Chapter 10 – Professional Standards: Scope of Practice, Assessment, Treatment Planning, Informed Consent, and Documentation

Question 1

Acronyms F-DAR and SOAP are examples of which part of practice?
A. Massage organizations
B. Accounting methods
C. Client documentation
D. Advanced certification

Answer 1

Client documentation

Question 2

If a client refuses to fill out the intake form, what should the massage practitioner do?
A. Ask the questions aloud and document the client’s answers
B. Fill out the intake form after the session
C. Conduct the intake using objective assessments
D. Refuse to perform the session until the client is compliant

Answer 2

Ask the questions aloud and document the clientQUOTEQUOTEs answers

Question 3

Which entity was created to protect client rights including the storage, transmission and dissemination of personal information?
A. Court ordered subpoena
B. Medical release signed by client
C. Treatment plan based on assessments
D. Health Insurance Portability and Accountability Act

Answer 3

Health Insurance Portability and Accountability Act

Question 4

During client assessment, which information would be considered objective data?
A. Pain at end of passive range of motion
B. Frequent headaches
C. Elevated right shoulder
D. Dizziness upon standing

Answer 4

Elevated right shoulder

Question 5

Which type of data is gained from a client’s perception?
A. Assessment
B. Statistical
C. Objective
D. Subjective

Answer 5

Subjective

Question 6

Which term means permission given by a client after he or she has been informed of all relevant facts regarding treatment?
A. Transference
B. Informed consent
C. Medical clearance
D. Assessment

Answer 6

Informed consent

Question 7

Which term means data the practitioner notices, and is measurable and quantitative?
A. Subjective
B. Statistical
C. Objective
D. Intake

Answer 7

Objective

Question 8

What is the most effective measure to control disease transmission?
A. Vitamin supplements
B. Regular physical exercise
C. Annual medical examinations
D. Hand hygiene

Answer 8

Hand hygiene

Question 9

According to the CDC, the lathering stage of effective hand washing should last how many seconds?
A. 510
B. 20
C. 30
D. 60

Answer 9

20

Question 10

The National Certification Board of Therapeutic Massage and Bodywork (NCBTMB), recommends client files be maintained for how many years after the last date of service?
A. One
B. Four
C. Seven
D. Ten

Answer 10

Four

Question 11

Identifying conditions for which massage may have harmful effects is described as:
A. being beyond a practitioner’s scope of practice.
B. requiring input from the client’s primary healthcare provider.
C. being an essential duty of the practitioner.
D. requiring discussion during subsequent sessions.

Answer 11

being an essential duty of the practitioner.

Question 12

If a client has a condition contraindicated it means the condition:
A. is managed by medication.
B. requires the massage to be modified or postponed.
C. requires immediate medical attention.
D. benefits from the massage being performed.

Answer 12

requires the massage to be modified or postponed.

Question 13

Massage practitioners conduct a client intake with health histories to:
A. obtain consent for treatment.
B. polish interviewing skills.
C. learn more about the client’s heritage.
D. formulate appropriate treatment plans.

Answer 13

formulate appropriate treatment plans

Question 14

When assessing a client’s pain and discomfort, what is the initial question to ask?
A. When did it start?
B. What makes it better or worse?
C. Does the pain radiate?
D. How often does it hurt?

Answer 14

When did it start?

Question 15

Treatment records cannot be released to a third party without the client’s written consent. Exceptions include:
A. a subpoena by a court of law.
B. request by the client’s physician.
C. request by the client’s spouse.
D. request by the client’s employer.

Answer 15

a subpoena by a court of law

Question 16

What is the most important skill during a client intake?
A. Writing
B. Listening
C. Palpation
D. Speech

Answer 16

Listening

Question 17

A client is on the table and states the session must now end. She is obviously upset. What course of action is appropriate for the massage practitioner to take?
A. Ask what is wrong and try to counsel
B. Continue with the massage until the time is up
C. Tell the client this behavior is unacceptable
D. Comply with the request and ask if anything is needed

Answer 17

Comply with the request and ask if anything is needed

Question 18

During the intake, the massage practitioner signals full attention by sitting and:
A. crossing the arms and the legs.
B. maintaining eye contact.
C. ruffling through papers.
D. taking notes electronically.

Answer 18

maintaining eye contact.

Question 19

Leaving the previous client’s treatment records visible to the next client best describes a breach of:
A. communication.
B. confidentially.
C. disclosure.
D. discrimination.

Answer 19

confidentially

Question 20

Which condition is an example of an absolute contraindication for massage?
A. Ankle sprain which occurred 2 days ago
B. Abnormal lump on the right posterior wrist
C. Fever of 101degrees F
D. Gout on the left great toe

Answer 20

Fever of 101degrees F

Question 21

Which process is defined as evaluations used to identify the client’s health status, treatment goals, and how these goals will be addressed by the massage practitioner?
A. Objective measurement
B. Research literacy
C. Assessment
D. Documentation

Answer 21

Assessment

Question 22

How are enlarged lymph nodes regarded in massage?
A. Indications for thermotherapy
B. Effectively treated with friction
C. A local contraindication
D. An absolute contraindication

Answer 22

A local contraindication

Question 23

What does “P” represent in the acronym SOAP?
A. Procedure
B. Plan
C. Pallor
D. Pain

Answer 23

Plan

Question 24

Nosocomial infections are ones acquired in which location?
A. Governmental facilities
B. Healthcare facilities
C. Home
D. School

Answer 24

Healthcare facilities

Question 25

The main method for gathering objective information uses: A. client intake and direct inquiry. B. observation and palpation. C. a medical release form. D. a pain questionnaire.

Answer 25

observation and palpation.

Question 26

If a client has an unfamiliar medical condition, what is the practitioner's best course of action? A. Postpone the massage until the client has medical clearance B. Look up the client's condition in a pathology book or reputable source C. Ask the client to determine goals by formulating the treatment plan D. Refer the client to his or her primary healthcare provider for diagnosis and treatment

Answer 26

Look up the clientQUOTEQUOTEs condition in a pathology book or reputable source

Question 27

The massage practitionerQUOTEs strategy to help the client achieve his or her goals is called: A. documentation. B. treatment planning. C. assessment. D. informed consent.

Answer 27

treatment planning.

Question 28

Which approach is a Health Insurance Portability and Accountability Act guideline? A. Disclose client information only to practitioners in the same unit or clinic B. Client authorization is optional when sending client information to other providers C. Confidentiality notices are superfluous on facsimiles and emails D. Safeguard client information behind two locks and restrict access

Answer 28

Safeguard client information behind two locks and restrict access

Question 29

Which example is an open-ended question? A. Would you like more pressure? B. How are you feeling today? C. Do you want more time spent on your calves? D. Where in your back are you feeling pain?

Answer 29

How are you feeling today?

Question 30

What signed document gives the practitioner permission to share client information? A. Release form B. Consent form C. Intake form D. Confidentiality form

Answer 30

Release form

Question 31

Which of the following acronyms refer to services provided to clients from healthcare professionals? A. CPT B. HCP C. ICD D. PRN

Answer 31

CPT

Question 32

What format must you send your social security number in if it is subpoenaed? A. XXX-45-6789 B. 123-XX-6789 C. 123-45-XXXX D. 123-45-6789

Answer 32

123-45-6789

Question 33

What should be on every treatment plan or session note? A. Age and gender B. Height and weight C. Name and date D. Diagnosis and prognosis

Answer 33

Name and date

Question 34

At which point(s) in the session does a massage practitioner assess and record the client's pain or stress levels? A. When the client books the appointment B. When the client reschedules the appointment C. When obtaining consent for treatment D. Before the massage and after the massage

Answer 34

Before the massage and after the massage