Professional responsibilities

Question 1

• Regardless of the setting in which the PT service is provided, the following responsibilities must be borne solely by the PT
• — 7 items

Answer 1

1. Interpretation of referrals when available
2. initial examination, evaluation, diagnosis, and prognosis
3. development of modify of POC which is based on initial eval or reeval and which includes the PT goals and outcomes
4. determination of when the expertise and decision-making capability of the PT requires the PT to personally render physical therapy interventions and when it may be appropriate to utilize the PTA. A PT shall determine the most appropriate utilization of the PTA that provides for the delivery of service that is safe, effective and efficient
5. reexamination of the pt/client in light of their goals, and revision of the POC when indicated
6. establishment of the discharge plan and documentation of discharge summary/status
7. oversight of all documentation for services rendered to each pt/client

Question 2

Domains of Learning

Answer 2

• eductaional terms that describe various aspects of human behavior
• the three most commonly recognized domains of learning are the cognitive, psychomotor, and affective domains
• recognizing the various levels of each of the domains can assist therapists to plan appropriate patient learning activities

Question 3

affective domain

Answer 3

• primarily concerned with attitudes, values and emotions

- consists of 5 specific levels: receiving, responding, valuing, organization, and characterization

Question 4

cognitive domain

Answer 4

• primarily concerned with knowledge and understanding

- consist of 6 specific levels: knowledge, comprehension, application, analysis, synthesis and evaluation

Question 5

psychomotor domain

Answer 5

• primarily concerned with physical action or motor skill
• domain consists of 7 specific levels: perception, set, guided response, mechanism, complex overt response, adaptation and origination

Question 6

Autonomy

Answer 6

requires that the wishes of competent individuals must be honored
-autonomy is often referred to as self-determination

Question 7

Beneficence

Answer 7

• moral obligation of health care providers to act for the benefit of others

Question 8

confidentiality

Answer 8

• holding of professional secrets or discussions

- keeping client information within appropriate limits

Question 9

Duty

Answer 9

• the obligations that individuals have to others in society

Question 10

Fidelity

Answer 10

• related to confidentiality and is defined as the moral duty to keep commitments that have been promised

Question 11

justice

Answer 11

• the quality of being just and fair; righteousness

Question 12

nonmaleficence:

Answer 12

• the obligation of healthcare providers to above all else, do no harm

Question 13

Paternalism

Answer 13

a term used when someone fails to recognize another individual’s rights and autonomy

Question 14

Rights

Answer 14

• the ability to take advantage of a moral entitlement to do something or not to do something

Question 15

Veracity

Answer 15

• obligation of healthcare providers to tell the truth

Question 16

Fee for service

Answer 16

• Payers assume primary financial risk
• provides enrollees with freedom of choice
• unlimited access to specialty providers
• co-payments often in the form of 80%/20%
• limited internal/external cost controls
• minimal emphasis on health promotion and education

Question 17

managed care

Answer 17

• Providers share in financial risk
• services provided by a specific pool pf providers
• primary care provider serves as gatekeeper
• provides services for a fixed, prepaid monthly fee
• formal quality assurance and utilization review
• health education and preventive medicine emphasized

Question 18

Medicare part A

Answer 18

• provides benefits for care provided in hospitals, outpatient diagnostic services, extended care facilities, hospice, and short-term care at home required by an illness for which the pt is hospitalized
• enrollment in medicare part A is automatic and funding is through payroll taxes

Question 19

Medicare part B

Answer 19

• provides benefits for outpatient care, physician services, and services ordered by physicians such as diagnostic test, medical equipment and supplies
• enrollment in part B is voluntary and funding is through premiums paid by beneficiaries and general federal tax revenues

Question 20

deductibles

Answer 20

• require beneficiaries to reach a predetermined amount of personal expenditure each 12 month period before medicare payment is activated

Question 21

coinsurance

Answer 21

• requires that 20% of the costs for hospitalization is covered by the patient

Question 22

Medicaid

Answer 22

• provides basic medical services to the economically indigent population who qualify by reason of low income or who qualify for welfare or public assistance benefits in the state of their residence
• medicaid is a jointly funded program through the federal and state governments
• established in 1965 it is funded through personal income, corporate, and excise taxes.

Question 23

Workers’ compensation

Answer 23

• first designed in 1911 to provide protection for employees that were injured on teh job
• this legislation provides continued income as well as paid medical expenses for employees injured while working.
• workers comp is a joint federal and state program that is regulated at the state level
• recently, case managers have assisted this process by monitoring the rehabilitation process and controlling potential abuse
• employers with 10 or more employees or high-risk employers must pay a percentage of each employee salary to the worker’s compensation board of the state
• the exact payment is based on the risk rating of teh job or institution