Professional Practice D.

Question 1

A new patient cancels their appointment five minutes prior because they state that they did not know the treatment would be so expensive when they booked the appointment online as there was no price listing on the website. How should the therapist handle this situation?

Answer 1

Apologize for the missing information and, as soon as possible add a price list to the online booking platform

Question 2

After 25 years in practice a therapist has decided to retire. What must they do with their certificate of registration?

Answer 2

send it back to licensing body

Question 3

In a region where massage therapy is regulated, an unregulated/unlicensed individual wishes to provide general relaxation massages in a spa setting. How could they be permitted to advertise and bill for this service?

Answer 3

Relaxation bodywork by a spa employee

Question 4

During a treatment, where all appropriate consent has been signed or given, where can a massage therapist place their hands or fingers in regard to the patient?

Answer 4

Beyond the opening of the mouth

Question 5

A patient has listed ‘three-month-old knee pain’ as their primary concern on the health history form. Which of the following would be the best way for a therapist to gain more information about the patient’s primary concern?

Answer 5

ask patient to describe how the pain started

Question 6

A therapist wants to know if they are permitted to provide discount coupons to patients as an end-of-the-year ‘thank you’. Where should they first look for this information?

Answer 6

Their regulatory body

Question 7

In the middle of treatment, the patient requests that the therapist include a sensitive area. How should the therapist respond?

Answer 7

Tell them they can incorporate the area of concern into the next treatment after the patient has signed a sensitive areas consent form

Question 8

A patient requests a specific type of massage treatment for burning fat. The therapist has never come across any clinical evidence that massage can reduce adipose tissue. What should the therapist do?

Answer 8

They should ask the patient if they would not mind providing their sources for this type of massage so they can do some further research before providing the treatment

Question 9

What would be the best way for a therapist to treat a patient who develops an erection during treatment?

Answer 9

As an erection can be an involuntary physiological response to non-sexual touch, the therapist should continue the treatment unless the patient makes an inappropriate comment or gesture

Question 10

Which of the following is an example of a therapeutic relationship?

Answer 10

A relationship between a patient and a therapist that exists for the sole and expressed purpose of serving the health and well-being of the patien

Question 11

A therapist is retiring. They have been running a home practice for 30 years and have always used paper charts. What should they do with the patient files?

Answer 11

They must keep them in a secure area for the mandated number of years

Question 11

A 14-year-old patient does a walk-in for a massage appointment. They state they are in such extreme pain from a recent injury that it is hard to concentrate on what the therapist is telling them about the treatment. They have taken some over-the-counter extra-strength Tylenol, but it is not helping. In this situation, what would make the therapist consider this patient incapable of providing informed consent?

Answer 11

Patient is surfing from extreme pain

Question 12

A therapist is told by their patient during treatment that a healthcare practitioner who practices a different healthcare modality touched them inappropriately. They recount that this practitioner stated that it would be ‘their little secret’ and that they would ‘not charge extra for the off-menu service’. The patient states that it made them feel very uncomfortable and confused and they will not be booking with that practitioner again. What should the therapist do?

Answer 12

Encourage the patient to report the incident to the practitioner’s regulatory body or gain consent to report on their behalf

Question 13

A therapist finds themselves developing romantic feelings and becoming very attracted to one of their patients. They maintain professional boundaries during the treatments. On the patient’s third treatment, the patient states that they find the therapist very attractive. What would be an appropriate course of action for the therapist?

Answer 13

They should be honest with the patient and inform them that they cannot have a relationship with a patient and feel it would be best if they referred them to a different therapist

Question 14

A patient file is accidentally left out on the clinic reception desk. The therapist for the patient sees it lying open and notices that another individual who is not the patient nor an employee of the clinic is just finishing taking a photo on their phone of the open file. What would be the best course of action for this therapist to take after they ensure the individual has deleted the photos?

Answer 14

Notify the patient of what occurred with their file

Question 15

A patient’s insurance benefits for massage run out six treatments too soon. They are still in pain and explain that nothing has been helping as much as the massage treatments have been. They ask if the treatments could be billed under their partner’s name so that they could use their partner’s benefits, as they do not use them at all. The therapist is in agreement that the patient still requires more treatment, and stopping now could cause a regression of their condition. What should the therapist do?

Answer 15

The treatments cannot be billed under the partner’s name but the therapist could suggest the patient ask to be added to their partner’s insurance plan

Question 16

A therapist has been seeing an elderly patient for a set treatment plan. The treatments have been greatly helping the patient get back to their daily activities, and the patient feels that without the treatments, they would have a very low quality of life. The patient informs the therapist that they have recently lost their pension benefits and will have to survive off of their disability benefits alone, so they will not be able to afford the regular treatments. The therapist decides to create a disability discount for the patient, which they record in the patient’s chart. What did the therapist follow by making this decision?

Answer 16

Values

Question 17

A patient hands their therapist a copy of their most recent lumbar CT scan report and asks the therapist’s opinion on it. How should the therapist respond?

Answer 17

They should translate the listed findings to layperson’s terms and explain how it will affect the massage treatment plan

Question 18

In which of the following circumstances might a registrant be required to take a general refresher course?

Answer 18

A registrant with less than 2 years of practice after graduation who has not practiced for the last 5 years

Question 19

A massage therapy student has graduated and is waiting on the results of their licensing exams. While they are waiting, a clinic offers to hire them as a ‘student massage therapist’. The fee will be less than for a licensed massage therapist treatment. The patients will be informed that they are not receiving treatment from a licensed massage therapist, and they will be required to sign a waiver that they understand this. What should the student do?

Answer 19

They should not take this opportunity because they cannot practice in any capacity until they are fully licensed

Question 20

A patient has been going to a massage therapist for the past two years, seeing them regularly for treatment of various issues such as low back pain. The patient has been very appreciative of the treatment, constantly praising the therapist for how much they have helped the patient. In the last two months, the patient has not been so complimentary or has been canceling their appointments. The therapist is hurt and feels abandoned when this happens. What is this an example of?

Answer 20

Countertransference

Question 21

What is the primary duty or purpose of massage therapists as Regulated Health Professionals?

Answer 21

To be legally and ethically accountable to society

Question 22

What should a therapist do if they are working with a patient whose value system is different from their own or who they just simply don’t like?

Answer 22

Continue to treat the patient and utilize this as an opportunity to learn and grow

Question 23

When Health Care Professionals enter into a social contract with society, what do they agree to do?

Answer 23

Serve the well-being and best interests of their patients first

Question 24

Which of the following is a therapeutic relationship?

Answer 24

A relationship that exists between two people, one being a therapist and the other being a patient, for the sole and express purpose of serving the health and well-being of the patient

Question 25

Which of the following is not required for informed consent?

Answer 25

They must be 18 years old

Question 26

A new RMT is providing a massage therapy treatment to Mark. Mark is a new patient who is seeking a full-body relaxation massage to help relieve stress from their busy job in the financial industry. While the therapist is providing some soothing effleurage to Mark’s quadriceps, they notice that Mark has an erection. Which of the following options would be the best way for the therapist to respond?

Answer 26

The therapist can ignore it and work on a neutral area of the body

Question 27

Which of the following may occur when a therapist is found incompetent or incapacitated?

Answer 27

The revocation, suspension, or application of limitations on that therapist’s certificate of registration

Question 28

While the therapist is verbally going through consent, a new patient begins removing their clothing. How should the therapist handle this situation?

Answer 28

The therapist can ask the patient to wait until the therapist has finished speaking and has left the room before disrobing

Question 29

What is NOT an example of a dual relationship?

Answer 29

The patient is a referral from an existing patient

Question 30

What is the definition of “Countertransference” when discussing breaches of professional boundaries?

Answer 30

When the therapist projects onto the patient old feelings or attitudes that they had about significant people in their past

Question 31

What is the purpose of obtaining consent to treat sensitive areas?

Answer 31

These areas may be regarded as potential targets for misunderstanding of intent

Question 32

Which one of the following is a role of a Registered Massage Therapy Association?

Answer 32

Represents massage therapists' interests to the government and gives a voice to their opinions and concerns

Question 33

What should a massage therapist communicate to their patients concerning record retention when they terminate employment at a clinic?

Answer 33

The therapist is required to ask the patient who they prefer to have custody of their file

Question 34

The primary goal of health care professionals is:

Answer 34

To serve to benefit the well-being of the patient

Question 35

A massage therapist has been doing mobile massage visits for clients in their home for several months, giving massages to both the husband and the wife. Unfortunately, the husband has been making sexually suggestive remarks, and although the therapist has asked him to stop, it seems to be getting worse. His behavior is making the therapist so uncomfortable that they don't want him as a patient anymore. What is the therapist’s best course of action?

Answer 35

Tell him that they are no longer going to see him as a patient; if his wife asks why, tell her that as a therapist, they are bound by the rules of confidentiality with all patients and cannot talk to her about any other patient.

Question 36

Concerning charting, patient files must be completed within:

Answer 36

24 hours of the treatment

Question 37

During treatment, the patient states that he has left his infant daughter at home without supervision. What must be done legally?

Answer 37

Report this to the Children’s Aid Society

Question 38

A patient requests a copy of their file. On review of the file they decide that some of the content is incorrect. The therapist disagrees with the patient because the information was their professional opinion. As a first step, what can this patient do?

Answer 38

Write a disagreement statement and request that the therapist add it to the file

Question 39

How do therapists demonstrate professionalism in their practice?

Answer 39

Maintaining appropriate boundaries and working within their scope of practice

Question 40

Encouraging and being responsive to a patient’s choice to accept, augment, modify, refuse, or terminate treatment is an example of what?

Answer 40

Client-centered care

Question 41

Why is it important to establish proper draping boundaries?

Answer 41

It provides privacy, security, comfort, and establishes boundaries for treatment.

Question 42

If a therapist retires or leaves a practice location, what is their obligation concerning client files?

Answer 42

Assist patients with a transfer of care, and advise patients how they can access their files

Question 43

In what situation would a therapist be guilty of abandoning their patient?

Answer 43

The therapist does not provide a referral when they terminate treatment

Question 44

What is a Standard of Practice?

Answer 44

A minimum level of performance one is required to demonstrate in the achievement of a task

Question 45

What is a massage therapist required to do before sharing information about a patient with another healthcare provider?

Answer 45

Obtain written consent from the patient to release information

Question 46

In a therapeutic relationship, therapists demonstrate professionalism by:

Answer 46

Keeping safe boundaries and a focus on the patient

Question 47

A patient comes to see a massage therapist with a complaint of constipation, which they attribute to the pain-reducing medication they take for osteoarthritis. The massage therapist;

Answer 47

Must advise the patient on what that treatment will include, explain the options, and obtain consent to the treatment, including all areas of the body to be treated