National Physical Therapy Examination (NPTE) Practice Exam

What is the best level of assistance for a modified independent 80-year-old patient ambulating with a walker ready for discharge from physical therapy?

1. Standby assist with a gait belt

2. No assistance

3. Minimal assistance with a gait belt

4. Contact guard without a gait belt

The correct answer is: No assistance

A modified independent level of assistance refers to a situation where a patient can perform a task mostly on their own, with minimal support or modifications, typically in a safe manner. In this case, an 80-year-old patient ambulating with a walker indicates they are capable of walking with the walker without requiring physical assistance from another person. Choosing "no assistance" implies that the patient has achieved a level of independence where they can maneuver the walker and ambulate safely without the need for another person's intervention. This suggests they have demonstrated sufficient strength, balance, and understanding of how to use the walker effectively, making them ready for discharge from physical therapy. In contrast, the other options imply varying degrees of assistance that may not align with the definition of modified independence. Standby assistance, minimal assistance, and contact guard all suggest some form of support or intervention, which would be unnecessary for a patient classified as modified independent. Thus, option B accurately reflects the appropriate level of assistance for this patient's discharge status.