Unit 1 Quizzes

Question 1

Which of the following statements describes a Leader?

a)Creates circles of influence and aims to inspire others
b)meet objectives and delegate tasks
c)maintain the status quo
d) work focused, goal is to get things done

Answer 1

a)Creates circles of influence and aims to inspire others

Question 2

Effective teamwork in a healthcare setting:

a) does not involve the patient or patient’s family members

b) are only necessary in the Acute care setting

c) can limit medical errors and adverse patient events

d) does not require frequent and detailed communication

Answer 2

c) can limit medical errors

Question 3

Effective team function includes: (select all that apply)

a) leader-only decision making

b) regular team briefings and information sharing

c) minimal communication between team members

d) routine follow up and debriefing to communicate outcomes

Answer 3

b) regular team briefings and information sharing, d) routine follow up and debriefing to communicate outcomes

Question 4

To prevent breakdowns in communication, all members of the team should:

a) give everyone overlapping roles and tasks

b) follow up to resolve any pending issues

c) provide vague details when communicating

d) meet occasionally, depending on schedules

Answer 4

b) follow up to resolve any pending issues

Question 5

A patient or family member has a difficult time understanding what the physician is telling them about the patient’s diagnosis. They do not understand the terminology the physician is using during the conversation. This is an example of:

a) poor active listening skills

b) para-verbal communication

c) a language barrier

d) low health literacy

Answer 5

d) low health literacy

Question 6

Effective teamwork can increase efficiency of health care delivery, avoid unnecessary re-hospitalizations, and increase patient and family engagement in the provision and management of their care.

True
False

Answer 6

True

Question 7

“Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.”

This is the definition of:

a) Patient Centered Care

b) Ethics

c) Nonmaleficence

d) Autonomy

Answer 7

a) patient centered care

Question 8

Which of the following are examples of being a leader in the Physical Therapy profession: (select all that apply)

Mentoring new employees

Rehab Director

Advocating for patients by fighting for new laws

Conducting a series of Educational Sessions for other healthcare staff members

Answer 8

All answer choices

Question 9

This can occur naturally, when 1 or more team member has expertise in a specific area, and can be beneficial when there is clear communication regarding team members’ roles:

a) Scope of Practice

b) Role Overlap

c) Role Perception

d) Roll Call

Answer 9

b) role overlap

Question 10

This is used to communicate critical information during an emergency. It helps the team to prepare for the next steps. This is when you would direct information to a specific person.

a) SBAR

b) Handoff

c) Call-Out

d) Check-Back

Answer 10

c) call out

Question 11

What is the most important factor when meeting with a patient and family to discuss recommendations for the patient’s discharge plan, post-hospitalization?

a) The healthcare team stays focused on the patient’s medical status and doesn’t get distracted by family requests.

b) The healthcare team, patient, and family all collaborate to create a plan that they all agree on.

c) The physician is involved and has the most influence on the decision.

d) The healthcare team considers the patient’s functional abilities.

Answer 11

b)The healthcare team, patient, and family all collaborate to create a plan that they all agree on.

Question 12

Which of the following is NOT a type of care provided by Physical Therapists in the Emergency Department?

a) Fall Risk assessment

b) Reduction of a dislocated shoulder

c) Low Back pain management and education

d) Assessment and recommendation of an assistive device

Answer 12

b) reduction of a dislocated shoulder

Question 13

Which of the following describe a patient in the Intensive Care Unit?

a) a patient in Acute Respiratory Failure that requires mechanical ventilation

b) a patient with severe infections that is medically unstable and critically ill

c) a patient with Polytrauma that requires continuous monitoring and treatment using special medical equipment

d) all of the statements are true

Answer 13

d) all of the statements are true

Question 14

True or False:

A patient can move up or down levels in the continuum of care.
True
False

Answer 14

true

Question 15

To ensure safety during treatment sessions, the acute care physical therapist must:

a) all of these answers are correct

b) manage lines, leads, and tubes during mobilization

c) monitor vital signs before, during, and after mobilization

d) interpret lab values to determine if the patient can be mobilized

Answer 15

all of these answers are correct

Question 16

What is the Maximum length of stay for a patient in a Skilled Nursing Facility that is making progress?

a) 14 days

b) 25 days

c) 60 days

d) 100 days

Answer 16

d) 100 days

Question 17

Which of the following describe a patient in the Intensive Care Unit?

a) patient requires mechanical ventilation

b) patient is medically unstable and critically ill

c) a patient that requires continuous monitoring and treatment using special medical equipment

d) all of the above

Answer 17

d) all of the above

Question 18

Which statement is TRUE about the delivery of physical therapy services in an Inpatient Rehabilitation Facility?

a) Length of stay is a few days, patient acuity is high, number of patients is high, treatment sessions are 30 minutes per day or less

b) Length of stay is a few weeks, patient acuity is high, number of patients is high, treatment sessions are 1 hour per day or more

c) Length of stay is a few weeks, pt acuity is high, number of patients is low, treatment sessions are 1 hour a day or more

d) Length of stay is a few weeks, patient acuity is high, number of patients is low, treatment sessions are 30 minutes per day or less

Answer 18

c) Length of stay is a few weeks, pt acuity is high, number of patients is low, treatment sessions are 1 hour a day or more

Question 19

Inpatient settings differ in treatment session duration, lengths of stay, patient acuity & number of patients. Which of the following describes the acute care hospital setting?

a) PTs see a low number of patients with less nursing needs for up to 3 hours/day for 2 to 3 weeks

b) PTs see a high number of very ill/post-surgical patients 15 minutes/day for 1 to 5 days

c) PTs see a low number of patients with complex nursing needs for up to 1 hour/day for 25 or more days

Answer 19

b) PTs see a high number of very ill/post-surgical patients 15 minutes/day for 1 to 5 days

Question 20

A patient can enter the health care system at any point in the continuum.

True
False

Answer 20

True

Question 21

In which setting could you find the following patient?

A patient who is being weaned from a mechanical ventilator that requires intensive, extended inter-professional medical and rehabilitative care, that can tolerate 1 hour of therapy per day, 3 days a week, with a length of stay of >25 days.

a) Home Health Care

b) LTACH

c) Inpatient Rehabilitation Facility

d) Skilled Nursing Facility (SNF)

Answer 21

b) LTACH

Question 22

Which of the following statements describes the Reasonable and Necessary coverage of physical therapy in the Skilled Nursing Facility setting?

a) the condition of the patient will not improve in a predicted amount of time

b) services are not necessary for the establishment of a safe and effective maintenance program

c) the services require the skills of a qualified therapist for the
performance of a safe and effective maintenance program​

Answer 22

c) the services require the skills of a qualified therapist for the
performance of a safe and effective maintenance program​

Question 23

The main focus of treatment interventions for patients in the Inpatient Setting (Acute Care Hospital, LTACH, IRF, SNF) is to work toward big picture goals like functional mobility and ambulation.

true
false

Answer 23

True

Question 24

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(a) Home with Home Health Therapyb) Skilled Nursing Facility (SNF)c) Inpatient Rehabilitation Facilityd) Outpatient Physical Therapy

Answer 24

Inpatient Rehabilitation Facility

Question 25

Which is TRUE of early intervention services?

The PT is not a member of the Individualized Family Service Plan

Equipment needs are not addressed

Functional based activity strategies are provided in the natural environment

Only physical areas of development are addressed

Answer 25

Functional based activity strategies are provided in the natural environment

Question 26

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.

True
False

Answer 26

False

Question 27

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

Inpatient Rehabilitation Facility

Skilled Nursing Facility

Home Health Therapy

Outpatient Physical Therapy

Answer 27

Outpatient Physical Therapy

Question 28

Give a characteristic that describes each setting: Acute Care Hospital

Answer 28

short term patient care with an average stay of 3-5 days

Question 29

Give a characteristic that describes each setting: Outpatient PT

Answer 29

ambulatory care services in which the patient is not homebound

Question 30

Give a characteristic that describes each setting: Home Health PT

Answer 30

services from skilled nursing to therapy to medical, to address ADL’s and mobility for a patient that is unable to leave home

Question 31

Give a characteristic that describes each setting: Inpatient Rehab Setting

Answer 31

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

Question 32

Give a characteristic that describes each setting: Educational Setting

Answer 32

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

Question 33

Give a characteristic that describes each setting: Skilled Nursing Facility

Answer 33

7 days of skilled nursing care/week, 5 days of therapy/week, minimal of 15 minutes/day, interventions centered around improving mobility and enhancing functional abilities for a sub acute illness.

Question 34

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

a) can include outpatient hospital clinics, private practice, corporate outpatient clinics, part B services in long term care facilities, and telehealth services

b) can treat a variety of patient populations and diagnoses

c) patients are generally seen for 2-3x/week for longer periods of time

d) a patient must have a physician’s referral prior to starting Outpatient Physical Therapy

Answer 34

a,b,c

Question 35

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

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

Answer 35

All

Question 36

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

the patient is able to drive

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

Answer 36

All EXCEPT the patient is able to drive

Question 37

Physician Owned Physical Therapy Practices (POPTS):

a) encourage autonomous PT practice

b) allow an MD to gain financially from a PT referral

c) are supported by the APTA

d) does not lead to unnecessary referrals to physical therapy

Answer 37

allow an MD to gain financially from a PT referral

Question 38

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

a) Home with Home Health Physical Therapy

b) Long Term Acute Care Hospital (LTACH)

c) Inpatient Rehabilitation Facility (IRF)

d) Skilled Nursing Facility (SNF)

Answer 38

Skilled Nursing Facility

Question 39

Telehealth physical therapy services:

a) expand physical therapy services to rural areas

b) decreases access to specialists

c) limits patient education and compliance

d) limits the ability of the physical therapist to determine the patient’s functional limitations

Answer 39

a) expand physical therapy services to rural areas.

Question 40

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?

a) Anti-Kickback Statute

b) Direct Access

c) IDEA

d)Stark Law

Answer 40

Stark Law