Legal and Ethical Issues in Physical Therapy Test Bank
Course Introduction
This course explores the fundamental legal and ethical principles relevant to the practice of physical therapy. Students will examine professional standards, codes of conduct, regulatory frameworks, patient confidentiality, informed consent, and the scope of practice as defined by state and federal laws. The course also addresses ethical dilemmas commonly encountered in clinical settings, decision-making models, and strategies for maintaining professional integrity. Emphasis is placed on patient rights, advocacy, risk management, and the responsibilities of physical therapists in ensuring safe and ethical patient care.
Recommended Textbook
Documentation for the Physical Therapist Assistant 4th Edition by Wendy D. Bircher
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12 Chapters
240 Verified Questions
240 Flashcards
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Page 2
Chapter 1: Introduction to Documentation
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Sample Questions
Q1) What is the definition of documentation?
A) Anything written without supplying evidence
B) The use of documentary evidence to support original written work
C) Classifying knowledge that is not readily available
D) The assembling of documents without classification of knowledge
Answer: B
Q2) What is the name of the accrediting agency for hospitals?
A) CARF
B) CAPTE
C) JCAHO
D) HIPPA
Answer: C
Q3) Documentation must meet today's standards for reimbursement and provides the basis for research.What two standards must be met for reimbursement to be successful?
A) Measures functional outcomes and identifies effective and efficient treatment
B) Describes functional activities that demonstrate appropriate interventions
C) Identifies appropriate interventions based on the type of treatments
D) Demonstrates effective and efficient treatment
Answer: A
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International Classification of Functioning, Disability and Health
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Sample Questions
Q1) What is the difference between the ICF framework and the ICD coding system?
A) The ICF framework is responsible for coding diseases, whereas the ICD coding system codes a medical diagnosis.
B) The ICD coding system codes diseases, whereas the ICF framework codes a medical diagnosis.
C) The ICF framework is responsible for coding functional abilities, whereas the ICD coding system codes diseases.
D) The ICF framework and the ICD coding system both code a medical diagnosis and diseases.
Answer: C
Q2) Using the ICF Browser ( "http: //apps.who.int/classifications/icfbrowser/" http: //apps.who.int/classifications/icfbrowser/), which chapter in the body functions domain includes those related to neuromusculoskeletal functions?
A) Chapter 1
B) Chapter 3
C) Chapter 5
D) Chapter 7
Answer: D
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Chapter 3: Reimbursement Issues Related to Documentation
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20 Flashcards
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Sample Questions
Q1) According to the rules and regulations under Medicare, what activities can a physical therapist aide provide in the clinical setting?
A) Prepare the treatment area prior to the patient's arrival
B) Apply ultrasound to the patient's back once the PT/PTA has prepared the settings
C) Instruct the patient in the home exercise program once it has been developed by the supervising therapist
D) Give the patient different weights when the ones being used are too easy
Answer: A
Q2) Under Medicare Part A, a student's patient treatment may be reimbursed under specific conditions.Identify the condition under which the student must treat the patient for services to be reimbursed.
A) The student must be under direct supervision of the supervising PT or PTA.
B) The student must be within direct line of site of the supervising PT or PTA.
C) The student must be within the same building as the supervising PT or PTA.
D) The student does not have to have the supervising PT or PTA within the building.
Answer: C
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Chapter 4: Documentation Content and Organization
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Sample Questions
Q1) In what type of setting would you use an IEP?
A) A hospital
B) An inpatient rehabilitation facility
C) An outpatient clinic
D) A school
Q2) Which type of format is often criticized because it takes too much time to read through each section for information?
A) POMR
B) SOAP
C) FOR
D) SOMR
Q3) Under what circumstances might a PT or PTA use a letter format when providing documentation about a treatment session?
A) When providing information to the occupational therapist regarding the patient's goals
B) When providing information to a physician regarding the patient's progress
C) When providing information to a nurse regarding the patient's vital signs
D) When providing information to the speech therapist regarding the patient's posture
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6
Chapter 5: Physical Therapy Patient Management and Documentation Responsibilities
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20 Flashcards
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Sample Questions
Q1) According to the APTA's Guide to Physical Therapist Practice, there are five elements of physical therapy patient management.What is the first step that should be completed in this process?
A) Examination
B) Evaluation
C) Diagnosis
D) Intervention
Q2) The anticipated discharge plans would be part of what section within the initial evaluation completed by the PT?
A) Plan of care
B) Prognosis
C) Tests and measures
D) Systems review
Q3) A judgment about the level of optimal improvement the patient may attain, and the amount of time needed to reach that level is the definition of:
A) evaluation.
B) intervention.
C) examination.
D) prognosis.
Page 7
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Chapter 7: What Is Subjective Data and Why Is It
Important?
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Sample Questions
Q1) What is specific to a patient, modified or affected by their personal views, experience, or background, and arises out of or is identified by means of one's perception of one's own states and processes?
A) Personal history
B) Assessment information
C) Patient's goals and outcomes
D) Subjective information
Q2) What type of subjective information about the patient could be included in an initial evaluation?
A) Patient's level of independence in combing hair
B) Patient's initial pain level
C) Patient's ability to ambulate independently on even ground
D) Patient's ability to take a shower without assistance
Q3) Subjective information includes specific types of information related to the patient.Choose the statement that would be included in this part of the documentation.
A) The patient was able to ambulate (I) 20 feet using a front-wheeled walker.
B) The patient will be referred to OT for a hand splint.
C) The patient reported his pain level prior to treatment was a 6/10 on the VRS.
D) The patient will continue to be seen 2x/week.
Page 8
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Chapter
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Sample Questions
Q1) Even though SOAP note documentation provides an easy method to organize patient information, there are some problems that occur with its use.Identify a common complaint expressed when using a SOAP note format.
A) It focuses on the patient's impairments.
B) It does not record the patient's progress.
C) It does not delineate the plan of care.
D) It does not address goals and outcomes.
Q2) Which individual is responsible for determining when the patient should be discharged from therapy services?
A) Physician
B) PT
C) PTA
D) MSW
Q3) How many general topics should the objective section contain when used in a progress note?
A) 4
B) 5
C) 6
D) 7
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Page 9
Chapter 9: What Is Assessment Data and Why Is It
Important?
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Sample Questions
Q1) Identify the statement that would be included in the assessment section of the SOAP note.
A) The patient stated his pain level was a 5/10 prior to the treatment session.
B) The patient can now use his FWW to ambulate to his mailbox.
C) The patient was able to transfer from the bed to the w/c 2x with SBA last session.
D) The patient plans on seeing his doctor next week for a follow-up visit.
Q2) Why is it important to summarize the patient's level of function in the assessment section of the SOAP note?
A) It helps determine how much pain the patient is experiencing.
B) It will help determine what services the patient needs.
C) This information is not necessary in the assessment section of the SOAP note.
D) It will help the therapist determine if the patient is improving.
Q3) What is one of the most important concepts to address in the assessment section of the SOAP note for the PT?
A) Addressing the goals outlined in the initial evaluation
B) Adapting the goals and outcomes within the plan of care
C) Interpretation of the data
D) Continuing to focus on the past medical history
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Chapter
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Sample Questions
Q1) Who is responsible for changing the repetitions/sets during the treatment session when there is a lack of progress in the treatment plan?
A) PT and PTA
B) PT
C) Patient
D) PT and patient
Q2) Identify the statement below that is appropriate for the plan section of the SOAP note.
A) The patient will be treated 1x/week until discharge to home with follow-up through the home health agency.
B) The patient was able to put on and button his sweater without any aids today.
C) The patient was able to ambulate over 20 feet today as compared to 10 feet following last week's session.
D) The patient did not complain of any leg spasms during the treatment session today.
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Chapter 11: Putting the Pieces of the Puzzle Together
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Sample Questions
Q1) Identify the statement below that would be included in the objective section of the SOAP note?
A) The patient plans on seeing his doctor next week for a follow-up visit.
B) The patient's wife states he still cannot pick up his clothes.
C) The patient reported he can run approximately 50 feet since the evaluation.
D) The patient had AROM in shoulder flexion from 0° to 120º during today's session.
Q2) Identify the statement that is NOT an appropriate response for the plan section of the SOAP note.
A) The patient reports his pain level has decreased from 9/10 to 5/10 since the treatment session on 3/9/12.
B) The patient was able to see his physician yesterday to obtain a new PT prescription.
C) The patient was fitted for (B) AFOs on Wednesday.
D) The patient did not see his OT yesterday because he was ill.
Q3) What kind of data does the objective section contain?
A) Data that is measurable and reproducible
B) Data that includes what is going to happen next
C) Data that contains the patient's medical history
D) Data that summarizes the patient's history and objective information
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12
Chapter 12: How Does Documentation Relate to Patient
Issues?
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Sample Questions
Q1) Identify the statement below that would NOT be included in an incident report.
A) Mr. Jacques fell off the mat and hurt his knee.
B) Mrs. Watson hit her head on the cabinet when getting up from the plinth.
C) Mr. Jones tripped on the footstool and fell down in the clinic today.
D) Mrs. Smith slipped getting off of the plinth but did not fall down.
Q2) Identify the appropriate color of ink that is used predominately in legal documentation.
A) Black
B) Purple
C) Red
D) Green
Q3) From the descriptions given, identify the patient who could no longer receive physical therapy because it would be considered maintenance therapy.
A) The patient did not make measurable progress this certification period.
B) The patient's active range of motion (AROM) increased by 15 degrees this past certification period.
C) The patient can walk (I) within her house but not to the mailbox.
D) The patient can transfer (I) from the bed to the wheelchair.
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Chapter 13: Your Documentation Related to Legal and Ethical Issues
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Sample Questions
Q1) When filing an incident report, what is the time in which it should be completed?
A) Within 8 hours of the incident
B) Within 12 hours of the incident
C) Within 24 hours of the incident
D) Within 2 weeks of the incident
Q2) There are several ways to falsify documentation.Identify the correct example.
A) Ensuring that all documentation is correct before it is completed
B) Having the supervising PT review all notes for accuracy
C) Changing a document without a dated amendment
D) Using ink to document patient care so you cannot erase your mistakes
Q3) You have been given a subpoena to appear in court.What does that mean?
A) This legal document requires you to present yourself to the court at the date, time, and place stated in the document.
B) This is a legal document that states you can come to court when your schedule allows.
C) A subpoena is a legal document that requires you to testify but does not require that you go to court.
D) This is not a legal document and you do not have to respond to it.
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