basecamp info 2
title 1 regulations apply to companies with
15 or more employees
bathroom toilet
17-19 inches
doorway width
32 inches
Bathroom sink height
32-34 inches
grab bar
33-36 inches
corridor width
36 inches
if a ramp changes direction the landing must be at least
5 by 5 ft
w/c turning radius
60 inches
all ramps are required to have a grade no greater than
8.3 perecent
According to the Americans with Disabilities Act, what is the maximum amount of pile a carpet can have?
Correct Answer: 1/2 inch Pile refers to the relative height of carpet determined by the fabric loops. Shag carpet, for example, would have a relatively high pile, while shorter more compact carpet would have lower pile. Carpet with a pile greater than ½ inch would be unacceptable since it would make mobility excessively difficult.
What is an appropriate ratio of length to height when building a wheelchair accessible ramp?
Correct Answer: 12:1 When building a ramp for wheelchair accessibility, there should be no more than 1 inch of height (i.e., rise) for every 12 inches of length (i.e., run).
Question 8 of 10 A ramp which begins at ground level and ends 18 inches above ground should be at least how many feet long?
Correct Answer: 18 feet A ramp must possess a minimum of one inch of rise for every 12 inches of run. As a result, 18 inches of rise would require a ramp with a minimum of 18 feet of run.
Which number represents an acceptable height for handrails to be placed?
Correct Answer: 36 inches The standard height for handrails is between 34 and 38 inches. The handrail should extend a minimum of 12 inches beyond the foot and top of the stairs. The diameter of handrails should be between 1.5 and 2 inches.
According to the Americans with Disabilities Act, what is the minimum hallway width required for two wheelchairs to pass?
Correct Answer: 60 inches According to the Americans with Disabilities Act, the minimum hallway width for a single wheelchair is 36 inches and 60 inches for two wheelchairs.
Ideally the height of a step should be no higher than:
Correct Answer: 7 inches Ideally a step should be no taller than 7 inches and at least 11 inches deep. A step that is over 8 inches tall is particularly problematic for many individuals. Typically there is a half-inch overhang on each step called a nosing which can result in an individual catching their toe. Wood bevels applied to the undersurface of the nosing can reduce this tripping hazard.
Which percent grade would be inappropriate for a wheelchair ramp?
Correct Answer: 9.4 percent The percent grade reflects the angle of inclination. 8.3% is the maximum percent grade allowable according to the Americans with Disabilities Act.
what law protects patients from discrimination?
Correct Answer: Americans with Disabilities Act The Americans with Disabilities Act provides protection against discrimination to Americans with disabilities. This is similar to the protections provided by the Civil Rights Act of 1964, which made it illegal to discriminate based on race, religion, sex, national origin, and other characteristics.
The rights of individuals who are culturally diverse are best protected through the:
Correct Answer: Civil Rights Act Many rights of people who are culturally diverse are protected by the Civil Rights Act of 1964 and the Americans with Disabilities Act of 1990. In addition, these or similar rights may be contained in institutional personal policies, patient rights statements, and governmental documents.
Which document, produced by the American Physical Therapy Association, provides the best description of current patient care standards for physical therapists?
Correct Answer: Guide to Physical Therapist Practice The Guide to Physical Therapist Practice, published by the American Physical Therapy Association, describes physical therapy practice. The document is used as a resource by physical therapists, physical therapist assistants, students, and other health care professionals.
Which of the following acts would be violated by disclosing a patient's identity or medical information against their will?
Correct Answer: Health Insurance Portability and Accountability Act Health Insurance Portability and Accountability Act (HIPAA) protects the privacy of individually identifiable health information and sets national standards for the security of electronic protected health information. This law allows patients to have more access to their individual healthcare information and more control over their identity.
Which of the following is the primary payer for long-term care services for older adults?
Correct Answer: Medicaid Medicaid is the primary payer for long-term care services and supports low-income individuals across the age spectrum.
A patient receiving dialysis for end-stage renal disease would most likely be covered by what type of health insurance?
Correct Answer: Medicare Medicare is a nationwide program that provides health insurance for individuals over 65 years of age. Medicare also covers certain categories of the disabled, renal dialysis, and transplant patients. Patients receiving dialysis for end-stage renal disease are immediately eligible for Medicare.
Which Medicare plan covers hospitalization for patients over the age of 65?
Correct Answer: Part A Medicare Part A covers hospitalization, post-hospital extended care, and home health care of patients 65 years and older. Medicare Part B provides coverage for outpatient services. Medicare Part C is a policy that permits private health insurance companies to provide Medicare benefits to patients. Medicare Part D is a prescription drug plan that is voluntary and requires a monthly premium for patient services.
Which patient is at the highest risk for elder abuse?
Correct Answer: a 78-year-old female with Alzheimer's disease Elder abuse can affect anyone, but victims are most commonly over 75 years of age, female, physically or mentally impaired, and dependent on their abuser for their care.
Which individual would be at the greatest risk for suffocating?
Correct Answer: an infant covered with a blanket while sleeping Some of the most common recommended strategies to reduce the risk of childhood choking and suffocating are listed. Soft pillows and thick blankets should be removed from an infant's crib when sleeping in order to reduce their risk of choking or suffocating. Children should only be allowed to play with age appropriate toys. Food should be cut into small pieces. Children should not be allowed to play with plastic bags or small objects. Pools and sandboxes should be covered when not in use. Children should always be supervised when near water.
Which of the following would be an example of an individual's right to autonomy being violated?
Correct Answer: an older man coerced to have surgery Individual autonomy is a principle that refers to the capacity to be one's own person and to live one's life according to reasons and motives that are taken as one's own, and not the product of manipulative or distorting external forces.
Health literacy would be expected to be highest in individuals that:
Correct Answer: are less than 65 years of age Health literacy is defined as the ability to obtain, process, and understand health care information. The following characteristics generally lead to poor health literacy: over 65 years of age, limited English comprehension, limited formal education, and underserved minority groups or immigrants.
How many patient identifiers are recommended in order to verify the identity of a patient?
Correct Answer: at least two According to the World Health Organization (WHO), a patient should be identified by at least two identifiers upon admission to a hospital, transfer to another hospital or other care setting, or prior to administration of care. Appropriate identifiers include the patient's name, date of birth, and identification number.
When a therapist obtains informed consent from an individual, they are showing respect for their:
Correct Answer: autonomy When a healthcare provider obtains informed consent they are respecting a person's autonomy, their right to make decisions about their life.
Which of the following terms is best defined as the way in which one acts?
Correct Answer: behavior A behavior is the way in which one acts. An attitude is a feeling of emotion, generally including positive or negative judgement toward people, object or ideas. A value system is an organization of values in which each is ranked along a continuum of importance. A belief is defined as a special class of intellectual attitudes based primarily on faith, instead of fact.
The statement, "If I exercise five times a week, I will be healthier," is an example of a/an:
Correct Answer: belief A belief or opinion is an interpretation, by an individual, that they believe to be true.
The unimpaired ability to make decisions regarding medical care is most consistent with which term?
Correct Answer: capacity A patient who is able to make medical decisions is considered to possess capacity. A patient who is not mentally or psychologically able to make medical decisions is considered to lack capacity. A patient with capacity would also be considered to have autonomy which is the ability to make healthcare choices.
A patient who is aware that their heavy alcohol use is contributing to their health problems, but is not yet willing to consider quitting, is in which of the transtheoretical model - stages of change?
Correct Answer: contemplation The transtheoretical model - stages of change theorizes that health behavior change involves progressing through six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination. A patient in the contemplation stage is thinking about making a behavior change, and may verbalize that they "should," but is not ready to overcome the barriers necessary to actually make the change.
Shared values, norms, traditions, customs, art, history, folklore, and institutions of a group of people are known as:
Correct Answer: culture In order to be an effective health care provider, it is beneficial to have knowledge of a patient's culture including their shared values, norms, traditions, customs, cultural taboos, art, history, folklore, and institutions.
According to the Nagi Disablement Model, a patient who is unable to work and provide for their family would be classified as a/an:
Correct Answer: disability A disability is defined as a limitation in the performance of socially defined roles and tasks.
Which of the following does Medicare Part B cover?
Correct Answer: doctors' services Medicare Part B helps cover medical services such as doctors' services, outpatient care, and selected medical equipment. Part B also covers selected preventive services, such as flu shots, screenings for diabetes, and certain cancers.
What is the leading cause of fatal and non-fatal injuries in individuals aged 65 and over?
Correct Answer: falls Falls are the leading cause of fatal and non-fatal injuries in individuals aged 65 and over. Nearly one-third of elderly people fall each year, and of those, about half will fall repeatedly. Both frequency and severity of falls increase with age.
How should a therapist proceed if a patient adamantly refuses an intervention that is in the patient's best interest?
Correct Answer: find an alternate intervention that the patient consents to Based on the principle of autonomy, a patient has the right to refuse any and all services. If after describing the risks and rewards of an intervention the patient continues to refuse, the therapist should attempt to identify an alternate intervention that is acceptable to the patient.
What does the common medical abbreviation "qid" stand for?
Correct Answer: four times a day It is important to recognize and comprehend acceptable standard abbreviations used in the medical record. The abbreviation "qid" stands for "four times a day".
According to the Nagi Disablement Model, an inability to climb stairs due to lower extremity weakness is classified as a/an:
Correct Answer: functional limitation A functional limitation is defined as limitations in performance, which include the inability to ambulate, climb stairs, reach, and stoop.
Which of the following is not a frequently used latex-containing product?
Correct Answer: gowns Latex-containing products can cause local skin reactions ranging from urticaria to systemic anaphylaxis. These products contain a corn-starch powder that binds with latex protein and becomes airborne. Particles can be inhaled, absorbed into the skin or mucous membranes, or enter through the bloodstream. Frequently used products that contain latex include gloves, blood pressure cuffs, electrode pads, intravenous tubing, Foley catheters, syringes, surgical masks, and baby bottle nipples and pacifiers.
What does Medicare Part A help cover?
Correct Answer: hospital costs Medicare Part A helps cover inpatient care in hospitals. Part A also helps cover some skilled nursing facility care, hospice care, and home health care under certain conditions.
According to the Nagi Disablement Model, a significant decrease in ankle dorsiflexion would be best classified as a/an:
Correct Answer: impairment An impairment is described as a dysfunction and structural abnormality in specific body systems.
Which initial action would be the most appropriate when a physician asks a healthcare provider to provide a treatment that is outside of their scope of practice?
Correct Answer: inform the physician that performing the treatment would be illegal Healthcare providers must practice within the established boundaries of their scope of practice, most often defined in a State Practice Act. When asked to perform an inappropriate treatment, the healthcare provider should explain to the requesting individual why the treatment is not possible. This action serves to protect the healthcare provider and educate others on their established scope of practice.
The principle that healthcare providers have the responsibility to provide all of the necessary information that a patient requires to make a healthcare decision is most consistent with?
Correct Answer: informed consent Informed consent involves telling the patient of the recommended procedure, its risks, benefits, and alternatives. A healthcare provider should also provide the patient with recommendations based on the available evidence and clinical experience.
What does the common medical abbreviation "I&O" stand for?
Correct Answer: intake and output It is important to recognize and comprehend acceptable standard abbreviations used in the medical record. The abbreviation "I&O" stands for "intake and output".
Achieving equality among various societal groups, including those who are disadvantaged, is best characterized by which ethical principle?
Correct Answer: justice Ethics is a branch of philosophy that emphasizes morality, justice, honesty, right versus wrong, and free will. Justice refers to the fair treatment of patients.
Which of the following is not typically provided by Workers' Compensation?
Correct Answer: legal assistance in suing negligent employers The use of Workers' Compensation benefits usually prevents employees from suing employers. The other options are provided by Workers' Compensation according to the Department of Labor.
When making workplace accommodations for a person with a disability, which of the following is not an example of an undue burden for the employer?
Correct Answer: modifications that would allow for use of assistive devices Employers must make reasonable accommodations to an employee with a disability, except in situations where those accommodations create an undue burden for the employer. Whether or not the accommodation is considered an undue burden will depend on the size of the business, type of business, number of employees, and nature and cost of the accommodation. Allowing a patient to use assistive devices is unlikely to cause an undue burden on an employer.
Which of the following would be classified as an unintentional tort?
Correct Answer: negligence A tort refers to a private or civil wrong or injury involving omission and/or commission. Torts can be unintentional (e.g., negligence, malpractice) or intentional (e.g., assault, battery, fraud, defamation). Specifically, negligence refers to the failure to do what a reasonable and prudent person would ordinarily have done under the same or similar circumstances for a given situation.
How much does Medicare Part A cost for most beneficiaries?
Correct Answer: no cost For the majority of beneficiaries, there is no cost for Medicare Part A. Individuals usually sign up as soon as they are eligible, even if they are still working and have coverage through their employer.
Which term would be most consistent with the line in the Hippocratic oath "First do no harm?"
Correct Answer: nonmaleficence Nonmaleficence is often in conflict with beneficence in the form of a risk/reward paradigm. For example, in the case of a gangrenous foot, a physician may decide to amputate to prevent further tissue damage. To do this the physician would need to hurt the patient by amputating (maleficence) in order to save the patient's life (beneficence).
According to the International Classification of Functioning, Disability and Health Model, what term is defined as problems an individual may experience in life situations and societal interactions?
Correct Answer: participation restriction Participation restrictions are life situations or societal interactions. Activity limitations are more specific. For example, a patient that is status post-stroke may have difficulty carrying/holding objects (activity limitation) with their left hand which would limit their ability to play basketball (participation restriction).
When educating a patient on how to safely perform a balance exercise within the home, which would be the most appropriate?
Correct Answer: perform exercise within the corner of two walls Standing within the corner of two walls while exercising can help prevent falling if a patient loses their balance. A throw rug is inherently unstable since it is likely to move and therefore should not be used with any active form of exercise. Multitasking makes it difficult for a patient to focus on balance exercises. Patients should use appropriate footwear with adequate support and non-slip soles when exercising.
When documenting using a S.O.A.P. note format, where would be the most appropriate place to document the expected frequency and duration?
Correct Answer: plan section The plan section includes ideas for future physical therapy sessions. Frequency and expected duration of physical therapy services can also be incorporated into this section.
A patient who has researched nicotine replacement therapy, bought lozenges, and told his wife that his quit date will be this upcoming Saturday is in which of the transtheoretical model - stages of change?
Correct Answer: preparation The transtheoretical model - stages of change theorizes that health behavior change involves progressing through six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination. A patient in the preparation stage has concrete plans to make a behavior change in the near future. Activities in this stage often include gathering information and communicating the plan to change with others. If the patient does successfully throw away his last pack of cigarettes Friday night and starts making the changes as planned, he will then be in the action stage.
Assuming the goal is to reduce the incidence of stroke, a low-dose aspirin regimen for an individual with coronary artery disease is an example of what type of prevention?
Correct Answer: secondary prevention Secondary prevention is the process of reducing symptoms and/or slowing the progression of a disease. A low-dose aspirin regimen for someone diagnosed with coronary artery disease is considered secondary prevention because the goal is to halt or slow the disease process. The presence of coronary artery disease is a significant risk factor associated with stroke.
When assessing an individual for risk of falls within the home, which of the following would be the least important to consider?
Correct Answer: social support system Healthcare providers can play a major role in reducing an individual's risk for falls within the home. The acronym D.A.M.E. is often used to assess the risk for falls in older adults within their home. The acronym D.A.M.E. stands for drugs and alcohol use, age-related physiologic problems, medical problems, and environment. Addressing each of these issues can significantly reduce the risk of falls in the home.
Health promotion that is implemented five years after a patient has been diagnosed with a spinal cord injury with the goal of achieving the highest level of function is considered?
Correct Answer: tertiary prevention Primary prevention occurs as a form of health promotion prior to an individual obtaining an impairment or being diagnosed with a disease. Secondary prevention occurs promptly after an individual has been diagnosed with the goal of diminishing future health complications. Tertiary prevention occurs late in the disease state and focuses on returning the individual to an optimal level of functioning through restoration and rehabilitation.
An informed consent form should discuss all of the following elements except:
Correct Answer: the financial cost of the proposed intervention In order for informed consent to be valid, the patient must be deemed competent to make decisions and consent must be voluntary. Informed consent should include the nature of the decision/procedure, alternatives, risks and benefits, assessment of patient understanding, and acceptance of the intervention by the patient.
Which of the following is not a homebound qualification?
Correct Answer: the patient has difficulty driving to medical appointments To be homebound means that leaving home isn't recommended because of the patient's condition; the condition prevents the patient from leaving without help (wheelchair, walker, assist from another person); and leaving home takes a considerable and taxing effort. Medicare allows homebound individuals to leave the home for medical appointments and religious services. Being unable to drive does not qualify a patient as homebound.
Which of the following is not considered an appropriate patient identifier?
Correct Answer: the patient's room number According to the World Health Organization (WHO), a patient should be identified by at least two identifiers upon admission to a hospital, transfer to another hospital or other care setting, or prior to administration of care. Appropriate identifiers include the patient's name, date of birth, and identification number. The patient's room number should not be used as a patient identifier.
A patient may be held in a hospital against their will under which circumstance?
Correct Answer: they have been deemed dangerous to themselves or others by a court of law An individual may be held in an institution against their will only when the patient is judged by a court of law to be mentally ill or dangerous to themselves and others, and who requires admission to a psychiatric ward or center.
Which recommendation should be provided to an older adult in order to help prevent medication-related poisoning incidents?
Correct Answer: throw away discontinued medications Although poisoning incidents happen more frequently in children, poison control centers receive many calls from adults regarding accidental medication poisonings. Recommendations that can be given to adults include contacting a healthcare provider if they have questions, using a medication calendar or pill dispenser as a reminder tool, requesting large-print labels, avoiding sharing and taking other people's prescriptions, throwing away discontinued medications, and avoiding mixing alcohol with medications without first checking with the pharmacist.
Which action would be most representative of a primary prevention activity for disaster management?
Correct Answer: train rescue workers in basic first aid Primary prevention activities related to disaster management occur prior to an actual event. The result of these activities can significantly improve the outcomes associated with an adverse event.
Which of the following is not characteristic of managed care?
Correct Answer: unlimited access to specialty providers Under managed care, individuals are offered services from a select pool of providers with the primary care provider serving as the gatekeeper for specialty services. In a fee-for-service model, individuals have enhanced access to specialty providers.
Which of the following terms best describes a set of beliefs that are meaningful in life and that act as a standard to guide behavior?
Correct Answer: values A value is a set of beliefs that are meaningful in life and that act as a standard to guide behavior. Values are formed throughout an individual's lifetime and are influenced by the environment, family, and culture. Common modes of transmission include modeling, moralizing, laissez-faire, rewarding and punishment, and responsible choice.
Deontologism theory
Focuses on action itself and if the action follows moral principles, not on consequences Strict following of the principles of ethics (autonomy, nonmaleficence, beneficence and justice)
What is the amount that employers pay to Workers' Compensation primarily based on?
a percentage of each employees salary and the risk rating of the job The amount that employers pay to Workers' Compensation is based on a percentage of each employee's salary and the risk rating of the job. All other options are incomplete or contain incorrect answers.
a rmap designed to traverse a vertical height of 36 inches must be
at least 36 ft long
teleological theory is focused on a intention of a
consequence
Title 1
employment
title 5
miscellaneous
Beneficence
moral obligation to act for the benefit of others Correct Answer: beneficence Beneficence refers to the obligation for a healthcare provider to provide quality care for a patient. Beneficence and autonomy may come into conflict when the most appropriate medical intervention is refused by the patient. In these situations the healthcare provider is required to yield to the patient's autonomy.
bathroom sink
no less than 29 inches
bottom of paper dispenser
not greater than 40 inches
duty
obligation others have to others in society
approximately 2%
of parking spaces must be accessible
title 3
public accommodations
title 2
public services
title 4
telecommunications
a business may be excused to necessary accommodations if they pose an
undue hardship to implement
autonomy
wishes of competent individuals are honored
