
B)The patient can have as much help as needed to perform the task well.
C)It fails to measure how the task would be accomplished in the "real" world.
D)The test includes too many different tasks that are confusing to the patient.
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7
The patient is unable to dress in the morning.This task is an example of
A)instrumental activity of daily living.
B)basic activity of daily living.
C)functional mobility skill.
D)major activity of daily living.
A)instrumental activity of daily living.
B)basic activity of daily living.
C)functional mobility skill.
D)major activity of daily living.
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8
Which of the following would be considered an impairment according to Nagi's model?
A)Elevated blood pressure
B)Decreased range of motion
C)Inability to ambulate
D)Inability to attend school
A)Elevated blood pressure
B)Decreased range of motion
C)Inability to ambulate
D)Inability to attend school
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9
What are some of the factors the therapist must consider when determining a disability for a particular patient?
A)The pathology and impairments of the patient's condition
B)The underlying psychological and mental impairments
C)The patient's culture and expected roles in their community
D)The activities the patient enjoys for leisure activity
A)The pathology and impairments of the patient's condition
B)The underlying psychological and mental impairments
C)The patient's culture and expected roles in their community
D)The activities the patient enjoys for leisure activity
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10
What type of measure is based on having the patient check off "able to do/not able to do" on a list of functional tasks?
A)Nominal measures
B)Ordinal measures
C)Summary measures
D)Linear analogue scale
A)Nominal measures
B)Ordinal measures
C)Summary measures
D)Linear analogue scale
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11
Which of the following would be considered a functional limitation according to Nagi's model?
A)Elevated blood pressure
B)Decreased range of motion
C)Inability to ambulate
D)Inability to attend school
A)Elevated blood pressure
B)Decreased range of motion
C)Inability to ambulate
D)Inability to attend school
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12
The patient is unable to perform grocery shopping.This task is an example of
A)instrumental activity of daily living.
B)basic activity of daily living.
C)functional mobility skill.
D)major activity of daily living.
A)instrumental activity of daily living.
B)basic activity of daily living.
C)functional mobility skill.
D)major activity of daily living.
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13
Which of the following would be considered a disability according to Nagi's model?
A)Elevated blood pressure
B)Decreased range of motion
C)Inability to ambulate
D)Inability to attend school
A)Elevated blood pressure
B)Decreased range of motion
C)Inability to ambulate
D)Inability to attend school
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14
What description should a therapist use to describe a patient who is able to walk at home without physical assistance with the use of a quad cane?
A)Stand-by assistance gait with least restrictive device
B)Close supervision for gait with a quad cane
C)Independent with a quad cane
D)Completely independent
A)Stand-by assistance gait with least restrictive device
B)Close supervision for gait with a quad cane
C)Independent with a quad cane
D)Completely independent
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15
The patient reports difficulty ascending stairs independently.What is an objective measure to evaluate "difficulty"?
A)Observe the patient performing the task.
B)Ask the patient to describe how much difficulty.
C)Have the patient rate the difficulty on a scale.
D)Take heart rate measures while performing the task.
A)Observe the patient performing the task.
B)Ask the patient to describe how much difficulty.
C)Have the patient rate the difficulty on a scale.
D)Take heart rate measures while performing the task.
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16
In a team-based environment the physical therapist is typically responsible for evaluating what functional area?
A)Cognitive and social functioning
B)Basic activities of daily living
C)Instrumental activities of daily living
D)Functional mobility skills
A)Cognitive and social functioning
B)Basic activities of daily living
C)Instrumental activities of daily living
D)Functional mobility skills
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17
Which of the following demonstrates a physical sign as opposed to a symptom?
A)Wheezing and shortness of breath on auscultation
B)Headache and reports of double vision
C)Feelings of fatigue and pain
D)Elevated heart rate and chest pain
A)Wheezing and shortness of breath on auscultation
B)Headache and reports of double vision
C)Feelings of fatigue and pain
D)Elevated heart rate and chest pain
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18
When the therapist asks a patient to perform a task one time under very specific circumstances,the therapist is evaluating which of the following?
A)Habitual performance
B)Capacity
C)Function
D)Velocity
A)Habitual performance
B)Capacity
C)Function
D)Velocity
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19
A therapist who rates a patient's performance as requiring moderate assistance is using what type of measure or scale?
A)Nominal measures
B)Ordinal measures
C)Summary measures
D)Linear analogue scale
A)Nominal measures
B)Ordinal measures
C)Summary measures
D)Linear analogue scale
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20
Which of the following statements best assesses a patient's habitual performance of a task?
A)Could you walk up a flight of stairs?
B)How many stairs do you walk up daily?
C)When was the last time you walked up stairs?
D)Walk up those stairs.
A)Could you walk up a flight of stairs?
B)How many stairs do you walk up daily?
C)When was the last time you walked up stairs?
D)Walk up those stairs.
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21
What is the functional assessment tool used in the home health setting mandated by the Health Care Financing Administration?
A)The Sickness Impact Profile
B)The Functional Independence Measure
C)The Outcome and Assessment Information Set
D)The SF-36
A)The Sickness Impact Profile
B)The Functional Independence Measure
C)The Outcome and Assessment Information Set
D)The SF-36
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22
The therapist observes that the patient is unable to propel a wheelchair from the door to the mat table in the therapy gym after being given the direction,"Propel your chair to the blue mat table." What should the therapist consider when planning interventions to improve this task?
A)How many times the patient was asked to perform the task
B)What the patient was thinking about during the attempt
C)What impairments might be limiting the patient's ability
D)How many other functional tasks the patient cannot perform
A)How many times the patient was asked to perform the task
B)What the patient was thinking about during the attempt
C)What impairments might be limiting the patient's ability
D)How many other functional tasks the patient cannot perform
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23
The Barthel Index,which determines functional status and compiles it into an overall score,is considered what type of measure/scale?
A)Nominal measures
B)Ordinal measures
C)Summary measures
D)Linear analogue scale
A)Nominal measures
B)Ordinal measures
C)Summary measures
D)Linear analogue scale
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