PTHA 1225 · Communications · Exam 3

Practice answers and explanations

Check the answer and the reason. For lists, count each required member; for short answers, credit accurate course-supported wording rather than requiring an exact sentence.

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1. A PTA and nurse agree how mobility practice can support safe toileting. This is an example of:

B. Interprofessional collaboration

Different professions coordinate toward a shared patient goal. PT/PTA alone would be intraprofessional.

Purtilo Ch 8-9 2026.pptx slide(s) 3–5

2. A teammate offers an unfamiliar approach. Which response best shows flexibility?

C. Ask the teammate to explain their reasoning

Asking for the reasoning shows openness; rejection, hierarchy, or silence prevents useful exchange.

Purtilo Ch 8-9 2026.pptx slide(s) 5

3. The team has no common questions or format for discussing patient progress. Which barrier fits best?

A. Lack of shared structures

The missing common communication framework is a lack of shared structures, rather than physical separation or time alone.

Purtilo Ch 8-9 2026.pptx slide(s) 6

4. Which opening best fits the dialogue model?

D. “Tell me more about what has been difficult at home.”

An invitation to elaborate lets the patient describe concerns. The other choices primarily request closed factual answers.

Purtilo Ch 8-9 2026.pptx slide(s) 11

5. A patient nods after HEP teaching. What best confirms understanding?

B. Ask the patient to explain or demonstrate the instructions

Explanation or demonstration reveals what the patient understood. Agreement alone is insufficient.

Purtilo Ch 8-9 2026.pptx slide(s) 9,13,21

6. A listener organizes symptoms into categories. Which level is this?

C. Analytical

Analytical listening sorts specific information. Directed seeks a particular answer; attentive seeks the overall picture; courteous reflects obligation.

Purtilo Ch 8-9 2026.pptx slide(s) 18

7. Which demonstration best follows the slide guidance?

A. In full view, beside/to the side of the patient

A full view from beside/to the side avoids requiring the patient to mentally reverse a mirrored movement.

Purtilo Ch 8-9 2026.pptx slide(s) 22

8. A child develops head control before sitting control. Which principle fits?

D. Cephalocaudal

Cephalocaudal describes head-to-foot development. Proximodistal describes center-to-extremity; discontinuity describes uneven pace.

Purtilo Ch 10-11 2026.pptx slide(s) 5

9. Two children roll trucks to one another without rules or an organized game. Which play type fits?

B. Associative

They interact, making it associative. Parallel has side-by-side play without interaction; cooperative adds rules/goals.

Purtilo Ch 10-11 2026.pptx slide(s) 10

10. A child follows rules and works toward a game goal. Which course pairing is correct?

C. Cooperative, 4+ years

Cooperative play is listed at 4+ years; associative is 3–4 with interaction but no organized game.

Purtilo Ch 10-11 2026.pptx slide(s) 10

11. In the family case, usual household routines have fallen apart. Which area did Carlson identify after correcting herself?

A. Integrity

She corrected the answer from developmental to integrity; family routines and rituals belong under integrity in this discussion.

Purtilo Ch 10-11 2026.pptx slide(s) 3,8

12. Which IEP role interprets evaluation results?

D. Evaluator

The evaluator interprets the findings; the district representative addresses school resources and commitments.

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13. A teenager argues about an activity. Which response follows the five adolescent-care principles?

B. Stay calm, explain the limits, and ask about the concern

Staying calm, maintaining limits, and asking for reasoning combines three taught principles without becoming punitive or abandoning care.

Purtilo Ch 10-11 2026.pptx slide(s) 21

14. Which recording plan follows Carlson’s classroom guidance?

C. Use the parent’s phone and keep other patients out of view

Carlson specifies the parent’s phone and avoiding other patients in the recording. She does not authorize personal-device storage or clinic-wide recording.

Purtilo Ch 10-11 2026.pptx slide(s) 4

15. High-pitched crowing is the course description of:

A. Stridor

Stridor is crowing; wheezes are whistling/squeaking; crackles bubble/crackle; pleural friction rub creaks/grates.

Respiratory System 2026.pptx slide(s) 8

16. Which procedure removes fluid with a needle rather than leaving a drainage tube?

D. Thoracentesis

Thoracentesis uses a needle. Chest tube insertion leaves a tube; bronchoscopy examines airways; tracheostomy creates airway access.

Respiratory System 2026.pptx slide(s) 15

17. A shared medical record alone ensures true interprofessional collaboration.

False

The lecture says charting alone does not ensure others read the note or jointly plan care.

Purtilo Ch 8-9 2026.pptx slide(s) 6

18. The seven listening levels are interchangeable names for attentive listening.

False

They describe distinct purposes or levels of attention; learn each definition and its application.

Purtilo Ch 8-9 2026.pptx slide(s) 18

19. The distance zones on the slide should be imposed identically in every culture.

False

The course identifies a U.S. cultural context and emphasizes variation.

Purtilo Ch 8-9 2026.pptx slide(s) 24,25

20. Carlson said to learn both the types of play and their ages.

True

T03 1:02:51–1:03:04 explicitly confirms both ages and meanings.

Purtilo Ch 10-11 2026.pptx slide(s) 10

21. The course requires proof before reporting suspected child abuse.

False

The course teaches reporting on suspicion; proof is not the threshold taught.

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22. According to the respiratory slide, CT uses x-rays and MRI uses a magnetic field.

True

The slide contrasts these imaging methods directly.

Respiratory System 2026.pptx slide(s) 13

23. Give the term for breathing difficulty while lying supine.

Orthopnea

Dyspnea is the broader term for difficult breathing; orthopnea specifies the position.

Respiratory System 2026.pptx slide(s) 12

24. Give the term for abnormally fast breathing.

Tachypnea

Bradypnea is slow breathing; apnea is absence of breathing; eupnea is normal breathing.

Respiratory System 2026.pptx slide(s) 6,12

25. Give the term for very low oxygen in arterial blood.

Hypoxemia

The slide distinguishes hypoxemia’s arterial-blood focus from its anoxia wording covering blood and tissues.

Respiratory System 2026.pptx slide(s) 11

26. Give the term for air in the pleural space causing lung collapse.

Pneumothorax

Hemothorax involves blood; pleural effusion involves fluid; atelectasis is the broader collapse term.

Respiratory System 2026.pptx slide(s) 8,11

27. Expand DOE.

Dyspnea on exertion

DOE specifies breathlessness with exertion; SOB expands to shortness of breath.

Respiratory System 2026.pptx slide(s) 17

28. Expand RA in this respiratory deck.

Room air

The slide specifies no supplemental oxygen. Use the respiratory context, not another meaning of RA.

Respiratory System 2026.pptx slide(s) 18

29. Expand CPAP.

Continuous positive airway pressure

This expansion is directly listed in the abbreviation table.

Respiratory System 2026.pptx slide(s) 17

30. Expand NICU in the new pediatric material.

Neonatal intensive care unit

The current pediatric slide explicitly supplies neonatal, resolving the old Exam 2 ambiguity for this material.

Purtilo Ch 10-11 2026.pptx slide(s) 6

31. Compare interview and dialogue models and give a useful dialogue prompt.

Interview: fact-focused, often closed questions. Dialogue: open exchange that elicits patient concerns and reduces the power difference. Example: “Tell me more about that.”

Credit the distinction and a prompt allowing elaboration; do not describe dialogue as merely asking more yes/no questions.

Purtilo Ch 8-9 2026.pptx slide(s) 11

32. Explain why a sudden plateau in an infant’s new skills does not by itself contradict orderly development.

Orderliness concerns sequence; discontinuity means the pace can include spurts and pauses. The two principles can occur together.

Credit the difference between sequence and rate; do not claim every plateau is harmless or diagnose the child.

Purtilo Ch 10-11 2026.pptx slide(s) 5

33. A parent wants a video of a demonstrated activity. State the two recording safeguards Carlson taught.

Use the parent’s phone rather than the therapist’s own, and avoid recording other people in the clinic without the required permission.

These safeguards come from T03 30:37–31:19. Do not add a new storage, signature, or consent form rule not provided in the lecture.

Purtilo Ch 10-11 2026.pptx slide(s) 4

34. An adolescent fears a parent will hear everything and begins withholding information. Explain the care concern and your communication approach.

Confidentiality concerns can reduce honest disclosure or deter care. Build trust, give an appropriate voice in decisions, stay calm, and include family appropriately.

Credit the link between trust and disclosure. Do not promise unlimited confidentiality or automatically exclude the family.

Purtilo Ch 10-11 2026.pptx slide(s) 20,21

35. Contrast pulmonary edema and pleural effusion.

Pulmonary edema is fluid in the alveoli; pleural effusion is excess fluid in the pleural space.

The location distinguishes the slide definitions. A generic “fluid in the lungs” answer loses the distinction.

Respiratory System 2026.pptx slide(s) 9,11

36. A patient becomes tearful during instruction. Explain a respectful response.

Offer privacy when possible, listen, acknowledge the difficulty, and adjust the teaching pace. If needed, discuss appropriate support or rescheduling.

Credit listening and empathy; avoid assuming you must solve the underlying problem or keep delivering instructions over the distress.

Purtilo Ch 8-9 2026.pptx slide(s) 15,21

37. List the six individual collaboration skills.

Self-awareness; competence; trust; commitment to team goals/values; flexibility; acceptance.

Score one item per skill. Do not substitute barriers or benefits for skills.

Purtilo Ch 8-9 2026.pptx slide(s) 5

38. List the three Cs of infant bonding with their full phrases.

Consistency in approach; constancy of presence; continuity of treatment.

The similar words are distinct: predictable approach, reliable presence, and repeated responses to needs.

Purtilo Ch 10-11 2026.pptx slide(s) 7

39. List all six play types with their ages.

Unoccupied: 0–3 months; solitary: 0–2 years; onlooker: 2 years; parallel: 2+ years; associative: 3–4 years; cooperative: 4+ years.

Score each type/age pairing. Remember months for unoccupied and years for the others; individual development varies.

Purtilo Ch 10-11 2026.pptx slide(s) 10

40. List the five principles for patient/family-centered adolescent care.

Stay involved; stay calm; set limits; encourage self-awareness; emphasize the positive.

Score one point per principle. “Give up” or “let attitude dictate your response” contradicts the taught approach.

Purtilo Ch 10-11 2026.pptx slide(s) 21