Unit 1 Quizzes Flashcards
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
a)Creates circles of influence and aims to inspire others
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
c) can limit medical errors
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
b) regular team briefings and information sharing, d) routine follow up and debriefing to communicate outcomes
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
b) follow up to resolve any pending issues
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
d) low health literacy
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
True
“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
a) patient centered care
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
All answer choices
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
b) role overlap
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
c) call out
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.
b)The healthcare team, patient, and family all collaborate to create a plan that they all agree on.
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
b) reduction of a dislocated shoulder
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
d) all of the statements are true
True or False:
A patient can move up or down levels in the continuum of care.
True
False
true
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
all of these answers are correct
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
d) 100 days
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
d) all of the above
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
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
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
b) PTs see a high number of very ill/post-surgical patients 15 minutes/day for 1 to 5 days
A patient can enter the health care system at any point in the continuum.
True
False
True
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)
b) LTACH
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
c) the services require the skills of a qualified therapist for the
performance of a safe and effective maintenance program
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
True
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
Inpatient Rehabilitation Facility
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
Functional based activity strategies are provided in the natural environment
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
False
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
Outpatient Physical Therapy
Give a characteristic that describes each setting: Acute Care Hospital
short term patient care with an average stay of 3-5 days
Give a characteristic that describes each setting: Outpatient PT
ambulatory care services in which the patient is not homebound
Give a characteristic that describes each setting: Home Health PT
services from skilled nursing to therapy to medical, to address ADL’s and mobility for a patient that is unable to leave home
Give a characteristic that describes each setting: Inpatient Rehab Setting
3 hours of intensive rehab services, 5x/week, more than 2 disciplines, 7 days of skilled nursing; expectations of improvement in 2-3 weeks.
Give a characteristic that describes each setting: Educational Setting
therapy centered around the educational needs of a child to enhance their ability to learn in the classroom.
Give a characteristic that describes each setting: Skilled Nursing Facility
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.
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
a,b,c
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
All
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
All EXCEPT the patient is able to drive
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
allow an MD to gain financially from a PT referral
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)
Skilled Nursing Facility
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
a) expand physical therapy services to rural areas.
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
Stark Law
