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Mobility in Context: Principles of Patient Care Skills 2nd Edition Test Bank
Chapter 1: Establishing the Therapeutic Alliance
Multiple Choice
1. Which of the following statements is true about interactions with patients?
A. Our attitudes are expressed at a conscious level as well as an unconscious level.
B. Our past experiences have little to do with our present therapeutic relationships.
C. Our past experiences shape our attitudes toward our patients, but not our beliefs.
D. Unchallenged assumptions about our patients generally are favorable.
ANS: A
Rationale: When interacting with patients, physical therapists must be aware that their attitudes are
expressed at a conscious level as well as an unconscious level. Our experiences have a great deal to do
with how we interact with patients and shape our attitudes and beliefs. Unchallenged assumptions can
create negative interactions with our patients.
2. Based on common biases in the U.S. healthcare community, which of the following patients is likely
to be at greatest risk for experiencing negative bias?
A. A 10-year-old boy with chickenpox
B. A 28-year-old obese Mexican woman with chest pain
C. A 43-year-old female athlete with a fractured leg
D. A 72-year-old Caucasian man with osteoarthritis of the knee
ANS: B
Rationale: Although the 72-year-old man may experience age bias, the 28-year-old obese Mexican
woman with chest pain may be subject to bias based on obesity, nationality, and gender, as well as on
symptoms that are not as well recognized in a young person or in a female.
,Mobility in Context: Principles of Patient Care Skills 2nd Edition Test Bank
3. Which of the following has been described as “the last acceptable form of prejudice”?
A. HIV/AIDS bias
B. Mental illness bias
C. Obesity bias
D. Substance abuse bias
ANS: C
Rationale: Obesity bias cuts across social groups and is commonly compounded by other prejudices.
4. Healthcare biases must be recognized to be changed. Which of the following actions would be most
helpful in changing our beliefs?
A. Be aware of behaviors in others that might reflect bias.
B. Look for reinforcement of our beliefs within our peer group.
C. Reflect annually on our attitudes and beliefs about others.
D. Seek out commonalities with those we perceive as different.
ANS: D
Rationale: When we find commonalities with our patients, they tend to minimize our biases. Being
aware of behaviors in others will not help us individually face our biases. It is inappropriate to attempt
to reinforce our biases with peer groups, because doing so does not help change our beliefs. An annual
reflection is hardly adequate to meaningfully identify and change our biases.
5. When you communicate with your patients, you convey information with your words as well as
your body. Which of the following statements about “body language” is true?
A. It is more difficult to interpret than spoken words.
,Mobility in Context: Principles of Patient Care Skills 2nd Edition Test Bank
B. It is used as a primary means of communicating information.
C. It is used to communicate interpersonal attitudes.
D. It makes up about 25% of our communication with patients.
ANS: C
Rationale: Body language is used to negotiate interpersonal attitudes and is typically easier to interpret
than spoken words. Words, not body language, are used primarily to communicate information. Body
language makes up the majority of our communication––about 93%, not 25%, of our communication.
6. Which of the following communication approaches is best when communicating with your patients
in an adult rehabilitation unit?
A. Ask all patients with whom you are working whether they understand what you have said.
B. Read the chart before seeing the patient so that you can refer to him or her by first name.
C. Ask the patient, “What would you prefer that I call you?”
D. Use correct medical terminology rather than everyday terms with your patients as you explain
therapeutic interventions.
ANS: C
Rationale: Asking how the patient prefers to be addressed avoids assumptions about gender or
familiarity and empowers the patient. Although patient understanding is important, there are more
effective ways to make sure that your patients have understood key concepts, such as asking them to
repeat information back to you or asking if they can imagine making the requested change. Using
medical terms when explaining interventions may be confusing to patients.
7. You just took a job working in a nursing home that employs a few very experienced therapists. You
are surprised by some of the problems encountered by the therapy staff, such as poor productivity and
frequent absenteeism. Which of the following factors most likely accounts for these problems?
A. The patients are very high-maintenance and have difficult personalities.
B. The staff do not genuinely care about the patients.
, Mobility in Context: Principles of Patient Care Skills 2nd Edition Test Bank
C. The therapy staff is experiencing burnout because of a heavy caseload.
D. The therapy staff is older and more prone to illness and family issues.
ANS: C
Rationale: Poor productivity and frequent absenteeism are common signs of moderate to severe
burnout.
8. For which of the following patients are patient’s rights most closely regulated?
A. A 6-month-old boy having surgery for shunt placement
B. A 22-year-old woman from Russia having scoliosis surgery
C. A 63-year-old man who is terminally ill with lung cancer
D. A 75-year-old woman who just had her hip replaced after a fall
ANS: A
Rationale: Care would be most regulated for a 6-year-old boy undergoing shunt placement, because
this patient is likely the most vulnerable and least likely to be able to advocate for himself. In general,
the greater the perceived vulnerability of the population, the more closely regulated the care is. Older
patents can also experience increased vulnerability, but as adults they are assumed to be better able to
advocate for themselves and therefore require less oversight and regulation of their care than pediatric
patients.
9. Culture is best defined as
A. a group of people living in a specific area.
B. the fact or state of belonging to a social group.
C. the geographical characteristics associated with a group.
D. the beliefs, customs, and norms of a particular group.
ANS: D
Rationale: Culture is best defined as the beliefs, customs, and norms of a particular group. A group of
people living in a specific area refers to a population or community. A society is defined as the fact or
state of belonging to a social group. Race refers to the geographical characteristics associated with a
group.
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