Title: Quiz 11: Documentation
Course: PHT 1007 Topics in Physical Therapy > Section: Module 11

Q: All documentation can be written in red and black ink and the mistakes can be erased:
- true
- false
A: false
If right: Good work
If wrong: That's not correct

Q: All documentation must be legible and use medically approved abbreviations or symbols:
- true
- false
A: true
If right: Good work
If wrong: That's not correct

Q: PTA notes have to be co-signed by a PT or another PTA in all states in all settings:
- true
- false
A: false
If right: Good work
If wrong: That's not correct

Q: PTA student notes must be co-signed by a PT or another PTA:
- true
- false
A: true
If right: Good work
If wrong: That's not correct

Q: Physical therapist assistants may not document in the patient record. Only the physical therapist can document patient interactions:
- true
- false
A: false
If right: Good work
If wrong: That's not correct

Q: Physical therapy documentation is necessary for which of the following:
- continuity of care
- reimbursement of services
- quality assurance, research, and education
- all of the above are correct
A: all of the above are correct
If right: Good work
If wrong: That's not correct

Q: The SOAP format can be utilized for documentation for all of the following except:
- the PT's initial evaluation
- the PTA's initial evaluation
- the PTA's daily/weekly progress notes
- all of the above are correct
A: the PTA's initial evaluation
If right: Good work
If wrong: That's not correct

Q: Which of the following statements regarding documentation is NOT correct:
- documentation is a form of communication between health care providers and insurance companies
- documentation is necessary to support billing practices
- physical therapy aides, physical therapy assistants, and physical therapists are all responsible for documenting in the patient record
- all of the above are correct statements
A: physical therapy aides, physical therapy assistants, and physical therapists are all responsible for documenting in the patient record
If right: Good work
If wrong: That's not correct

Q: Which of the following would not be included in the Plan of Care (POC) in the initial evaluation:
- short term and long term goals
- patient's mobility at home and in the community
- treatment strategies and rehab potential
- all of the above would be included in the POC
A: patient's mobility at home and in the community
If right: Good work
If wrong: That's not correct

Q: Which of the following would not be included in the assessment section of a progress note:
- tests and measures
- the PTA's description of the patient's overall response to treatment
- the patient's progress toward short term and long term goals
- the effects of interventions on the patient problems
A: tests and measures
If right: Good work
If wrong: That's not correct

Q: Which of the following would not be included in the objective section of the progress note:
- patient describes having numbness in his back and left leg
- patient performs 3 repetitions of stretching exercises for the hamstrings
- patient ambulates with crutches WBAT on the right lower extremity for 50 feet with minimal assist of 1
- patients strength (MMT) for the right hamstrings = 4/5
A: patient describes having numbness in his back and left leg
If right: Good work
If wrong: That's not correct

Q: Which of the following would not be included in the subjective section of a daily or weekly progress note:
- the patient's complaints of pain
- the patient's own response to the previous treatment
- the treatment provided to the patient
- the patient's description of improvements
A: the treatment provided to the patient
If right: Good work
If wrong: That's not correct

Q: Which type of documentation is commonly used by hospitals or other facilities that offer multiple disciplines that maintains a record arranged with tab for each discipline all in one document:
- Problem Oriented Medical Record
- SOAP
- Source Oriented Medical Record
- none of the above
A: Source Oriented Medical Record
If right: Good work
If wrong: That's not correct