, TEST BANK Meeting the Physical Therapy Needs of Children 3/E Effgen,
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Chapter 01. Serving the Needs of Children and Their Families
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. u u According to the ICF, impairments are:
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a. problems in functional activities. u u u
b. restrictions in activities. u u
c. problems in physiological functions of body systems.
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d. limitations in functional skills. u u u
e. limitations in participation. u u
2. u u Evidenced-based practice should include: u u u
a. expert opinion, continuing education, and personal experience.
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b. intuition, unsystematic clinical experience. u u u
c. explanations based on pathophysiology. u u u
d. awareness, consultation, judgment, and creativity. u u u u
3. When possible, an examination should:
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a. start with tests and measures in the clinical setting.
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b. start with observation done in the natural environment while gathering history.
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c. never be done in the waiting room. u u u u u u
d. start with determining the child’s strengths and weaknesses.
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4. When developing the plan of care for a child, it is important to:
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a. Determine goals and objectives before talking with the child and family.u u u u u u u u u u
b. Prescribe interventions focused on the child’s impairments. u u u u u u
c. Ensure goals and interventions address activity and participation.
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d. Focus on measurable goals for the next 2 years.
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5. Inu u u pediatric practice, a top-down approach to assessment is preferred because:
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a. weaknesses are identified first, and it is child-centered. u u u u u u u
b. desired outcomes are identified first, and it is family-centered.
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c. it is the most common model used in physical therapy practice.
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d. it is a deficit-driven model.
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u 6. Chaining techniques work best: u u u
a. with those with a cognitive impairment.
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b. as negative reinforcement.
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, c. as continuous reinforcement.
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d. with discrete tasks having a clear beginning and end.
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7. Reinforcing behaviors/skills that are increasingly closer to the desired behavior/skill
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are called: u u
a. negative reinforcement. u
b. behavioral programming. u
c. positive reinforcement. u
d. shaping.
8. u u Collaborative teams: u
a. desire consensus decision-making in determining priorities for
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goals andobjectives.
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b. provide professionals with autonomy. u u u
c. discourage role release because of liability issues. u u u u u u
d. prefer to provide intervention in special therapy rooms.
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e. tell parents exactly what to do for their child.
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9. u u Physical therapists first started to work with children:
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a. in the 1940s for the treatment of children with cerebral palsy.
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b. when Sister Kenny came to the United States to meet the needs
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of children withpolio.
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c. when Berta Bobath introduced a treatment for children with cerebral palsy.
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d. during the polio epidemic in the early part of the 20th century.
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u 10. External factors that may affect a child’s function include:
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a. cognitive ability, emotional stability, motivation, and language ability.
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b. impairments of body structures and functions and limitations in activities. u u u u u u u u u
c. family support, access to health care, financial resources, and accessible schools.
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d. family and child’s goals and objectives. u u u u u
u 11. If one embraces the ICF model, no matter what setting a pediatric therapist is
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providing interventions in (clinic, school, home, etc.), the primary long-term goal of
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physical therapy shouldbe to:
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a. maximize the child’s strength, range of motion, and posture in order u u u u u u u u u u
to preventsecondary impairments.
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b. minimize all physical impairments to improve the child’s u u u u u u u
motivation and self- confidence when among peers.
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c. maximize the child’s participation in the home, school, and community. u u u u u u u u u
d. walk up and down the stairs independently in less than 3 minutes
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while carrying two textbooks in order to change classrooms in the
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time allotted between classes.
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e. eliminate all environmental and personal barriers to the child’s community
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, participation.
u 12. A u task analysis includes:
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a. determining the prerequisite body functions. u u u u
b. the activities required to perform the task.
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c. the cognitive requirements to perform the task.
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d. understanding the motor planning requirements of the task. u u u u u u u
e. All of the above
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u 13. The sequence of the hierarchy of response competence is first skill acquisition
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u followed by:
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a. fluency, maintenance, and generalization. u u u
b. refinement of the skill, transfer, and attainment. u u u u u u
c. generalization, maintenance, and refinement. u u u
d. transfer and performance in different environments.
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u 14. Which model of team interaction is most commonly used in early intervention
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u programs?
a. Unidisciplinary model u
b. Multidisciplinary model u
c. Transdisciplinary model u
d. Hierarchical model u
u 15. Determining the frequency, intensity, and duration of intervention is difficult;
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however, generalguidelines have been developed for:
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a. cerebral palsy, myelomeningocele, and traumatic brain injury.
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b. pediatric hospitals and school-based settings. u u u u
c. outpatient orthopedics and neonatal intensive care units.
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d. autism, Down syndrome, and muscular dystrophy.
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u 16. Collaborative teamwork does not include: u u u u
a. role release to designated team members.
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b. consensus decision-making. u
c. motor and communication skills embedded throughout the interventions.
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d. professionals working in isolation on their own. u u u u u u
e. equal participation on the team by the family.
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u 17. Which statement least reflects a family-centered philosophy of physical therapy
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u intervention?
a. Asking the family what their concerns are.
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b. Providing the family a daily home exercise program to improve the
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child’s musclestrength in preparation for ambulation.
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c. Identifying family caregiving routines and providing consultation to assist family
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