Mblex- Guidelines for a professional practice – Flashcards
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629. Over the course of the past year a massage therapist has taken a keen interest in Rolfing. They have watched videos of Rolfing. They have done extensive researched about Rolfing on the internet. They have read many articles and even read a book about Rolfing. The massage therapist is now ready to offer Rolfing as one of their treatment options. a. True b. False
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b - Rolfing, like many other advanced modalities, requires a series of special instruction and testing from qualified practitioners. Watching videos and reading various sources would only give a narrow understanding of techniques that require close supervision and training for qualification and integration within a professional practice. The control over these specialties is to insure the safety of both the public and practitioner as well as providing the necessary training for effective results. Once the necessary training is complete, the practitioner will earn a degree or certificate, and then will be clear to offer Rolfing or any other specialty as a treatment option.
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630. During a treatment, a generous client complains of being too hot and would really prefer to remove all draping. How should the massage therapist respond to this situation? Select the best option below. a. Terminate the treatment for sexual suggestion b. Remove all draping and continue the massage c. Ignore the request and continue the massage d. Minimize cover while draping the private areas
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d - The client's request may be based on a valid perception of being hot. However, draping is an important aspect of maintaining the proper boundaries. Adjusting the draping to minimize coverage while maintaining modesty is clearly the best option.
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631. Maintaining a therapeutic relationship with a client is very important. Which of the following should NOT be relied upon to preserve the relationship dynamic? a. Intuition b. Framework c. Boundaries d. Ethics
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a - Intuition is a wonderful aspect of the psyche and can be a great quality of the massage therapist. However, in the complex world of maintaining therapeutic relationships there must be a solid framework in place, clear boundaries identified and an adherence to the ethics set forth by the profession.
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632. Within the therapeutic relationship with a client, what is the primary focus? a. Developing a friendship with the client b. Creating a sense of community with the client c. The well being of the client d. Being the best massage therapist ever
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c - The goal within the therapeutic relationship is the health and well being of the client. The other answers are not aspects of the therapeutic relationship.
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633. A client reminds a therapist of an old friend. During the session the therapist asks the client questions that relates to the old friend. What is this an example of? a. Transference b. Countertransference c. Projection d. Intuition
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b - Countertransference is the phenomenon of a client's ability to influence a practitioner's subconscious thoughts which could alter their professional behavior.
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634. A client states that you remind them of their mother. What is this is an example of? a. Countertransference b. Instability c. Transference d. Transience
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c - Transference is a psychological phenomenon in which a person unconsciously redirects their feelings about one person onto another. This often occurs with people transferring feelings about their parents onto figures they perceive to be in an authority role.
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635. A massage therapist is going through emotional troubles due to difficulties with family. The therapist has decided to share their experiences with a client and the client usually responds with concern. When is it appropriate for a client to take care of a therapist's emotional needs? a. Always b. Regularly c. Occasionally d. Never d - The professional role of a massage therapist requires them to be fully present for their client's needs and not the other way around. It is the responsibility of the therapist to take care of his or her own emotional and physical needs outside the therapeutic environment.
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d - The professional role of a massage therapist requires them to be fully present for their client's needs and not the other way around. It is the responsibility of the therapist to take care of his or her own emotional and physical needs outside the therapeutic environment.
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636. Wearing essential oils as a perfume or cologne can be considered a part of an aromatherapy treatment. a. True b. False
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b - Aromatherapy is best when tailored to each individual client and applied directly for their benefit. A therapist should be scent free within the therapeutic environment to assure the client is not offended by any undesired scents.
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637. A massage therapist has been in practice for the past 7 years and has maintained a level of consistency her office. The office and facilities are always clean and the clients are kept up to date about any changes. The therapist is always on time and changes appointments only when sick or something truly unavoidable occurs. The practice is flourishing and clients regularly refer friends and family for treatments. Which of the following is the most likely reason for the therapist's success? a. The therapist focuses on financial success b. The therapist seeks recognition from peers c. The therapist encourages personal development and character d. The therapist creates a safe environment
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d - The therapist has excelled at keeping the office experience and treatment sessions consistent, reliable, detailed and focused, and in doing so, has created a safe environment for the client. When clients feel safe, a practice will flourish.
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638. Which of the following techniques requires no application of a lubricant? a. Deep tissue b. Effleurage c. Petrissage d. Shiatsu
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d - Shiatsu is a technique that utilizes finger pressure along meridians. Most often the treatment is administered while the client is fully clothed.
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639. Which of the following is most important for a massage therapist to prevent burnout? a. Keep a clean office b. Use proper body mechanics c. Keep regular hours d. Become friends with clients
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b - Massage therapy has a high burnout rate, and the physical component to burnout is due to improper body mechanics. Learning how to apply various techniques in a way that protects a practitioner from injury is one of the most important aspects for preventing burnout.
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640. Which of the following is the number one ethical standard of providing massage therapy? a. Always look your best b. Do no harm c. Present a warm attitude d. Never turn away a client
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b - Do no harm. It is the number one rule for providing massage. In fact, it's the number one rule for all of healthcare.
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641. A massage therapist has created a vision statement for her practice, designed a thoughtful layout to her office and organized a marketing campaign to attract clients. What business practice is being applied? a. Office management b. Client safety c. Strategic planning d. Executive summary
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c - Strategic planning outlines the long term goals of a business. These goals include a vision statement, a mission statement, values or framework and a strategy for realizing the vision and mission goals.
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642. On your own body, which quadrant of the abdomen would you locate your gallbladder. a. Upper right b. Upper left c. Lower right d. Lower left
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a - The gallbladder is located in the upper right quadrant of the abdomen nestled just below the liver. This is where a scar can be found on clients who have had their gallbladder removed.
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643. A client has been diagnosed with TMJ dysfunction and typically requests deep, focused massage around the head, neck and jaw to release tension. This morning, before a scheduled massage, the client visited a dentist for a checkup and ended up needing some additional work. The dentist gave the client a local anesthetic which still has an effect on the client. How should the therapist proceed with the typical jaw work that the client requests? a. Go extra deep to take advantage of the local anesthetic b. Work the area as normal c. Work in the area but use caution d. Avoid the area for this session
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d - A local anesthetic to the jaw will numb the area and prevent the client from giving appropriate feedback. Also, there might be an issue related to the dentist visit. If there is tissue damage, the client will not be able to tell until after the anesthetic has worn off. This could put the massage therapist at risk for injuring the client. It is recommended to avoid the area until the client has healed, long after the anesthetic has worn off.
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644. There are several methods a massage therapist can use to assess a client. The therapist can ask questions to create a detailed intake and the therapist can provide a postural assessment. What is the most vital skill a massage therapist possesses? a. The ability to feel with the hands b. An intuitive healing nature c. A strong desire to help others d. To provide positive energy
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a - Massage is a unique skill that gives therapists a chance to spend more time with clients than virtually anyone else in the medical field. The greatest skill a massage therapist has is the ability to feel with the hands to explore the various bodily tissues of the client.
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645. A massage therapist has a cut on the tip of his finger. He may provide a massage treatment while wearing a finger cot. a. True b. False
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a - It will be okay to provide a massage treatment as long as the cut has stopped bleeding and no fluid can leak from the finger cot.
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646. A massage therapist that applies effleurage to the hamstrings, then to the calves and then back to the hamstrings is demonstrating ______________________ technique. a. distal proximal distal b. proximal distal proximal c. regional local regional d. local regional local
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a - It will be okay to provide a massage treatment as long as the cut has stopped bleeding and no fluid can leak from the finger cot.
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647. Sometimes it is necessary as a massage therapist to focus on specific structural imbalances within a client that has a tendency to resist a release. The role of a massage therapist forcing a particular release is considered _____________________. a. difficult b. necessary c. a violation d. best for the client
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c - Forcing a particular release in a client can bring about deep and unresolved emotional issues. For this reason, forcing a release is a violation of the client's right to hold onto their tension. Care must be taken to gently but firmly facilitate each release in sync with the client's ability to let go.
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648. Which of the following is the best description of PNF stretching? a. Hold-relax agonist b. Active stretching c. Passive stretching d. Active ballistic stretching
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a - PNF, or proprioceptive neuromuscular facilitation, utilizes mostly hold-relax type stretches on either the agonist or antagonist muscles.
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649. Which of the following should be done before working with a new client that is covered by insurance? a. Create a treatment plan b. Bill the insurance company c. Fill out the intake form d. Ask about their family life
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c - Filling out and reviewing the intake form is an essential document to procure before any treatment is offered. Part of the intake from is to assess whether any medical conditions prevent treatment and to obtain an authorization to administer care.
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650. A massage therapist that works on the tissues surrounding an adhesion, then works directly on the adhesion and then back to the surrounding tissues is demonstrating ________________. a. distal proximal distal b. proximal distal proximal c. regional local regional d. local regional local
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c - The massage therapist is first working on the regional tissue, then the local tissue and then back to the regional tissue.
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651. A prescription is necessary before providing medical massage. a. True b. False
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b - Medical massage is a controversial term used to indicate massage specifically designed to treat various medical issues. Although certain medical issues require a medical release, a medial massage practitioner may provide treatment for conditions that do not require a prescription.
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652. What do dermatomes relate to? a. Muscles b. Nerves c. Bones d. Emotions
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b - Dermatomes are sensory regions on the body that relate to specific spinal nerves. An example is a nerve sensation along the elbow and down to the back of the hand that would indicate an issue with the C7 spinal nerve according to the dermatome chart.
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653. Which method of massage focuses on subtle changes in the body to enhance the mind/body connection? a. Structural integration b. Visceral manipulation c. Myofascial release d. Energetic approaches
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d - Energetic approaches rely on soft touch and emotional intentions as the basis for healing. The other three options rely on more drastic changes in the body for effective treatment.
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654. When a massage therapist is petitioning a governing body of one state to accept a massage license from another state, the therapist is seeking _______________. a. reciprocity b. zoning c. free range d. open ended
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a - The massage therapist is seeking reciprocity, or the portability of their license from one state to another. Reciprocity is often decided on a case-by-case basis and therefore the massage therapist must contact the licensing board of each state to determine if reciprocity is accepted.
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655. What ratio of common household chlorine bleach to water should be used as a sanitizing solution? a. 1:100 b. 1:10 c. 1:1 d. 10:1
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b - Common household chlorine bleach is an effective sanitizing solution for disinfecting surfaces, implements and linens. The solution should be diluted at a ratio of 1:10 by combining one part bleach with nine parts water. Dilution rations are different than mechanical ratios In that the first number is subtracted from the second number to produce the correct total amount of a solution.
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656. During a particular heated election year, a massage therapist has decided to stop working with clients of opposing political views. What has interrupted the therapeutic relationship? a. Transference b. Self reflection c. Value conflict d. Stress
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c - Values are personal ethics and give meaning to people's lives. Value conflicts arise when differences in opinion supersede motives for acceptance and understanding which are key to maintaining a therapeutic relationship. The therapist has clearly overstepped the boundaries of being professional within the therapeutic relationship.
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657. The relationship between a client and massage therapist has grown to reflect a certain mutual admiration. The therapist finds herself dressing a little nicer on the days the client is scheduled and the client sends little text messages stating how excited he is to see the therapist for his massage. After their last treatment, the client and therapist embraced for a long time which literally gave the therapist an aroused feeling, but nothing else occurred except a friendly "goodbye". What should be done in this situation? a. Turn the client in for sexual harassment b. Wear something extra special next session c. Request the client seek treatment from another therapist d. Nothing, everything is fine
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c - Given the deeply personal work of massage, intimacy is bound to blur the lines of boundaries. How a massage professional handles intimacy issues is key to maintaining the ethical codes of conduct. In this case, the client has not done anything wrong. However, the therapist clearly has an ethical dilemma which needs to be addressed before anything unethical occurs.
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658. A client and a massage therapist who only see each other in a therapeutic environment is an example of a dual relationship. a. True b. False
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b - A dual relationship between a client and a massage therapist is one that both includes and exceeds the therapeutic environment. An example is a massage client who is also the tax preparer of the therapist. Now, if that same client is also the owner of the local bar that gives the massage therapist free drinks then they are in a multiple role relationship which can easily become a breeding ground for ethical dilemmas.
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659. Asking a client if there is any part of their body that they do not want massaged is a great way to find out the clients ________________. a. Ethics b. Virtues c. Boundaries d. Issues
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c - The best way to discover a client's boundaries is to ask them directly. What music do they prefer? Which do they like better, lotion or oil? Do they like the heat on the table and more are all great questions to define the boundaries within the therapeutic environment.
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660. A massage therapist who is providing an intake to uncover the treatment desires of the client is performing _______________. a. an informed consent b. a needs assessment c. a treatment plan d. an appointment policy
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b - A client with a specific goal in mind requires the massage therapist to perform a needs assessment of the client before and treatment plan can be created.
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661. On a rare occasion a client will be unhappy or dissatisfied with an experience with a therapist. In this case, a therapist should have a _______________ to address the client's issues. a. recourse policy b. special fee c. professional boundary d. training manual
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a - The purpose of a recourse policy is to act as a guideline for addressing client issues. The recourse policy could be a refund or offering of a complementary massage in the event of an unsatisfactory experience.
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662. A massage therapist who works for a chiropractor on set days for specific times for an hourly pay from the chiropractor is considered an independent contractor. a. True b. False
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a - The scenario represents a working arrangement of an employee. An independent contractor would have control over their hours and their pay.
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663. The wearing of protective gear like medical gloves, finger cots and goggles refers to which of the following? a. HIPPA b. Universal precautions c. Ethics d. Client safety
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b - Universal precautions are a set of rules known as "body substance isolation" which pertain to healthcare professionals avoiding contact with patient/client body fluids. These rules protect the practitioner from blood-borne and airborne pathogens.
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664. Which of the following should be a part of a massage therapists policy statement? a. Education b. Favorite activities c. Marketing plan d. Fee schedule e. Both a and c
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d - A policy statement represents the details and intentions of the practitioner and what is expected from the client in the therapeutic environment. The fee schedule is important to clarify any misunderstandings about payment and is just one facet of a policy statement.
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665. A massage therapist has created a great side business of selling supplements and therapy aides to his clients. What ethical advantage is the massage therapist using to increase profits? a. Power differential b. Proprietary knowledge c. Marketing d. Scope of practice
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a - A power differential occurs when a person is in a role of an expert and another person is seeking guidance or care. The expert has the power to easily influence the decision of the seeker and is thus more likely to take or purchase anything the expert suggests. Practioners in the field of healthcare have an ethical obligation to not capitalize on power differentials for personal gain.
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666. How often is it necessary for a therapist to wash their hands? a. At least once a day b. After each treatment c. Before and after each treatment d. Before, during, and after each treatment
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c - The purpose of washing hands prior to a treatment is to prevent contamination of the client. The purpose of washing hands after a treatment is to prevent contamination of the environment. Washing hands both prior and after treatment is necessary for proper cleanliness.
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667. UV light can be used to sanitize towels. a. True b. False
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a - UV or Ultra Violet rays have three classifications: UV-A, UV-B and UV-C. It's the UV-C class which contains the DNA destroying spectrum that prevents microbes from reproducing and is responsible for sanitation.
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668. Asking a client about their back pain while socializing at a fund raiser is a great way to stay informed about the progress of treatment. a. True b. False
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b - Discussing issues related to the therapeutic environment in a public place is actually a breach of confidentiality. If a client wants to volunteer information regarding their treatments then a simple acknowledgment is acceptable but prying for additional information oversteps the professional boundary.
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669. When is it okay to undrape a client's breast tissue? a. Anytime necessary b. With permission c. To massage breast tissue after receiving permission d. It is never okay
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c - Breast massage is a valuable technique for working the pectoralis major and minor muscles, lymphatic drainage and for discovering any dangerous growths or lesions. A therapeutic necessity must preclude massaging breast tissue and must only be applied after client consent. It is also necessary to uncover only the breast that is being massaged, one at a time.
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670. A therapist suspects a client is stealing while in the treatment room alone. It is okay to video the client while they are alone in the treatment room as long as the video is only used to verify a theft. a. True b. False
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b - No recording device may be used in a treatment room without prior consent from the client, and typically only for instructional purposes.
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671. A therapist has moved a massage table from their home to a treatment location. Choose the best option for table care before a massage session may begin. a. Clean the table with a non-toxic solution b. Be sure the table is stable by checking that it is fully deployed and the legs are tightly fastened c. Apply clean sheets and head rest cover d. All of the above e. Only a and b
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d - Moving a table from one location to another can expose many dangers from contamination to instability. It is important to follow all these steps to insure both the clients and therapists safety.
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672. Using a jar style container is acceptable for massage lotion that is used in a private practice serving multiple clients. a. True b. False
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b - Jar style containers may only be used for a single individual and is not recommended for use in a professional setting. Cross contamination is impossible to prevent and thus pump style containers are required for working with multiple clients.
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673. A therapist is applying deep tissue massage to a client. The client states the pain is between a 9 and 10 on the pain scale of 1-10. How should the therapist respond? a. Immediately stop working on that particular area and move on b. Lighten the pressure till there is no discomfort c. Ease off the pressure till the discomfort is closer to a 5-7 on the pain scale d. Give the client a squeeze ball to help them work through the pain... no pain, no gain
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c - There is a "goldilocks" zone for therapeutic deep tissue massage which resides somewhere between a 5-7 on a client's particular pain scale. Working within this zone is proven to provide the best results for both the client and therapist. There is an exception: the therapist must self regulate their pressure when a client experiences little to no pain or discomfort when deep hard pressure is being applied.
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674. Which muscle would require the use of medical gloves to massage? a. Medial pterygoid b. Omohyoid c. Digastric d. Masseter
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a - The medial pterygoid can be accessed externally by instructing a client to open their jaw. However, it is best accessed via the oral cavity. A medical glove is necessary whenever a body cavity is entered during a therapeutic treatment.
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675. Which of the following medical glove materials is most prone to cause an allergic reaction? a. Vinyl b. Neoprene c. Nitrile d. Latex
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d - There is a certain part of the population that is prone to a serious allergic reaction to latex, which can actually cause some to anaphylactic shock. Repeated expose to latex is known to increase a person's allergic reaction over time. Latex is naturally found in over 20,000 species of plants and is released as part of a defense mechanism.
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676. There are two types of medical gloves. They are ____________ and ____________ gloves. a. medical, inspection b. exam, surgical c. latex, nitrile d. external, internal
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b - Medical gloves are classified by their use. Surgical gloves adhere to a stricture tolerance for size and cleanliness. Exam gloves are used for general medical procedures.
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677. If a client chooses to end the massage 20 minutes into the session, what would be the appropriate response? a. Continue massage and ask them to relax b. Suggest that there is only 40 minutes left and continue c. End the massage session and demand full payment d. End the massage session and ask for feedback
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d - A client is in control of the massage session at all times. They possess the right to choose to end a session early and without penalty. This may be a personal trigger but it is in the therapist's best interest to remain professional. Asking for feedback is appropriate. However, it is not necessary to respond or defend yourself.
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678. When is it appropriate to ask for feedback about comfort levels regarding pressure? a. Before the session starts about their pressure preferences but not during b. Before and after a massage session but not during c. Anytime a therapist changes techniques or works on a new part of the body d. When a therapist detects physical cues that signal discomfort
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d - The best time to ask for feedback is when a massage therapist detects physical cues of discomfort. These cues involve the holding of breath, groans of agony, sudden adjustments, fidgeting and tensing or stiffening. These signals are not always an instant cue to reduce pressure as clients process their therapeutic experience differently. By asking for feedback at appropriate times, a therapist can provide the most effective treatments.
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679. Which of the following is the best option to prevent lower back fatigue in a massage therapist? a. Check the massage table for correct height for the therapist b. Lower the therapists center of gravity c. Weight training to improve strength d. Join a yoga class
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a - All of the options are recommended for a massage therapist to prevent injury and fatigue but the best option is to check and adjust the massage table for the correct height to fit the massage therapist.
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680. Which of the following should be included in a "mission statement" with regards to establishing a massage practice? a. The location where a practice will be established b. The key market cliental c. The color scheme and decor d. How billing will be handled
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b - The mission statement outlines the goals and framework for the overall intention of a business. In this case, deciding who the key market cliental is will determine many factors when building a practice.
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681. Which part of the business plan would a "no call, no show" fee be determined? a. Mission statement b. Marketing plan c. Business policies d. Key market cliental
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c - "No call, no show" fees would be placed under the category of business policies which acts as the guidelines on how the business functions.
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682. Which part of a business plan would a therapist decide how to reach and attract their intended cliental? a. Mission statement b. Permits and licensing c. Financial management d. Marketing
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d - Developing a marketing strategy is perhaps the most integral part of writing a business plan. A therapist can be the best in the world with the most beautiful office in the world but will fail miserably in establishing a cliental if they have not developed a marketing plan to reach people.
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683. You are hiring a massage therapist to work part time in your clinic. Which of the following offenses is grounds to deny a candidate a job in your clinic? a. Shows up late for the appointment b. Unkept and dirty fingernails c. Offensive body odor d. All of the above e. Only a and c
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d - Anyone you hire will be a representative of your clinic. It is important to hire a candidate that will reflect the professionalism you wish to maintain within your practice. All of the listed offenses are justifiable grounds for dismissing a candidate from applying for work within your office.
