Chapters 9-11

Question 0

What is empathy?

Answer 0

The ability to imagine oneself in another person’s place and to understand that person’s feelings, ideas, and actions

Question 1

What is communication?

Answer 1

The most immediate tool used to interact with others

Question 2

What are the 3 stages of empathy?

Answer 2

Cognitive stage
Crossing over stage
Coming back stage

Question 3

Should you have sympathy for a patient?

Answer 3

No because sympathy implies pity and feeling sorry for the patient

Question 4

Verbal vs nonverbal communication

Answer 4

Verbal - message conveyed orally

Nonverbal - body language and facial expressions

Question 5

Should a family member be used to translate to a patient?

Answer 5

No

Question 6

Types of verbal communication include…

Answer 6

Face to face - best form
Telephone - confidential medical information cannot be discussed
Group discussion - communicates the same message to a group
Third party discussion - limited due to medical confidentiality

Question 7

Type of listening used for a specific type of information and arranging information into categories…

Answer 7

Analytical listening

Question 8

Type of listening used for the patient’s answers to specific questions…

Answer 8

Directed listening

Question 9

Type of listening used when a person’s own interest in a subject is being discussed…

Answer 9

Exploratory listening

Question 10

Type of listening used for esthetic pleasure…

Answer 10

Appreciative listening

Question 11

Type of listening used for general information to get the overall picture of the patient…

Answer 11

Attentive listening

Question 12

Type of listening used when feeling obligated…

Answer 12

Courteous listening

Question 13

Type of listening used when not being attentive to the matter being discussed…

Answer 13

Passive listening

Question 14

Willingness to receive a message is conveyed through…

Answer 14

Open posture

Question 15

HEP should be…

Answer 15

Written at a 5th grade level, short sentences
Use 12 pt font or larger
Include pictures
Be specific with number of repetitions and resistance
Written in conversational style

Question 16

Symptom vs sign

Answer 16

Symptom is a change reported by the patient (subjective)

Sign is objective evidence of a disorder

Question 17

Identify the significance of PT documentation…

Answer 17

Reimbursement
Quality and continuity of care
Legal reasons
Research and education 
Marketing

Question 18

What color ink can documentation be in?

Answer 18

Only blue or black according to the APTA

Question 19

What is the correct way to correct a mistake in documentation?

Answer 19

Crossed out with a single line through the error, initialed and dated by the PTA

Question 20

Identify 3 types of medical records…

Answer 20

POMR (problem oriented), order of importance
SOMR (source oriented), uses tab markers
SOAP

Question 21

Identify types of PT documentation reports…

Answer 21

Initial evaluation report
Progress report
Discharge report

Question 22

What information should be obtained from patient regarding pain level?

Answer 22

Location of pain, extension or radiation, intensity, duration, onset, frequency, progression, aggravating or relieving factors, and previous test results in regard to pain

Question 23

What two pain scales can be used?

Answer 23

VAS - 10cm unmarked lines indicating no pain to severe pain

NRS - uses numerical values (ie 0-10) to reflect degree of pain

Question 24

Can a PTA complete a discharge report?

Answer 24

No

Question 25

What info is documented in subjective section of SOAP note?

Answer 25

Information provided by patient or patient's family

Question 26

What information should be documented about a caregiver when using information they have given in a SOAP note?

Answer 26

Full name and relationship to the patient

Question 27

What info is contained in objective portion of SOAP note?

Answer 27

Results of tests, measurements, and interventions

Question 28

Describe assessment data for a SOAP note...

Answer 28

Response to intervention, changes in patient's status, and healthcare provider's opinion on the patient progress

Question 29

What should be avoided in assessment portion of SOAP note?

Answer 29

Making general comment like "patient did well" Describing progress without showing evidence in subjective and objective sections Overlooking meeting short term and long term goals

Question 30

What info should be included in the plan section of SOAP note?

Answer 30

Plan for further diagnostic or therapeutic action or for next treatment session

Question 31

What info is important with a telephone referral?

Answer 31

Date and time of call Name of person calling and healthcare provider Name of PTA that took call Name of patient and details of referral Name of PT who will be responsible for patient

Question 32

What are the guidelines for completing PT documentation?

Answer 32

Respect patient right to privacy Medical info release must be authorized by patient Medical inquiries directed to PT Written records secure for 7 yrs

Question 33

What can be done for documentation to reflect evidence based care?

Answer 33

Incorporate valid and reliable tests and measures Keep up to date with current research Include standardized tests and measures Incorporate evidence based interventions

Question 34

Benefits of computerized documentation...

Answer 34

``` Electronically submits to insurance company Monitor clinician's productivity Tracks patient visits Patient scheduling easy Minimize documentation paperwork Maximize efficiency Integrating billing Increase reimbursement ```

Question 35

What do PTAs teach patients?

Answer 35

Info to improve ability to manage acute and chronic conditions Info for prevention, wellness, and opportunity for healthy lifestyle Exercises for reducing impairment Methods for active involvement and adherence Methods to maximize independence

Question 36

What types of clinical instruction modes are there?

Answer 36

Discussions, demonstrations, presentations, lectures, DVDs, return demonstrations, and illustrations

Question 37

Five types of learning are...

Answer 37

Visual - seeing, diagrams and pictures Auditory - hearing, lectures Kinesthetic - hands on, learn by doing Analytic - organize, details, making lists, and analyzing Spatial- recognize patterns, big picture and spontaneous