Final Exam Flashcards

1
Q

What four things control the practice of Physical Therapy?

A
  1. State practice acts
  2. Federal Rules and Regulations
  3. Civil and Criminal Law
  4. Code of ethics
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2
Q

What represents the law in your particular state?

A

State Practice Act

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3
Q

What sets the qualifications to hold a license to practice?

A

State Practice Act

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4
Q

What are enforced by state licensure boards?

A

State Practice Act

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5
Q

what are four types of Sanctions?

A
  1. reprimand
  2. probation
  3. suspend
  4. Revoke
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6
Q

What is it when a PT has done something wrong and are told not to do it again?

A

Reprimand

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7
Q

Is a reprimand private or public?

A

can be either

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8
Q

What type of sanction has terms and conditions?

A

Probation

ex: 6 months, 12 months, documentation review

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9
Q

What sanction is when you can be removed from practice for a certain period of time that can range from 6 months to 2 years?

A

Suspension

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10
Q

What sanction is when you can no longer practice in a state?

A

Revoke

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11
Q

How an individual conducts themselves in their personal and professional endeavors?

A

Ethics

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12
Q

_____ is also a systematic analysis of morals and conduct

A

Ethics

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13
Q

Beliefs, principles, and values, grounded in religions, culture based

A

Morals

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14
Q

Identification, analysis and resolution of ethical problems, issues, and dilemmas associated with biological sciences

A

Bioethics

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15
Q

Four types of biomedical ethical principles

A
  1. nonmaleficence
  2. beneficence
  3. Justice
  4. Autonomy
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16
Q

What means to “do no harm” and relates to intentional actions and applies to omissions as well as affirmative acts?

A

Nonmaleficence

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17
Q

“do good”

A

Beneficence

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18
Q

To conduct in the patients best interest and manifest of duty to patient

A

Beneficence

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19
Q

equality or fair treatment

A

justice

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20
Q

Individual self determination; exists regardless of non payment for care and irrespective amount of payment

A

Autonomy

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21
Q

Relate to the legal and ethical obligation of the health care provider to obtain informed consent

A

Autonomy

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22
Q

clearly describing the proposed intervention and delineates the expected benefits and material risks as known with the proposed intervention is what responsibility of the a physical therapist?

A

Informed consent

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23
Q

Comparing the known benefits and risks with and without proposed intervention and explains reasonable alternatives to the intervention is also part of what by the PT?

A

Informed Consent

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24
Q

Qualification of informed consent?

A
  • consent of competent adult
  • consent of a parent or legal guardian if patient is a minor
  • patient/gaurdian/client must understand intervention and to give consent before it occurs
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25
Q

5 disclosures that make an informed consent legal:

A
  • diagnosis
  • long tern and short term goals
  • risks of harm or complication associated with recommended intervention
  • reasonable alternatives
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26
Q

a duty to act for someone else’s benefit while subordinating one’s personal interests to that of the other person

A

Fiduciary duty or altruism

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27
Q

What is put fourth by the APTA House of Delegates, enforced by the associations Ethics and Judicial Committee

A

Code Of Ethics

*only code for PTS

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28
Q

How many principles are in the code of ethics?

A

8

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29
Q

Principle 1

A

physical therapists shall respect the inherent dignity and rights of individuals

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30
Q

Principle 2

A

they shall be trustworthy and compassionate in addressing rights and needs

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31
Q

Principle 3

A

Shall be accountable for making sound professional choices

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32
Q

Principle 4

A

shall demonstrate integrity in their relationships with patients, families, colleagues, students, ect

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33
Q

Principle 5

A

shall fulfill their legal and professional obligations

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34
Q

Principle 6

A

shall enhance their expertise through life long acquisition and refinement of knowledge, skills, abilities, and behaviors

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35
Q

Principle 7

A

promote organizational behaviors and business practices to benefit patient and society

36
Q

Principle 8

A

participate in efforts to meet health needs of all people locally, nationally, and globally

37
Q

How many steps are in the process of ethical decision making?

A

6

gather, identify, analyze, alternatives, complete, evaluate

38
Q

Step 1 (decision making)

A

Gather information

39
Q

step 2 (decision making)

A

identify type of ethical problem

40
Q

Step 3 (decision making)

A

use ethical theories to analyze problem

41
Q

step 4 (decision making)

A

explore practical alternatives

42
Q

step 5 (decisions making)

A

complete action

43
Q

step 6 (decision making)

A

evaluate process and outcome

44
Q

what is the model of ethical decision making called?

A

RIPS

45
Q

What does RIPS stand for

A

Realm
Individual Process
Situation

46
Q

What are the 3 realms?

A
  1. Individual
  2. Organizational/Institutional
  3. Societal
47
Q

What is the individual realm?

A

rights, duties, relationships and behaviors between individuals

48
Q

What is the Organizational realm?

A

structures and systems between you and an organizations

49
Q

What is the societal realm?

A

relation between you and society

ex: laws, reguations

50
Q

4 moral behaviors of Individual process?

A

Moral: sensitivity, judgement, motivation, and courage

51
Q

What is moral sensitivity?

A

recognizing and framing ethical situattions

52
Q

What is moral judgement?

A

deciding right vs. wrong; generating options

applying ethical principle

53
Q

Moral Motivations:

A

priority on ethical value over other values (money, self interest)

54
Q

What is moral courage?

A

implementing chosen ethical action: plan

55
Q

Five parts of Situation in the RIPS model

A
Issue
Dilemma
Distress
Temptation
Silence
56
Q

When important values are present or may be challeneged

A

Problem

57
Q

Two alternative courses of action may be taken both of which are good
“Right vs right”

A

Dilemma

58
Q

You know the right course of action but are not authorized or empowered to perform it

A

Distress

59
Q

involves a choice between a right and wrong

A

Temptation

60
Q

values are challenged but no one is speaking about it

A

Silence

61
Q

ABCDEF of Goals

A
Audience
Behavior
Condition (degree)
Emphasize Function
Time
62
Q

Ten professional Behaviors

A
  1. Critical Thinking
  2. Communication
  3. problem solving
  4. interpersonal skills
  5. responsibility
  6. professionalism
  7. use of constructive feedback
  8. effective use of time and resources
  9. stress management
  10. commitment to learning
63
Q

ability to think logicalling

A
  1. Critical THinking
64
Q

ability to communicate effectivelty

A
  1. communication
65
Q

recognize and define problems, analyze data an develop solutions

A
  1. problem solving
66
Q
  1. effectively interact with patients, families
A

4.interpersonal skills

67
Q

account for outcomes of personal and professional actions

A
  1. responsibility
68
Q

represent profession effectively while growing

A
  1. professionalism
69
Q

ability to seek out and identify quality sources of feedback, reflect on and interrogate feedback

A
  1. constructive feedback
70
Q

manage time and resources

A
  1. effective use of time and resources
71
Q

ability to identify sources of stress and to develop and implement effective coping behaviors

A
  1. stress management
72
Q

ability to self direct learning to include the identification of needs and sources of learning

A
  1. commitment to learning
73
Q

Five tests for right verse wrong

A
  1. legal test
  2. mom test
  3. Front Page test
  4. stench test
  5. professional article
74
Q

If any of the five tests (legal, mom, front page, stench, professional) test positive this may be an issue of moral temptation instead of an

A

ethical dilemma

75
Q

what are four suggested steps for ethical decision?

Which step implements RIPS?

A
  1. Recognize and define ethical issue
    • RIPS
  2. Reflect
  3. Decide the right thing to do (make a decision)
  4. implement, evaluate and re-assess
76
Q

If you find yourself testing positive for one of the five right vs wrong tests you are probably faced with “moral temptation” in which you should bypass step three (decide the right thing to do) and implement moral ____?

A

Moral Courage-Focus on implementing a plan rather than decision

77
Q

Step 3: Decide the right thing to do: involves what type of situations?

A

right vs right or dilemma

78
Q

3 approaches to solving a dilemma

A
  1. care based
  2. rule based
  3. ends based
79
Q

follow the rules, obligations, duties and ethical principles already in place

A

rule based

80
Q

determine the consequences or outcomes of alternative actions and the good or harm that will result

A

ends based

81
Q

resolve dilemmas based on relationships and concern of others

A

care based

82
Q

Things to consider in Step 1: recognize and define ethical issue:

A
  • are the conflicting issues values or virtues?

- if so, are they autonomy vs. beneficence?

83
Q

Things to consider in “R” of RIPS:

A
  • does the problem seem to be individual, organizational, or societal realms?
84
Q

Things to consider in IP of RIPS:

A
  • does this appear to be more a problem of moral sensitivity, judgement, motivation or courage?
85
Q

Things to consider in S of RIPS:

A
  • is this an ethical issue, dilemma, ethical distress, ethical temptation or moral silence?
86
Q

Components of A in SOAP

A
Problem List
LTG (Following PT intervention, ) 
STG
Impression
Prognosis
87
Q

What year was the first Code of Ethics published for PT?**

A

1935