Final Exam

Question 1

Which communication style:
- get excited
- ask “who”
- show emotion
- likes applause, feedback, recognition
- likes challenges and to get ahead
- relies on hunches and feelings and intuition

Answer 1

Expresser

Question 2

What communication Style:
- they like their own way, decisive and strong viewpoints
- asks “what”
- takes charge
- results/goal-oriented
- competitive
- like to save time and be efficient

Answer 2

driver

Question 3

What communication style:
- like positive attention, to be helpful and regarded warmly
- asks “why”
- dislikes rejection and being treated impersonally
- likes/values friendships, close relationships

Answer 3

relater

Question 4

what communication style:
- seeks data, asks many questions, methodical and systematic
- asks “how”
- dislikes making errors and being unprepared/spontaneity
- likes activity and busyness
- makes decisions at own pace not cornered or pressured

Answer 4

analytic

Question 5

what communication style:
- put the rights or others before own, minimizing own self-worth

Answer 5

passive

Question 6

what communication style:
- stand up for your rights while maintaining and respecting rights of others

Answer 6

assertive

Question 7

what communication style:
- stand up for rights but violate rights of others

Answer 7

aggressive

Question 8

what is the role of communicaiton in pt outcomes? (6 things)

Answer 8

• improved pt satisfaction
• improved adherance to tx plans
• better clinical outcomes
• fewer medical errors
• fewer malpractice claims
• increase career longevity

Question 9

what part of the brain does executive functions for cognitive empathy

Answer 9

pre-frontal cortex

Question 10

what part of the brain has a role in memory that plays a role in perspective taking

Answer 10

temporal lobe

Question 11

what part of the brain is responsible for emotional empathy

Answer 11

limbic system

Question 12

what part of the brain has mirror neurons for reflexive empathy

Answer 12

pre-motor area

Question 13

what are the 3 types of difficult conversations

Answer 13

• what happened
• feelings
• identity

Question 14

which type of difficult conversation:
- seeks to understand more about circumstance
- dont argue, explore
- view from other perspectives
- be curious, not certain
- dont assume intentions
consider contributions instead of placing blame

Answer 14

what happened converstaion

Question 15

what difficult conversation:
- emotions are the heart of conversation
- ignoring them makes the probelem worse
- negotiate emotions
- express dont evaluate
- acknowledgement of other emotions

Answer 15

feelings conversatoin

Question 16

what difficult conversation:
- am I competent?
- am I a good person?
- am I worthy?
- become aware of your triggers

Answer 16

identity conversation

Question 17

what are the 5 steps to a difficult conversation

Answer 17

1. get started - think like a 3rd party, extend an invitation
2. speak up
3. learn - be an active listener
4. ask questions
5. begin to problem solve

Question 18

what are the 3 types of feedback?

Answer 18

appreciation
coaching
evaluation

Question 19

what type of feedback:
- to see, acknowledge, connect, motivate, thank

Answer 19

appreciation

Question 20

what type of feedback:
- to help receiver expand knowledge, sharpen skill, improve capability

Answer 20

coaching

Question 21

what type of feedback:
- to rate or rank against a set of standards, to align expectations, to inform decision making

Answer 21

evaluation

Question 22

what is GRIT?

Answer 22

Growth
Resilience
Instinct
Tenacity

Question 23

what type of feedback:
- “the hard work you put in to the evaluation was very evident”

Answer 23

appreciation

Question 24

what type of feedback:
- “you measured the pt’s shoulder IR wrong”

Answer 24

evaluation

Question 25

what type of feedback: - you are right at the beginner level, which is where I expect you to be"

Answer 25

evaluation

Question 26

what type of feedback: - "your eval took too long, go faster next time"

Answer 26

coaching

Question 27

what are 3 types of triggers

Answer 27

truth relationship identity

Question 28

what type of trigger: - related to feedback itself - we feel it is wrong, unhelpful, unreasonable, etc. can look like anger, defensiveness, dismissal

Answer 28

truth trigger

Question 29

what type of trigger: - related to the person giving the FB - perception that they dont have credibility - perceptions about intent or motive - may result in hurt feelings, anger, suspicion

Answer 29

relationship trigger

Question 30

what type of trigger: - focus is the FB receiver - brings up feelings of shame, doubt, unworthiness, etc

Answer 30

identity trigger

Question 31

what are the 4 principles of ethics

Answer 31

- autonomy - beneficence - nonmalfecience - justice

Question 32

what ethic principal: - acknowledge people's right to make choices for themselves based on own values and beliefs

Answer 32

autonomy

Question 33

what ethic principal: - one ought to prevent and remove evil or harm, do good and promote good

Answer 33

beneficence

Question 34

what ethic principal: - do not inflict evil or harm

Answer 34

nonmaleficence

Question 35

what ethic principle: - treat others equally and fairly

Answer 35

justice

Question 36

law, ethic or policy: - it is illegal to drink and drive

Answer 36

law

Question 37

law, ethic or policy: - should not treat a pt when impaired from alcohol

Answer 37

ethic

Question 38

law, ethic or policy: - workplace is drug and alcohol free

Answer 38

policy

Question 39

what are the 7 steps to solving an ethical problem?

Answer 39

1. what is the problem and why 2. what are the facts 3. interested parties 4. need further info? 5. possible solutions 6. action? 7. future?

Question 40

what are the 4 leadership approaches

Answer 40

trait skills behavior adaptive

Question 41

which leadership style: - idealized influence (we look up to them) - inspirational motivation - intellectual stimulation (value big ideas) - individualized consideration (work well individually with people on their team) - lead rom the front

Answer 41

Transformational

Question 42

which leadership style: - power oriented - self-consumed - does not encourage independent thought - little caring for others - come across as charismatic but not really

Answer 42

pseudo transformational

Question 43

which leadership style: - contingent reward - management by exception

Answer 43

transactional

Question 44

which leadership style: - revolves around power - directs and controls all activities - low follower autonomy - demands obedience - military

Answer 44

authoritarian

Question 45

which leadership style: - hands off approach - non-transactional

Answer 45

laissez-faire

Question 46

which leadership style: - extremely self-aware - leads from own core values - strong sense of purpose - builds relationship - disciplined, focused

Answer 46

authentic

Question 47

which leadership style: - seeks to help, develop, guide followers - sensitive to emotional well-being - puts followers first - strong moral/ethical code

Answer 47

servant

Question 48

which leadership style: - focuses on solving large/major problems - teaches follower how to prepare and deal with change - can see the big picture - gives followers a voice

Answer 48

adaptive

Question 49

why is documentation necessary? (6)

Answer 49

- record of patient mngmt - communication - demonstrate clinical problem solving and EBP - legal record - reimbursement - outcomes

Question 50

what is the role of documentation in legal considerations

Answer 50

- laws, regulations and policies - informed consent - malpractice and risk management

Question 51

what are some ethical and legal considerations involving documentation

Answer 51

- pt safety and quality of care - confidentiality - fraud and abuse

Question 52

for proper reimbursement, payors need to see that care is...

Answer 52

skilled necessary consistent with charges effective

Question 53

what are the 3 main payment systems

Answer 53

value based prospective fee for service

Question 54

what type of payment system: - payment based on outcomes - also known as alternative payment model

Answer 54

value based

Question 55

the value based payment system aims to ... (4)

Answer 55

- reduce cost - improve pt satisfaction - improve quality of care - improve health

Question 56

what payment system: - lump sum payments - predetermined - pt classification system - pt dx - operating and capital expenses

Answer 56

prospective

Question 57

what payment system: - payment based on dollar amt ascribed to each service - volume = greater reward - quality of care does not matter

Answer 57

fee for service

Question 58

what is the role of ICD-10 in its role in documentation and billing

Answer 58

- used for clinical and research purposes - insurance providers - public health sector - consistency needed for reimbursement

Question 59

ICD-10 codes can be _____ specific or ______ specific

Answer 59

diagnosis sign/symptom

Question 60

T/F - CPT codes are discipline specific

Answer 60

False

Question 61

T/F - CPT codes for re-eval and eval are not timed codes

Answer 61

True

Question 62

How is evaluation code determined?

Answer 62

complexity - High, Mod, Low

Question 63

what do timed codes require?

Answer 63

direct, one-on-one pt care

Question 64

for timed codes - treatment is provided in ___ min increments starting at ____ min

Answer 64

15 min starting at 8 min

Question 65

what are some examples of timed codes

Answer 65

ther ex neuro re-education gait training MT

Question 66

what are some examples of non-timed codes

Answer 66

hot/cold pack mechanical traction e stim group therapy

Question 67

T/F - untimed codes require direct, one-on-one pt care

Answer 67

False - do not require

Question 68

how many units are billed for untimed treatments

Answer 68

1 unit

Question 69

what is CCI?

Answer 69

correct coding initiative - says that some things cannot be billed for on the same day and if they are they require a modifier

Question 70

what are the qualifications to receive Medicare

Answer 70

age > 65 yrs younger than 65 yrs with a disability end stage renal disease

Question 71

what settings does Medicare Part A pay for?

Answer 71

acute care IRF SNF HH Hospice

Question 72

what does medicare part B pay for

Answer 72

OP therapy physician visits DME HH

Question 73

what is the soft cap for PT, ST and OT in medicare

Answer 73

$2150 for PT and ST combined $2150 for OT

Question 74

what does Medicare Say about co-treatments

Answer 74

- must document medical necessity - cannot be more than 2 disciplines treating at once

Question 75

what does medicare part A say about co-treating

Answer 75

each therapist can bill for the entire time

Question 76

what does medicare part B say about Co-treatment

Answer 76

cannot both bill for entire session

Question 77

medicare and group therapy for acute care - Part A or B? - allows treatment of more than 1 pt at a time - need to use the term concurrent - splits time and charge

Answer 77

part A

Question 78

medicare group therapy IRF and SNF - part A or B? - doing similar activities - therapist must be in constant attendance - 2-6 pts, restircted to 25% of total treatment time

Answer 78

part A

Question 79

Medicare group therapy - Part A or B? - if more than 1 pt is being seen at a time, must be billed as group therapy - must be skilled care - untimed - similar level of function - therapist must be in constant attendance

Answer 79

part B

Question 80

medicare and students Hospital - part A or B? - no problem with reimbursement or documentation - can be general supervision

Answer 80

part A

Question 81

Medicare and students SNF - Part A or B? - no problem with reimbursement or documentation - must be in line of sight supervision

Answer 81

Part A

Question 82

medicare and students - Part A or B - will not pay for services provided by unlicensed personnel - doesnt mean students cannot be hands on - APTA recommends students do not document directly in the chart

Answer 82

part B

Question 83

what is a public health insurance program for low income adults, children, pregnant women, elderly adults and people with disabilities

Answer 83

medicaid

Question 84

what does medicaid say about co-treatments

Answer 84

- must be prescribed by physician - primary therapist must be designated - only primary therapist can bill - must be medically necessary

Question 85

what does medicaid say about students

Answer 85

- considered auxiliary personnel - may participate in PT services - must be supervised - may not bill for services provided solely by auxiliary personnel

Question 86

what is a deductible

Answer 86

how much you have to pay out of pocket before insurance pays

Question 87

what is a co-pay

Answer 87

how much you pay per appointment

Question 88

what is co-insurance

Answer 88

% of total that you owe Ex: if it is 20/80, you pay 20% and insurance pays 80%

Question 89

what are 3 things that good discharge planning can help with

Answer 89

- reduce hospital readmission rates - improve pt outcomes/recovery - reduce burden on pt families

Question 90

what are 3 things that can occur due to poor discharge planning?

Answer 90

- leads to excessive health care costs - reduced medicare payments - increased mortality rates

Question 91

what does ALGEE stand for?

Answer 91

A - assess risk for suicide or harm L - Listen nonjudgementally G - give reassurance and info E - encourage professional help E - encourage self-help

Question 92

what type of bias: - feeling a connection to those similar to us

Answer 92

affinity bias

Question 93

what type of bias: - stereotypes and assumptions about diff groups

Answer 93

perception bias

Question 94

what type of bias: - projecting positive qualities onto people w/o actually knowing them

Answer 94

halo effect

Question 95

what type of bias: - looking to confirm our own opinions and pre-existing ideas

Answer 95

confirmation bias

Question 96

who is the ally

Answer 96

the subject and the observer

Question 97

integrated patterns of human behavior that includes language, thoughts, actions, etc.

Answer 97

culture

Question 98

ability to establish relationship with persons of diff cultures - requires understanding of others, willingness to embrace ideas, values, beliefs, etc. that are diff from own

Answer 98

cultural competency

Question 99

a realization that learning about other cultures is a lifelong process while also realizing one may never be able to understand another culture fully

Answer 99

cultural humility

Question 100

using cultural competence to learn about the pt and apply it to the delivery of care

Answer 100

cultural responsiveness

Question 101

characterized by attitudes, policies, structures, and practices within a system or organization that are destructive to a cultural group

Answer 101

cultural destructiveness

Question 102

lack of capacity of systems and organizations to respond effectively to the needs, interests, and preferences of culturally and linguistic diverse groups

Answer 102

cultural incapacity

Question 103

expressed philosophy of viewing and treating all people as the same

Answer 103

cultural blindness

Question 104

level of awareness w/in systems or organizations of their strengths and areas for growth to respond effectively to culturally and linguistically diverse populations

Answer 104

cultural pre-competence

Question 105

what are the 4 steps to motivational interviewing

Answer 105

engaging focusing evoking planning