PTA365 Flashcards
A patient refused physical therapy services after being transported to the gym. The physical therapist assistant explains the potential consequences of refusing treatment, however, the patient does not reconsider. Which of the following actions is the most appropriate for the assistant to take initially?
- Continue with the patient treatment
- Convince the patient to have therapy
- Contact the referring physician
- Document the incident in the medical record
- Document the incident in the medical record
The guide for Professional Conduct published by the American Physical Therapy Association states that “A therapist shall respect the patients/clients right to make decisions regarding the recommended plan of care, including consent, modification or refusal”.
The assistant must document that the patient refused treatment and was informed of the potential consequences associated with this decision. Failure to document this important information in a timely manner could place the assistant at unnecessary legal risk.
A physical therapist assistant interviews a patient recently involved in a motor vehicle accident. The patient sustained multiple lower extremity injuries as a result of the accident and appears to be very depressed. In an attempt to encourage active dialogue, the assistant asked open ended questions. Which of the following would NOT be considered an open ended question?
- How does your knee feel today?
- What are your goals for physical therapy?
- Do you have trouble sleeping at night?
- Tell me about your present condition?
- Do you have trouble sleeping at night?
Open ended questions allow patients to answer with a myriad of responses. While close ended questions can often be answered with a yes or no response.
This question could be answered with a “yes” or “no” which is a closed ended question.
A patient with osteoarthritis receives a whirlpool treatment using a Hubbard tank to decrease muscle and joint stiffness. The patients medications include a calcium channel blocker for hypertension. What is the MOST relevant potential interaction between the calcium channel blocker and the described intervention?
- Severe hypotension
- Local vasoconstriction
- Neuromuscular junction stimulation
- Cutaneous hypersensitivity
- Severe hypotension
A patient using a Hubbard tank and talking calcium channel blockers is at risk for severe hypotension. Calcium channel blockers decrease blood pressure through mechanisms that produce increased vasodilation, while a whirlpool further produces systemic peripheral vasodilation potentially resulting in severe hypotension. The Hubbard tank makes this risk even greater than with other forms of whirlpool since it requires a large portion of the body to be immersed.
A physical therapists assistant administers a survey at a community health fair to identify individuals at risk for osteoporosis. Which of the following items would be most closely associated with osteoporosis?
- Early menopause
- Obesity
- African American Race
- High bone mineral density
- Early menopause
Menopause refers to the stages at which the ovaries no longer perform the functions of ovulation and estrogen production. The resultant decrease in the body’s estrogen levels impacts the balance between osteoclast and osteoblast activity resulting in accelerated bone loss.
After observing a patient rehabilitating from a lower extremity injury on a stationary bicycle, a physical therapist assistant elects to raise the seat height. Which lower extremity motions would this modification MOST promote?
- Hip Extension and Knee Extension
- Hip Flexion and knee Extension
- Hip extension and knee flexion
- Hip Flexion and Knee Flexion
- Hip Extension and Knee Extension
A stationary bike is an appropriate low impact cardiovascular training tool. The amount of resistance can be adjusted to provide strengthening of the legs. Seat height can be adjusted to accommodate for individual heights and any limitations in hip or knee range of motion.
