NCBTMB Client Assessment and Planning 3

Question 1

A client reports taking warfarin for a heart condition. Which assessment consideration is most important before proceeding with massage?

Accepted Answer

Assess for bruising tendency and avoid deep pressure techniques

Answer

Warfarin is a blood thinner that increases bruising risk, so deep pressure and techniques that could cause tissue trauma must be avoided.

Question 2

During a postural assessment, you observe that a client's right shoulder is elevated compared to the left. This finding most likely indicates:

Accepted Answer

Possible muscle imbalance or hypertonia on the right side

Answer

Elevated shoulder typically suggests hypertonicity or shortening of the upper trapezius and levator scapulae on that side.

Question 3

A client presents with edema in both lower legs following a long flight. The therapist's FIRST action should be to:

Accepted Answer

Rule out deep vein thrombosis before proceeding with any massage

Answer

Edema after prolonged immobility raises concern for DVT, which is a contraindication to massage and requires medical clearance first.

Question 4

When documenting a client's pain using a SOAP note, where would you record the client's verbal description of their pain as 'a 7 out of 10, burning sensation'?

Accepted Answer

S — Subjective

Answer

Client-reported information, including verbal pain descriptions and ratings, is recorded in the Subjective section of the SOAP note.

Question 5

A new client has a history of recent (2-week-old) muscle strain in the lumbar region. The appropriate treatment planning response is:

Accepted Answer

Limit treatment to gentle techniques in the acute-subacute transition phase

Answer

A 2-week-old strain is in the subacute phase where gentle, supportive techniques are appropriate, but aggressive deep work remains contraindicated.

NCBTMB Exam Practice Test

NCBTMB Exam Practice Test

NCBTMB Client Assessment and Planning 3