PTA 220 Week 4 Ch 6 + 7
When testing for integumentary tolerance to pressure during positioning, reserving, which of the following responses to a skin, blanching test would indicate healthy tissue? A. light skin that shows no change in response to release of pressure B. Light skin turns white immediately, and then becomes pink within a few seconds. C. Dark skin that shows no change in response to the release of pressure. D. Light skin that turns pink immediately and then becomes white within a few seconds.
B
When working with a patient with a known history of physical and emotional abuse, which of the following would be most appropriate to consider during the initial evaluation? A. Greet the patient with a quiet voice and a hand on the patient shoulder. B. Watch the patient closely during the evaluation for any signs of discomfort or stress. C. Make sure that you were gloves so that your hands do not contact the patient. D. Keep a distance of at least 4 feet between you and the patient at all times.
B
Where and why do venous thrombosis occur? A. In the muscle belly due to excessive exercise. B. In the vein due to prolong immobility. C. In the artery due to prolong immobility. D. In the nerves due to excessive exercise.
B
Which method should be used to screen for patient tolerance of pressure on lightly pigmented skin? A. Press firm with one or two fingers on the skin in question, hold for one minute, then release B. Press gently with one or two fingers on the skin in question and quickly release. C. Press gently and quickly with one or two fingers on the skin in question three or four times then release D. Press firmly with one or two fingers on the skin in question, hold for 30 seconds, then release
B
Which of the following factors must be considered for long-term positioning of patients? A. Patient comfort is always the most important factor in long-term positioning. B. Patient's need frequent changes in a position to minimize the negative affects of immobility. C. A patient's lungs will drain optimally while the patient is in a side lying position. D. Patient should be positioned supine for at least 60% of the day.
B
Which of the following is a common site for contracture development while a patient is in the side lying position? A. Ankle dorsiflexi B. Scapular protraction C. Shoulder abduction. D. Knee extension.
B
Which of the following is essential for developing an effective therapeutic relationship with a new patient? A. Establishing what your goals for the patient are going to be. B. Establishing a good line of communication between you and the patient. C. Explaining the behavioral expectations for patients in the clinic. D. Letting patients know that they should not feel embarrassed about their disabilities.
B
Which of the following positions present more significant challenge for a therapist to treat a patient's low back? A prone B. Sitting. C. Side lying. D. 3/4 prone
B
Which of the following responses is consistent with culturally related concerns, more common with Asian population? A. Women are uncomfortable with clinicians, touching the affected body part. B. Women are not comfortable with having their legs exposed during treatment. C. Women prefer to work with clinicians of the opposite gender. D. Women are uncomfortable with wearing hospital gowns because they have worn by other patients.
B
Which of the following statements about deep vein thrombosis DVT is false? A. Signs and symptoms of a DVT include want, redness, and swelling B. About 90% of patients you're not experiencing any symptoms of DVT. C. The main risk factors associated with DVTs is immobility. D. A DVT poses more significant health risk of embolization.
B
Which of the following supine positions would be most appropriate to prevent a contractures commonly associated with increased muscle tone, following a stroke with left hemiparesis? A. Tuck a pillow under the patient's pelvis on the right side. B. Place a pillow under the patients knees to relieve pressure on the heels. C. Place a pillow under the patient left shoulder blade to promote scapular protraction D. Tuck a pillow under the outer aspect of the left side to prevent left hip abduction and external rotation.
B
Which statement is true about immobility? A. Immobility is good for most B. Immobility can affect the musculoskeletal system by impairing the patient's balance. C. Immobility has little to no effect on the musculoskeletal system. D. Immobility has no effect on the nervous system.
B
After a treatment session in the acute care, setting, a clinician leaves the patient in the bedside chair. The patient plans to return to bed immediately after eating lunch, which has just arrived when positioning the patient in the chair, which of the following considerations is most important? A. Positioning the patient to promote lower extremity circulation B. Positioning the patient to prevent bilateral hip flexion contractures. C. Positioning the patient to promote comfort and effective, swallowing while out of bed. D. Positioning the patient to prevent the development of pressure sores on the heels
C
The patient is supine, but the head of the bed is lower than the foot of the bed. Which of the following patient positions is being described? A. Semi-Fowlers. B. Fowlers. C. Trendelenburg. D. Reverse Trendelenburg.
C
What is the purpose of a Blanch test? A. It's a test that is mostly use on the low back to assess for pain. B. It's a quick assessment of a patient's hydration level. C. It's a quick visual assessment of integument integrity. D. It's an assessment that predicts if a patient is prone to contracture
C
When working with a 14-year-old girl who was in a motor vehicle accident and is now comatose in ICU , which of the following would be most appropriate to tell the family regarding appropriate positioning? A. The patient should have a pillow under her heels while she is supine. B. The patient should not remain sitting with the head of the bed elevated more than 45° for more than three hours. C. The inability to move independently makes her more vulnerable to skin breakdown. D. The patient needs to be repositioned every three hours when she's lying in bed.
C
Which of the following description describes the supine position? A. Patient is laying on their stomach with their face down B. Patient is laying on their side with your stomach facing down towards the table. C. Patient is laying flat on their back with a face up. D. Patient is sitting in a recline position.
C
Which of the following is a common site for contracture development while patient is in the side lying position? A. Ankle dorsiflexion. B. Shoulder abduction. C. Scapular protraction D. Knee extension.
C
Which of the following is an objective for short term positioning? A. The goal is to prevent a contracture. B. The goal is to prevent negative effects of long-term immobility. C. The goal is to perform a therapeutic intervention. D. The goal is to improve patient's muscle control.
C
Which of the following is the most appropriate positioning protocol for an individual with a traumatic brain injury during hospitalization? A. There is no need to reposition a patient while in the hospital bed. B. Reposition a patient and inspect the skin twice C. reposition a patient and inspect the skin every two hours D. Reposition a patient and inspect the skin every four hours
C
Which of the following is the most appropriate positioning protocol for an individual with a traumatic brain injury during hospitalization? A. There is no need to reposition a patient while in the hospital bed. B. Reposition a patient and inspect the skin twice C. reposition a patient and inspect the skin every two hours D. Reposition a patient and inspect the skin every four hours which of the following is true, regarding contractors,
C
Which of the following is true regarding spinal alignment of the Seated patient? A. Allowing the feet to hang unsupported will decrease low back stress B. Increased thoracic kyphosis is unrelated to cervical lordosis C. Poor alignment can lead to increased mechanical loading in pain D. In sitting, lumbar lordosis automatically self correct
C
Which of the following positions is most appropriate for a patient who sustained a spinal cord injury, and is unable to move below the level of the umbilicus? A. Supine with a medium size pillow under the knees. B. Prone with a large pillow under the feet. C. In a three-quarter supine position with pillows behind the head, and between the legs. D. Supine with a large pillow behind the shoulder blades.
C
Which of the following positions is not optimal after having a below the knee amputation (BKA)? A. Keeping the hips in neutral rotation, while supine. B. Elevate the limb, to reduce edema and swelling. C. Placing a pillow under the thigh or knee while the patient is in supine D. Keep the knee extended and supported while sitting in a chair.
C
Which of the following statements is false regarding contractures? A. They are caused by adaptive shortening in the structures of ligaments, tendons and muscles. B. They can sometimes be restored, but they can be also permanent. C. They tend to occur when a joint is it an extended position D. They are limitations in joint motion.
C
Chaperones will be present during examinations and interventions to safeguard the patient's privacy and dignity, however, their presence may hinder communication and patient-provider relationships. True or false
True
Drapping is one of the most powerful opportunities to create an environment that communicates respect and professional rapport. True or false
True
For the patient, appropriate draping, provides protection of the patients, modesty and dignity. True or false
True
Long-term position can be used to help prevent contractures. True or false
True
A patient who recently underwent a total knee replacement is at risk for which of the following to occur? A. A deep vein thrombosis/DVT. B. A pressure ulcer on the patella. C. A knee extension contracture. D. A pressure ulcer on the greater trochanter
A
A patient with back pain is scheduled to receive medical treatment on the lower back, and the prone position increases the patient's pain. What is the best option for the PTA to do to ensure patient safety and comfort during the manual treatment? A. Have the patient seated in a chair and leaning forward with support under their arms. B. Place a pillow under the patient's head while laying in prone. C. Have the patient lay in town short term until it starts to increased pain. D. Skip the manual treatment and perform exercises until back at Payne has decreased enough for them to lay comfortably in prone
A
A therapist who identifies as a man is evaluating a new female patient with hip pain. The patient seems very anxious and uncomfortable. Before initiating the evaluation, the therapist asked the patient if she would prefer to work with a therapist who is a woman. She assures him that she is comfortable with working with him. As examination progresses, the therapist needs to palpate the groin area. Which of the following actions would most be appropriate to make the patient more comfortable during the groin palpation? A. Bring in a woman to be present during the assessment. B. Dim the lights in the room. C. Allow her to stay out in the gym during the treatment, so she is not alone with him. D. Perform a quick palpation while looking away from the patient.
A
When working with a 64-year-old man who had a stroke resulting in right upper extremity weakness, which of the following positions is best to decrease the patient's risk for developing edema in the right hand? A. Right hand on a pillow, elevated higher than the heart, all the patient is supine. B. Right arm by his side, with his fingers extended and palm facing up all the patient is supine. C. Right forearm supported on the armrest while the patient is sitting in a wheelchair. D. Right arm across the chest for the patient is lying on his left side.
A
Which of the following best describes the semi Fowlers position? A. The head of the bed is recline to about 45° or less. B. The head of the bed is recline between 45° and 60°. C. The head of the bed is recline between 60° and 80°. D. The head of the bed is recline to 90°.
A
Which of the following choices are all considered high risk areas for skin breakdown while a patient is in the supine position? A. Occiput, spinous processes, sacrum, ischial tuberosities and heels. B. Occiput, dorsal surfaces of the feet, ischial tuberosity's, sacrum, elbows. C. Occiput, spinous process, anterior aspect of the knees, heels and elbows. D. Occiput, humeral, head, greater trochanter, chin
A
Which of the following is most commonly experienced by patient Who's examination or intervention requires the removal of clothing? A. Vulnerability B. Sadness. C. Anger. D. Fear.
A
Which of the following is true regarding contractures? A. Contractures may result in permanent loss of joint motion that does not respond to stretching. B. Contractures generally tend to occur in positions of extension C. Contractures generally do not affect the strength of muscle. D. Contractors are limited to responses with muscle tissue.
A
Which of the following positions places a patient at greatest risk for dislocation, following a total hip arthroplasty using a Postero lateral approach? A. Hip flexion at 100° with internal rotation. B. Hip flexion at 90° with external rotation. C. Hip abduction at 45° with external rotation. D. Hip abduction at neutral with hip flexion at 90°
A
Which of the following represents the best position for a patient who had a traumatic transtibial amputation two days ago? A. Instructed patient to spend time in prone position each day to encourage extension of the affected hip and knee B. While sitting, rotate the residual limb out to stretch and the hip adductor muscles. C. While sitting, position any of the residual limb in flexion to encourage circulation to the surgical site. D. Place a pillow under the name of the residual limb, to improve comfort in the supine position.
A
Which of the following statements about draping is true? A. Appropriate draping provides protection of the patients modesty and dignity B. Is usually not necessary while performing therapeutic techniques on a patient's low back C. As long as patient is clothed, draping is not necessary during treatment D. Has a little to no protection of vulnerable skin and neurologically impaired areas.
A
Which of these patients is not likely to be a victim of abuse? A. Any of these people could be the victim of abuse B. A 47 year old woman who is homeless C. 79 year old man who lives with his granddaughter. D. A four year old girl with severe cerebral palsy.
A
Patients who have a harder time laying flat in supine, and do not usually tolerate the position due to difficulty breathing are patients who are diagnosed with which of the following conditions? A. THA/total hip arthroplasty. B. CHF/congestive heart failure. C. SCI/spinal cord injury. D. Cerebral vascular accident/CVA.
B
To prevent the development of pressure injuries, the longest, a healthy person should be allowed to remain in the bed position is? A. 15 minutes B. Two hours. C. Four hours. D. 30 minutes.
B
Patient should always have a way to ask for help no matter how patients are position and what safety precautions have been taken. True or false
True
A clinician who identifies as a woman is evaluating a new patient. The patient is a native China, but he has lived in the United States for the last 20 years. Which of the following actions by the clinician would be best to establish rapport with this patient? A. Make sure to not greet him with an outstretched hand, because he is likely going to be uncomfortable with contact. B. Pass the patient because this patient will not want to be treated by a woman. C. Make sure to not ask the patient to wear a gown during the evaluation, because he will probably feel uncomfortable. D. Greet the patient in a usual fashion, and determined through contact with him what his preferences are in your clinic
D
What is the recommended time to reposition a patient lying in bed and unable to move independently? A. Every 15 minutes. B. Every 30 minutes. C. Every four hours. D. Every two hours
D
When working with a patient who identifies as a woman, in an inpatient rehabilitation center, the clinician discovers that the patient only has dresses to wear while in the open gym. Which of the following is the most appropriate item for the clinician to tell the nurse who is getting the patient dress for therapy? A. Ask the nursing staff to help the patient put on two gowns instead of a dress so that she does not mess up her dress B. As the nursing staff to help the patient put on scrub pants. C. As the nursing staff to inform the patient's family that they will need to purchase pants so she can participate in therapy. D. As in nursing staff to help the patient put on one of her dresses and plan to Drape her in the gym.
D
When working with a patient with severe thoracic kyphosis, who fell, and has a bruised right hip, which of the following positions would be best for inspecting the skin on her back? A. Prone with a small pillow under her abdomen. B. Side lying on her right side. C. Long sitting on the bed. D. side lying on her left side.
D
Which bony landmark is most at risk of skin breakdown while positioned in the left sidelying for a prolonged period of time? A. Right greater trochanter B. Right medial scapula. C. Left medial scapula D. Left greater trochanter
D
Which position is commonly used for evaluation and treatment for the posterior neck, trunk, and lower body? A. Semi-Folwers B. Supine. C. Folwers D. Prone.
D
While performing treatment on the left hip, it is OK to keep the left leg exposed as long as you're behind a curtain and the patient provides consent. True or false
False
