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TEST BANK Fundamental Orthopedic
Management for the Physical Therapist
Assistant, 5th Edition by Manske
Chapter 1: Patient Supervision and Observation During Treatment
1. Who is responsible for carrying out prescribed selected interventions, patient supervision,
data collection, and appropriate supervision of a patient during physical therapy?
a. Physical therapist (PT)
b. Physical therapist assistant (PTA)
c. Nursing assistant
d. Medical doctor
ANS: B
The PTA is responsible for carrying out prescribed selected interventions, patient supervision,
data collection, and appropriate problem-solving and clinical decision making.
2. Which of the following is NOT a purpose of the clinical patient supervision process?
a. To gather relevant information and data
b. To establish and enhance rapport, trust, and confidence
c. To prescribe interventions the patient requires
d. To assist in the management of the patient
ANS: C
PTAs do not prescribe interventions for the patient. The PTA observes, documents, and discusses
patient observations with the PT.
3. Select the open-ended question.
a. What is your pain level today on a scale of 1-10?
b. When did the pain begin?
c. Tell me about the time that you injured knee.
d. When did you take your last pain medication?
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ANS: C
The open-ended question leads the patient to say more than yes or no. Open-ended questions
provide much richer details about the incident or experience.
4. Which of the following statements is true regarding the working environment of PTAs?
a. PTAs work in isolation with their patient assignments.
b. PTAs work with a team of experts in all areas of a patient’s care.
c. PTAs work only with the PT in providing therapy.
d. PTAs are the most important people on the rehabilitation team when providing therapy.
ANS: B
The PTA must be aware of the key members of the rehabilitation team. Occupational therapists,
PTs, nurses, respiratory therapists, psychologists, and audiologists are only a few of the
important members of the rehabilitation team. The PTA does not work in isolation.
5. Which of the following statements would be used in a discussion with a patient?
a. “Your blood pressure is 150/90 which indicates hypertension and could lead to a cerebral
vascular accident if you don’t take your medications.”
b. “Your blood pressure is higher than normal today, 150/90. Did you take your blood
pressure medication this morning?”
c. “The doctor prescribed a beta-blocker for you a month ago. Has that been helping your
blood pressure?”
d. “The combination of your calcium-channel blocker and beta-blocker do not seem to be
controlling your blood pressure. Let’s call the doctor.”
ANS: B
The PTA should learn to communicate openly, freely, and in a professional manner. The PTA
must employ appropriate and professional medical terminology with professional people—but
use familiar (lay) terms to describe the same condition to a patient or a family member.
Avoiding the use of medical jargon (hypertension, beta-blocker, calcium-channel blocker) with
patients is required by PTAs.
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6. How can a PTA demonstrate accountability in their practice?
a. Maintain timely documentation about patient interventions.
b. Maintain good rapport with patients.
c. Continue their education past their initial degree.
d. Report all findings to the supervising PT so that modifications can be made in response to
changes in patient status.
ANS: D
PTAs are responsible for reporting all findings to the supervising PT so that modifications can be
made in accordance with changes in patient status.
7. Which type of questioning would you use to find facts or obtain specific responses from a
patient about an injury to a limb or joint?
a. Open-ended questions
b. Closed-ended questions
c. A pause
d. Neutral phrase
ANS: B
Closed-ended questions are used to find out specific details, direct the discussion, or elicit
specific responses from the patient.
8. Which of the following is an example of prompting during a physical therapy session?
a. “When you walk up the steps, which foot will you move first?”
b. “All right, now pick up your right foot and put it on the next step.”
c. Point to the step and touch the patient’s right leg.
d. Observe the behavior of the patient to see if they will lift up the correct foot while
walking up the steps.
ANS: A
Prompting a patient to perform a task can be viewed as the presentation of a question. Prompting
allows patients to decipher information, solve problems, and provide solutions to activities they
must overcome during recovery. Cues are directions.
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9. Who holds the ultimate responsibility for the patient’s physical therapy?
a. PTA
b. Medical doctor
c. Nurse
d. PT
ANS: D
To minimize the confusing array of treatment protocols, the PTA must effectively and efficiently
communicate with the supervising PT to clarify differences in patient care, always remembering
that the PT has the ultimate responsibility for the interventions provided.
10. Which of the following actions should you take if you have a disagreement with the PT?
a. Refuse to provide the treatment or intervention on the PT’s plan of care.
b. Change the treatment for the day and then report to the PT what was done at the end of
the day.
c. Follow the plan of care no matter what changes are observed in the patient and document
later.
d. Discuss your findings and rationale with the PT to learn and provide better care.
ANS: D
A full understanding of the rationale and purpose of PT interventions allows for improved
delivery of care and safe and effective care. PTAs cannot change the plan of care by themselves.
11. When can a PTA adjust or modify a program of treatment?
a. When the PTA observes certain signs and symptoms in the patient
b. After seeking input and direction from the supervising PT
c. The PTA cannot ever change the plan of care
d. None of the above
ANS: B
The PTA, with direction and input from the supervising PT, can adjust or modify the program of
treatment.
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