Final Exam Flashcards

1
Q

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

A

Expresser

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2
Q

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

A

driver

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3
Q

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

A

relater

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4
Q

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

A

analytic

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5
Q

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

A

passive

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6
Q

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

A

assertive

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7
Q

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

A

aggressive

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8
Q

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

A
  • improved pt satisfaction
  • improved adherance to tx plans
  • better clinical outcomes
  • fewer medical errors
  • fewer malpractice claims
  • increase career longevity
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9
Q

what part of the brain does executive functions for cognitive empathy

A

pre-frontal cortex

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10
Q

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

A

temporal lobe

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11
Q

what part of the brain is responsible for emotional empathy

A

limbic system

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12
Q

what part of the brain has mirror neurons for reflexive empathy

A

pre-motor area

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13
Q

what are the 3 types of difficult conversations

A
  • what happened
  • feelings
  • identity
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14
Q

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

A

what happened converstaion

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15
Q

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

A

feelings conversatoin

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16
Q

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

A

identity conversation

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17
Q

what are the 5 steps to a difficult conversation

A
  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
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18
Q

what are the 3 types of feedback?

A

appreciation
coaching
evaluation

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19
Q

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

A

appreciation

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20
Q

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

A

coaching

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21
Q

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

A

evaluation

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22
Q

what is GRIT?

A

Growth
Resilience
Instinct
Tenacity

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23
Q

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

A

appreciation

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24
Q

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

A

evaluation

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25
Q

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

A

evaluation

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26
Q

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

A

coaching

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27
Q

what are 3 types of triggers

A

truth
relationship
identity

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28
Q

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

A

truth trigger

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29
Q

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

A

relationship trigger

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30
Q

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

A

identity trigger

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31
Q

what are the 4 principles of ethics

A
  • autonomy
  • beneficence
  • nonmalfecience
  • justice
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32
Q

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

A

autonomy

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33
Q

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

A

beneficence

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34
Q

what ethic principal:
- do not inflict evil or harm

A

nonmaleficence

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35
Q

what ethic principle:
- treat others equally and fairly

A

justice

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36
Q

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

A

law

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37
Q

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

A

ethic

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38
Q

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

A

policy

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39
Q

what are the 7 steps to solving an ethical problem?

A
  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?
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40
Q

what are the 4 leadership approaches

A

trait
skills
behavior
adaptive

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41
Q

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

A

Transformational

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42
Q

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

A

pseudo transformational

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43
Q

which leadership style:
- contingent reward
- management by exception

A

transactional

44
Q

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

A

authoritarian

45
Q

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

A

laissez-faire

46
Q

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

A

authentic

47
Q

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

A

servant

48
Q

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

A

adaptive

49
Q

why is documentation necessary? (6)

A
  • record of patient mngmt
  • communication
  • demonstrate clinical problem solving and EBP
  • legal record
  • reimbursement
  • outcomes
50
Q

what is the role of documentation in legal considerations

A
  • laws, regulations and policies
  • informed consent
  • malpractice and risk management
51
Q

what are some ethical and legal considerations involving documentation

A
  • pt safety and quality of care
  • confidentiality
  • fraud and abuse
52
Q

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

A

skilled
necessary
consistent with charges
effective

53
Q

what are the 3 main payment systems

A

value based
prospective
fee for service

54
Q

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

A

value based

55
Q

the value based payment system aims to … (4)

A
  • reduce cost
  • improve pt satisfaction
  • improve quality of care
  • improve health
56
Q

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

A

prospective

57
Q

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

A

fee for service

58
Q

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

A
  • used for clinical and research purposes
  • insurance providers
  • public health sector
  • consistency needed for reimbursement
59
Q

ICD-10 codes can be _____ specific or ______ specific

A

diagnosis
sign/symptom

60
Q

T/F - CPT codes are discipline specific

A

False

61
Q

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

A

True

62
Q

How is evaluation code determined?

A

complexity - High, Mod, Low

63
Q

what do timed codes require?

A

direct, one-on-one pt care

64
Q

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

A

15 min
starting at 8 min

65
Q

what are some examples of timed codes

A

ther ex
neuro re-education
gait training
MT

66
Q

what are some examples of non-timed codes

A

hot/cold pack
mechanical traction
e stim
group therapy

67
Q

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

A

False - do not require

68
Q

how many units are billed for untimed treatments

A

1 unit

69
Q

what is CCI?

A

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

70
Q

what are the qualifications to receive Medicare

A

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

71
Q

what settings does Medicare Part A pay for?

A

acute care
IRF
SNF
HH
Hospice

72
Q

what does medicare part B pay for

A

OP therapy
physician visits
DME
HH

73
Q

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

A

$2150 for PT and ST combined
$2150 for OT

74
Q

what does Medicare Say about co-treatments

A
  • must document medical necessity
  • cannot be more than 2 disciplines treating at once
75
Q

what does medicare part A say about co-treating

A

each therapist can bill for the entire time

76
Q

what does medicare part B say about Co-treatment

A

cannot both bill for entire session

77
Q

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

A

part A

78
Q

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

A

part A

79
Q

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

A

part B

80
Q

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

A

part A

81
Q

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

A

Part A

82
Q

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

A

part B

83
Q

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

A

medicaid

84
Q

what does medicaid say about co-treatments

A
  • must be prescribed by physician
  • primary therapist must be designated
  • only primary therapist can bill
  • must be medically necessary
85
Q

what does medicaid say about students

A
  • considered auxiliary personnel
  • may participate in PT services
  • must be supervised
  • may not bill for services provided solely by auxiliary personnel
86
Q

what is a deductible

A

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

87
Q

what is a co-pay

A

how much you pay per appointment

88
Q

what is co-insurance

A

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

89
Q

what are 3 things that good discharge planning can help with

A
  • reduce hospital readmission rates
  • improve pt outcomes/recovery
  • reduce burden on pt families
90
Q

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

A
  • leads to excessive health care costs
  • reduced medicare payments
  • increased mortality rates
91
Q

what does ALGEE stand for?

A

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

92
Q

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

A

affinity bias

93
Q

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

A

perception bias

94
Q

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

A

halo effect

95
Q

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

A

confirmation bias

96
Q

who is the ally

A

the subject and the observer

97
Q

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

A

culture

98
Q

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

A

cultural competency

99
Q

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

A

cultural humility

100
Q

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

A

cultural responsiveness

101
Q

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

A

cultural destructiveness

102
Q

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

A

cultural incapacity

103
Q

expressed philosophy of viewing and treating all people as the same

A

cultural blindness

104
Q

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

A

cultural pre-competence

105
Q

what are the 4 steps to motivational interviewing

A

engaging
focusing
evoking
planning