Clinical Skills for Physical Therapists
Final Test Solutions
Course Introduction
Clinical Skills for Physical Therapists provides students with essential hands-on training and foundational competence in the assessment, examination, and therapeutic interventions utilized in physical therapy practice. The course emphasizes development of professional skills such as patient interviewing, observation, palpation, range of motion and muscle strength testing, documentation, and application of introductory manual therapy techniques. Through a combination of laboratory sessions, case studies, and supervised practicum experiences, students learn to integrate evidence-based clinical decision making and ethical considerations in patient-centered care, preparing them for safe and effective practice in diverse clinical settings.
Recommended Textbook
Mobility in Context Principles of Patient Care Skills 1st Edition by Charity Johansson
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14 Chapters
276 Verified Questions
276 Flashcards
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Chapter 1: Establishing the Therapeutic Alliance
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) When communicating with your patients in an adult rehabilitation unit, it is important to do which of the following?
A) Ask each patient with whom you are working whether they understand what you have told them.
B) Read the chart before seeing the patient so that you can refer to him or her by first name.
C) Refer to the patient by last name (preceded by "Mr.," "Mrs.," "Ms.," or "Miss") rather than just by diagnosis or room number.
D) Use appropriate medical terms with your patients as you explain therapeutic interventions.
Answer: C
Q2) List three tips for effective listening in a health-care encounter.
Answer: Look at the person who is talking; Make appropriate eye contact; Focus on what the person is saying; Avoid doing other things while the person is talking; Allow time for the person to process and respond to what you have said; Make sure you understand by summarizing or rephrasing what the patient has said.
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3
Chapter 2: The Mechanics of Movement
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following is an example of an internal force commonly used when assisting patients with movement?
A) Ankle weights
B) Friction
C) Gravity
D) Muscular tension
Answer: D
Q2) Stress
A)Pulling that tries to stretch or lengthen tissue
B)The amount of force across a given area
C)The force applied to a given area
D)Twisting force about a structure's axis
E)Two opposite direction forces, parallel to contacting surfaces
Answer: C
Q3) Which of the following factors is key to preserving dynamic trunk stability?
A) A neutral pelvis
B) Decreased or reduced lumbar lordosis
C) Extension of the hips
D) Flexion of the spine
Answer: A
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Chapter 3: Special Environments
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) List five recommendations made by the Centers for Disease Control and Prevention to prevent falls in the home.
Answer: Provide good lighting, remove throw rugs, move furniture out of the way, remove objects from the floor, bundle wires or cords, place light switches at the top and bottom of the stairs, repair loose carpeting or handrails, add handrails to staircases, use non-slip mats in the bathtub, move items from higher shelves to lower ones, install grab bars for the tub and toilet, put lamps on both sides of the bed, ensure that medications are regularly checked by a healthcare professional, schedule routine vision examinations
Q2) Which statement regarding heart-monitoring devices in the cardiac care unit is true?
A) Femoral vein monitors are the most informative cardiac monitoring devices.
B) In general, it is more serious to disrupt a venous line than an arterial line.
C) In general, the closer a device is to the heart, the riskier its disruption is.
D) Nurses and physicians are the only professionals trained to read the cardiac monitors.
Answer: C
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Chapter 4: Keeping It Clean: Maintaining Cleanliness in the Clinical Environment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which of the following is true of standard precautions?
A) They apply only in certain practice settings or environments.
B) They are characterized by the use of gowns, gloves, and shoe coverings.
C) They are designed only for pediatric and geriatric patients.
D) They are to be used with anyone at risk for the presence of pathogens.
Q2) You are working at the hospital on the oncology floor, and you are going to see a patient who requires contact precautions. Which option best describes how you would use personal protective equipment?
A) Gown and gloves are removed before leaving the patient's room.
B) Gown and mask are removed after you leave the patient's room.
C) Gloves and mask are donned after you are inside the room.
D) Gown and gloves are donned after you are inside the room.
Q3) When is it advisable for the clinician to use hand washing rather than the application of a hand sanitizer?
A) When the hand sanitizer has been used three to four times consecutively
B) When organic material such as blood is visible
C) When the patient has methicillin-resistant Staphylococcus aureus infection
D) When the patient is in the coronary care unit
Q4) ________________are infections acquired in any health-care setting.
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Chapter 5: Assessing Physiological Status: Vital Signs
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) When the ventricles of the heart contract, the contraction pushes blood into the aorta. This is called ____________________. When the ventricles relax, returning blood refills the heart chambers. This is called ____________________.
Q2) Which of the following blood pressure values indicates that the patient's exercises should be stopped immediately?
A) A diastolic reading >115 mm Hg
B) A 5 mm Hg drop from baseline in the systolic pressure
C) A failure of the diastolic pressure to increase with increasing workload
D) A systolic reading >180 mm Hg
Q3) Which of the following assessment sites typically yields a temperature reading closest to a patient's core temperature?
A) Axilla
B) Ear
C) Mouth
D) Rectum
Q4) List four factors that can affect a person's heart rate. ____________________
Q5) The openness of arterial vessels is called ____________________.
Q6) Explain how "counting from 1" is done when assessing pulse rate.
Page 7
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Chapter 6: Draping for Minimum Exposure and Maximum
Dignity
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Experiences of sexual and physical abuse can elicit patient responses that are similar to those associated with which disorder? ____________________
Q2) When you are getting to know a new patient, which of the following is essential for developing an effective therapeutic relationship?
A) Establishing a good line of communication between you and the patient
B) Establishing what your goals for the patient are going to be.
C) Letting patients know that they should not feel embarrassed about their disabilities
D) Explaining the behavioral expectations for patients in the clinic
Q3) What is the proper procedure for handling linens following their use in draping?
Q4) You are working in a large county hospital and see patients from a wide variety of backgrounds. Which of these patients is not likely to be the victim of abuse?
A) A 4-year-old girl with severe cerebral palsy
B) A 39-year-old man who is a bank executive
C) A 47-year-old woman who is homeless
D) A 79-year-old man who lives with his granddaughter
E) Any of these people could be the victim of abuse.
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Chapter 7: Positioning Your Patient for Mobility
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Your patient is a 69-year-old man who had a stroke affecting his left side. Which of the following pillow placements would be most appropriate for the supine patient to prevent a contracture commonly associated with increased tone following a stroke?
A) Tuck a pillow under the outer aspect of the left side to prevent left hip abduction and external rotation.
B) Place a pillow under his knees to relieve pressure on his heels.
C) Place a pillow under his left shoulder blade to promote scapular protraction.
D) Tuck a pillow under his pelvis on the right side.
Q2) Your patient is a 49-year-old man who sustained a spinal cord injury in a skiing accident. He is unable to move below the level of his umbilicus. You are positioning him in the bed following your treatment. Which of the following describes the most appropriate positioning for this patient?
A) On his back with a medium-sized pillow under his knees
B) On his back with a large pillow behind his shoulder blades
C) In a three-quarters supine position with pillows behind him and between his legs
D) On his stomach with a large pillow under his feet
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9
Chapter 8: Transferring Dependent Patients
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following is appropriate when repositioning a patient who has slid down toward the foot of the bed?
A) Lowering the overall height of the bed before repositioning the patient
B) Elevating the head of the bed 30° prior to repositioning the patient
C) Positioning yourself at the head of the bed, grasping the top edge of the draw sheet, and pulling the patient up
D) Positioning yourself beside the bed in a semilunge stance
Q2) You have transferred a patient out of bed using a total body lift with a sling. You have positioned the patient in a bedside chair and plan to return in 1 hr to assist the patient back into bed. Which of the following choices is the best way to manage the sling upon the completion of this transfer?
A) Leave the sling under the patient, making sure to eliminate any wrinkles in the sling.
B) Place a sheet between the patient and the sling so you can keep the patient dry.
C) Place a sheet in the chair so you can use it to transfer the patient back into bed.
D) Remove the sling and replace it when you return to transfer the patient back into bed.
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10
Chapter 9: Maintaining Capacity for Mobility Through Range of Motion
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Internal and external rotation at the hip is movement in the ___________plane.
A) axial
B) coronal
C) sagittal
D) transverse
Q2) You are working in a long-term acute care facility, and you have received orders from the physician to do passive range of motion exercises with Mrs. Covey, a patient who is recovering from shoulder surgery. You complete your evaluation and begin to do the prescribed motions with her shoulder. She immediately tightens up when you start the motion and reports a sharp pain over her middle deltoid. You should
A) advise her that discomfort is to be expected and proceed with the exercises as ordered.
B) advise her to relax to the extent possible and continue with the motions in a reduced, pain-free range.
C) do the exercises as ordered, but with fewer repetitions than you had originally planned.
D) immediately discontinue the exercises and contact the physician for additional instructions.
Q3) Define range of motion. Be complete in your answer.
Page 11
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Chapter 10: Bed Mobility
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The transition from sitting to supine is easiest when the patient is positioned on the bed in which position?
A) At the midpoint between the head and foot of the bed
B) Just below the midpoint between the head and foot of the bed
C) One third of the way down from the head of the bed
D) One third of the way up from the foot of the bed
Q2) List the three movement restrictions for mobility skills after total hip arthroplasty (posterior approach).
Q3) Your patient is a 79-year-old woman who fell on the ice and fractured her hip. She underwent a surgical procedure to repair the fracture and is now non-weight-bearing on the right leg. Which technique would you most likely use to assist her in scooting up in the bed?
A) Ask her to bend her left leg only and bridge, using her arms to assist.
B) Ask her to bridge and use her arms to help move herself up in bed.
C) Ask her to use the overhead trapeze and pull herself up.
D) Move her up using a draw sheet with two assistants.
Q4) List the rationales for instructing your patient with hemiplegia to move from supine to sitting on each side of the bed.
Q5) List four indications and two contraindications for the use of a tilt table.
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Chapter 11: Horizontal Transfers
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Your patient is 73 years old and has just had a total hip replacement (posterior approach). He has had difficulty with alertness since coming to the room after surgery yesterday. You need to move him from sitting to standing with the walker for the first time, but you are concerned that he does not remember how to complete the maneuver with his hip precautions. What is one way that you can ensure his understanding?
A) Ask him to repeat the steps back to you before beginning.
B) Demonstrate the proper technique several times to make sure he understands.
C) Show him an illustration of the correct technique before attempting the maneuver.
D) Wait until the following day to attempt the activity.
Q2) In both squat-pivot and standing-pivot transfers, which of the following is the first task that must be accomplished?
A) Shifting the patient's weight over the hip opposite the transfer direction
B) Shifting the patient's CoM forward over the pivot point
C) Positioning the patient's BoS anterior to the CoM
D) Positioning the patient's feet posteriorly
Q3) Bare feet are a good alternative to slippery bedroom slippers for transfers.
A)True
B)False
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13
Chapter 12: Vertical Transfers
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) A backward lift transfer from the floor into a wheelchair requires which of the following?
A) A soft wheelchair cushion on which to transfer the patient.
B) A wheelchair with a seat that is lower than those of standard wheelchairs.
C) Adequate patient ankle strength and range of motion.
D) Adequate patient shoulder strength and range of motion.
Q2) The turnaround into quadruped technique to move from a wheelchair to the floor requires that the patient rise from the seat and turn around before lowering the body to the floor.
A)True B)False
Q3) Which of the following is the initial position for a turnaround technique to transfer from the floor to a wheelchair?
A) In long-sitting facing away from the chair
B) In quadruped position facing the chair
C) Side-sitting with the strong leg close to the chair
D) Sitting with knees bent facing away from the wheelchair
Q4) There are multiple acceptable ways to accomplish a floor-to-chair transfer.
A)True
B)False
Page 14
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Chapter 13: Seated Mobility: Sitting but Not Sitting
Still--Fitting and Propelling a Wheelchair
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) You are working in a rehabilitation hospital and are responsible for helping patients obtain appropriate durable medical equipment. In considering wheelchair casters, which of the following choices would be most appropriate if you were concerned primarily about chair stability?
A) 2-in. casters
B) 5-in. casters
C) 6-in. casters
D) 8-in. casters
Q2) Why is a wheelchair considered a mobility orthosis?
Q3) Use of a sling seat in a wheelchair tends to result in all of the following except A) a forward head posture.
B) decreased thoracic kyphosis.
C) bilateral hip adduction and internal rotation.
D) increased stress on the structure of the trunk.
Q4) What is meant by "90-90-90"? ____________________.
Q5) List at least four factors that must be considered in wheelchair selection.
Q6) List three potential physical and physiological risks associated with independent wheelchair propulsion. ____________________
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Chapter 14: Navigating the Challenges of Ambulating
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which of the following is not a technique used to initiate a sit-to-stand transfer when the patient has lower-extremity weakness?
A) Rocking to gain momentum
B) Using hip adduction to press the knees together
C) Bracing the lower legs against the chair
D) Extending both knees to place the feet farther away from the chair
Q2) Which of the following is true of weight-bearing restrictions in general?
A) Non-weight-bearing is preferred over toe-touch weight-bearing because non-weight-bearing produces less force on the hip of the involved extremity.
B) Weight-bearing status is determined by the patient's weight rather than by injury or pathology type.
C) Weight-bearing prescriptions are commonly expressed as percentages of body weight based on a typical adult's body weight.
D) Partial weight-bearing is universally recognized to mean 25% of the patient's body weight.
Q3) To stabilize a patient who is in the process of a(n) ________________fall, the clinician attempts to bring the patient's CoM back over his or her BoS.
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