NCBTMB Client Assessment and Planning 4

Question 1

A client with Type 1 diabetes arrives for a massage and mentions their blood sugar is currently at 55 mg/dL. The therapist should:

Accepted Answer

Postpone the massage and advise the client to address their hypoglycemia first

Answer

A blood glucose of 55 mg/dL indicates hypoglycemia, which is a medical concern that must be addressed before any massage treatment.

Question 2

During gait analysis as part of a client assessment, you notice the client's left foot externally rotates excessively. This may indicate tightness in which muscle group?

Accepted Answer

Hip external rotators such as the piriformis

Answer

Excessive external rotation of the foot during gait often reflects shortening or hypertonia of the hip external rotators, including the piriformis.

Question 3

A client discloses a history of sexual abuse during the intake. The most appropriate therapist response is:

Accepted Answer

Acknowledge the disclosure, adjust draping and boundaries as needed, and let the client guide comfort levels

Answer

Trauma-informed care requires acknowledging the client's disclosure and empowering them with control over boundaries and comfort during the session.

Question 4

When re-assessing a client after 4 treatment sessions, the therapist finds no measurable improvement in the client's chief complaint. The BEST next step is:

Accepted Answer

Revise the treatment plan and consider referring to another healthcare provider

Answer

Lack of measurable progress after multiple sessions warrants a treatment plan revision and possible referral to ensure the client receives appropriate care.

Question 5

Which of the following findings during a range-of-motion assessment would suggest a joint capsule restriction rather than a muscular restriction?

Accepted Answer

A hard end-feel with restriction in all planes of movement

Answer

A hard, capsular end-feel with restriction in all planes is characteristic of joint capsule involvement, such as adhesive capsulitis.

NCBTMB Exam Practice Test

NCBTMB Exam Practice Test

NCBTMB Client Assessment and Planning 4