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Comprehensive Exam
Therapeutic Massage Sem. 1
Question | Answer |
---|---|
Six Steps in resolution model for resolving ethical dilemma | Identify problem-Identify potential issue-Review Code of Ethics & Laws-Evaluate potential course of action-Obtain Consultation-Determine best course of action |
Codified rule set forth by society are shared morals and ethical principles | Laws |
Effective ways to manage the power differential between practitioner and client | Obtain informer consent |
Method used to introduce the client to deeper techniques | Gliding Methods |
If your client is often asking you to help them solve personal problems, what is that a sign of? | Countertransference |
HIPPA establishes strict guidelines for maintaining which aspect of an ethical therapeutic relationship? | Privacy |
True or False: Is the power differential eliminated if the power differential isn't taken advantage of? | False |
True or False: When transference occurs, is it best that the client is immediately referred out? | False |
The practitioner often helps the client with matters outside the session | Countertransference |
If a client comes to your for a massage with edema in right knee from an injury, how should you proceed with the massage to the leg? | Begin above the knee of the right leg and avoid the lower leg |
What can result from past experiences being held in the body over a long period of time during session | Emotional Release |
When should a practitioner wash their hands? | Before and after every massage |
What is the perfect temperature in a massage room? | 72 to 75 degrees |
What is the minimum size for a massage room? | 10x12 |
The pectoralis major is ______to the ribs. The ribs are________ to the pectoralis major? | Superficial/Deep |
Movement of the mandible in a side-to-side motion is known as: | Lateral Deviation of the Mandible |
What level of the body can the lymph system be palpated? | Superficial |
The connection between the earth and client is known as? | Grounding |
Which endangerment site is bordered by the sartorius muscle, the adductor longus muscle, and the inguinal ligament? | Femoral Triangle |
A movement when the radius crosses the ulna? | Pronation |
What plane of movement divides the body in front and back portions? | Coronal (frontal) |
What is the most optimal level to achieve on the scale of health? | 5 |
When the body is under stress, what happens to the level of cortisol? | Increases |
Massage procedure using an alternate wringing movement, done centripetally | Oscillation |
How should you proceed with a massage if a client comes in saying they haven't been feeling well and are running a fever? | Explain to the client that because the have a fever the massage is contraindicated and your need to reschedule them |
Stretching muscle/fascia, renewing awareness; stimulating production is known as? | Joint Movement Methods |
Technique that is the basis for all techniques and also consists of placing the practitioners hand o the client without moving in any direction? | Touch |
What is deep pressure touch used to soothe? | Muscle Spasms |
Which technique has a mechanical effect? | Deep Gliding/Effleurage |
A succession of strokes applied by gliding the hand over a somewhat extended portion of the body | Effleurage |
What does light touch help to soothe? | Relieves insomnia-Comforts-Reduces Anxiety |
When it comes to a fever, what is temperature that makes massage contraindicated? | 99.4 |
What are physiological effects of effleurage? | Dilates vessels in skin (reflex)-Increases permeability capillary beds-Increases circulation & Lymph flow |
Compressing/twisting one end of the structure in one direction, while the other end is held motionless, compressed twisted in opposite direction is known as? | Torsion |
Applying a force that deforms the tissue by using circular, cross-fiber, linear friction techniques? | Shearing |
A State of Mind, that is NOT a mindless mental process of a desired goal or outcome? | Therapeutic Intent |
Would you preform gliding/effleurage on open lesions? | No, Contraindicated |
Beliefs about what is intrinsically worthwhile or desirable, rather than what is Right or Correct? | Values |
Physiological to Transcendences pertains to what? | Maslow's Hierarchy of needs |
Taking breaks, eating properly, staying hydrated and regular exercise helps maintain what? | Stress Management |
After a therapist has finished the massage and client is about to leave, the therapist puts their arms out and hugs the client without asking permission. What type of boundary violation does the best represent? | Physical |
If a practitioner has a full client load and is bringing in more money than their overhead and can't makes ends meet due to the taxes they owe, what is the most appropriate support they need? | Financial |
A tool strategy or technique that helps reduce stress/negative impact on mental or physical well-being? | Stress Management |
The distal end of the tibia bone? | Medial Malleolus |
What do relationship boundaries protect? | The integrity of each person |
Known as "fatty tissue"? | Adipose |
Social groups can be significant part of a child's development, what is important for coaches and leaders to do? | Empower children to develop appropriate boundaries |
Practitioner frequently tells client about personal problem; running over session time? | Overly Permeable Boundaries |
Which endangerment site contains the carotid artery, internal jugular vein, vagus nerve, and lymph nodes? | Anterior triangle of neck |
Describe how boundaries function? | Provide Protection |
A boundary crossing becomes a violation when it is: | Harmful |
When is it appropriate for a practitioner's self-disclosure of personal information to a client during a session? | When the practitioner believes the information will help the client |
Is establishing equal and mutual consent for entering a dual relationship difficult? How does it impact the existing power differential in a therapeutic relationship? | Yes, it is difficult, a dual relationship gone badly can affect the therapeutic relationship |
What type of tissue surrounds each microscopic muscle fiber? | Endomysium |
If a therapist grabs a client hand after having the knowledge that their client has been a victim of abuse, this is an example of what? | Boundary Violation |
What is the most important signal a therapist can receive from a client that the client's boundaries have been crossed? | Change in communication style |
What are the two types of connective tissue relating to fascia? | Superficial and Deep |
Method of removing/eliminating all living organism and microorganism in a setting? | Sterilizing |
Which bacteria are beneficial and harmless? | non-pathogenic bacteria |
Chemical process of illuminating harmful pathogens typically done: After the massage therapist cleanse the table , bolster, stool and door handle | Sanitation |
Hurting a client by using too much pressure is an example of what? | Boundary Crossed |
What can be a direct transmission of pathogens? | Hands |
Is confidentiality practiced in massage therapy? | Absolutely! HIPPA! |
A mechanism that develop unconsciously to shield people for emotional painful experiences? | Defense Mechanism |
Which endangerment site contains the axillary, median, musculocutaneous and ulnar nerve?/ | Axilla |
Which muscle is the antagonist to medial rotation of the humerus? | Infraspinatus |
What are some concerns for dual relationships? | The potential for harm |
If a client tells their therapist that they are taking medication, what area of the SOAP notes does this information belong to? | Subjective |
Which muscle is antagonist to flexion of the glenohumeral joint? | Triceps Brachii |
If the therapist notices that the client has one shoulder high than the other, what area of the SOAP notes does this information belong to? | Objective |
Standards by which behavior and character traits are judged as RIGHT or WRONG? | Morals |
If a practitioner sees a client out in public, what is the practitioner's best course of action? | Allow client to acknowledge her first |
What is the best way to protect against the risk involved in a dual relationship with a client? | Seek Clinical Support |
Starting a sentence with the word "you" is an example of ? | Embedded Command |
Why are non-fraternization policies important? | Because of the power differential that exists between teachers & students |
When refusing services to potential new client, it is important to do so with a vocabulary that is: | Blameless and Neutral |
When assessing the lateral border of the scapula, through which two muscle bellies will you have to palpate? | Teres Major & Minor |
A "winged scapula" often indicates weakness in which muscle? | Serratus Anterior |
The supraspinatus, infraspinatus, and teres minor all attach to what bony landmark? | Greater Tubercle |
A process the ensure that the client has received enough information to understand the nature and extent of the massage service. | Informed Consent |
What is the order that a practitioner should take when conducting a new client interview? | Initiation-Exploration-Planning-Closure |
Which muscle allows for internal rotation of the humerus? | Subcapularis |
How many muscles attach to the scapula? | 16 |
True or False: When it comes to concise documentation, is it difficult to exchange client information with other health professionals? | False |
A proactive approach to working with clients under established rules and practices? | Polices & Procedures |
What is the rate of movement for manual vibration? | 5-10 vibration per second |
Superficial or deep, back and forth movement against the tissue. | Friction |
Of the supraspinatus, teres minor, infraspinatus, and subscapularis, which does not have attachment to the greater tubercle of the humerus? | Subscapularis |
Of the 7 common massage methods, which would be best used to clear up lung congestion? | Cupping (clapping) |
Applied transverse direction, across muscle, tendon, or ligament fibers? | Cross-fiber Friction |
Which regulatory method offers no consumer protection? | Title Protection |
Which regulatory method is required by law to practice? | Licensure |
Which muscle is antagonist to itself? | Trapezius |
Out of age, race, shirt color, gender, spaghetti noodle preference and countertransference, which is acceptable for a therapist to decline a potential client? | Countertransference |
Which muscle is located below the spine of the scapula? | Infraspinatus |
How can a practitioner increase a client's sense of safety and confidence in the practitioner's work? | Describe service, education, experiences, professional, association and licensure status |
If the client asks the therapist for help outside of the practitioner's scope of practice, this is an example of what? | Transference |
What makes up the shoulder complex? | Scapula-Clavicle-Humerus |
What should be included in the Client Policy Statement? | Types of service-Training/Education, Confidentiality |
What method includes techniques such as tapping, slapping, cupping, hacking, and beating? | Percussion/Tapotement |
Which muscle protracts the scapula? | Serratus Anterior |
When a client has a headache, where would you apply effleurage? | To the spine |
The object of superficial effleurage is to affect what? | Skin, Lymph and veins |
Long, smooth strokes wherein the therapist hands glide the length of the clients body or body part; coming close but not touching the body surface. | Aura Stroking |
How is centripetal effleurage done? | Distal to Proximal |
Initial physiological effects on the nerves with feather (nerve) stroking is? | Stimulating |
Obtainable & Measurable accomplishments are known as? | Goals |
What is a major element in effective daily planning? | Ranking |
What is the key component in motivation? | Desire |
What is the key to career longevity? | Strong Client Base |
What attribute best describes being inspired by joy of accomplishment? | Self-motivation |