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pta exam study guides > Professions final > Flashcards

Professions final Flashcards

1
Q

Standard 1

A

respect dignity and rights of pts.

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2
Q

Standard 2

A

trustworthy and compassionate

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3
Q

Standard 3

A

make decisions with PT within laws and regulations

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4
Q

Standard 4

A

Show integrity within relationships

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5
Q

Standard 5

A

PTA fulfill legal and ethical obligations

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6
Q

Standard 6

A

PTA shall enhance their competence lifelong acquisition of skills and knowledge

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7
Q

Standard 7

A

PTA should support organizational behaviors

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8
Q

Standard 8

A

meet the health needs of people locally, nationally, and globally.

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9
Q

What is the ICF model?

A

International classification of functioning, disability, and health.
Part 1: function and disability. Body functions and structures and activities participation
Part 2: Environmental factors.

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10
Q

Role of the PT?

A
  • maintain, restore, improve movement, activity, and functioning. Responsible for five elements
  • Examination
  • Eval
  • Diagnosis
  • Prognosis
  • Intervention
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11
Q

Role of the PTA?

A
  • Application of POC
  • Supervised by PT
  • Can make modifications within POC
  • Can’t alter plan of care.
  • Provide info for rationale for intervention treatment
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12
Q

Define pathology

A

interruption of interference with normal process. (the disease itself).
Example: Parkinsons

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13
Q

Define Impairment

A

Loss or abnormality of an anatomical, physiological, mental, or emotional nature. Example: muscle weakness, limited ROM ect.

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14
Q

Define functional limitation

A

abnormality or limitation in individuals ability to carry out a meaningful action or task.
Example: ADLs unable to transfer from chair to bed.
Unable to commute to the grocery store.

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15
Q

Define disability

A

inability or limitation in performing socially defined roles and tasks that would be normally expected of an individual
Example: self-care, home management, work, community, leisure activities.

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16
Q

Core Values

A 
Accountability
Altruism
Collaboration
Compassion & Caring
Duty
Excellence
Integrity
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17
Q

Accountability

A

Active acceptance of responsibility for diverse roles, obligations, & actions of PT/PTA including self regulation & behaviors that positively influence client outcomes, the professions, and health of society

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18
Q

Altruism

A

Primary regard for or devotion to the interest of patients/clients, thus assuming responsibility of placing needs of pt’s ahead of PTA self interest

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19
Q

Collaboration

A

Working together with pt’s clients, families, communities & professionals in health & other fields to achieve shared goals. Collaboration within PT/PTA team work together, within respective roles to achieve optimal PT services/outcomes

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20
Q

Compassion & Caring

A

Desire to identify with or sense something of another’s experience; precursor of caring

Caring is the concern, empathy, & consideration for the needs & values of others

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21
Q

Duty

A

Commitment to meeting one’s obligation to provide effective PT services to pt’s , to serve the profession, & positively influence the health of society

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22
Q

Excellence

A

Provision of PT services occurs when PT/PTA consistently use current knowledge & skills while understanding person limits, integrate pt perspective, embrace advancement, & challenge mediocrity

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23
Q

Integrity

A

Steadfast adherence to high ethical standards, being truthful, ensuring fairness, following through on commitments, and verbalizing to others the rational for actions.

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24
Q

Social Responsibility

A

Promotion of mutual trust between the profession & the larger public that necessitates responding to societal needs for health & wellness

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25
Q

General Supervision

A

Applies to PTA. PT not required to be on site, but must be available by atleast telecommunication. PT must be able to respond in timely manner.

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26
Q

Direct Supervision

A

Applies to SPTA. PT/PTA must be physically present & immediately available. PT/PTA will have direct contact with the pt on each date of service. Telecommunications does not meet direct supervision standards.

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27
Q

Direct Personal Supervision

A

Applies to PT aide/tech. PT/PTA must be physically present & immediately available to supervise tasks related to pt outcomes.

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28
Q

PTA’s may not…

A
  1. Specify and/or perform evaluative procedures
  2. Alter POC or goals
  3. Recommend equipment/devices/alterations to architectural barriers to persons
  4. Sign progress notes that design/modify POC
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29
Q

Who can refer to a patient to PT?

A
  1. Physician
  2. Dentist
  3. Chiropractor
  4. Podiatrist
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30
Q

Jurisdiction

A

PT/PTA can only practice in state in which they hold a current license.
Exceptions:
1. Practice in armed forces
2. Part of cont. edu
3. Limited time period (<60days in 12 month time period) - sports team
4. Limited time period (<60days in 12 month time period) - state of emergency. Must notify state board.

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31
Q

Rights of PTA within TPTA

A
  1. Attend mtgs
  2. Speak in debate
  3. Make & second motions
  4. Serve as chair or appointed committee
  5. Serve as member of committee
  6. Petition to form district
  7. Petition to form special interest group
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32
Q

Autonomy

A

Respect for patient self-determination

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33
Q

Beneficence

A

Promoting interest of patient

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34
Q

Non-maleficence

A

Cause no harm

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35
Q

Justice

A

Act Fairly

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36
Q

RIPS

A

Realm
Individual Process
Situation

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37
Q

Types of Ethical Situations (four things)

A

Dilemma
Distress
Temptation
Silence

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38
Q

Tests for Right-Wrong Decisions

A 
Legal test
Stench test
Front-page test
Mom test
Professional ethics test
*If any are positive, not an ethical dilemma
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39
Q

What does HIPAA stand for?

A

Health Insurance Portability & Accountability Act

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40
Q

Patient Bill of Rights

A
  1. Select PT of their choosing
  2. Access info. to practice policies/procedures
  3. Knowledge of identity of PT/PTA, such as education or background
  4. Expectation that referral source is not gaining financial benefit
  5. Involved in development of anticipated goals/outcomes
  6. Knowledge of risks associated with interventions
  7. Participation in decisions about POC when possible
  8. Access to info. about their condition - pt. may have to pay for copy
  9. HIPPA
  10. Expectation of safe environment/services
  11. Timely info. about D/C
  12. Refusal of PT services
  13. Info. about initiation/resolution of patient complaints
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41
Q

Informed consent includes (three things)

A
  1. Explanation of findings/interventions etc
  2. Opportunity to ask questions
  3. Formal request to proceed with POC
42
Q

The word culture is used because it implies the integrated pattern of human behavior that…________________________.

A

…“it includes thoughts, communications, actions, customs, beliefs, values, and institutions of a racial, ethnic, religious or social group.”

43
Q

The word competence is used because it implies having the capacity to…______.

A

…“function effectively.”

44
Q

Cultural Competence

A

Set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals & enable that system, agency or those professions to work effectively in cross cultural situations.

45
Q

Ways for a system to become more culturally competent they must…

A
  1. Value diversity
  2. Have capacity for cultural self-assessment
  3. Be conscious of dynamics inherent when cultures interact
  4. Institutionalize cultural knowledge
  5. Develop adaptation to service delivery
46
Q

Ways to improve cultural competency…

A
  1. Take honest look at self
  2. Pay attn. to systems
  3. Listen
  4. Not just about race. Includes culture, religion, etc.
  5. No finish line. Always learning
47
Q

What are three reasons for medical records to be reviewed/ audited?

A

1) quality assurance
2) Research and education
3) Reimbursement

48
Q

What 2 events shaped development of PT in US

A

Polio outbreak and WW1

49
Q

What does APTA stand for

A

American Physical Therapy Association

50
Q

How many Continuing Education credits are required and how many years

A

PT: 30 every 2
PTA: 20 every 2

51
Q

Which Therapy Setting is more likely to encounter fraud?

A

Home Health

52
Q

What is special about therapy in school?

A

It has to be education based

53
Q

What is the best resource for finding rules and regulations in Texas?

A

Texas Rules and practicing Act

54
Q

How often should a documented meeting between PT/PTA take place?

A

Every 60 days per law but is recommended every 30 days.

55
Q

How much does a PTAs vote count for in the APTA

A

1 full vote

56
Q

Where should a facility display licenses ?

A

Prominently displayed in the place of business containing the boards: name, mailing address, phone number and a statement informing consumers that a complaint can be directed to the board.

57
Q

Autonomy

A

Respect for patient self determination

58
Q

Beneficence

A

Promoting the interest of the patient

59
Q

Non-maleficence

A

Cause no harm

60
Q

Justice

A

Act fairly

61
Q

RIPS Model steps:

A

Recognize and define the ethical issue, reflect, decide the right thing to do, implement, evaluate, re-assess.

62
Q

Moral Sensitivity

A

recognize the ethical situation

63
Q

Moral judgement

A

Make a decision about right wrong action

64
Q

Moral Motivation

A

put moral values over other values

65
Q

Moral Courage

A

Should the decision be implemented?

66
Q

Ethical Situation: Dilemma

A

2 courses of action can be taken both fulfill an important duty.

67
Q

Ethical Situation: Distress

A

right course of action is known but no authority to perform

68
Q

Ethical Situation: Temptation

A

choice between right/wrong; stand to benefit from the wrong

69
Q

Ethical Situation: Silence

A

ethical values are challenged but no one is speaking about challenging the issue.

70
Q

Test for right/wrong decisions

A

Legal, stench, front-page, mom, professional ethics tests.

71
Q

Rules based

A

follow rules and duties in place

72
Q

Ends-based

A

resolved based on consequences

73
Q

Care-based

A

resolved based on relationships and concerns for others

74
Q

Why can documentation be denied?

A

(know various reasons) - there are 10 listed

75
Q

SOAP note

A

Know what each letter stands for and in general what examples would be.
-S: what patient says
-O: what is observed or performed: intervention amount
A: how did patient due (describe pt response): change in pain level, etc.
P: What is to be done next session

76
Q

Informed consent must include:

A

Think about practical/skill check intro

77
Q

If a referring practitioner financially benefits from a referral what must happen?

A

Pt must be notified of financial gain

78
Q

What does HIPAA cover?

A
  • Storage of medical records
  • disposal of records
  • verbal transition of information
  • reporting breaches of health information security
79
Q

What is Consumer-Centricity

A

Consumer values and goals will be central to all efforts in which PT profession will engage.

80
Q

Impairments often lead to:

A

Functional Limitations

81
Q

Part one of the ICF model includes:

A

Body functions and structures, and activities and participation

82
Q

Part two of the ICF model includes:

A

environmental and personal factors that affect function and disability.

83
Q

Physical factors

A

ramps, stairs, curbs

84
Q

personal factors

A

attitude, mood, family support

85
Q

how many ICD codes are there?

A

68,000

86
Q

What does ICD stand for?

A

International Classification of Diseases

87
Q

Third party payment set order:

A

Consumer –> insurer –> Provider

88
Q

Therapy reimbursement is geared towards?

A

Value-Based Care

89
Q

what role of supervision is required for PTA under Tri-Care in private practice settings?

A

Direct Supervision

90
Q

What are CPTs

A

Codes designating the service you’re billing

current procedural terminologies

91
Q

Service Based codes

A

also called untimed codes, can only be billed for 1 unit. examples: evaluation, re-exam, applying hot or cold packs, e-stim (unattended)

92
Q

Time Based codes

A

Allow to bill for multiple units, examples: therapy exercises, manual therapy, neuromuscular re-edu., gait training, ultrasound and e-stim (attended)

93
Q

evidence based practice consist of:

A

Best available evidence, clinicians knowledge and skills, patients wants and needs

94
Q

Barriers to EBP

A
  • No time to read research
  • no research available for patient population
  • no easy access to research
  • no time to learn how to apply EBP
95
Q

What does PICO stand for?

A

Patient
Intervention
Control or comparison
outcome

96
Q

Sensitivity

A

A test to identify people who have a certain condition.

ex: the % of sick people who are correctly identified as having the condition

97
Q

Specificty

A

A test to identify people who do NOT have a certain condition.
ex: the % of healthy people who are correctly identified as not having the condition.

98
Q

Hierarchy of Evidence

A

Go over the order?

99
Q

P value:

A

significance level is 0.05
if a big number such as 0.18 it is not enough to reject
if small such as 0.000018 then we would say it is Signiant in rejecting the null hypothosis.

100
Q

are you going to pass the final and course

A

DUH :)

101
Q

Billing unit times

A 
8-22- 1 unit 
23-37 2 units
38-52 3 units 
53-67 4 units
68-82 5 units 
83       6 units
102
Q

Continuous quality improvement

A 
Plan
measure 
analyze 
improve 
repeat

pta exam study guides (8 decks)

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