Communication & Documentation Flashcards
7 cards from real FCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Communication & Documentation flashcards as text
Which element must appear in the 'Referral Information' section of a standard FCE report?
Answer: The specific questions the referral source wants answered
The referral information section must clearly state the questions posed by the referral source so the report can directly address them.
When an FCE evaluator observes inconsistency between a client's reported limitation and observed performance, the documentation should:
Answer: Record both the report and observation with objective descriptors
Both reported limitations and observed performance must be documented objectively, allowing the reader to draw conclusions without the evaluator labeling intent.
The DOT (Dictionary of Occupational Titles) physical demand levels used in FCE reports classify work as Sedentary, Light, Medium, Heavy, and:
Answer: Very Heavy
The five DOT physical demand levels are Sedentary, Light, Medium, Heavy, and Very Heavy, and FCE reports often use these classifications.
A signed consent form prior to FCE testing should document that the client was informed of:
Answer: The purpose, procedures, risks, and right to withdraw
Informed consent requires disclosure of the evaluation's purpose, what procedures will occur, potential risks, and the client's right to stop at any time.
When writing the 'Recommendations' section of an FCE report, the evaluator should base statements on:
Answer: Objective test findings and functional performance data
Recommendations must be grounded in objective, measurable FCE data to ensure they are defensible and evidence-based.
Which statement best describes the role of photographs or videos in FCE documentation?
Answer: They serve as supplemental objective evidence of client performance
Photographs or videos can supplement written findings by providing visual evidence of postures, movement quality, or task performance observed during testing.
If an FCE report will be used in litigation, the evaluator's documentation should be:
Answer: Precise, objective, and free of speculative language
Medicolegal FCE reports require precise, objective, and defensible language because they may be scrutinized by opposing counsel and judges.