CHT Professional Practice 4 — Questions and Answers
Question 1: Which federal law prohibits discrimination in healthcare settings based on disability?
- HIPAA
- Americans with Disabilities Act (ADA) (Correct answer)
- OSHA Act
- Fair Labor Standards Act
Correct answer: Americans with Disabilities Act (ADA)
The ADA prohibits discrimination against individuals with disabilities in healthcare settings and requires reasonable accommodations.
Question 2: A CHT employed by a hospital is approached by a pharmaceutical company representative offering gifts in exchange for recommending their products. The therapist should:
- Accept small gifts as they do not influence clinical decisions
- Decline gifts that could create a conflict of interest (Correct answer)
- Report the offer only if gifts exceed $50 in value
- Accept if the products are clinically appropriate
Correct answer: Decline gifts that could create a conflict of interest
Professional ethics prohibit accepting gifts from vendors that could create or appear to create a conflict of interest affecting clinical decisions.
Question 3: A CHT reviewing a peer's splint fabrication notices a technical error that could cause patient harm. The appropriate action is to:
- Correct the splint without telling the peer
- Inform the peer of the error and correct the splint (Correct answer)
- Document the error and wait for the peer to notice
- Notify the patient and recommend a different therapist
Correct answer: Inform the peer of the error and correct the splint
Patient safety obligations require addressing the error immediately, including informing the peer to prevent future occurrences.
Question 4: When applying for CHT recertification, a therapist discovers they are short on required continuing education hours. The appropriate action is to:
- Submit the application and note the deficiency
- Complete the required hours before submitting the application (Correct answer)
- Request a waiver from HTCC citing busy caseload
- Apply anyway and make up hours after recertification
Correct answer: Complete the required hours before submitting the application
CHT recertification requires completion of all required contact hours before submitting the renewal application to HTCC.
Question 5: A hand therapist working in a school-based setting must comply with which law regarding student health records?
- HIPAA
- FERPA (Family Educational Rights and Privacy Act) (Correct answer)
- ADA only
- OSHA confidentiality standards
Correct answer: FERPA (Family Educational Rights and Privacy Act)
In school settings, student education records including therapy notes are governed by FERPA, not HIPAA.
Question 6: A CHT treating a Medicare patient must discontinue skilled services when:
- The patient requests to continue despite meeting goals
- The patient has reached maximum therapeutic benefit and goals are met (Correct answer)
- The 90-day Medicare episode is complete
- The therapist determines the condition is chronic
Correct answer: The patient has reached maximum therapeutic benefit and goals are met
Medicare requires discontinuation of skilled services when the patient has achieved maximum benefit and further skilled intervention is no longer necessary.
Question 7: Which organization is responsible for credentialing the Certified Hand Therapist (CHT)?
- American Occupational Therapy Association (AOTA)
- American Society of Hand Therapists (ASHT)
- Hand Therapy Certification Commission (HTCC) (Correct answer)
- American Physical Therapy Association (APTA)
Correct answer: Hand Therapy Certification Commission (HTCC)
The Hand Therapy Certification Commission (HTCC) administers the CHT examination and maintains the credentialing process.
CHT Professional Practice 4
Which federal law prohibits discrimination in healthcare settings based on disability?