Full Test Bank Rehabilitation Settings Chapter 16 3e

Chapter 16. Rehabilitation Settings

Multiple Choice

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

1. In an interdisciplinary team, the team members:
   1. maintain their own discipline-specific treatment and goals but report findings to other team members.
   2. collaborate by incorporating suggestions from other professionals into their interventions.
   3. assess the child and then delegate the treatments to a few key individuals.
   4. maintain professional boundaries by not communicating specific treatment techniques.
2. Discharge planning for a new patient entering the rehab unit should begin:
   1. the moment the child enters the rehabilitative setting.
   2. when the child is reaching functional goals.
   3. when the child is medically stable.
   4. 1 week before expected discharge.
3. Which of the following is not a characteristic of expert pediatric rehabilitation therapists?
   1. Ability to approach child and family holistically
   2. Decreased humility
   3. Ability to prioritize what is most important
   4. Broad sense of self-awareness
4. A child who is safe to go home but still requires intensive rehabilitation 5 days per week would most benefit from which setting?
   1. Acute care
   2. Inpatient rehabilitation
   3. Day hospital rehabilitation
   4. Home health care
5. For a child with a brain injury, the rehabilitation team should consider which of the following when planning a transition back to school?
   1. The child will not be able to return to school and will need to be home schooled.
   2. The child will need a Section 504 plan or individualized education program.
   3. The child will need to go to a different school.
   4. The child will return to the same classroom without accommodation.
6. For a 7-year-old boy status post posterior fossa tumor resection who is currently ambulating three steps in the parallel bars with maximal assistance of one, the following is the most appropriate goal for discharge from inpatient rehabilitation:
   1. Ambulate 50 feet with a walker and moderate assistance
   2. Ambulate 50 feet with a walker and contact guard assistance
   3. Ambulate 50 feet independently without an assistive device
   4. Run 50 feet independently without loss of balance
7. Pediatric rehabilitation is different from adult rehabilitation in that:
   1. there are no accrediting organizations to ensure safety and quality of care.
   2. there are no standardized outcome measures for global independence in function.
   3. caregivers require less training for discharge planning.
   4. children often require a 1:1 staffing ration during therapy sessions.
8. In planning for transition to school, which of the following statements is true?
   1. School therapists can continue to provide the same level of rehabilitation therapy when the child is back in school.
   2. School therapists provide therapy deemed necessary for the child’s educational goals as outlined in the IEP.
   3. Children should return to school when they no longer have any rehabilitation therapy needs.
   4. Coordination between school and rehabilitation therapists is not necessary if the family is able to relay information.
9. Which of the following is not usually an ethical issue for a therapist to consider?
   1. Parental control versus the right of a child to make choices about care
   2. Eligibility criteria for therapy
   3. How they manage education regarding sexuality
   4. Family-centered care

Case-Based Multiple Choice

Please consider the following case and answer the questions.

Annie is a 9-year-old female status post–traumatic brain injury from a motor vehicle accident. She spent 2 weeks in a community hospital and was medically stabilized, but now presents as Rancho Los Amigos Stage IV and requires maximal assistance to stand for 30 seconds. She is in need of intense neurorehabilitation to maximize her return to previous level of function. She lives with her parents who are both stressed and her 2-year-old brother. The team wishes to discharge her home tomorrow.

1. As an acute-care physical therapist, what is the most important thing to prioritize with coordinating care?
2. Speaking with the team (physicians, case management, other therapies) about planning transfer to inpatient pediatric rehabilitation
3. Choosing activities that are fun for Annie to complete
4. Planning a co-treat with occupational therapy
5. Ordering a wheelchair so the family may safely transport Annie when she is home
6. Annie is transferred to a pediatric inpatient rehabilitation center. Which of the following is not a difference Annie and her family may notice compared with the community-based acute-care hospital they were previously in?
7. Child-friendly environment
8. Larger staff to patient ratio
9. Staff with special training in pediatrics
10. Smaller pediatric-specific equipment and supplies
11. What is the priority on Annie’s admission to inpatient rehabilitation?
12. Establish child- and caregiver-directed goals
13. Determine Annie’s impairments to focus intervention activities
14. Write a specific home exercise program for discharge
15. Establish physical therapy–specific goals and share these with the interdisciplinary team
16. Annie has an interdisciplinary rehabilitation team. What does this mean?
17. The team consists of a variety of disciplines that work together to provide care. Expertise of each discipline is recognized and respected. The team works toward an overall goal for the child but there is little collaboration between disciplines.
18. The team respects the expertise of each member but collaborates closely in evaluation, treatment, and the development of goals. There is close coordination and carry-over of interventions among team members.
19. The team educates each other on providing therapeutic interventions from each discipline and may choose a primary interventionist(s) to deliver care. Team members have a great deal of trust and allow role release.
20. Annie achieves her physical therapy goals for inpatient rehabilitation and is able to be discharged home with an AFO and contact guard for ambulation. However, she still wants to be able to run and play with her friends. What is the most appropriate recommendation for physical therapy services after discharge?
21. Outpatient PT reevaluation in 1 month
22. Home-based PT 3 times per week to continue work on Annie’s goals
23. School-based PT 3 times per week to continue work on Annie’s goals
24. Outpatient PT 2 times per week to continue work on Annie’s goals, and recommend evaluation with school physical therapist on return to school

Chapter 16