Non-Systems

Question 1

Who can make decisions if the pt is unable to consent?

Answer 1

FIRST: power of attorney.
SECOND: case manager or social worker if POA unavailable.

Question 2

If a pt refuses treatment, what’s the appropriate response?

Answer 2

FIRST: educate pt.
SECOND: If they still refuse, respect their decision.

Question 3

Appropriate response if pt is harassing therapist?

Answer 3

-Stop treatment & find another therapist to take over.
-Ignoring the behavior & continuing treatment may escalate things.

Question 4

Appropriate response if staff member is being harassed by another staff member?

Answer 4

Report to HR

Question 5

When would the PT be held responsible for the actions of a PTA?

Answer 5

At all times, as long as PTA is following the plan of care written by the PT.

Question 6

When would the PTA be held responsible for their actions (e.g., pt gets injured)?

Answer 6

If they deviate from the PT’s plan of care.

Question 7

When would an Aide or Student be held responsible for their actions?

Answer 7

NEVER bc not licensed.
PT is held responsible.

Question 8

Appropriate response if a pt suggests they want to end their life?

Answer 8

Stay with them until mental health professional arrives.
Licensed person must stay with pt.

Question 9

Which accreditation agencies are focused on patients?

Answer 9

-JCAHO
-CARF
-CMS

Question 10

Which accreditation agencies are focused on staff?

Answer 10

-OSHA

Question 11

What does JCAHO do?

Answer 11

accredits hospitals, SNFs, and home health agencies.

Question 12

What does CARF do?

Answer 12

accredits free-standing facilities

Question 13

What does CMS do?

Answer 13

determines what services & how much can be reimbursed by Medicare

Question 14

What does OSHA do?

Answer 14

work environment safety for employees

Question 15

Contact Precautions: PPE, pt room, & pt transport

Answer 15

PPE: gloves & gown (remove BEFORE leaving room).
Room: private.
Transport: pt must wash hands before leaving room.

Question 16

Droplet Precautions: PPE, pt room, & pt transport

Answer 16

PPE: surgical mask.
Room: private.
Transport: pt wears surgical mask outside of room.

Question 17

Airborne Precautions: PPE, pt room, & pt transport

Answer 17

PPE: N95 (discard upon leaving room).
Room: negative air flow.
Transport: pt wears surgical mask outside of room.

Question 18

Order of donning PPE

Answer 18

1. gown
2. mask
3. goggles
4. gloves

Question 19

Order of doffing PPE

Answer 19

1. gloves
2. goggles
3. gown
4. mask
   *Alphabetical order

Question 20

When to use CONTACT precautions?

Answer 20

-MRSA/VISA/VRE
-C. diff
-Uncontrolled diarrhea
-Lice, Scabies, Dermatitis
-Hep A
-Hep B
-Gram (-) bacteria
-Aminoglycoside resistant infections
-Impetigo
-Rotavirus

Question 21

When to use DROPLET precautions?

Answer 21

-Influenza
-Pneumonia
-Strep A
-Mumps, Rubella
-Meningitis
-Pertussis

Question 22

When to use AIRBORNE precautions?

Answer 22

-Herpes Zoster
-Chickenpox
-Smallpox
-Measles
-SARS
-TB
-Varicella

Question 23

Sexual abuse includes…

Answer 23

-Assault
-Indescent exposure
-Sexual gratification (with or without physical contact)

Question 24

Physical abuse includes…

Answer 24

-Pain
-Injury
-Permanent or temporary disfigurement

Question 25

Emotional abuse includes...

Answer 25

-Threats -Intimidation -Humiliation -Isolation Adult to child: -Blaming -Rejecting -Withholding affection

Question 26

Mental abuse includes...

Answer 26

impacts wellbeing, intellectual, or psychological functioning

Question 27

Where must the PT be licensed for Telehealth visits?

Answer 27

In the state where the PATIENT is located. PT does not need to be physically located in that state, just licensed.

Question 28

CPR compression depth

Answer 28

>2in >5cm

Question 29

CPR compression rate

Answer 29

100-120bpm

Question 30

CPR how often to re-check pulse?

Answer 30

every 2min

Question 31

Considerations with urinary catheters

Answer 31

-Hang below level of bladder. -If overfilled, empty it if output NOT being monitored. -If output being monitored, do NOT empty, alert nursing if overfilled.

Question 32

Hickman Catheter is used for...

Answer 32

Antibiotics Nutritional solutions Blood samples

Question 33

Swan Ganz Catheter: where is it placed & what is it used for?

Answer 33

-Internal jugular or femoral vein. -Goes into pulmonary artery to measure heart function & blood flow.

Question 34

Central Venous Pressure Catheter: where is it placed & what is it used for?

Answer 34

-Superior vena cava. -Measure BP.

Question 35

Arterial Line: where is it placed & what is it used for?

Answer 35

-Wrist, arm, groin, or foot. -Monitor blood gases.

Question 36

What to do if arterial line is dislodged?

Answer 36

Firm pressure. Call nursing.

Question 37

Chest Tube: where is it placed & what is it used for?

Answer 37

-Incision in chest. -Removes the bad junk from chest & pleural cavity.

Question 38

What to do if chest tube is dislodged?

Answer 38

-Place gauze or gloved hand over incision. -Call nursing.

Question 39

Considerations with chest tubes

Answer 39

Collection bottle kept below level of inserted tube

Question 40

Considerations with femoral lines

Answer 40

No hip flex >45deg. Avoid repeated hip flex.

Question 41

Considerations with IV

Answer 41

No holding arm above head for prolonged time. Visible air bubbles indicates fluid is running low; alert nursing.

Question 42

How to measure WC seat height

Answer 42

Heel to politeal fold +2in

Question 43

How to measure WC seat depth

Answer 43

Posterior butt to popliteal fold -2in

Question 44

How to measure WC seat width

Answer 44

widest aspect +1.5 to 2in

Question 45

How to measure WC back height

Answer 45

seat to axilla -4in +cushion thickness

Question 46

How to measure WC armrest height

Answer 46

seat to olecranon +1in +cushion thickness

Question 47

Issues if WC seat height too big?

Answer 47

footrest issues transfers more difficult

Question 48

Issues if WC seat height too small?

Answer 48

propulsion more difficult

Question 49

Issues if WC seat depth too big?

Answer 49

circulation issues poor posture

Question 50

Issues if WC seat depth too small?

Answer 50

sliding

Question 51

Issues if WC seat width too big?

Answer 51

propulsion more difficult

Question 52

Issues if WC seat width too small?

Answer 52

discomfort

Question 53

WC modification for amputees

Answer 53

rear wheels moved more posterior d/t changes in COM

Question 54

Safe methods to ascend curbs in WC

Answer 54

Wheelie: lift castors, then push rear wheels up.

Question 55

Safe methods to descend curbs in WC

Answer 55

Forward Wheelie: descend with rear wheels, then bring castors down. Backward: slowly roll rear wheels off.

Question 56

When is a 3-person lift appropriate?

Answer 56

transfer from stretcher to bed or treatment table

Question 57

When is a 2-person lift appropriate?

Answer 57

-transfer btwn surfaces of different heights. -transfer to floor.

Question 58

When is a squat pivot transfer appropriate?

Answer 58

pt cannot stand independently but can tolerate some WB

Question 59

When is a hydraulic lift appropriate?

Answer 59

-obese. -only 1 therapist available. -totally dependent.

Question 60

Correct positioning of Axillary crutches

Answer 60

-2in space in axilla to prevent N/vascular compression. -bottom of crutch ~2in lateral & ~4-6in anterior to pt's toe. -20-25deg elbow flex.

Question 61

Correct positioning of Lofstrand crutches

Answer 61

-top of cuff 1 to 1.5in below olecranon. -bottom of crutch ~2in lateral & ~4-6in anterior to pt's toe. -20-25deg elbow flex.

Question 62

Correct positioning of cane

Answer 62

-opposite side. -bottom of crutch ~2in lateral & ~4-6in anterior to pt's toe. -20-25deg elbow flex.

Question 63

Stair negotiation with cane - correct order?

Answer 63

-Ascend: good first, then bad + cane. -Descend: bad + cane first, then good.

Question 64

What device is most appropriate for WB restrictions?

Answer 64

Bilateral axillary crutches

Question 65

What device is most appropriate for full WB?

Answer 65

Single crutch or cane

Question 66

Correct positioning for guarding on level ground?

Answer 66

-Stand being & slightly toward weaker/involved side. -Hold gait belt w/ forearm supinated. -PT moves foot fwd when pt moves device fwd.

Question 67

Correct positioning for guarding when ascending stairs?

Answer 67

-Stand being & toward weaker/involved side. -Advance up 1 step after pt advances 1 step.

Question 68

Correct positioning for guarding when descending stairs?

Answer 68

-Stand in front & toward weaker/involved side.

Question 69

Indication for Longitudinal Arch (Scaphoid Pad) foot orthosis?

Answer 69

pes planus

Question 70

Indication for UC Berkley Lab foot orthosis? What does it limit or promote?

Answer 70

-hindfoot valgus. -limits subtalar motion. -limits pronation.

Question 71

Indication for Medial Post/Wedge foot orthosis?

Answer 71

excessive pronation

Question 72

Indication for Lateral Post/Wedge foot orthosis?

Answer 72

-excessive knee varus. -medial KOA.

Question 73

AFOs for weak DF

Answer 73

-posterior leaf spring -klenzak

Question 74

AFOs for PF tightness or foot drop

Answer 74

Plastic hinged AFO with posterior stop (AKA PF resistance).