Unit 1 Quiz 3

Question 1

Consider the following characteristics of a patient in an Acute Care setting that is ready for discharge. Which is the most appropriate discharge setting for this patient?

• the patient is status post Stroke
• the patient lived alone prior to the Stroke
• the patient will be able to tolerate up to 3 hours of physical and occupational therapy per day for 5 days a week
• the patient will require 7 days of skilled nursing care
• significant improvement is expected within 14 days

Answer 1

Inpatient Rehabilitation Facility

Question 2

Which is TRUE of early intervention services?

Answer 2

Functional based activity strategies are provided in the natural environment

Question 3

It is legal to see a patient without a physician’s referral if the patient’s insurance company allows Direct Access to PT services, even when the state does now allow Direct Access.

Answer 3

False

Question 4

The following patient is ready for discharge from an acute care hospital. He has been in the hospital for 3 days and has not experienced any complications. The healthcare team is looking for your discharge recommendations. What setting do you recommend?

-68 year old, status post left total knee replacement

-lives in a 1 story house, with his wife who can drive him to appointments

-able to perform all ADLs with modified independence

-able to ambulate 300’ with a walker with supervision

Answer 4

Outpatient Physical Therapy

Question 5

Match the Healthcare Setting with a Characteristic that describes that setting.
Acute Care Hospital

Answer 5

short term pt care with average length of stay 3-5 days

Question 6

Match the Healthcare Setting with a Characteristic that describes that setting.
Outpatient Physical Therapy

Answer 6

ambulatory care services in which the pt is not homebound

Question 7

Match the Healthcare Setting with a Characteristic that describes that setting.
Home Health Physical Therapy

Answer 7

services from skilled nursing to therapy to medical, to address ADLS and mobility for a pt that is unable to leave home

Question 8

Match the Healthcare Setting with a Characteristic that describes that setting.
Inpatient Rehabilitation Setting

Answer 8

3 hours of intensive rehab services, 5x/week, or more than 2 disciplines; 7 days of skilled nursing; expectation of improvement in 2-3 weeks

Question 9

Match the Healthcare Setting with a Characteristic that describes that setting.
Educational Setting

Answer 9

therapy centered around the educational needs of a child to enhance their ability to learn in the classroom

Question 10

Match the Healthcare Setting with a Characteristic that describes that setting.
Skilled Nursing Facility

Answer 10

7 days of skilled nursing care/week, 5 days of therapy/week, minimal of 15 min/day, interventions centered around improving and enhancing functional abilities for a subacute illness

Question 11

Which of the following is true of an Outpatient Rehabilitation setting? (select all that apply)

Answer 11

-can include outpatient hospital clinics, private practice, corporate outpatient clinics, part B services in long term care facilities, and telehealth services
-can treat a variety of patient populations and diagnoses
-patients are generally seen for 2-3x/week for longer periods of time

Question 12

Which of the following are included as physical therapy interventions for a patient under Hospice Care? (select all that apply)

Answer 12

-Pain management
-Caregiver education
-Transfers and Bed mobility
-Gait Training and assistive device recommendations
-Strength Training
-Contracture Management

Question 13

The homebound criteria to qualify for Home Health Care Services under Medicare include:

Answer 13

-the patient needs the aid of an assistive device
-the patient requires the assistance of another person to leave the home
-leaving the home requires considerable and taxing effort
-the patient is bed-bound and unable to leave the home

Question 14

Physician Owned Physical Therapy Practices (POPTS):

Answer 14

allow an MD to gain financially from a PT referral

Question 15

A patient in the Acute Care setting is ready for discharge. The healthcare team is asking for your discharge recommendations. Given the following information, which setting do you recommend?

• 70 year old, admitted for Pneumonia, 7 day hospital admission with 3 days in ICU
• lives alone in a 1 story home with 2 steps to enter (no railing), previously sedentary, only ambulated short distances
• requires frequent rest breaks, activity is currently limited by dyspnea
• requires moderate assistance for bed mobility and transfers
• ambulates 50’ with rolling walker with minimal assistance
• unable to tolerate >30 minutes of activity

Answer 15

Skilled Nursing Facility (SNF)

Question 16

Telehealth physical therapy services:

Answer 16

expand physical therapy services to rural areas

Question 17

Prohibiting a physician from referring a Medicare patient to any organization for certain designated health services if that physician holds a financial interest in that organization, is known as what?

Answer 17

stark law

Question 18

Which of the following is an example of a physical therapy intervention that can be used in the Educational Setting: (select all that apply)

Answer 18

-wheelchair positioning to eat at snack time
-teaching a student to navigate the school hallways in a power wheelchair
-teaching a child with a visual impairment to ambulate from the classroom to the lunch room

Question 19

A patient in the Acute Care setting is ready for discharge. The healthcare team is asking for your discharge recommendations. Given the following information, what setting do your recommend?

-33 year old, status post traumatic brain injury from a car accident

-lives in a 2nd floor apartment with fiance who works during the day

-requires minimal assistance for bed mobility and transfers

-ambulates 20’ with a hemi-walker with moderate assistance

Answer 19

Inpatient Rehabilitation Facility (IRF)