Family-Centered Care Complete Test Bank Ch4

Chapter 4. Family-Centered Care

Multiple Choice

Identify the choice that best completes the statement or answers the question.

1. What is the key element defining family-centered care?

1. Holistic care
2. Evidence-based practices
3. Collaborative partnership
4. Quality service

2. Which of the following concepts is integral to family systems theory, transactional model of development, and ecological model of development?

1. Task-oriented approach to motor control
2. Relationship between a person and their social environment
3. Relationship between neuromaturation and function
4. Culture of disability

3. Which of the following approaches is not representative of family-centered care?

1. Strength-based
2. Directive
3. Supportive
4. Responsiveness

4. Which of the following strategies is not representative of family-centered care?

1. Help families establish connections with community agencies.
2. Listen and learn from the family.
3. Encourage active participation of the child.

d. Set PT goals from items not passed on a motor assessment.

5. Which of the following would not reflect a family-centered approach to a pediatric physical therapy examination?

1. Develop a strict format for the examination to ensure standardization.
2. Respect the family’s knowledge regarding their child.
3. Emphasize the child’s abilities.
4. Be sensitive to the child’s temperament and interests.

6. Which of the following would not be appropriate for a physical therapist to ask a parent during a family interview? 

1. How does your child like to play and interact with others?
2. What would you like your child to learn to do in the near future?
3. Have you ever suffered from depression?
4. What is a typical day like for your child and family?

7. After your session with Alex, you ask his dad, “Have you been able to try the ideas we discussed last week?” His dad says, “We tried one time, but things did not go well and then we did not have time to try again.” Which of the following strategies will best support the family using family-centered care?

1. Reiterate the importance of the home exercise program and demonstrate the activities again during the session.
2. Provide positive reinforcement by saying, “That’s great you gave it a try. Can you show me what you did?”
3. Ask questions to understand why dad did not think it went well and exchange ideas about how to practice, modify, or change the activity to better meet the family’s goals.
4. Let dad know it is okay because there are lots of other activities to do instead and provide a handout with five activities to choose from.

8. In the outpatient facility where you work, it is common practice for parents to stay in the waiting room. In discussing with your colleagues why it is important to invite parents to be part of the therapy session and to support their engagement, which of the following points would not be relevant?

1. Participatory practices are associated with positive outcomes.
2. Parent self-efficacy is associated with positive outcomes.
3. Child motivation is associated with positive outcomes.
4. Therapist directiveness is associated with positive outcomes.

9. A physical therapist providing services in the home notices she is having difficulty engaging parents in therapy sessions and often feels that parents prefer to leave her alone with the child while getting caught up with chores, watching television, or looking at their phone. In these cases, which of the following is the best strategy to engage families in therapy sessions?

1. Set therapy rules that require caregivers to stay in the room and “no screens.”
2. Explain to the caregivers that the interventions work best if everyone is doing them.
3. Ask to reschedule the visits so there is no interference with other activities.
4. Invite the family to show you what works best for them related to their goals for their child.

10. A physical therapist in the acute care setting is preparing to evaluate a 10-year-old patient 1 day after spinal surgery related to the diagnosis of spina bifida. In addition to gathering information about the child’s medical and health history, the physical therapist reviews the patient chart and consults with the patient’s nurse to gather information about the child’s and family’s background. The family lives 4 hours away on an Indian Reservation. The household includes mom, dad, paternal grandmother, maternal grandmother and grandfather, two older siblings (13 and 16 years old), and a younger sibling (8 years old). The adults in the household are unemployed; however, the patient’s dad is a mechanic and makes some money working on his neighbors’ cars. The physical therapist had worked with Native American families before and felt confident about the situation. On entering the patient’s room, the physical therapist was greeted by the child’s mom and maternal grandmother. Which of the following strategies is the best way the physical therapist can exhibit cultural competence while working with this family?

1. Act cheerful and engage in chatter about how the surgery went and how the child is feeling.
2. Ask the family what preferences they have for being involved in physical therapy.
3. Direct all questions to the grandmother.
4. Conduct the physical therapy examination as usual involving the family when needed.

11. John is a 4-year-old child with global developmental delay. His gross motor skills are approximately at the 8-month-old level and he does not have expressive communication. He attends a special preschool program. John has three older siblings. His parents both work. The mother has primary responsibility for John’s caregiving and expresses concerns about stress and fatigue. The family is anxious for John to learn to walk. Based on this scenario, which statement least reflects a family-centered philosophy for physical therapy intervention?

1. Offer family options regarding social services including respite care.
2. Prescribe a daily home exercise program to improve John’s muscle strength for preparation for ambulation.
3. Identify with the family caregiving routines and provide consultation to assist family members and John.
4. Discuss with the family play activities in supported standing that could provide opportunities for some sibling interactions.

12. John is a 4-year-old child with global developmental delay. His gross motor skills are approximately at the 8-month-old level, and he does not have expressive communication. He attends a special preschool program. John has three older siblings. His parents both work. The mother has primary responsibility for his caregiving and expresses concerns about stress and fatigue. The family is anxious for John to learn to walk. At this point in the child’s intervention program, who is the most important team member?

1. Speech therapist
2. Physical therapist
3. Occupational therapist
4. Family

13. Being a pediatric physical therapist who practices family-centered care means you will:

1. treat the mother’s back pain as well as the child’s condition.
2. respect the culture and customs of the patient’s family.
3. defer to the parents/caregivers when you feel they are making a serious mistake in judgment.
4. refrain from providing the family with recommendations.

14. Respite care is defined as:

1. home-based care for respiratory or pulmonary problems to minimize hospital admissions.
2. care for a patient who is terminally ill.
3. temporary care for a child with a disability so the primary caregiver can rest.
4. home-based medical care that allows the family to focus on the emotional well-being of the child rather than the medical condition.

True/False

Indicate whether the statement is true or false.

15. It is appropriate for the physical, occupational, and speech therapists to collaboratively decide on the child’s mode of communication.

16. Family-centered care precludes providing direct service in a hospital-based clinic.

Short Answer

1. What are three common stresses associated with raising a child with a disability?

Chapter 04