PTA 104 Midterm

Question 1

What are the functions of the PTA Caucus?

Answer 1

• Fully integrates PTA members into APTA governance
• Increases PTA’s influence on APTA goals, mission, and vision
• Represents PTA’s needs and issues to APTA governance.

Question 2

Purpose of the Guide to PT Practice

Answer 2

• Describes required education for PTs and PTAs
• Standardize PT terminology
• Describes exam and eval process.

Question 3

APTA requires what level of supervision of PTAs?

Answer 3

General

Question 4

What is the purpose of APTA’s minimal required skills for PTA at entry level?

Answer 4

Provide a list of minimal skills a PTA must demonstrate competency with at the time of graduation from a PTA program.

Question 5

Are PTs and PTAs required to be an APTA member or a member of their state chapter?

Answer 5

No

Question 6

What is the Patient/Client Management Model?

Answer 6

Exam, evaluation, diagnosis, prognosis, interventions, and outcomes. Order is important!

Question 7

ICF - What classifies as an impairment?

Answer 7

• Medical diagnosis (CVA, SCI, RA)
• Impairments (weakness, ROM deficits)
• Functional limitations (needs assistive device for mobility, ie. cane, walker, wheelchair)
• Disability - impact of functional limitations on their daily activities such as can’t work, can’t grocery shop, can’t open doors independently, etc

Question 8

Communication

PT, OT, speech, nursing meet to discuss patient - What kind of meeting/team is this?

Answer 8

Multidisciplinary

Question 9

PTs delegate to PTAs based on?

Answer 9

• Complexity of task
• Criticality of the patient
• Knowledge and experience of the PTA

Question 10

Know what PTA is permitted to do by law (sections of SOAP notes, interventions, etc)

Answer 10

Objective: Can take measurements, but can’t evaluate them

Question 11

Purpose of PT Diagnosis?

Answer 11

Guides intervention strategies

Question 12

What is prognosis?

Answer 12

Optimal level of improvement the patient may attain.

Question 13

POC goals should be SMART. What does SMART stand for?

Answer 13

• Specific
• Measurable
• Achievable
• Realistic
• Timely

Question 14

Subjective Statements

Answer 14

Examples:

• “Patient states…”
• “Patient describes…”
• “Patient reports…”
• “Patient’s spouse reports…”

Question 15

Objective Statements

(purpose)

Answer 15

Interventions, and be able to identify the statement that would appear in the objective portion.

Question 16

What information appears in the assessment section?

Answer 16

Summary of Subjective & Objective

Question 17

Purpose of assessment section?

Answer 17

Help determine patient’s progress -> compares previous and current sessions.

Question 18

Choose the statement that would go into the “Plan”?

Answer 18

Think about any upcoming MD appointments.

Question 19

ID pathokinesiology probs associated with faulty biomechanics or neuromuscular action defines what?

Answer 19

PT diagnosis

Question 20

What question should be answered by reading the assessment section of a SOAP note?

Answer 20

Has the patient made progress since IE?

Question 21

Who documents informed consent for physical therapy in the patient’s record/chart?

Answer 21

PT

Question 22

What must the POC include?

Answer 22

Short term and long term goals.

Question 23

“The patient states…“

Is usually found in what part of the SOAP note?

Answer 23

Subjective

Question 24

What are 3 DISTINCT reasons for accurate and timely documentation?

Answer 24

• Quality of care
• Legal report
• Reimbursement - accountable for care

Question 25

**When a PT chart is subpoenaed for court:**

Answer 25

* The PT/PTA may be on opposing sides * May be subpoenaed 5 years after treatment * May be reviewed by other PTs/PTAs, lawyers, jury

Question 26

**Discharge is written by?**

Answer 26

PT

Question 27

**Which section of a SOAP note might a reviewer read first?**

Answer 27

Assessment

Question 28

**Comparison of wound diameter today to previous sessions would be in which section?**

Answer 28

Assessment

Question 29

**Purpose of HIPAA**

Answer 29

* Patient's control of healthcare info * Patient's access to healthcare info * Protection of patient's individual healthcare identifiers

Question 30

**A covered entity (CE) may access, use or disclose Protected Health Information (PHI) without patient authorization for what purposes?**

Answer 30

* Treatment * Payment * Healthcare operations

Question 31

**Do we discuss a patient's case in public spaces, such as an elevator?**

Answer 31

No

Question 32

**An attorney representing your patient in a court case wants an update on the patient's progress, how do you respond?**

Answer 32

Need a written release signed by the patient.

Question 33

**In the medical record, what is considered PHI?**

Answer 33

* Patient's name * Date of Birth (DOB) * Telephone number * Email address

Question 34

**A licensed PTA can pursue career development opportunities such as...**

Answer 34

* APTA advanced proficiency pathway * Post professional degree * CI credentialing

Question 35

**What is a kinesthetic learner?**

Answer 35

"Hands on"

Question 36

**How can you tell that someone has mastered a subject?**

Answer 36

Have them perform **_teach back_** technique

Question 37

**In what setting would you work weekends and holidays?**

Answer 37

Acute care

Question 38

**PT must be present for revisit/reevaluations every 4-6 weeks in what setting?**

Answer 38

Home Care

Question 39

**The Outcome and Assessment Information Set (OASIS) documentation is required for what setting?**

Answer 39

Home Care

Question 40

**In which practice setting would you expect a patient's condition to change rapidly, requiring the increased focus of the PTA?**

Answer 40

Acute Care

Question 41

**Which setting would you expect to treat a young, healthy person s/p SCI 2x/daily?**

Answer 41

Inpatient Rehab

Question 42

**What historical events lead to the creation of the PT professional?**

Answer 42

WWI and Polio

Question 43

**The first PTs were called what?**

Answer 43

Reconstruction aides

Question 44

**What happened in the 1960s to increase the demands of PT services?**

Answer 44

Medicare and Medicaid were expanded

Question 45

**What did the Balance the Budget Act of 1997 create?**

Answer 45

Annual cap in outpatient PT

Question 46

**Function of the Federation of State Boards of PT**

Answer 46

Develop and administer NPTE

Question 47

**Where do you look FIRST to see if you as a PTA are permitted to do something?**

Answer 47

State Practice Act

Question 48

**Direct access _DOES NOT_ require a physician referral**

Answer 48

True

Question 49

**What legislation changed the documentation process for PT/PTAs?**

Answer 49

Health Insurance for the Aged and Disabled

Question 50

**Two Goals to be met to receive reimbursement**

Answer 50

1. Effective treatment 2. Efficient treatment

Question 51

**Prior to PT treatment, the patient is given the information and the right to refuse treatment (informed consent)**

Answer 51

True

Question 52

**The best choice for therapeutic exercise to increase strength, blood circulation and bone integrity?**

Answer 52

AROM

Question 53

**PTA Interventions?**

Answer 53

* Massage * Mobilization * Manipulation (manual therapy)

Question 54

**NDT**

Answer 54

Treatment technique to improve posture, movement, and function Based on the inhibition of abnormal patterns and facilitation of developmental sequence.

Question 55

**ROOD**

Answer 55

A technique based on sensory stimulation and facilitates function by positioning sensory and proprioceptive experience.

Question 56

**Specializing in integumentary care would perform:**

Answer 56

* Wound care * Patient education

Question 57

**Pt. has prescribed isometric exercises for strengthening.** **What occurs during an isometric exercise?**

Answer 57

Force exerted, no change in muscle length