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A home assessment is a key part of your PT evaluation in the Home Health and Hospice setting.

How much do you agree or disagree with the statement, “I would buy a new brand of salty snack food (chips) if it were recommended by an influencer I follow”?           Strongly Disagree           Disagree           Slightly Disagree             Neither Agree Nor Disagree           Agree           Slightly Agree           Strongly Agree

 Refer to the following case to answer questions 19-28 Ralph is an  85-year-old male who has been referred for a PT evaluation by his primary care physician due to R shoulder pain, which began ~1 month ago.  The pain is at its worst when he attempts to lift his arm past ~45 degrees of flexion and abduction.  He reported that because of the shoulder pain he has trouble getting his shirt on in the morning, combing his hair, and washing his upper body in the shower. Ralph stresses the importance of being able to maintain his independence at home and states “this is a top priority”.  PMHX: CABGx3 with artificial valve replacement 15 years ago, spinal stenosis, high blood pressure, previous MI x2.  Current meds:  Lasix, Lipitor, Lopressor, Coumadin.  Current level of function: He walks with a cane a maximum of 150 feet.  He wears bilateral bifocal eyeglasses and hearing aids secondary to presbycusis. During Ralph’s examination the PT identifies  decreased strength throughout the right and left UE. Which of the following BEST describes the usual aging process of muscle tissue in the older adult?

Use the following case to answer questions 37-44 Donald is a 65-year-old male.  He is fairly sedentary, he is retired, and his leisure activities include watching TV, reading, and attending local collegiate sporting events.  He has presented to outpatient physical therapy for an exercise program at the request of his son, who has been urging him for years to “do something.”  He is now motivated to “get in shape” to see his grandchildren grow up.  Examination findings PMedHX: gout, HTN, hypercholesteremia, plantar fasciitis, and OA of bilateral knees (he has received several cortisone injections).  Meds:  Lopressor (Metoprolol), Lipitor, and Chondroitin supplements.  He recently had a non-remarkable stress test.  His physician cleared him to begin an exercise program. 5 feet 10 inches and weighs 240 pounds. (BMI 34.4) Vitals: BP 130/85, resting HR 80 Muscle strength testing (5/5) with the exception of hip ext. 3/5, hip abd. 4/5, ankle plantar flexors 3+/5, trunk flexors 2/5, trunk extensors 2/5. Transfers were independent. Gait pattern was slow and antalgic initially upon getting out of the chair for the 1st 30 ft, and revealed decreased push off bilaterally. He was able to walk up and down a flight of stairs with a handrail, but c/o 7/10 pain during and after and utilized a “step-to” gait pattern for both ascend and decend. Donald asks you, the PT, what signs or symptoms should he be aware of that might cause him to terminate his exercise program or physical activity?

 Refer to the following case to answer questions 19-28 Ralph is an  85-year-old male who has been referred for a PT evaluation by his primary care physician due to R shoulder pain, which began ~1 month ago.  The pain is at its worst when he attempts to lift his arm past ~45 degrees of flexion and abduction.  He reported that because of the shoulder pain he has trouble getting his shirt on in the morning, combing his hair, and washing his upper body in the shower. Ralph stresses the importance of being able to maintain his independence at home and states “this is a top priority”.  PMHX: CABGx3 with artificial valve replacement 15 years ago, spinal stenosis, high blood pressure, previous MI x2.  Current meds:  Lasix, Lipitor, Lopressor, Coumadin.  Current level of function: He walks with a cane a maximum of 150 feet.  He wears bilateral bifocal eyeglasses and hearing aids secondary to presbycusis. How does incorporating “Matters Most” from the Geriatric 5Ms enhance physical therapy care for Ralph?

Use the following case to answer questions 29-36 Ethyl is a 90-year-old female who was admitted to the hospital last night with a diagnosis of pneumonia.  The physical therapist received orders to evaluate and treat this patient to improve mobility. History and Examination Findings: History: She is retired and lives by herself in a 1-bedroom apartment in an assisted living facility.  Her husband died last year, and she reports to you several times that she is “lost without him.”  Her past medical history reveals that she wears glasses, has macular degeneration, has hearing aids, uses a 4 wheeled walker for ambulation, does not drive, has had 3 spinal compression fractures and a hip fracture within the last 5 years, is being hospitalized for pneumonia for the 3rd time in the last 6 months, and has high cholesterol.  Ethyl is 5 feet 3 and Weighs 85 pounds. (BMI 15.1) 2 years ago her BMI was 19 Alert and orientedX3, she answers all questions appropriately, and her voice is gurgly sounding. Posture: forward head, excessive kyphosis, and posterior pelvic tilt in sitting. Transfers: supine to sit with stand-by assist, sit to stand with moderate assist from a low chair Gait: 5 mph (.6 meters/sec.) with 4 wheeled walker 200 feet requiring 3 sitting rest breaks. Balance: High fall risk category on Tinetti (score 16) The PT is developing an intervention to improve Ethyl’s independence with standing up from a chair. Which of the following exercises (modified if necessary) would be the most important to include?

Which of the following results during a well-elderly screening would prompt the healthcare provider to recommend a physical therapy evaluation?

Top-down processing happens when consumers rely on what they see, hear, or feel about a product before thinking about past experiences or personal values.

Patient has presbyopia (no previous or additional vision deficits). To account for the presbyopia only, the physical therapist should make which of the following accommodations in his/her clinic?

Read the content below and fill in the blanks using words from the provided word box. Remember that to be considered correct, the form of the words must be exactly the same as in the word box, including capitalization and spacing. [Short answer Question] ______ is a psychological phenomenon by which people tend to develop a preference for things merely because they are familiar with them.     [Word box] absolute threshold, actual product, adaptation, attention, augmented product, behavioral learning theory, bottom-up processing, brand loyal, brand perception, brand personality, chunking, cognitive dissonance, cognitive learning theory, confirmation bias, conditioned stimulus, continuous reinforcement, convergent products, core value, decay, Delboeuf illusion, desires, differential threshold, encoding, elaborative rehearsal, exposure, extinction, familiarity, family branding, forward conditioning, generalization, goals, guilt, hedonic value, heterogeneous, homogeneous, interference theory, interpretation, involvement, just noticeable difference, licensing, line extension, long-term memory, memory, mental schema, mere exposure effect, mood congruency, mood management theory, motivational conflict, motivations, needs, negative reinforcement, nonsocial needs, opportunity, partial reinforcement, perceived risk, perception, perceptual defense, perceptual selection process, perceptual vigilance, performance risk, personality, personas, personal values, perceived risk, psychoanalytical theory, psychographics, psychological risk, quality, regulatory fit, retrieval failure, reversibility of decision, sadvertising, self-concept theory, semiotics, sensation, sensory memory, sensory threshold, short-term memory, social needs, socio-psychological theory, time, top-down processing, total value concept, trait theory, utilitarian value, value equation, value, value-seeking, wear-in, wear-out, Weber’s law.