Deck 4: Family-Centered Care

Question 1

What are three common stresses associated with raising a child with a disability?

Answer 1

Lack of information, dealing with the health care system, extended care giving (page 161), and other answers as appropriate.

Question 2

Being a pediatric physical therapist who practices family-centered care means you will

A) Treat the mother's back pain as well as the child's condition.
B) Respect the culture and customs of your patient's family.
C) Defer to the parents/caregivers when you feel they are making a serious mistake in judgment.
D) Refrain from providing the family with recommendations

Answer 2

B
Explanation: Family-centered care is individualized care to meet the family's priorities, preferences, and needs. It does not mean that you will perform services outside of your area of expertise, that you will not advocate for the best interest of the child if a serious problem arises, or that you will not provide recommendations to the family based on your knowledge and expertise.

Question 3

Which of the following concepts is integral to a family system's theory, transactional model of development, and ecological model of development?

A) Task-oriented approach to motor control
B) Relationship between a person and their social environment
C) Relationship between neuromaturation and function
D) Cultural of disability

Answer 3

B
Explanation: The family system's theory, transactional model of development, and the ecological model of development are all grounded in the relationship of a person and their family and the social environment in which they live.

Question 4

It is appropriate for the physical, occupational, and speech therapists to collaboratively decide on the child's mode of communication.

Question 5

Which of the following statements does not reflect a family-centered approach to a pediatric physical therapy examination?

A) Develop a strict format for the examination to ensure standardization.
B) Respect the family's knowledge regarding their child.
C) Emphasize the child's abilities.
D) Be sensitive to the child's temperament and interests.

Question 6

Which of the following strategies is not representative of family-centered care?

A) Help families establish connections with community agencies.
B) Listen and learn from the family.
C) Encourage active participation of the child and family.
D) Set PT goals from items not passed on a motor assessment.

Question 7

What is the key element defining family-centered care?

A) Holistic care
B) Evidence-based practices
C) Collaborative partnership
D) Quality service

Question 8

John is a 4-year-old child with global developmental delay. His gross motor skills are approximately at the 8-month-old level, and he does not have expressive communication. He attends a special preschool program. John has three older siblings. His parents both work. The mother has primary responsibility for his caregiving and expresses concerns about stress and fatigue. The family is anxious for John to learn to walk. At this point in the child's intervention program, who is the most important team member?

A) Speech therapist
B) Physical therapist
C) Occupational therapist
D) Family

Question 9

Respite care is defined as

A) home-based care for respiratory or pulmonary problems to minimize hospital admissions.
B) care for a patient who is terminally ill.
C) temporary care for a child with a disability so the primary caregiver can rest.
D) home-based medical care that allows the family to focus on the emotional well-being of the child rather than the medical condition.

Question 10

Which of the following approaches is not representative of family-centered care?

A) Strength based
B) Directive
C) Supportive
D) Responsive

Question 11

Family-centered care precludes providing direct service in a hospital-based clinic.
Short Answer

Question 12

John is a 4-year-old child with global developmental delay. His gross motor skills are approximately at the 8-month-old level and he does not have expressive communication. He attends a special preschool program. John has three older siblings. His parents both work. The mother has primary responsibility for John's caregiving and expresses concerns about stress and fatigue. The family is anxious for John to learn to walk. Based on this scenario, which statement least reflects a family-centered philosophy for physical therapy intervention?

A) Offer family options regarding social services including respite care.
B) Prescribe a daily home exercise program to improve John's muscle strength for preparation for ambulation.
C) Identify with the family their caregiving routines and provide consultation to assist family members and John.
D) Discuss with the family play activities in supported standing that could provide opportunities for some sibling interactions.