Question 1

In an interdisciplinary team, the team members&#10;A) maintain their own discipline-specific treatment and goals but report findings to other team members.&#10;B) collaborate by incorporating suggestions from other professionals into their interventions.&#10;C) assess the child and then delegate the treatments to a few key individuals.&#10;D) maintain professional boundaries by not communicating specific treatment techniques.

Accepted Answer

An interdisciplinary team respects the expertise of each member but collaborate closely in evaluation, treatment, and the development of goals. There is close coordination and carryover of interventions among team members.

Question 2

Pediatric rehabilitation is different from adult rehabilitation in that&#10;A) there are no accrediting organizations to ensure safety and quality of care.&#10;B) there are no standardized outcome measures for global independence in function.&#10;C) caregivers require less training for discharge planning.&#10;D) children often require a 1:1 staffing ratio during therapy sessions.

Accepted Answer

While adult settings may have one therapist serving multiple patients at one time, pediatric settings demand 1:1 ratios due to the nature of the clients. Whereas individual therapy is typically 1:1, interdisciplinary groups are sometimes utilized as an adjunct to help meet other needs such as peer interaction. There are accrediting organizations for pediatric rehabilitation, there are standardized outcome measures, and caregivers require the same or more training than in adult rehabilitation.

Question 3

For a child with a brain injury, the rehabilitation team should consider which of the following when planning a transition back to school?&#10;A) The child will not be able to return to school and will need to be home schooled.&#10;B) The child will need a Section 504 plan or individualized education program.&#10;C) The child will need to go to a different school.&#10;D) The child will return to the same classroom without accommodations.

Accepted Answer

Depending on the type and degree of injury and residual restrictions in activities and participation, the child might require an IEP or Section 504 plan. The child should always return to the local school he/she was attending before the injury and should not be placed at home or in a different school regardless of the degree of disability. Support services will come to the child.

Question 4

Which of the following is not usually an ethical issue for a therapist to consider?&#10;A) Parental control versus the right of a child to make choices about care&#10;B) Eligibility criteria for therapy&#10;C) How to manage education regarding sexuality&#10;D) Family-centered care

Accepted Answer

A therapist may encounter various ethical issues specific to caring for children and their families. Examples include the question of parental control versus the right of a child to make choices about his or her care, eligibility criteria for therapy and discharge, how to handle waiting lists, how to manage education regarding sexuality, and how to honestly convey negative information to families (Flett & Stoffell, 2003; Matthews, Meier, & Bartholome, 1990). Family-centered care is a hallmark of pediatric physical therapy.

Question 5

Discharge planning for a new patient entering the rehab unit should begin&#10;A) the moment the child enters the rehabilitative setting.&#10;B) when the child is reaching functional goals.&#10;C) when the child is medically stable.&#10;D) 1 week prior to expected discharge.

Accepted Answer

No matter how long the estimated length of stay, discharge planning should begin at admission.

Question 6

A child who is safe to go home but still requires intensive rehabilitation 5 days per week would most benefit from which setting?&#10;A) Acute care&#10;B) Inpatient rehabilitation&#10;C) Day hospital rehabilitation&#10;D) Home health care

Accepted Answer

Acute care settings and inpatient rehabilitation are too extensive, whereas home health care would be too limited; thus, day hospital rehabilitation would be most appropriate. Outpatient rehabilitation might also be appropriate.

Question 7

In planning for transition to school, which of the following statements is true?&#10;A) School therapists can continue to provide the same level of rehabilitation therapy when the child is back in school.&#10;B) School therapists provide therapy deemed necessary for the child's educational goals as outlined on the IEP.&#10;C) Children should return to school when they no longer have any rehabilitation therapy needs.&#10;D) Coordination between school and rehabilitation therapists is not necessary if the family is able to relay information.

Accepted Answer

School therapists provide therapy deemed necessary for the child's educational goals as outlined on the IEP. This therapy is rarely at the same level as in the rehabilitation setting. The children should return to school and as typical a routine as soon as possible. School and rehabilitation therapists need to communicate with each other and the family.

Question 8

For a 7-year-old boy s/p posterior fossa tumor resection who is currently ambulating three steps in the parallel bars with maximal assistance of one, the following is the most appropriate goal for discharge from inpatient rehabilitation:

A) Ambulate 50 ft with a walker and moderate assistance
B) Ambulate 50 ft with a walker and contact guard assistance
C) Ambulate 50 ft independently without an assistive device
D) Run 50 ft independently without loss of balance

Accepted Answer

Although completely independent ambulation might not be the most appropriate goal, ambulating 50 ft with a walker and contact guard assistance is realistic.

Question 9

Which of the following is not a characteristic of expert pediatric rehabilitation therapists?&#10;A) Ability to approach child and family holistically&#10;B) Decreased humility&#10;C) Ability to prioritize what is most important&#10;D) Broad sense of self-awareness

Accepted Answer

Expert clinicians possess a great deal of content knowledge. This includes a strong ability to approach the child and family holistically. They possess a broader sense of role and are driven to support, educate, and empower patients and families. Content knowledge unique to expert clinicians also includes the ability to prioritize what is most important to the family and to refrain from personal judgments. They have a broad sense of self-awareness. As expertise develops, both self-confidence and humility increase (King et al, 2007).

Deck 16: Rehabilitation Settings