Therapeutic Exercise Study Guide Questions
Course Introduction
Therapeutic Exercise explores the principles and applications of exercise as a key intervention for the prevention, management, and rehabilitation of various musculoskeletal, neuromuscular, and cardiopulmonary conditions. Students learn to assess physical impairments and functional limitations, design evidence-based exercise programs, and modify interventions for diverse populations. The course covers therapeutic modalities such as flexibility, strength, endurance, balance, and coordination training, integrating clinical reasoning and patient-centered care to promote optimal movement, restore function, and enhance overall quality of life.
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) For which of the following patients are patient's rights most closely regulated?
A) A 6-month-old boy having surgery for shunt placement
B) A 22-year-old woman from Russia having scoliosis surgery
C) A 63-year-old man who is terminally ill with lung cancer
D) A 75-year-old woman who just had her hip replaced after a fall
Answer: A
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.
Q3) Which of the following factors is most likely to motivate patients to engage in ongoing healthful behaviors?
A) Awareness that significant change is needed
B) Freedom from demands of work and home
C) Knowing the benefits of healthful behaviors
D) A high sense of self-esteem
Answer: D
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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 would be most effective in promoting stability during patient-care activities?
A) Increase the distance of the center of mass above the BoS.
B) Minimize the BoS
C) Position the LoG posterior to the BoS.
D) Position the LoG near the center of the BoS.
Answer: D
Q2) To understand the fundamental principles of movement, it is most important to know which of the following?
A) The amount of ground reaction force in Newtons
B) The direction of force application
C) The distance between the center of mass and the BoS
D) The exact measure of inertia to be overcome
Answer: B
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) 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
Q2) When you enter your patient's ICU room, you notice immediately that the patient has several machines running with tubing attached to the patient. You are planning to assist the patient to the bedside chair and note that one of the machines (with an IV tube) is on the side of the bed opposite the chair and monitoring equipment. What should you do?
A) Change your plan to include only supine bed activities.
B) Contact the patient's nurse and ask him or her to reposition the IV.
C) Defer your treatment until the patient's IV is removed or replaced.
D) Disconnect the IV and reposition the machine on the other side of the bed.
Answer: B
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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) Infection transmitted through shared toys that have not been cleaned between uses is an example of
A) airborne transmission.
B) direct contact transmission.
C) droplet transmission.
D) indirect contact transmission.
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) ________________are infections acquired in any health-care setting.
Q4) Which of the following is an element of the infection process?
A) A means to leave the host
B) A mode of transmission
C) A moist environment
D) A source of nutrition
Page 6
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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) You are a therapist working in home health care. Your new patient is a 75-year-old woman who fell and broke her hip. She is home after a brief rehabilitation stay. Which of the following would typically be most important to include in your initial assessment?
A) Blood pressure
B) Lung sounds
C) Pedal pulses
D) Weight
Q2) 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 ____________________.
Q3) The openness of arterial vessels is called ____________________.
Q4) 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
Q5) List four factors that can affect blood pressure. ____________________
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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) 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.
Q2) Explain the primary challenge of repositioning a patient during activities that entail draping. ____________________
Q3) 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
Q4) List three benefits of draping patients:
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Page 8
Chapter 7: Positioning Your Patient for Mobility
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following is true regarding spinal alignment of the seated patient?
A) Poor alignment can lead to increased mechanical loading and pain.
B) Allowing the feet to hang unsupported will decrease low-back stress.
C) In sitting, lumbar lordosis automatically self-corrects.
D) Increased thoracic kyphosis is unrelated to cervical lordosis.
Q2) List two questions you should ask yourself when considering the use of restraints with a patient: ____________________
Q3) Which of the following is true regarding contractures?
A) Contractures generally do not affect the strength of the muscle.
B) Contractures may result in permanent loss of joint motion that does not respond to stretching.
C) Contractures generally tend to occur in positions of extension.
D) Contractures are limited to responses within muscle tissue.
Q4) List four things that you must be careful to ensure when doing long-term positioning with your patients. ____________________
Q5) List three basic principles that apply to both short-term and long-term positioning.
Q6) List three bony prominences that are especially susceptible to pressure in the supine position.
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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 patients would be the best candidate for use of a sit-to-stand lift?
A) A 49-year-old man with multiple leg fractures and a full-leg cast
B) A 57-year-old woman who is able to comply with her right lower-extremity partial weight-bearing restriction
C) A 62-year-old woman who has had a stroke and requires maximum assistance to maintain static sitting balance
D) A 73-year-old man with severe dementia
Q2) When transferring a supine patient using a lateral transfer device, which of the following maneuvers should always be avoided?
A) Lifting a patient with the device
B) Performing the transfer by yourself
C) Transferring between slightly uneven surfaces
D) Transferring patients heavier than 300 lbs.
Q3) Describe the Trendelenburg position.
Q4) ________________is the branch of medicine concerned with the management of obesity and allied illnesses.
Q5) List three things you must consider when positioning a sling for a dependent transfer.
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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) Ballistic stretching
A) involves a bouncing motion at the end of the range.
B) is most effective with sedentary individuals.
C) is more effective than static stretching.
D) results in long-term range of motion gains.
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
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Sample Questions
Q1) Patients often require physical assistance when moving in bed. Which is the most effective approach to applying force to assist the patient?
A) Apply force more centrally.
B) Apply force more distally.
C) Apply force on both sides of the patient.
D) Apply force on one side of the trunk.
Q2) Weight-bearing in modified plantigrade is shared by
A) Both feet
B) Both feet and both hands
C) Both knees and both hands
D) One knee and one foot
Q3) When patients demonstrate generalized weakness, which of the following characteristics is commonly observed during their attempts at functional mobility?
A) They use extension to replace flexion.
B) They use flexion to replace extension.
C) They use rotational movements to replace extension.
D) They use rotational movements to replace flexion.
Q4) What are at least three of the benefits of spending time in a seated position?
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) Which of the following is the best way to prevent a patient with a partial weight-bearing restriction from putting too much weight on the affected leg during a transfer?
A) Have a technician hold up the involved leg during the transfer.
B) Have the patient extend the knee of the involved lower extremity.
C) Leave the involved leg on the wheelchair footrest during the transfer.
D) Tell the patient to hold the foot in the air and put no weight on it.
Q2) Which of the following factors is a requirement for performing independent seated lateral transfers without a transfer board?
A) Full weight-bearing on the lower extremities
B) Good trunk control
C) Good quadriceps strength
D) Level transfer surfaces
Q3) Physical assistance with seated lateral transfers is provided most effectively at the hips.
A)True
B)False
Q4) List two advantages of seated transfers over standing transfers.
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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) When assisting your patient during a high transfer such as from chair to plinth, which of the following represent the best contact points for guarding the patient?
A) At the pelvic girdle and thighs
B) At the pelvic girdle and trunk
C) At the shoulder and pelvic girdles
D) At the shoulder and thighs
Q2) Which of the following is the best wheelchair position for a chair-to-plinth transfer if the patient is going to lie down on the table?
A) The back edge of the chair seat should be near the center of the length of the table.
B) The back edge of the chair seat should be near the upper third of the table.
C) The front edge of the chair seat should be near the center of the length of the table.
D) The front edge of the chair seat should be near the upper third of the table.
Q3) Transfers between chair and plinth are a variation of the squat-pivot transfer.
A)True
B)False
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14
Chapter 13: Seated Mobility: Sitting but Not Sitting
Still--Fitting and Propelling a Wheelchair
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20 Verified Questions
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Sample Questions
Q1) List at least four factors that must be considered in wheelchair selection.
Q2) Which of the following measures for wheelchair fitting is best taken with the patient in supine?
A) Back height
B) Seat height
C) Seat depth
D) Seat width
Q3) 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
Q4) Wheelchair selection is the domain of the durable medical equipment vendors and as such does not fall within the scope of skilled patient care.
A)True
B)False
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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) Your patient is a 15-year-old girl who has just had knee surgery following a volleyball injury, and you are fitting her with axillary crutches. Which of the following is the greatest risk for the patient if her axillary crutches are too tall?
A) The crutches will increase the energy expenditure required for ambulation.
B) The crutches will be unstable and increase the risk of falling.
C) The crutches will cause irritation of the rib cage and make using the crutches painful.
D) The crutches will cause pressure in the axilla, potentially damaging nerves and vessels.
Q2) You have just completed an evaluation of a patient in your outpatient clinic. This patient needs gait training after sustaining a stroke. Which of the following tasks would be considered "gait training" instead of "ambulating" with the patient?
A) Completing a 5-min walk with the patient
B) Facilitating advancement of the patient's hemiparetic leg during treadmill training
C) Guarding the patient during treadmill walking for endurance
D) Transporting portable oxygen for the patient during walking
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