PTA Clinical Education
Review Questions
Course Introduction
PTA Clinical Education is a hands-on course designed to provide Physical Therapist Assistant (PTA) students with practical experience in real-world clinical settings under the supervision of licensed physical therapists. Students apply classroom knowledge to patient care, develop essential clinical skills, and learn to communicate effectively with patients and interdisciplinary teams. The course emphasizes professional behavior, ethical practice, and the development of critical thinking and problem-solving abilities required for effective patient management in various physical therapy environments.
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 name of the accrediting agency for hospitals?
A) CARF
B) CAPTE
C) JCAHO
D) HIPPA
Answer: C
Q2) Direct access allows PTs to practice with autonomy because it is understood that PTs recognize their legal responsibilities.What is this legal responsibility called?
A) Scope of practice
B) Legal responsibilities
C) Ethical issues
D) Code of ethics
Answer: A
Q3) What is the name of the accrediting agency for rehabilitation facilities?
A) CARF
B) CAPTE
C) JCAHO
D) HIPPA
Answer: A
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Page 3
Chapter 2: The World Health Organization and the
International Classification of Functioning, Disability and Health
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Sample Questions
Q1) Using the ICF Browser ( "http: //apps.who.int/classifications/icfbrowser/" http: //apps.who.int/classifications/icfbrowser/), identify the environmental factors code related to immediate family member's attitudes.
A) e445
B) e460
C) e410
D) e450
Answer: C
Q2) The letter d is used to denote a specific domain in the ICF framework.Identify the correct domain that uses this specific letter for identification.
A) Body structure
B) Body functions
C) Activity and participation
D) Environmental factors
Answer: C
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Chapter 3: Reimbursement Issues Related to Documentation
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20 Flashcards
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Sample Questions
Q1) Workman's Compensation Insurance is provided by an employer to cover an individual employee who may be injured or become ill on the job.If the employee dies, up to what age can his or her surviving children typically expect to receive benefits?
A) 6
B) 13
C) 18
D) 21
Answer: C
Q2) Under what circumstances can a person younger than age 65 access Medicare benefits?
A) When the patient has end-stage renal disease and permanent disabilities
B) When the patient has Lou Gehrig's and Parkinson's diseases
C) When the patient has permanent disabilities and diabetes
D) When the patient has multiple sclerosis (MS) and polio
Answer: A
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Page 5
Chapter 4: Documentation Content and Organization
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Sample Questions
Q1) Which type of format is organized so that the various disciplines have the ability to review the problem and treatment necessary for the patient from ONE place in the medical record?
A) POMR
B) SOAP
C) FOR D) SOMR
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) 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
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Chapter 5: Physical Therapy Patient Management and Documentation Responsibilities
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Sample Questions
Q1) Why is it important to document reasons for skilled therapeutic intervention in the initial evaluation?
A) To help the patient learn what activities are important for his or her return to work
B) To provide the caregiver or family with a home exercise program
C) To provide evidence to third-party payers that PT services are necessary
D) To prove to the treating facility that PT services are needed
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) The ability of patients to catch themselves if they lose their balance or their centers of gravity shift too far in one direction is defined as:
A) abnormal reflex patterns.
B) automatic reactions.
C) autonomic reactions.
D) abnormal postural changes.
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Chapter 7: What Is Subjective Data and Why Is It Important?
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Sample Questions
Q1) 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.
Q2) What type of listening technique demonstrates respect for the patient?
A) Attentive listening
B) Appreciative listening
C) Exploratory listening
D) Courteous listening
Q3) It is important when discussing subjective information from a patient, caregiver, relative, or others, that the information given meets certain guidelines.Choose the phrase that best describes those guidelines.
A) Can be recorded by anyone
B) Does not need to be recorded in the daily progress note
C) Must be relevant
D) Must be a direct quote
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Chapter
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Sample Questions
Q1) What information should be included in the objective section of the SOAP note?
A) Information that describes what will happen next
B) Information that provides a summary of subjective and objective information
C) Information that is easily reproducible and demonstrable
D) Information about the patient's past medical history
Q2) Why is it important to provide documentation related to the patient's increase in strength?
A) It provides a means of showing treatment effectiveness.
B) It helps the patient decide if therapy is helping.
C) It provides the family with a measurement of how they think the patient is progressing.
D) It helps the physician determine how many more treatment sessions are necessary.
Q3) What kind of data does the objective section contain?
A) Data that summarizes the patient's history and assessment
B) Data that includes what is going to happen
C) Data that contains the patient's medical history
D) Data that can be reproduced or confirmed
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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) What is the purpose of the assessment section in SOAP note documentation?
A) It helps determine the level of pain the patient is experiencing.
B) It provides interpretation of the data content.
C) It sets the goals for future treatment sessions.
D) It develops the plan of care for treatment.
Q3) Who is responsible for adapting or changing the goals 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
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Page 10
Chapter 10: What Is the Plan and Why Is It Important?
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Sample Questions
Q1) It is important to identify a lack of progress in the treatment plan and for the PTA to make suggestions for changes.Identify the correct example of such a response.
A) Patient could not use a quad cane to walk from house to mailbox within 2 weeks, as outlined in the POC. PTA will contact PT before next visit, to address inability to reach prescribed goal.
B) Patient completed AROM in hip flex to 90º as compared to initial evaluation of 120º. PTA will communicate change to PT by next visit.
C) Patient reported that his pain level has increased from the last session from 7/10 to 9/10 due to poor posture. PTA will contact PT regarding change in pain level and revision of POC.
D) There has been an increase in core stability, with patient able to sit (I) for 10 sec. compared to IE of 5 sec with SBA at EOB.
Q2) What is the purpose of the plan section in SOAP note documentation?
A) It helps determine the level of pain the patient is experiencing.
B) It provides interpretation of the data content.
C) It outlines what interventions are proposed for the patient.
D) It develops the plan of care for treatment.
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Chapter 11: Putting the Pieces of the Puzzle Together
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Sample Questions
Q1) What is the PTA's specific responsibility when providing documentation in the plan section of the SOAP note?
A) Determine when the goals have been met and discharge date should be set
B) Document the patient's pain level prior to treatment.
C) Determine when the patient should be referred for OT
D) Communicate any changes from the last treatment session to address functional progress in the plan of care
Q2) What is the purpose of the assessment section in SOAP note documentation?
A) It helps determine the level of pain the patient is experiencing and how that pain will affect the patient's ability to perform the exercises.
B) It provides interpretation of the data content outlined in the plan of care.
C) It helps determine the patient's progress based on comparisons between the prior treatment sessions and the current treatment session.
D) It develops the plan of care for treatment for the patient's exercise program.
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Chapter 12: How Does Documentation Relate to Patient
Issues?
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Sample Questions
Q1) It is important for the treating PTA to protect the patient in multiple ways.What is NOT an appropriate protection?
A) Use of appropriate equipment
B) Proper use of an incident report
C) Legal responsibilities of the treating PTA
D) No informed consent
Q2) What would be an appropriate statement to include in an incident report?
A) The PTA reported to the PT that the patient fell today and injured her shoulder when she hit the floor.
B) The patient missed the chair while sitting down, but he did not fall to the floor.
C) The patient reported that the PTA stopped him from falling off the bed today.
D) The PTA reported that the nursing staff "dropped" the patient onto the mat from standing without injury to the patient.
Q3) 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.
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Chapter 13: Your Documentation Related to Legal and Ethical Issues
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Sample Questions
Q1) When testifying in court, how can the PTA protect the patient?
A) By ensuring that the documentation is short and to the point, without a lot of extra information included
B) By making sure the documentation is rewritten prior to the trial, so it is correct
C) By determining which records given to the attorney would be most beneficial to the patient
D) By demonstrating that informed consent was received from the patient before treating the patient.
Q2) Legal proceedings take multiple forms.Identify the word that matches the definition: this proceeding does not occur in a courtroom, both lawyers are present, and a court reporter or tape recorder is used.
A) Statement
B) Deposition
C) Court
D) Ethical report
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