Question 1

When is a timed test to examine speed of task performance important?

Accepted Answer

A

Question 2

During performance-based testing what would be the most appropriate direction to give the patient?

Accepted Answer

During performance-based testing, the most appropriate direction would be to ask the patient to stand up from the mat as best as they can. This direction allows the patient to demonstrate their actual ability without any assistance or influence from the tester. It also provides a clear and measurable performance outcome. Choices A, B, and C involve some level of assistance or influence from the tester, which may not accurately reflect the patient's true ability.

Question 3

When an interviewer is asking a patient for a self-report of functional status,what should the interviewer avoid?

Accepted Answer

The interviewer should avoid prompting for answers as it may lead to biased or inaccurate responses. Instead, they should ask open-ended questions and allow the patient to provide their own answers. Short, concise questions and formatted questions may be helpful in keeping the interview organized and focused. Documenting assistance is also important for understanding the patient's level of functioning.

Question 4

The therapist asks the patient to perform a wheelchair-to-bed transfer.What type of testing is this considered?

Accepted Answer

The therapist asking the patient to perform a wheelchair-to-bed transfer is considered a performance-based testing. This type of testing involves actually observing and measuring a person's ability to perform a specific task or activity. In this case, the therapist is assessing the patient's functional mobility skills by having them transfer from a wheelchair to a bed, which is an important activity for those with mobility impairments. Self-report testing involves the patient giving subjective information about their health status, while activity level assessment and functional independence testing are broader assessments of a patient's overall functional abilities.

Question 5

What term best describes the personal behaviors that occur in an individual as a consequence of disease that are internalized and experienced?

Accepted Answer

Illness refers to the personal behaviors and experiences that occur as a result of disease, including physical, psychological, and emotional changes. It encompasses the ways in which a disease impacts an individual's daily life and sense of well-being, and includes both the physical symptoms and the psychological and emotional responses to those symptoms. Psychosis refers specifically to a severe mental disorder characterized by a disconnect from reality, while pathology is the study of disease processes and the effects they have on the body. Etiology refers to the underlying causes of a disease.

Question 6

What is one disadvantage of a functional performance measure such as the Timed Up and Go Test?

Accepted Answer

The Timed Up and Go Test is a functional performance measure that evaluates a patient's ability to stand up from a chair, walk a short distance, turn around, walk back, and sit down again. While this test can provide valuable information about a patient's mobility and balance, it may not accurately reflect how the patient moves and performs tasks in their daily life. For example, the test does not assess the patient's ability to navigate uneven surfaces or climb stairs. This is a disadvantage of functional performance measures in general, and the Timed Up and Go Test in particular.

Question 7

The patient is unable to dress in the morning.This task is an example of

Accepted Answer

Basic activities of daily living (ADLs) include self-care tasks such as dressing, bathing, grooming, and toileting. Instrumental activities of daily living (IADLs) include more complex activities such as meal preparation, managing finances, and shopping. Functional mobility skills refer to the ability to move around and perform activities in the environment. Major activities of daily living is not a recognized category.

Question 8

Which of the following would be considered an impairment according to Nagi's model?

Accepted Answer

Nagi's model differentiates between the concepts of impairment, functional limitation, and disability. An impairment is a loss or abnormality in body structure or physiological function. Decreased range of motion is a direct example of an impairment, as it reflects a loss of normal function or structure at the joint level. Elevated blood pressure is considered a pathology, inability to ambulate is a functional limitation, and inability to attend school is a disability.

Question 9

What are some of the factors the therapist must consider when determining a disability for a particular patient?

Accepted Answer

The answer of What are some of the factors the...

Question 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?

Accepted Answer

Nominal measures categorize data without a specific order, which aligns with the "able to do/not able to do" categorization of functional tasks.

Question 11

Which of the following would be considered a functional limitation according to Nagi's model?

Accepted Answer

According to Nagi's model, a functional limitation refers to a restriction in the ability to perform actions or activities in the manner or within the range considered normal. "Inability to ambulate" is a direct limitation in physical function.

Question 12

The patient is unable to perform grocery shopping.This task is an example of

Accepted Answer

Grocery shopping is considered an instrumental activity of daily living, which refers to complex activities such as managing finances, preparing meals, and shopping, that are necessary to live independently in the community. Basic activities of daily living include more foundational skills such as toileting, dressing, and feeding oneself. Functional mobility skills refer to the ability to move around one's environment while engaging in activities, and major activities of daily living are broader categories that encompass both basic and instrumental activities of daily living.

Question 13

Which of the following would be considered a disability according to Nagi's model?

Accepted Answer

The answer of Which of the following would be considered...

Question 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?

Accepted Answer

The patient is able to walk without physical assistance at home with the use of a quad cane, indicating that they are independent with a quad cane. Stand-by assistance and close supervision suggest that the patient requires some level of physical assistance, while completely independent may not be accurate if the patient only walks with the use of a quad cane.

Question 15

The patient reports difficulty ascending stairs independently.What is an objective measure to evaluate "difficulty"?

Accepted Answer

The answer of The patient reports difficulty ascending stairs independently.What...

Question 16

In a team-based environment the physical therapist is typically responsible for evaluating what functional area?

Accepted Answer

Functional mobility skills are typically evaluated by the physical therapist in a team-based environment. Cognitive and social functioning may be evaluated by other team members such as the occupational therapist or psychologist. Basic activities of daily living and instrumental activities of daily living may be evaluated by the occupational therapist.

Question 17

Which of the following demonstrates a physical sign as opposed to a symptom?

Accepted Answer

The answer of Which of the following demonstrates a physical...

Question 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?

Accepted Answer

Capacity refers to the patient's ability to perform a task under specific conditions, which is what the therapist is assessing by asking for the task to be performed once under very specific circumstances.

Question 19

A therapist who rates a patient's performance as requiring moderate assistance is using what type of measure or scale?

Accepted Answer

Ordinal measures involve ranking or categorizing items based on their relative standing, such as mild, moderate, or severe level of assistance needed. Nominal measures involve categorizing items into distinct groups, summary measures provide a summary statistic (such as a mean or median), and linear analogue scales involve rating items on a continuous scale.

Question 20

Which of the following statements best assesses a patient's habitual performance of a task?

Accepted Answer

Asking how many stairs the patient walks up daily gives insight into their habitual performance of the task. The other options either only assess current ability or instruct the patient to perform the task without giving information on their usual performance.

Quiz 11: Examination of Functional Status and Activity Level