Free MBLEx Test Client Assessment and Planning Questions and Answers — Questions and Answers
Question 1: A massage therapist writes in their session notes: 'Client reports a dull ache in the right lower back, rated 4/10, which worsens after prolonged sitting.' In which section of a standard SOAP note would this information be recorded?
- Subjective (Correct answer)
- Objective
- Assessment
- Plan
Correct answer: Subjective
The Subjective section of a SOAP note includes all the information reported by the client, such as their symptoms, pain levels, and personal experiences. The Objective section contains the therapist's observations and measurements, the Assessment is the therapist's professional analysis, and the Plan outlines the treatment for that session and future sessions.
Question 2: During a client intake, a therapist asks, 'Can you describe the situations that make your shoulder pain feel worse?' What type of question is this, and what is its primary purpose?
- Closed-ended, to confirm specific details.
- Leading, to guide the client to a desired answer.
- Open-ended, to encourage a detailed narrative response. (Correct answer)
- Dichotomous, to get a simple 'yes' or 'no' answer.
Correct answer: Open-ended, to encourage a detailed narrative response.
This is an open-ended question because it cannot be answered with a simple 'yes' or 'no' and prompts the client to provide a detailed description. The purpose is to gather comprehensive, qualitative information about the client's experience to better inform the assessment and treatment plan.
Question 3: A therapist performs a visual assessment on a client standing in a relaxed posture. The therapist observes an exaggerated inward curvature of the lumbar spine. This postural deviation is best described as:
- Scoliosis
- Lordosis (Correct answer)
- Kyphosis
- Flat-back
Correct answer: Lordosis
Lordosis is the term for the inward (anterior) curve of the lumbar and cervical spine. An exaggerated or excessive inward curve in the lower back is referred to as hyperlordosis or simply lordosis. Kyphosis is an exaggerated outward (posterior) curve of the thoracic spine, and scoliosis is a lateral curvature.
Question 4: A therapist is evaluating a client's shoulder mobility. The therapist supports the client's arm and moves it through the full range of abduction without any assistance from the client. What type of assessment is being performed?
- Resisted Range of Motion (RROM)
- Active-Assisted Range of Motion (AAROM)
- Active Range of Motion (AROM)
- Passive Range of Motion (PROM) (Correct answer)
Correct answer: Passive Range of Motion (PROM)
Passive Range of Motion (PROM) is when the therapist moves the client's joint through its range of motion while the client remains relaxed. This assessment helps evaluate the joint's mobility and end-feel without the involvement of the client's muscles. Active Range of Motion (AROM) is when the client moves the joint themselves.
Question 5: When developing an initial treatment plan, which of the following is the most crucial element to establish with the client?
- The number of sessions required
- The client's specific, measurable goals (Correct answer)
- The therapist's preferred modalities
- A referral to another healthcare provider
Correct answer: The client's specific, measurable goals
The foundation of any effective treatment plan is a clear understanding of the client's goals. These goals should be specific and measurable (e.g., 'reduce low back pain from 7/10 to 4/10 in four sessions') to guide the treatment and track progress effectively. While other elements are important, the plan must be built around the client's desired outcomes.
Question 6: During a passive range of motion test of a client's elbow extension, the therapist feels an abrupt, hard, and unyielding sensation at the end of the range, which is painless. This is an example of which type of physiological end-feel?
- Soft tissue approximation
- Capsular stretch
- Muscle spasm
- Bone-to-bone (Correct answer)
Correct answer: Bone-to-bone
A bone-to-bone end-feel is a normal physiological end-feel characterized by a hard, non-giving sensation as bone contacts bone, such as in elbow extension when the olecranon process meets the olecranon fossa. Soft tissue approximation is a soft end-feel, capsular stretch is a firm but leathery feel, and muscle spasm is an abrupt stop associated with pain.
Free MBLEx Test Client Assessment and Planning Questions and Answers
A massage therapist writes in their session notes: 'Client reports a dull ache in the right lower back, rated 4/10, which worsens after prolonged sitting.' In which section of a standard SOAP note would this information be recorded?