A physical therapist assistant works with a patient who has a knee sprain. During the initial treatment session, the patient appears to be relaxed and comfortable, however, is extremely withdrawn. Which of the following questions would be the MOST appropriate to further engage the patient? - ANS ...
A physical therapist assistant works with a patient who has a knee sprain. During the initial
treatment session, the patient appears to be relaxed and comfortable, however, is extremely
withdrawn. Which of the following questions would be the MOST appropriate to further engage
the patient? - ANS What do you hope to achieve in physical therapy?
An 83 year-old female has suffered a CVA (stroke). Prior to her incident she was fully
independent, driving, attending social functions with friends 2-3 times per week and living alone
with her dog. She now experiences weakness of the left arm and leg, requires moderate
assistance for standing from sit and for ambulation with a walker. Using the ICF framework,
under which of the following categories would her current weakness be placed? - ANS
Body functions & structure
You are scheduled to work with Tom, a 55 year-old male with chronic low back pain. During your
treatment session, Tom makes comments to you that he does not take his dog for a walk
anymore and tries not to walk to the mailbox because he feels the activity will make his back
pain worse and even further his injury. He has stopped participating in social activities and is
fully off work. Which of the following psychological factors most accurately describes this
behavior? - ANS fear avoidance
With fear-avoidant patients, which of the following treatment intervention methods should be
included in the PT plan of care? - ANS Patient education
Graded Exercises
Identification of functional limitations
Which of the following methods to address psychosocial obstacles during patient care would
require the clinician to obtain more advanced training? - ANS motivational interviewing
A 72 year-old male fell from a six-foot ladder while trimming a tree and struck his head on the
pavement, sustaining a closed head injury. He spent two weeks in the ICU and is now receiving
therapy in the neurological step-down unit. His spouse is supportive and eager for him to return
home, especially since he obtained a pressure sore on his heel in ICU. He has left hemiplegia,
is confused and intermittently agitated. He is currently moderate assist for transfers and is
ambulating 15 feet in the parallel bars with maximum assistance.
Which of the following might be an example of an INDIRECT impairment in the ICF model? -
ANS Decubitus ulcer
, Same patient: A 72 year-old male fell from a six-foot ladder while trimming a tree and struck his
head on the pavement, sustaining a closed head injury. He spent two weeks in the ICU and is
now receiving therapy in the neurological step-down unit. His spouse is supportive and eager for
him to return home, especially since he obtained a pressure sore on his heel in ICU. He has left
hemiplegia, is confused and intermittently agitated. He is currently moderate assist for transfers
and is ambulating 15 feet in the parallel bars with maximum assistance.
Which of the following would NOT be considered an Activity Limitation in the ICF model? - ANS
depression
Same Patient: A 72 year-old male fell from a six-foot ladder while trimming a tree and struck his
head on the pavement, sustaining a closed head injury. He spent two weeks in the ICU and is
now receiving therapy in the neurological step-down unit. His spouse is supportive and eager for
him to return home, especially since he obtained a pressure sore on his heel in ICU. He has left
hemiplegia, is confused and intermittently agitated. He is currently moderate assist for transfers
and is ambulating 15 feet in the parallel bars with maximum assistance.
Which of the following might be considered a barrier for this patient in the ICF model? - ANS
Stairs to enter home
Spouse works full-time
Narrow doors in older home
Same Patient: A 72 year-old male fell from a six-foot ladder while trimming a tree and struck his
head on the pavement, sustaining a closed head injury. He spent two weeks in the ICU and is
now receiving therapy in the neurological step-down unit. His spouse is supportive and eager for
him to return home, especially since he obtained a pressure sore on his heel in ICU. He has left
hemiplegia, is confused and intermittently agitated. He is currently moderate assist for transfers
and is ambulating 15 feet in the parallel bars with maximum assistance.
Given this patient's current functional level and barriers, which PT intervention might be the
most meaningful TO THE PATIENT? - ANS Gait training
Same Patient: A 72 year-old male fell from a six-foot ladder while trimming a tree and struck his
head on the pavement, sustaining a closed head injury. He spent two weeks in the ICU and is
now receiving therapy in the neurological step-down unit. His spouse is supportive and eager for
him to return home, especially since he obtained a pressure sore on his heel in ICU. He has left
hemiplegia, is confused and intermittently agitated. He is currently moderate assist for transfers
and is ambulating 15 feet in the parallel bars with maximum assistance.
Given that this patient is three weeks post-injury, which stage of grieving or adaptation is the
patient LEAST likely to be in? - ANS acceptance
A patient begins to cry in the middle of a treatment session. The physical therapist assistant
attempts to comfort the patient, however, eventually has to discontinue treatment. What section
of the SOAP note would be the MOST appropriate to document the incident? - ANS
assessment
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