Therapeutic Interventions for Children Exam Review
Course Introduction
This course explores a range of evidence-based therapeutic interventions employed in supporting the emotional, behavioral, and developmental needs of children. Students will examine foundational theories, including play therapy, cognitive-behavioral approaches, family systems interventions, and trauma-informed care. Emphasis is placed on designing developmentally appropriate interventions, understanding ethical considerations, fostering collaborative relationships with families and multidisciplinary teams, and tailoring strategies to diverse populations and presenting issues. Through case studies and practical activities, students will develop skills in assessment, intervention planning, and outcome evaluation to effectively promote resiliency and positive change in children across various settings.
Recommended Textbook
Meeting the Physical Therapy Needs of Children 1st Edition by Susan K. Effgen PhD PT
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25 Chapters
400 Verified Questions
400 Flashcards
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Page 2
Chapter 1: Serving the Needs of Children and Their Families
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/76696
Sample Questions
Q1) External factors may affect a child's function such as
A) cognitive ability, emotional stability, motivation, and language ability.
B) impairments of body structures and functions and limitations in activities.
C) family support, access to health care, financial resources, and accessible schools.
D) family and child's goals and objectives.
Answer: C
Q2) When using a top-down approach to developing a plan of care for a child new to therapy, the physical therapist should proceed in which order?
A) Evaluate child impairments, set goals for child, and develop a plan for intervention.
B) Develop collaborative goals, examine the child to determine physical therapy diagnosis, determine prognosis, and create a plan of care.
C) Perform standardized assessment, interpret results, discuss results with the child's family, and create a plan of care.
D) Determine patient impairments, perform standardized assessment, develop a plan of care, and discuss the plan with the child's family.
Answer: B
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3
Chapter 2: Child Development
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) An infant has just begun to pull to stand through kneeling, still demonstrates plantar grasp in standing, and is independent in sitting including all protective reactions. This infant's chronological age is approximately
A) 5 months.
B) 7 months.
C) 9 months.
D) 12 months.
Answer: C
Q2) Your neighbors are concerned that there is something wrong with their 6-month-old son. At this age, a typical 6-month-old can
A) walk with hand-held assistance.
B) change from sitting to crawling independently.
C) sit independently, without external support.
D) change from sitting to standing without using arms.
E) demonstrate controlled release into a small container with wrist extended.
Answer: C
Q3) What factors have been shown to correlate with positive child development?
Answer: Adequate socioeconomic status, higher parent educational level, and availability of play toys.
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Page 4
Chapter 3: Child Appraisal: Examination and Evaluation
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which of the following statements is false?
A) Likelihood ratio indicates the probability of the existence of the diagnosis.
B) Sensitivity is the ability of a measure to detect dysfunction.
C) Specificity indicates the absence of a disorder.
D) Reliable measures measure what they are supposed to measure.
Answer: D
Q2) Which assessment tool has been validated for use specifically with children with cerebral palsy and Down syndrome?
A) Peabody Developmental Motor Scales, 2nd ed.
B) Gross Motor Function Measure
C) Pediatric Inventory of Disability
D) All of the above
Answer: B
Q3) The evaluation process should
A) identify the unique styles, strengths, and coping strategies of each child.
B) develop the plan of care.
C) develop a shared and integrated perspective of the child and family.
D) build and reinforce the parents' sense of competence and worth.
E) All of the above
Answer: E
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Chapter 4: Family-Centered Care
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12 Flashcards
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Sample Questions
Q1) Family-centered care precludes providing direct service in a hospital-based clinic.
A)True
B)False
Q2) What are three common stresses associated with raising a child with a disability?
Q3) Which of the following strategies is not representative of family-centered care?
A) Help families establish connections with community agencies.
B) Listen and learn from the family.
C) Encourage active participation of the child and family.
D) Set PT goals from items not passed on a motor assessment.
Q4) Which of the following statements does not reflect a family-centered approach to a pediatric physical therapy examination?
A) Develop a strict format for the examination to ensure standardization.
B) Respect the family's knowledge regarding their child.
C) Emphasize the child's abilities.
D) Be sensitive to the child's temperament and interests.
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Chapter 5: Musculoskeletal System: Structure, Function,
and Evaluation
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) It is typical for a 24-month old to have a hip flexion contracture of about 10 degrees.
A)True
B)False
Q2) To estimate the amount of metatarsus adductus present, you should draw a line that bisects the child's metatarsals and then draw a second line that is perpendicular to this line and bisects the calcaneus.
A)True
B)False
Q3) Cartilage provides the initial prenatal structure for the development of bone.
A)True
B)False
Q4) The clavicle, mandible, and facial and cranial flat bones develop directly in vascularized mesenchyme through a process called
A) endochondral ossification.
B) mesodermal outgrowth.
C) differentiating chondroblasts.
D) intramembranous ossification.
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Chapter 6: Musculoskeletal System: Considerations and
Interventions for Specific Pediatric Pathologies
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20 Verified Questions
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Sample Questions
Q1) Name two diagnoses where heightened reaction to trauma is common.
Q2) Which type of juvenile idiopathic arthritis involves the most joints and is the most debilitating?
Q3) A unilateral limitation in hip abduction could be an indication of
A) developmental hip dysplasia.
B) slipped capital femoral epiphysis.
C) Legg-Calvé-Perthes disease.
D) osteomyelitis of the hip.
E) All of the above
Q4) Pseudohypertrophy is commonly seen in children with
A) Duchenne muscular dystrophy.
B) Ehlers-Danlos syndrome.
C) juvenile idiopathic arthritis.
D) Blout disease.
Q5) Which of the following conditions can present as toe-walking?
A) Cerebral palsy
B) Duchenne muscular dystrophy
C) Idiopathic toe walking
D) All of the above
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Chapter 7: Neuromuscular System: Examination, Evaluation, and Diagnoses
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) What postural control problem would best explain a decreased ability to lift heavy objects, lean over to retrieve things from the floor, step up onto surfaces without support, step forward, or maintain stance stability with rotation of head and trunk?
A) Adaptive control
B) Proactive control
C) Reactive control
D) Steady-state balance
Q2) Which theory of motor control underlies the use of proprioceptive neuromuscular facilitation quick stretch of the biceps to facilitate elbow flexion?
A) Dynamic systems theory
B) Hierarchical theory
C) Motor programming theory
D) Reflex theory
Q3) Which of the following statements most accurately defines spasticity?
A) Constant resistance to passive movement
B) Hyperreflexia associated with increased resistance to passive movement
C) Upper motor neuron syndrome
D) Velocity-dependent increased resistance to passive movement
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Chapter 8: Neuromuscular System: the Plan of Care
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Sample Questions
Q1) Physical guidance should be
A) used to achieve high-level advanced motor skill performance.
B) used when the child finds the task easy but does not want to perform the task.
C) faded out and withdrawn when the child has a general idea of the movement.
D) included in all physical therapy interventions.
Q2) Which of the following best describes the activity-focused interventions model for children with neurological diagnoses?
A) The primary emphasis in the plan of care is on impairments that limit the performance of functional activity.
B) The single focus of physical therapy interventions is on practice of functional activities.
C) The emphasis is on practice of functional activities that lead to participation changes, but interventions that address impairments in body functions and structures are also integreated into the plan of care.
D) None of the above
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Chapter 9: Cardiovascular and Pulmonary Systems
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) When learning a new motor skill, the novice learner may
A) engage all possible degrees of freedom, resulting in uncoordinated movements.
B) incorporate the motion-dependent forces from the leg and trunk movements and gravity, resulting in smoother movements.
C) selectively limit the degrees of freedom, resulting in "stiffer" movement patterns.
D) increase the number of synergies used, resulting in smoother movement patterns.
Q2) Which statement regarding the concept of "constraints on action" is not true?
A) They are factors that limit or "constrain" the possible movement outcomes as a child performs a functional action.
B) They can relate to the performer, the task, or the environment.
C) They are theoretical concepts that have yet to be applied to the clinical environment.
D) They can be linked to the concept of control parameter from the Dynamic Systems Perspective on motor learning.
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Chapter 10: Integumentary System
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16 Flashcards
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Sample Questions
Q1) In young children and adults, the body area for estimation of burns is relativity similar except for significant differences in the__________area.
Q2) The self-reporting pain scale utilized for children aged 3 to 7 years is the _____scale.
Q3) A pressure ulcer that presents as a partial-thickness skin loss and can be a blister or shallow crater is a stage ________ulcer.
Q4) A wound dressing that contains gel-forming polymers and absorbs wound exudates, provides a moist wound environment, and conforms to the body shape is a A) film.
B) hydrogel.
C) alginate.
D) hydrocolloid.
Q5) ____________are the cells responsible for pulling the epidermal layer toward the center of the wound.
Q6) _________exercises are the exercises of choice for pediatric patients with thermal injuries.
Q7) Wound drainage that is infected and malodorous is called _____________.
Q8) ___________is the process of laying down of collagen matrix.
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Chapter 11: Early Intervention
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15 Flashcards
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Sample Questions
Q1) Role release allows all therapists to complete the duties of all disciplines.
A)True
B)False
Q2) Which of the following is not one of the five developmental areas required in assessment prior to IFSP development?
A) Communication
B) Cognition
C) Memory
D) Physical
E) Adaptive Skills
Q3) Who should guide the focus of early intervention based on their priorities and concerns?
A) The physician
B) The family
C) The physical therapist
D) The primary service coordinator
Q4) Evidence-based guidelines regarding motor prognosis for children with cerebral palsy are available.
A)True
B)False
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Chapter 12: Schools
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15 Flashcards
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Sample Questions
Q1) School-based physical therapy started
A) with the Education of All Handicapped Children Act.
B) with the Individuals with Disabilities Education Act.
C) in special schools in the first half of the 20th century.
D) with the Americans with Disabilities Act.
E) in special schools in the second half of the 20th century.
Q2) Preschool services, as defined by Individuals with Disabilities Education Improvement Act, may start as early as A) birth.
B) 1 year of age.
C) 2 years of age.
D) 3 years of age.
E) 5 years of age.
Q3) In transition planning to postsecondary settings, it is common to use a technique called individualized backward planning. What is individualized backward planning?
Q4) List at least four themes/issues that should be included in "best" practice in transition.
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14
Chapter 13: Sports Settings for the School-Aged Child
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Sample Questions
Q1) Which factors should be monitored to assess hydration needs?
A) Humidity
B) Temperature
C) Age of athletes
D) All of the above
Q2) Indicate which of the following statements must be adhered to strenuously in sports for children.
A) Coaching staff should complete a certification course
B) Equipment should be properly fit to the youth
C) Playing areas should be free of obstacles and be shock-absorbing
D) All of the above
Q3) What should be the emphasis of training programs for children?
A) Cooperation, fun, team play, and learning
B) Competitive spirit
C) Improvement of aerobic ability
D) All of the above
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Chapter 14: Pediatric Acute Care Hospital
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12 Flashcards
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Sample Questions
Q1) A 15-year-old male adolescent is admitted to the emergency room with a head trauma. He now presents with an external ventriculostomy to monitor intracranial pressure. When working on bed mobility, what should the position of the drain be in relationship to the patient?
A) Above the level of the patient's head
B) Below the level of the patient's head
C) Even with the patient's head
D) The position of the drain does not impact patient care
Q2) A 14-year-old with spastic quadriplegic cerebral palsy and significant cognitive impairments is post-op day 1 from a pelvic osteotomy. Upon initial exam, you need to record a pain score. Which is the most appropriate pain scale to use with this individual?
A) CRIES (cry, requires O<sub>2</sub>, increased vital signs, expression, sleeplessness)
B) FLACC (Face, Legs, Activity, Cry, and Consolability)
C) Numerical
D) Wong-Baker Faces
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Chapter 15: Neonatal Intensive Care Unit
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13 Verified Questions
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Sample Questions
Q1) Describe the behavioral state of "quiet alertness."
Q2) Developmentally supportive care is individualized caregiving and is based on A) the general routine in each specific NICU.
B) using specific methods to speed up the infant's tolerance to care-giving procedures.
C) the infant's physiological reactions, behavioral cues, and signs of stress in response to the immediate environment.
D) providing an individual caregiver for the infant so the infant may adapt to that person's approach.
Q3) When making recommendations about the infant's active movement, the physical therapist should generally recommend
A) encouraging the infant to have several periods of active movement during the day to build body strength and endurance.
B) allowing active movement when the infant is awake and quietly alert, but helping the infant to avoid excessive, frequent movements.
C) avoiding all active movement to conserve energy, including using restraints if needed.
D) encouraging any active movement as long as the infant is not crying.
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Chapter 16: Rehabilitation Settings
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Sample Questions
Q1) In an interdisciplinary team, the team members
A) maintain their own discipline-specific treatment and goals but report findings to other team members.
B) collaborate by incorporating suggestions from other professionals into their interventions.
C) assess the child and then delegate the treatments to a few key individuals.
D) maintain professional boundaries by not communicating specific treatment techniques.
Q2) For a child with a brain injury, the rehabilitation team should consider which of the following when planning a transition back to school?
A) The child will not be able to return to school and will need to be home schooled.
B) The child will need a Section 504 plan or individualized education program.
C) The child will need to go to a different school.
D) The child will return to the same classroom without accommodations.
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18
Chapter 17: Assistive Technology: Positioning and Mobility
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Sample Questions
Q1) Ian uses a Quickie manual wheelchair with a planar seat cushion. He extends very hard out of his seating system, pushing up against the abductor (medial thigh) support. His mom says that even with the seat belt Ian will not stay back in the seat unless this abductor support is secured onto the chair. The most likely cause of Ian's positioning problem is
A) the abductor support/pommel is not working effectively and should be tighter and more secure.
B) a lack of sufficient lateral trunk support.
C) the seat cushion is not providing sufficient contour or firmness to give the best posterior support for his pelvis.
D) a lack of sufficient anterior trunk support.
Q2) Assistive technology involves
A) the assistive technology device only.
B) the services necessary to obtain assistive technology devices only.
C) both the assistive technology device and services.
D) the assistive technology device and the acquisition of the device.
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Chapter 18: Assistive Technology: Augmentative
Communication and Other Technologies
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Sample Questions
Q1) Factors associated with successful long-term use of assistive technology include all of the following except
A) The level of detail included in the evaluation report written by the evaluation team
B) Child and family satisfaction
C) Continued maintenance of the device
D) Adequate training
Q2) Which of the following characteristics does not describe a simple voice output device?
A) The device is activated by touch or by a switch
B) The device can carry a single or multiple messages
C) The device can only store vocabulary in levels or layers
D) The device is usually programmed by pushing a button and recording the message
Q3) The following are all examples of rate enhancement strategies for text to speech devices, except
A) Word prediction
B) Abbreviation/expansion
C) Letter prediction
D) Voice-over Internet protocol
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Chapter 19: Cerebral Palsy
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Sample Questions
Q1) The Peabody Developmental Motor Scales-2nd edition is an appropriate tool for assessing the level of motor development of a child with cerebral palsy who is
A) 3 years old.
B) 7 years old.
C) 13 years old.
D) 21 years old.
Q2) Strength training programs for children with cerebral palsy have been demonstrated to
A) increase muscle strength.
B) increase muscle tone.
C) increase functional community ambulation skill.
D) increase aerobic capacity.
Q3) A physical therapist would like to assess the level of participation of a 18-year-old college student with spastic cerebral palsy. Which of the following standardized measurement tools is most appropriate?
A) Children's Assessment of Participation and Enjoyment
B) Bruininks Oseretsky Test of Moot Proficiency
C) Gross Motor Function Classification System
D) School Function Assessment
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Page 21
Chapter 20: Cystic Fibrosis
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Sample Questions
Q1) The median predicted life expectancy for patients with cystic fibrosis is approximately
A) 18 years.
B) 28 years.
C) 38 years.
D) 48 years.
Q2) You are examining a 12-year-old with cystic fibrosis. His resting vitals are HR = 90 bpm; RR = 20 bpm; and SpO<sub>2</sub> = 98%. You start your exercise testing. As the test continues, the child is walking on the treadmill at 2.5 mph 2% grade for 5 min. His vital signs are as follows: HR = 120 bpm, RR = 22 bpm, SpO<sub>2</sub>, 90%; and an RPE of 14. You would
A) continue the test with the same mph and grade.
B) increase the mph and grade.
C) decrease the grade but keep the mph the same.
D) stop the test and monitor vitals over the next few minutes.
E) stop the test and call a code.
Q3) A child can have cystic fibrosis and have no pulmonary symptoms.
A)True
B)False
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Page 22
Chapter 21: Down Syndrome
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Sample Questions
Q1) Down syndrome occurs when there is a third _chromosome.
A) 18th
B) 20th
C) 11th
D) 21st
Q2) Heart defects and cardiovascular pathology are a common complication in children with Down syndrome.
A)True
B)False
Q3) There is evidence to suggest that participation in sensorimotor group sessions improves motor outcomes in young children with Down syndrome.
A)True
B)False
Q4) Outpatient physical therapy services are indicated when the individual's goals are
A) to improve high-level balance skills.
B) not educationally based.
C) focused on improving recreational skills.
D) All of the above
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Page 23
Chapter 22: Leukemia
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Sample Questions
Q1) The most common form of pediatric leukemia is acute lymphoblastic leukemia, which has a survival rate for children between the ages of 1 and 10 years of A) 80% to 90%.
B) 50% to 60%.
C) 40%.
D) 20%.
Q2) Children with acute lymphoblastic leukemia frequently have chemotherapy (Vincristine)-induced peripheral neuropathy, thus causing range of motion limitations in A) shoulder flexion.
B) neck rotation.
C) spinal flexion.
D) ankle dorsiflexion.
Q3) You have been asked to develop an exercise program for a child who has been admitted for a stem cell transplant. Appropriate exercise choices would include A) wheelchair basketball.
B) resistive weight training.
C) a walking program.
D) All of the above
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24
Chapter 23: Duchenne Muscular Dystrophy
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Sample Questions
Q1) Development of contractures in boys with Duchenne muscular dystrophy has been documented to occur in which following sequence?
A) Heel cords, IT band/TFL, hip flexors
B) Hip flexors, knee flexors, elbow flexors
C) Heel cords, knee flexors, hip flexors
D) Hip flexors, elbow flexors, wrist flexors
Q2) The validity, reliability, and sensitivity of manual muscle testing, range of motion, testing, and timed function tests have been established in patients with Duchenne muscular dystrophy
A)True
B)False
Q3) Ambulation can be prolonged for boys with Duchenne muscular dystrophy through the use of knee-ankle-foot orthoses and contracture-release surgery, augmented by daily stretching, functional activities, and swimming.
A)True
B)False
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Chapter 24: Developmental Coordination Disorder
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Sample Questions
Q1) A standardized assessment commonly used with children who have developmental coordination disorder is the
A) Bruininks-Oseretsky Test of Motor Proficiency-2nd Edition.
B) Peabody Developmental Gross Motor Scales-2nd Edition.
C) Batelle Developmental Inventory.
D) School Function Assessment.
Q2) Interventions for children who have developmental coordination disorder are based on the top-down approach, which focuses on
A) child and family goals.
B) impairments.
C) school goals and objectives.
D) activities of daily living.
Q3) One method being used to train children on how to ride a bike without training wheels requires
A) practice riding a bike for 2 hrs each day.
B) removal of the bikes pedals.
C) placement of the bike on a stationary rack.
D) the assistance of a caregiver.
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Chapter 25: Myelodysplasia
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Sample Questions
Q1) In the school environment, it is nice to have a translator available to interpret at the individualized education program meetings, but it is not required.
A)True
B)False
Q2) List five common complications of myelodysplasia.
Q3) All of the following are environmental adaptations that might assist a child with mid-lumbar myelomeningocele in using the bathroom except
A) a sliding board.
B) grab bars.
C) a changing table.
D) a rolling stool.
Q4) In the natural school environment, the physical therapist relies on the classroom staff to follow through with mobility and transfer activities on a daily basis for a child with a myelomeningocele.
A)True
B)False
Q5) Discuss what a child must learn when using a manual wheelchair in a natural school environment.
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