Ch6 Draping For Minimum Exposure And Maximum Exam Prep

Chapter 6: Draping for Minimum Exposure and Maximum Dignity

Multiple Choice

1. When working with a patient with a known history of physical and emotional abuse, which of the following would be MOST appropriate to consider during the initial evaluation?
   1. Greet the patient with a quiet voice and a hand on the patient’s shoulder.
   2. Keep a distance of at least 4 feet between you and the patient at all times.
   3. Make sure that you wear gloves so that your hands do not contact the patient.
   4. Watch the patient closely during the evaluation for any signs of discomfort or distress.
2. Which of these patients is NOT likely to be the victim of abuse?
   1. A 4-year-old girl with severe cerebral palsy
   2. A 47-year-old woman who is homeless
   3. A 79-year-old man who lives with his granddaughter
   4. Any of these people could be the victim of abuse.
3. Which of the following is essential for developing an effective therapeutic relationship with a new patient?
   1. Establishing a good line of communication between you and the patient
   2. Establishing what your goals for the patient are going to be
   3. Letting patients know that they should not feel embarrassed about their disabilities
   4. Explaining the behavioral expectations for patients in the clinic
4. Which of the following responses is consistent with culturally related concerns more common within Asian populations?
   1. Women prefer to work with clinicians of the opposite gender.
   2. Women are uncomfortable with clinicians touching the affected body part.
   3. Women are uncomfortable with wearing hospital gowns because they have been worn by other patients.
   4. Women are uncomfortable with having their legs exposed during treatment.
5. A clinician who identifies as a woman is evaluating a new patient. The patient is a native of China, but he has lived in the United States for the last 20 years. Which of the following actions by the clinician would be BEST to establish rapport with this patient?
   1. Greet the patient in a usual fashion and determine through contact with him what his preferences are in your clinic.
   2. Make sure to not ask the patient to wear a gown during the evaluation, because he will probably be uncomfortable.
   3. Make sure to not greet him with an outstretched hand, because he is likely going to be uncomfortable with the contact.
   4. Pass the patient to a male colleague because this patient will not want to be treated by a woman.
6. When working with a patient, who identifies as a woman, in an inpatient rehabilitation center, the clinician discovers that the patient only has dresses to wear while in the open gym. Which of the following is the MOST appropriate item for the clinician to tell the nurse who is getting the patient dressed for therapy?
   1. Ask the nursing staff to help the patient put on two gowns instead of a dress so that she does not mess up her dress.
   2. Ask the nursing staff to help the patient put on scrubs pants.
   3. Ask the nursing staff to help the patient put on one of her dresses, and plan to drape her in the gym.
   4. Ask the nursing staff to inform the patient’s family that they will need to purchase pants so that she can participate in therapy.
7. Which of the following is MOST commonly experienced by a patient whose examination or intervention requires the removal of clothing?
   1. Anger
   2. Sadness
   3. Fear
   4. Vulnerability
8. A therapist who identifies as a man is evaluating a new female patient with hip pain. The patient seems very anxious and uncomfortable. Before initiating the evaluation, the therapist asks the patient if she would prefer to work with a therapist who is a woman. She assures him that she is comfortable working with him. As the examination progresses, the therapist needs to palpate the groin area. Which of the following actions would be MOST appropriate to make the patient more comfortable during the groin palpation?
   1. Allow her to stay out in the gym during the treatment so she is not alone with him.
   2. Dim the lights in the room.
   3. Bring in a woman to be present during the assessment.
   4. Perform a quick palpation while looking away from the patient.
9. What would be the BEST way to drape a patient with bilateral hamstring pain when performing soft tissue work?
   1. Drape a sheet over both legs and roll up the sheet from the bottom until both legs are exposed.
   2. Drape a sheet over both legs and expose one leg at a time, securing the sheet so that it does not move.
   3. Ask the patient to remove their pants one leg at a time so that you can work on the exposed leg.
   4. Position the patient in sidelying and place a towel over the bottom leg so the top leg is exposed.
10. Which of the following positions generally creates the GREATEST feeling of vulnerability for a patient?
    1. Standing
    2. Sidelying
    3. Sitting
    4. Supine