Question 1

When documenting in the patient's medical record the therapist must&#10;A)include all statements made by the patient to the clinician in the objective section.&#10;B)abbreviate all medical terms so only other clinicians can read the record.&#10;C)make all corrections to any errors using correction fluid or by erasure.&#10;D)document all intervention provided including frequency,duration,and intensity.

Accepted Answer

It is important for the therapist to document all interventions provided to the patient, including the frequency, duration, and intensity. This helps to create a comprehensive record of the patient's treatment history and can be used to inform future treatment decisions. It is not necessary to include all statements made by the patient in the objective section, as this information may be more appropriately documented in the subjective section. Abbreviating medical terms may make the record difficult for others to read and understand, and it is not recommended to use correction fluid or erasure when documenting in the medical record.

Question 2

When planning a patient intervention the physical therapist should&#10;A)choose tasks the patient cannot accomplish so the need for therapy is clear.&#10;B)identify interventions that allow the patient to meet one goal at a time.&#10;C)follow a specific protocol developed for the patient's medical diagnosis.&#10;D)consider the frequency,intensity,and duration of the intervention.

Accepted Answer

The physical therapist should consider the frequency, intensity, and duration of the intervention when planning for a patient. This helps to ensure the treatment is effective and appropriate for the patient's condition, while also helping to prevent injury or further complications. Choice A is incorrect as it goes against the principle of choosing interventions that are achievable for the patient. Choice B is also incorrect as it may not provide a comprehensive treatment plan. Choice C may be helpful, but it should not be the only or primary consideration when planning a patient's intervention, as each patient's needs and abilities vary.

Question 3

Evidence-based practice requires therapists to&#10;A)weigh all research published in peer-reviewed journals equally.&#10;B)integrate research evidence with clinical expertise and patient values.&#10;C)use the newest interventions promoted in continued education courses.&#10;D)use only interventions that have level 1 studies showing efficacy.

Accepted Answer

Evidence-based practice involves integrating research evidence with clinical expertise and the patient's values and preferences to make informed decisions about treatment. It does not require therapists to weigh all research equally or only use interventions with level 1 studies showing efficacy. Therapy techniques promoted in continued education courses may not always be evidence-based.

Question 4

As the physical therapist is evaluating the patient's progress toward documented outcome goals,it is noted that the patient is not progressing as anticipated.What is the most appropriate question for the therapist to ask?

A)How did the patient's goals relate to the institution's goals?
B)Was this patient appropriate for physical therapy intervention?
C)Were the goals and outcomes realistic for this patient?
D)Should I document the patient's status at this time?

Accepted Answer

This question addresses the possibility that the original goals and outcomes set for the patient may not have been realistic. It encourages the therapist to review and potentially revise the goals for the patient, which may improve their progress. Option A is not relevant to assessing the patient's progress. Option B is inappropriate and could be interpreted as blaming the patient for lack of progress. Option D is not a question that would lead to any meaningful action or solution.

Question 5

When planning a patient intervention,the physical therapist should&#10;A)coordinate care of the patient with other professionals.&#10;B)allow the case manager to coordinate the discharge.&#10;C)choose only one intervention for the patient.&#10;D)follow protocols without consideration of the patient's needs.

Accepted Answer

When planning a patient intervention, it is important for the physical therapist to coordinate care with other professionals involved in the patient's care. This ensures that the patient receives comprehensive and effective care. Allowing the case manager to coordinate the discharge is not enough as the physical therapist also needs to be involved in the planning and implementation of the patient's care. Choosing only one intervention for the patient may not be effective as each individual may have unique needs that require a range of interventions. Following protocols without consideration of the patient's needs may not be appropriate as individualizing care plans for each patient is essential for optimal outcomes.

Question 6

Interventions to improve the patient's range of motion would be considered&#10;A)restorative.&#10;B)compensatory.&#10;C)preventive.&#10;D)facilitative.

Accepted Answer

Restorative interventions aim to improve or restore a patient's function, such as range of motion. Compensatory interventions aim to work around or compensate for a patient's limitations. Preventive interventions aim to prevent future problems, and facilitative interventions aim to assist a patient in performing a task or activity. Restorative interventions are the best choice for improving a patient's range of motion.

Question 7

Interventions to facilitate wheelchair propulsion would be considered&#10;A)restorative.&#10;B)compensatory.&#10;C)preventive.&#10;D)facilitative.

Accepted Answer

Compensatory interventions aim to address impairments or functional limitations by finding alternative strategies to achieve a goal. In the case of facilitating wheelchair propulsion, this may involve providing adaptive equipment, modifying the wheelchair or environment, or teaching compensatory techniques to enhance the individual's ability to propel themselves. Restorative interventions aim to improve or restore function, which may not be possible in cases where a person has a permanent disability. Preventive interventions aim to avoid decline or further progression of a condition, which may not apply in the case of wheelchair propulsion. Facilitative interventions are not generally recognized as a separate category in rehabilitation interventions, and the term may be used interchangeably with restorative, compensatory, or preventive interventions depending on the context.

Question 8

One reason for noncompliance with a prescribed intervention is&#10;A)the therapist has communicated the expected outcomes well.&#10;B)the patient and family were not involved in the planning process.&#10;C)the patient is working toward personally meaningful goals.&#10;D)the patient is not expected to return to prior level of function.

Accepted Answer

If the patient and family were not involved in the planning process, they may not have a clear understanding of the intervention and therefore not fully comply with it. It is important for patients and their families to be active participants in the planning process to improve their commitment to the intervention and increase the likelihood of compliance.

Question 9

When providing patient/client-related instruction the therapist should&#10;A)direct all instruction to the patient only during the initial visit.&#10;B)provide instruction to all patients/clients in the same manner.&#10;C)provide instruction to facilitate understanding of the patient's condition.&#10;D)plan all instruction for immediately prior to the patient's discharge.

Accepted Answer

The therapist should provide instruction to facilitate understanding of the patient's condition since each patient has their unique needs and understanding abilities. Instruction should also be provided throughout the therapy sessions and not just during the initial visit or prior to discharge. Providing instruction in a manner that caters to the patient's individual needs is crucial in ensuring optimal outcomes.

Deck 1: Clinical Decision Making