Final Study Guide Flashcards

1
Q

Active learners are? Like ? Do not like?

A

Retain and apply information if they can do something with it, discuss it, or explain to others.

Like: group work

Do not like: sitting in lectures

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2
Q

Reflective learners ? Like?

A

Likes to think about it first; work alone; better at sitting in lectures then active learners

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3
Q

Visual learners ?

A

Remember what they see in pictures, diagrams, films, & demonstrations.
-Should try and find pictures, movies, etc

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4
Q

Most learners are what type of learners?

A

Visual

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5
Q

Verbal learners ?

A

Remember what they hear or read

-Should outline and re-write what they need to know, or have study groups to explain material to them

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6
Q

You are helping a patient learn to use a sock aid. He has had difficulty remembering the technique. Today he successfully uses the device four out of five times. You praise him for remembering and performing that important skill. In praising him, which theory of learning are you are employing?

A

Behviorism by E.L thorndike adn B.F Skinner
-Behaviors that are rewarded positively will reoccur
(Operant conditioning )

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7
Q

You provided an in-service on therapeutic exercise to a “lay audience”. In so doing you learned within the context of actively doing a presentation and subsequently thinking about it. This experience is most consistent with which learning theory?

A

Or Gastalt problem solving
-learning begins with experience, reflection on that experience and problem solving.
-It emphasizes the role of perception adn interpretation in finding solutions.
The solution to a problem depends on perceiving new relationships among its elements.
People organize and experience the world in meaningful contexts.
Info must make sense to be learned

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8
Q

Reflection in action

A

requires 2 simultaneous actions

  • attend to the task
  • continually question,observe, assess & adjust
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9
Q

Reflection on action

A

Occurs “after” the fact

-What happened? What did you miss?

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10
Q

First you learned to name the shoulder muscles, then to locate them on a model, then to describe their action, then to differentiate the action of the supraspinatus and the deltoid muscles. Then you designed an appropriate exercise program on paper. Which domain of learning does this best represent?

A

Cognitive Domain

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11
Q

Cognitive Domain is the development of what 3 things?

A

Knowledge
Language based information
Concepts to learned

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12
Q

The 6 levels of cognitive domain ? (Each level build on the preceding level)

A
Knowledge 
Comprehension 
Application 
Analysis
Synthesis 
Evaluation
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13
Q

Learning to position a patient to facilitate treatment and comfort, and learning to perform pulsed ultrasound are examples of which domain of learning?

A

Psychomotor domain

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14
Q

Psychomotor domain is the development of ?

A

Motor skills

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15
Q

7 levels of psychomotor ?

A
Perception 
Set
Guided response 
Mechanism 
Complex overt response 
Adaptation 
Origination
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16
Q

What are the key concepts inherent to andragogy ?

A

The art and science of helping adults learn

  • Learner centered
  • Need to know about learner situation
  • Bring a concept of self to the learning situation
  • Bring experience to the learning situation
  • Are ready to learn
  • Are motivated to learn
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17
Q

After hearing a lecture about therapeutic ultrasound, its parameters, indications, and contraindications, the class moved into the lab room where the ultrasound machines were set up in order to practice.

Several students immediately turned the ultrasound units on and began practicing the skill of applying therapeutic ultrasound to a classmate. According to the Index of Learning Styles, these students are most likely what type of learners?

A

Active learners: understand and retains information best by discussing, applying or explaining it. Enjoys group work

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18
Q

After hearing a lecture about therapeutic ultrasound, its parameters, indications, and contraindications, the class moved into the lab room where the ultrasound machines were set up in order to practice

After several minutes, the students who had originally sat back and watched their classmates practice the application of ultrasound began to become more involved in the lab activity. According to Kolb’s Learning Style Inventory, these students are most likely what type of learners?

A

Assimiltors

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19
Q

According to Donald Schon’s work, we are required to function in clinical practice on two levels: 1. “attending” to the interaction with our patient and 2. “continually questioning”, observing and assessing our thoughts and actions during the session. What type of reflection is this called?

A

Reflection in action

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20
Q

What are some of the characteristics of a good student in a clinical practice setting?

A

? Good communication, acculurtation, manage CI’s expectation, reflection, critical analysis, set goals and objectives

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21
Q

You are a CI who is orienting your new SPT to your clinical setting. After explaining the process for inputting an initial assessment into the electronic medical record, you ask him for feedback regarding what he learned. He says: “I think I’d understand it better if I had the chance to watch you input the information one time.” Which is his preferred learning style?

A

Visual learner

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22
Q

Learning objectives that focus on the acceptance of values and beliefs fall into which domain of learning ?

A

Affective

23
Q

What are the standards for patient education that have been outlined by The Joint Commission on the Accreditation of Hospital Organizations (JCAHO)?

A

Standards:

  • Patient centered
  • grounded in educational principles
  • Ongoing and systematic
  • Individualized and interactive

Needs to include:

  • Patient/ family assessment of educational needs
  • Identification of barriers to learning
  • An educational plan based on the assessment
  • Relevant information and skills
  • A variety of educational tools/ processes
  • A system for determining success of education
24
Q

All syllabi in CAPTE-accredited physical therapy programs contain learning objectives for the course. How would you describe a learning objective for a course?

A

Learning objective: guide the teacher when developing material for the course; Guide the learner what is to be expected to be learned

25
Q

The supervisor in your PT clinic believes in treating everyone fairly. Therefore, she allows her staff to take time off on a “first-come, first-served” basis only. This method has resulted in most of her Christian staff needing to work on Easter, and her Muslim staff needing to work on Eid Al-Fitr. Since these holidays are considered sacred, it appears that this supervisor’s clinic meets Cross’s definition of what?

A

??Cultural Blindness:belief that color and culture make no difference and everyone the is the same

  • philosophy of being unbiased
  • Believe that health care approaches are universally applicable
  • Ignore cultural strengths
26
Q

“At the end of this class, the student will discuss the importance of identifying and reinforcing the main points of a teaching experience.” Which component is missing from this learning objective?

A

‘D’ the degree of mastery (how much/ how well)

27
Q

What are the characteristics of an individualistic culture?

A

Higher value on individual than family or culture

  • American, Western European culture
  • healthcare decisions often made by the pt. Him/herself
  • Likely to have an advanced directive
28
Q

A small group of experienced physical therapists are interested in an emerging intervention called “Instrument Assisted Soft Tissue Mobilization.” An organized body of literature is also just emerging. The group meets for dinner once a month to discuss this intervention following independent reading from a list of references. In which type of learning process is this group engaged?

A

?? Verbal

Andragogy

Field dependent: collaborative learning & external feedback/guidance. Analyze big picture

29
Q

Your facility is developing a wound care program. You are in charge of the physical therapy piece. You have a microcurrent electric stimulation unit on loan from a vendor to use during your in-service to the other physical therapists. The physical therapists will be the team members responsible for application of microcurrent in the wound management of the patients.

Learning objectives in which domains would be the most effective for teaching the physical therapists?

A

Psychomotor, cognitive

30
Q

Your facility is developing a wound care program. You are in charge of the physical therapy piece. You have a microcurrent electric stimulation unit on loan from a vendor to use during your in-service to the other physical therapists. The physical therapists will be the team members responsible for application of microcurrent in the wound management of the patients.

Your next presentation is to the facility administrator to convince her to buy the piece of equipment you now think is central to effective physical therapy intervention for chronic wounds. She has a background in nursing. Learning objectives in which domain is the most effective for achieving your goal?

A

Affective… Beliefs about the piece of equipment

31
Q

What are the characteristics of a collectivist culture?

A

Higher value on family or community than individual

  • Many Asian, lain American, and African cultures
  • Healthcare and medical decision making may be done collectively rather then individual’s preference
  • Less likely to have an advanced directives
  • May feel limited by hospital hours
  • Physician might provide a medical diagnosis to the family, who may in turn, withhold from the patient
32
Q

Student groups meet with a facilitator and use a structured method to solve real or simulated problems. As the work on the issues, they integrate new knowledge with what they already know. Which teaching/learning techniques does this describe?

A

Gestalt Problem Solving

  • Learning begins with experience, reflection on that experience and problem solving
  • emphasizes the role of perception and interpretation in finding solutions
  • The solution to a problem depends on perceiving new relationships among is elements
  • People organize and experience the world in meaningful contexts
  • Information must make sense with some context in order to be learned
33
Q

The “Explanatory model” refers to what ?

A
  • How the patient, family, or culture explains the circumstances concerning their condition
  • Kleinman’s 8 questions to elicit explanatory model
    • What do you call the problem ?
    • What do you think has caused the problem?
    • What do you think it started when it did?
    • What do you think the illness does? How does it work?
    • How severe do you think your illness is? Do you believe it will have a short or long course
    • What kind of treatment do you think you need? What results do you expect from the treatment?
    • What major problems has the illness caused you ?
    • What do you fear most about the illness?
34
Q

Antonio is an 18-month old boy with Down syndrome. He has just acquired the ability to achieve “all-fours” but he collapses when he tries to crawl. His Greek grandmother, who takes care of him during the day, has been consistent with his attendance in physical therapy. You have asked her to encourage him to crawl by enticing him with toys. However, she prefers to pick him up each time he tries to crawl and cries with frustration. As you try to explore her reasons, how might you best interpret her lack of follow-through?

A

Her Greek Culture might influence her to “baby” the grandchild
Generational differences may also explain the lack of follow through

35
Q

Your patient is an 84 year-old man who lives alone and has fallen several times in the past few months. When you ask him what he wants to accomplish in physical therapy, he says, “I don’t know…I am here because my daughter wants me to have therapy.” What type of motivation does your patient describe?

A

Extrinsic Motivation to learn: the patient performs the activity to please someone else

36
Q

What does the Cross Model describe?

A
  • The cross model of cultural competence
  • 5 elements that contribute to a SYSTEM’s ability to become more culturally competent
    • Value diversity
    • Have the capacity for cultural self-assessment
    • Be conscious of the dynamics inherent when cultures interact
    • Institutionalize cultural knowledge
    • Develop adaptations to service delivery reflecting an understanding of diversity between and within cultures
    • The continue of cultural competence for organizations and systems
  • 6 Levels ranging from most negative to most positive
    • cultural destructiveness
    • cultural incapacity
    • cultural blindness
    • cultural pre-competence
    • cultural competency
    • cultural proficiency
37
Q

You are a home care physical therapist teaching a home health aide how to transfer a patient with a spinal cord injury from his wheelchair to his bed in a safe, predictable manner. What type of feedback is most useful to give the HHA in this situation?

A

Coaching: “here’s a better way of doing it” and evaluation: “This is how you’re doing it!”

38
Q

What does the PT literature suggest regarding compliance with home exercise programs?

A

Patient’s past experience

  • Paient’s realistic assessment of his/her situation
  • Resolution or management of co morbidities
  • Removal of social and environmental barriers
  • Promotion of self-monitoring activities
    • Logging or charting activity
  • Engagement of family/ friend support
  • Assuring that the program is manageable in length and demands

40-60% compliance

39
Q

This is Ms. Potter’s 3rd visit for low back. Upon your questioning she reveals she has performed at home only 3 of the 6 exercises and only twice in this past week. How might you improve her compliance with her exercise program?

A

Motivational factors (“Motivational Hook”), Objectives, not too much info (just info), pamphlets/brochures with pictures, summary (take home message

40
Q

What does a Physical Therapist need to do in order to foster his/her ability to connect with a patient for the purpose of establishing a collaborative learning relationship?

A

Build trust with the patient, make sure the patients are confident in themselves,
activities are meaningful and valuable
?? Field dependent : preference for collaborative learning and external feedback/guidance. Analyze big picture> details

41
Q

The term “health care disparities” refers to what?

A

Differences between groups of people which can affect:

- how frequently a disease affects a group 
- How many people get sick 
- How often the disease causes death 
- Access to care  - Populations affected by disparities include:
- racial and ethic minorities 
- Residents of rural areas 
- women, children, the elderly 
- Persons with disabilities
42
Q

The attitude that customs and beliefs that differ from your own are odd or unenlightened is called what?

A

Ethnocentrism: Attitude that beliefs different than your own are strange, bizarre, unenlightened and wrong

43
Q

What are the macro aspects of Purnell’s Model for Cultural Competence?

A

Global society, community, family, person

Outer Ring of the model

- Global Society: World communication, conflicts, politics, business, health & medicine; Transmitted by TV, radio, social media      
- Community: Group of people with similar interests or identity; may be bound by physical, social, or symbolic similarities 
- Family: Two or more people who are emotionally &/or physically connected 
- Person: Individual who is constantly adapting to community, changes in self, and 	changes in the physical and social world
44
Q

What is the main goal of the Federation of the State Boards of Physical Therapy?

A

vision is that the organization will achieve a high level of public protection through a strong foundation of laws and regulatory standards in PT, effective oils and systems to assess entry-level and continuing competence, and public and professional awareness of resources for public protection

45
Q

What are the steps to developing culturally competent practice for the physical therapist according to Lattanzi’s Model?

A

Self awareness and self exploration are the first, necessary steps to developing cultural competence
Pyramid: (top – > bottom)
-Culturally Congruent PT interventions
-Culturally Congruent LTGs & STGs
-Culturally congruent PT Evaluation
-successful Cross-cultural interaction/ communication
-Identify & respect Differences
-Knowledge of client culture
-Cultural self awareness

46
Q

What would be the most appropriate strategy a PT would employ for a community based health education program for a middle school cheerleading team?

A

Interactive, use technology

47
Q

What are some of the educational requirements after you become a licensed physical therapist in most states in the US?

A

Most states required evidence of attendance at continuing education programs for licensure renewal.
-NJ is Biennial: to renew license you need 30 hours of continuing education for every 2 years

48
Q

What are some of the post-professional development endeavors that a PT might pursue following licensure?

A
  • Speciality: cardiovascular & pulmonary, clinical electrophysiology, geriatrics, neurology, ortho, peds, sports, women’s health
  • Residency
  • Fellowship
49
Q

Which best describes characteristics of a transdisciplinary team approach?
A. Team members with expertise perform tasks independently of one another and then share their results with one another
B. Team members with expertise perform tasks independently of one another and then coordinate their efforts with one another
C. Team members with expertise perform tasks collaboratively by sharing information and roles with one another
D. Team members with expertise evaluate patients independently of one another and
fax information to one another

A

Team members with expertise perform tasks collaboratively by sharing information and roles with one another

50
Q

Transdisciplinary Teams

A

members perform task collaboratively by sharing information adn roles across disciplines. Member coordinate their efforts with one another

- Coordination usually done via. Meetings 
- Cross-disciplinary training usually necessary
51
Q

Advantages vs disadvantages of transdisciplinary teams

A

Advantages
-For complex patients, the number of team members is limited & manageable
-Family is often considered part of the team
-Awareness of others providers goals and patient process
-Minimal duplication of services
Disadvantages
-Team members need to coach/ instruct other team members -Gaps in service due to mistrust that others can not do the job correctly
-providers with limited experience may be overwhelmed
-Scopes of practice considerations

52
Q

Which of the following is the definition of health literacy?
A. The process in which the health care professional strives to work within the cultural context of the patient/client, family or community.
B. A set of congruent behaviors, attitudes and policies that enable effective work and care for individuals
C. The degree to which individuals have the capacity to obtain, process and understand basic health information
D. The process in which an individual learns to read and perform basic math skills in order to function in society

A

The degree to which individuals have the capacity to obtain, process and understand basic health information

Health Literacy: The degree to which individuals have the capacity to obtain, process, and understand basic information and services in order to make appropriate decisions regarding their health

53
Q

What are the components of a student centered behavioral objective ?

A

Bloom’s Taxonomy
A,B,C,D format.
Focus on the learner, not the instructor
Focus on the outcome, not the process
State one outcome for each objective
Outcome needs to be measurable
-Cognitive, Psychomotot and Affective domains