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Theory & Practice of TherapeuticMassage Exam Review, 5th EditionMark F. BeckAustralia Brazil Japan Korea Mexico Singapore Spain United Kingdom United StatesMiladyER FM.indd i2/24/10 12:15 PM

Theory & Practice of TherapeuticMassage Exam ReviewEdition: 5Author(s): Mark F. BeckPresident, Milady: Dawn GerrainPublisher: Erin O’ConnorAcquisitions Editor: Martine EdwardsSenior Product Manager: Philip MandlEditorial Assistant: Maria HerbertDirector of Beauty Industry Relations:Sandra BruceExecutive Marketing Manager: GerardMcAveyProduction Director: Wendy TroegerSenior Content Project Manager: AngelaSheehanSenior Art Director: Joy Kocsis 2011 Milady, a part of Cengage LearningALL RIGHTS RESERVED. No part of this work covered by the copyright herein may be reproduced, transmitted, stored, or used in anyform or by any means graphic, electronic, or mechanical, includingbut not limited to photocopying, recording, scanning, digitizing,taping, Web distribution, information networks, or informationstorage and retrieval systems, except as permitted under Section107 or 108 of the 1976 United States Copyright Act, without theprior written permission of the publisher.For product information and technology assistance, contact us atProfessional & Career Group Customer Support, 1-800-648-7450For permission to use material from this text or product, submit allrequests online at cengage.com/permissions.Further permissions questions can be e-mailed topermissionrequest@cengage.com.Library of Congress Control Number: 2009938144ISBN-13: 978-1-4354-8528-0ISBN-10: 1-4354-8528-9Milady5 Maxwell DriveClifton Park, NY 12065-2919USACengage Learning products are represented in Canada by NelsonEducation, Ltd.For your lifelong learning solutions, visitmilady.cengage.comVisit our corporate website at cengage.com.Notice to the ReaderPublisher does not warrant or guarantee any of the productsdescribed herein or perform any independent analysis in connection with any of the product information contained herein.Publisher does not assume, and expressly disclaims, any obligationto obtain and include information other than that provided to it bythe manufacturer. The reader is expressly warned to consider andadopt all safety precautions that might be indicated by the activitiesdescribed herein and to avoid all potential hazards. By followingthe instructions contained herein, the reader willingly assumes allrisks in connection with such instructions. The publisher makes norepresentations or warranties of any kind, including but not limited to,the warranties of fitness for particular purpose or merchantability, norare any such representations implied with respect to the material setforth herein, and the publisher takes no responsibility with respect tosuch material. The publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or part, from thereaders’ use of, or reliance upon, this material.Printed in the United States of America1 2 3 4 5 XX 12 11 10MiladyER FM.indd ii2/24/10 12:15 PM

Theory & Practice of TherapeuticMassage Exam ReviewContents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iiiForeword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ivPart I: The History and Advancement of Therapeutic Massage . . . . . . . . . . 1CHAPTER 1—Historical Overview Of Massage . . . . . . . . . . . . . . . . . . . . . . 1CHAPTER 2—Requirements For The Practice Of Therapeutic Massage . . . . . . 7CHAPTER 3—Professional Ethics For Massage Practitioners . . . . . . . . . . . .11Part II: Human Anatomy and Physiology. . . . . . . . . . . . . . . . . . . . . . . . . .17CHAPTER 4—Overview Of Human Anatomy And Physiology . . . . . . . . . . . .17CHAPTER 5—Human Anatomy And Physiology . . . . . . . . . . . . . . . . . . . . .23Part III: Massage Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37CHAPTER 6—Effects, Benefits, Indications, And ContraindicationsOf Massage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37CHAPTER 7—Equipment And Products . . . . . . . . . . . . . . . . . . . . . . . . . .43CHAPTER 8—Sanitary And Safety Practices . . . . . . . . . . . . . . . . . . . . . . .49CHAPTER 9—The Consultation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55CHAPTER 10—Classical Massage Movements . . . . . . . . . . . . . . . . . . . . . .61CHAPTER 11—Application Of Massage Technique . . . . . . . . . . . . . . . . . . .67CHAPTER 12—Procedures For Complete Body Massages . . . . . . . . . . . . . . .73CHAPTER 13—Hydrotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79CHAPTER 14—Massage In The Spa Setting . . . . . . . . . . . . . . . . . . . . . . .85CHAPTER 15—Clinical Massage Techniques . . . . . . . . . . . . . . . . . . . . . . .93CHAPTER 16—Lymph Massage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101CHAPTER 17—Therapeutic Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . 107CHAPTER 18—Athletic/Sports Massage . . . . . . . . . . . . . . . . . . . . . . . . . 115CHAPTER 19—Massage For Special Populations . . . . . . . . . . . . . . . . . . . 123CHAPTER 20—Massage In Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . 131CHAPTER 21—Other Somatic Therapies . . . . . . . . . . . . . . . . . . . . . . . . . 137Part IV: Massage Business Administration . . . . . . . . . . . . . . . . . . . . . . . 143CHAPTER 22—Massage Business Administration . . . . . . . . . . . . . . . . . . . 143iiiMiladyER FM.indd iii2/24/10 12:15 PM

ForewordTheory & Practice of Therapeutic Massage, 5th Edition Exam Review follows the typeof massage therapy questions most frequently used by massage therapy testingboards, conducted under the auspices of the Federation of State Massage TherapyBoards: Massage & Bodywork Licensing Examination (MBLEx), and the NationalCertification Board for Therapeutic Massage & Bodywork: the National CertificationExamination (NCE).This exam review book is designed to be of major assistance to students inpreparing for the examinations and future career path. The exclusive concentrationon multiple-choice test items reflects the fact that most certification and licensingexaminations are confined to this type of question.Questions on the different examinations will not be exactly like these andmay not touch upon all the information covered in this review. But students whodiligently study and practice their work as taught in the classroom and who usethis book for test preparation and review should receive higher grades on bothclassroom and license examinations.The answers to the questions are found at the end of the book.ivMiladyER FM.indd iv2/24/10 12:15 PM

Part 1: The History and Advancement ofTherapeutic MassageCHAPTER 1—HISTORICAL OVERVIEW OF MASSAGEMULTIPLE CHOICE1. In the past, a female massage practitioner was called a:a. massagerc. masseuseb. masseurd. masso2. The Sanskrit terma. makehb. massameans to press softly.c. mass’hd. masso3. In the United States, the use of the word massage waspopularized by:a. Herodicusc. Aesculapiusb. Douglas Grahamd. Johann Georg Mezger4. Massage has been important in Western medical traditions for atleastyears.a. 5,000c. 2,000b. 3,000d. 1,0005. A modern term for Chinese massage is:a. anmoc. tsubob. tschanpuad. tui-na6. The Japanese term for energy point or pressure point is:a. Ayurvedac. tschanpuab. Tsaid. tsubo7.is a Japanese finger-pressure massage technique.a. Shiatsuc. Tsubob. Tapotementd. Tui-na8.a. Anmob. Shiatsuis a Hindu technique of massage in the bath.c. Tschanpuad. Tsubo1MiladyER Ch01 01-06.indd 12/24/10 10:01 AM

9. In his writings, Hippocrates used themeans the art of rubbing a body parta. anatripsisb. Ayurvedawordupward.c. Hippocraticd. tschanpua, which10. William Harvey, an English physician, is credited with discoveringin 1628.a. anatripsisc. lymphedemab. blood circulationd. massage11.gained great knowledge of anatomy in his role as aphysician to gladiators.a. Ciceroc. Hippocratesb. Galend. Rhazes12. Persian philosopher/physicianauthored the Canon ofMedicine, considered the most important book in medical history.a. Avicennac. Herodicusb. Galend. Rhazes13.classified massage movements as gentle, medium,and vigorous frictions and employed flexion, extension, andcircumduction of joints.a. Avicennac. William Harveyb. Galend. Ambroise Pare14. In 1569,published De Arte Gymnastica ongymnastics and the benefits of massage when integrated intobody and mind treatments.a. Galenc. Mercurialisb. William Harveyd. Ambroise Pare15. In the early nineteenth century, Englishmanwas asurgeon and practitioner of chirurgy, or healing with the hands.a. Douglas Grahamc. William Harveyb. John Grosvenord. Mathias Roth16.gymnastics, or gymnastics applied to the treatmentof disease, was developed by Per Henrik Ling.a. Duplicatedc. Medicalb. Swedishd. Tapotement17. In the Ling System,movements are performed bythe patient and can be called exercise.a. activec. passiveb. duplicatedd. therapeutic2MiladyER Ch01 01-06.indd 22/24/10 10:01 AM

18. Mathias Roth, an English physician, published the first Englishbook on the Swedish Movements in:a. 1813c. 1858b. 1851d. 186119. Modern massage terminology is credited to:a. Johann Mezgerc. Charles Fayette Taylorb. Mathias Rothd. Emil Vodder20. In massage,a. effleurageb. friction21.lifts, squeezes, and presses the tissues.c. petrissaged. tapotementis a succession of strokes applied by gliding thehand over an extended portion of the body.a. Effleuragec. Petrissageb. Frictiond. Tapotement22. Albert J. Hoffa’s, one of the most basic books inthe field of massage, contains many of the techniques used inSwedish massage.a. Art of Massagec. Healing MassageTechniquesb. Good Healthd. Technik Der Massage23. The invention ofhands-on massage therapy.a. computersb. electricityhad a detrimental effect onc. lymphaticsd. spas24. Emil Vodder developed, a method of gentlerhythmical massage that effectively treats chronic lymphedema.a. connective tissue massagec. lymphaticsb. Esalen massaged. manual lymph drainage25. Which one of the following massage types is believed to affectvascular and visceral reflexes related to varied pathologies anddisabilities?a. Connective Tissue Massagec. Esalen Massageb. Deep Transverse Friction Massage d. Manual Lymph Drainage26., an English orthopedic physician, is credited withpopularizing Deep Transverse Friction Massage.a. James H. Cyriaxc. Maria Ebnerb. Elizabeth Dicked. Emil Vodder3MiladyER Ch01 01-06.indd 32/24/10 10:01 AM

27. Beginning around, a massage renaissance thatcontinues today began in the United States.a. 1950c. 1970b. 1960d. 198028. The Esalen Institute in Big Sur California, founded in 1962,became a popular center for which of the following?a. human potential movementc. Trager methodb. preventive health movementd. wellness model29. Which of the following is the oldest national professional massageassociation in the United States?a. ABMPc. AOBTAb. AMTAd. IMA30. The National Certification Exam, established in 1990, requiredapplicants to have at leasthours of training from astate-recognized school.a. 100c. 800b. 500d. 1,00031.massage is designed to enhance athletes’performances.a. Deep tissuec. Sportsb. Chaird. Team32.massage was a great innovation that helpeddemystify massage and make it more accessible to a wideraudience.a. Chairc. Sportsb. Floord. Table33. By 2009,states and the District of Columbia hadstate-wide massage licensing.a. 10c. 30b. 20d. 4034. In 2005, thewas established when members fromtwenty-two state massage therapy licensing agencies convened.a. APTAc. NCBTMBb. FSMTBd. NCE4MiladyER Ch01 01-06.indd 42/24/10 10:01 AM

35. In 1992, Tiffany M. Fields founded theincollaboration with the University of Miami Medical School.a. Center for Complementary andc. National InstitutesAlternative Medicineof Healthb. Massage Therapy Foundationd. Touch Research Institute36. In 1998, the NIH established the:a. AMTAb. CAMc. NCCAMd. TRI37. Which system of massage stems from the Chinese medical practiceof acupuncture?a. acupressurec. Swedishb. shiatsud. tsubo38. Shiatsu, a finger pressure method, is based on the Orientalconcept that the body has a series of energy points called:a. chic. tui-nab. Kid. tsubo39. Which massage system is said to improve body metabolism andrelieve a number of physical disorders?a. acupressurec. Japaneseb. Germand. Swedish40.is a method developed by Randolph Stone that usesmassage manipulations derived from both Eastern and Westernpractices.a. Polarity therapyc. Sports massageb. Rolfingd. Trager method41.aligns the major body segments throughmanipulation of the connective tissue.a. Polarity therapyc. Rolfingb. Reflexologyd. Trager method42.stimulates particular points on the surface of thebody, which in turn affect other body areas or organs.a. Craniosacral therapyc. Touch for Healthb. Reflexologyd. Trager method43.is a simplified form of applied kinesiology thatinvolves techniques from both Eastern and Western origins.a. Neuromuscular techniquec. Rolfingb. Reflexologyd. Touch for Health5MiladyER Ch01 01-06.indd 52/24/10 10:01 AM

44. Around 1940, osteopaths Stanley Lief and Boris Chaitoworiginated:a. neuromuscular techniquesc. Rolfingb. reflexologyd. Trager method45. John Upledger is credited with developing which of thefollowing?a. craniosacral therapyc. neuromusculartechniquesb. kinesiologyd. reflexology6MiladyER Ch01 01-06.indd 62/24/10 10:01 AM

CHAPTER 2—REQUIREMENTS FOR THE PRACTICE OFTHERAPEUTIC MASSAGEMULTIPLE CHOICE1. The massage practitioner has an ethical responsibility to thepublic and to:a. other businessesc. insurance companiesb. clientsd. no answers2. According to law, who can diagnose illnesses and other medicalconditions and prescribe medications for those conditions?a. doctorsc. nurse’s aidesb. doctors and registered nursesd. pharmacists3. An individual’s scope of practice is directly related toand.a. clients, trainingc. ethics, clientsb. skills, trainingd. beliefs, skills4. Many occupations and professions have national or state regulatoryboards that help define and enforce adherence to a(n):a. ethical practicec. scope of practiceb. rule of businessd. standard of practice5. Which of the following statements about scope of practice isnot true?a. Personal bias influencesc. Scope of practice isa person’s scope of practice.influenced by the skillsacquired.b. Educational focus influences ad. Massage therapy has apractitioner’s scope of practice.clearly defined scopeof practice.6. In the United States,percent of states have adoptedlicensing regulations for massage practice.a. 40c. 80b. 60d. 907. Many municipalities adopt ordinances to curb unethical practicesand use of the termto conceal questionable or illegalactivities.a. licensec. municipalb. massaged. practice7MiladyER Ch02 07-10.indd 72/24/10 10:03 AM

8. Ordinances adopted to curb unethical and illegal practices inmassage practice include all of the following except:a. criminal record searchesc. mug shotsb. fingerprintingd. proficiency exams9. A massage license from a city is most likely valid:a. only in the city where issuedc. only in the countywhere issuedb. throughout the stated. throughout thewhere issuedUnited States10. All of the following will be able to provide informationconcerning massage regulations except:a. city attorneyc. department of healthb. county commissioner’s officed. mayor’s office11.between two licensing entities means that the twoentities will honor a valid massage license.a. Dualismc. Reciprocityb. Grandfatheringd. Statute sharing12. In terms of massage licensing, which laws usually takeprecedence?a. cityc. federalb. countyd. state13. Which of the following is not a requirement for state licensure?a. massage therapy trainingc. high school diplomab. complete written examd. minimum 21-year age14. Both NCE and MBLEx are exams ina. written-essayb. multiple-choiceformat.c. short-answerd. true-false15. All of the following are subjects covered on the NCE exam except:a. benefitsc. morphologyb. kinesiologyd. pathology16. Which of the following is a service within a massage therapist’sscope of practice?a. acupuncturec. psychotherapyb. chiropractic assessmentd. therapeutic assessment8MiladyER Ch02 07-10.indd 82/24/10 10:03 AM

17. When setting up a massage practice, local business andlaws must be followed.a. educationc. medicalb. massaged. zoning18. COMTA requires schools to have at leastclassroomhours of training before consideration for accreditation.a. 500c. 800b. 600d. 1,00019. Subjects required in COMTA training include all of thefollowing except:a. assessment, planning, andc. effects of massage andperformancebodyworkb. business developmentd. massage contraindicationsand practicesand precautions20. In states that license massage, educational requirements varyfromtohours of training.a. 300, 600c. 300, 1,000b. 500, 1,000d. 300, 2,20021. Continuing education is among the renewal requirements for all ofthe following except:a. ABMPc. FSMTBb. AMTAd. NCB22. Which of the following is not a purpose of a massage therapist’scontinuing education courses?a. expand technical skillsc. improve businessb. hire employeesd. refresh interest23. Some states require a(n)for licensing, which serves asproof of the massage therapist’s adequate health.a. doctor’s permissionc. insurance certificateb. health certificated. physician referral24. Health requirements for the massage practitioner includeand the ability to concentrate.a. annual physical examsc. certificationb. cardiovascular fitnessd. physical stamina9MiladyER Ch02 07-10.indd 92/24/10 10:03 AM

25. Massage practitioners could have their licenses revoked, suspended,or canceled for any of the following reasons except:a. ethical misconductc. narcotics addictionb. felony convictiond. misdemeanor conviction26. Which of the following is awarded by schools and institutions toshow the successful completion of a course of study?a. awardc. licenseb. certificated. regulation27. Which of the following National Certification Board (NCB)exams focuses on classic Western massage without the Asianbodywork component?a. NCBTMBc. NCETMb. NCEd. NCETMB10MiladyER Ch02 07-10.indd 102/24/10 10:03 AM

CHAPTER 3—PROFESSIONAL ETHICS FOR MASSAGE PRACTITIONERSMULTIPLE CHOICE1. A profession is usually regulated, is represented by a professionalassociation, and adheres to a:a. scope of practicec. moral codeb. code of ethicsd. professional strategy2. Educational requirements, scopes of practice, codes of ethics, andstate and local regulations are all examples of:a. ethical standardsc. professional ethicsb. practical ethicsd. professional standards3. Everyone hasthat dictate how they act and interactwith the world and other people.a. boundariesc. force fieldsb. ethicsd. strategies4.provide protection and a sense of self.a. Moral codesc. Personal boundariesb. Professional boundariesd. Defense zones5.boundaries are predetermined practices that protectthe safety of the client and the therapist.a. Ethicalc. Personalb. Professionald. Physical6. The eight major areas to consider when establishing professionalboundaries include all of the following except:a. appearancec. moneyb. languaged. self-perception7. Voice intonation is a component of which type of professionalboundary?a. appearancec. languageb. interpersonal spaced. self-disclosure8.refers to a therapeutic massage setting that isprofessional, safe, and comfortable.a. Locationc. Timeb. Appearanced. no answers11MiladyER Ch03 11-16.indd 112/24/10 10:05 AM

9. When first establishing interpersonal space with a client, themassage therapist should be:a. standing while the client sitsc. always standingb. sitting if the client is standing d. at the client’s eye level10. In self-disclosure, the information needed to gain theclient’s informed consent and confidence includes all of thefollowing except:a. appointment policiesc. modalities practicedb. marital statusd. treatment plan11. Which of the following areas of professional boundaries relatesdirectly to physical boundaries on and off of the table?a. appearancec. self-disclosureb. languaged. touch12. Touch boundaries on the treatment table include all of thefollowing except:a. touch depth and qualityc. which parts of theclient’s body are nottouchedb. supervised touchd. which parts of thepractitioner’s body touchthe client13. Touch that is tooviolate boundaries.a. lightb. deepmay cause discomfort andc. light or deepd. neither light nor deep14. Time boundaries are defined by establishing and maintainingpolicies regarding all of the following except:a. late arrivalsc. missed appointmentsb. late paymentsd. session length15. Fees that are too low or exorbitantly high for the servicesrendered are professional boundary:a. adjustmentsc. regulationsb. infractionsd. all answers16. The therapeutic relationship is a practitioner/client relationshipthat is-centered.a. clientc. practitionerb. moneyd. time12MiladyER Ch03 11-16.indd 122/24/10 10:05 AM

17. Ais a place where clients assume they are safe fromphysical, emotional, and sexual impropriety.a. client spacec. safe environmentb. massage practiced. treatment space18.in the practitioner/client relationship is thefoundation of safety, protection, trust, and respect.a. Compromisec. Equalityb. Confidentialityd. Relaxation19. Thelegally requires massage therapists to reportsituations of imminent or life-threatening danger by or toa client.a. confidentiality clausec. power differentialb. duty to warn and protectd. right of client privilege20. In a client-based relationship, the question “To whose benefit isthe questioned activity?“ determines:a. client satisfactionc. procedure timeallotmentb. procedure appropriatenessd. confidential information21. In a(n)relationship, one party has more authoritywhile the other is more vulnerable or submissive.a. subordinate relationshipc. peer relationshipb. imbalance differentiald. power differential22. In which of the following relationships is the power differentialfairly even?a. husband/wifec. student/teacherb. employer/employeed. practitioner/client23. A feeling ofpersonal boundary.a. uneaseb. surprise24.can signal the crossing of ac. pleasured. painis/are the most effective tool for both preventing andclarifying boundary issues.a. Clear communicationc. Litigationb. Ethical standardsd. Policies13MiladyER Ch03 11-16.indd 132/24/10 10:05 AM

25. In the therapeutic relationship, who is responsible for beingsensitive to, respecting, and maintaining personal andprofessional boundaries?a. clientc. practitionerb. employeed. no answers26. A client’s unconscious tendency to project onto the practitionerthe attributes of someone from a former relationship is called:a. transferencec. communicationb. power differentiald. countertransference27.tends to diminish the effectiveness of thetherapeutic relationship.a. Communicationc. Projectionb. Confidentialityd. Transference28. It is not a sign of transference when the client does which ofthe following?a. demands more of thec. berates the practitionerpractitioner’s timeb. proposes sexual involvementd. chooses to end treatment29. Clients who bring their practitioners gifts may be exhibitingsigns of:a. appreciationc. power differentialb. countertransferenced. transference30. Which of the following is not a sign of countertransference?a. The client brings or offers thec. The practitionerpractitioner gifts or favors.experiences fatigue ordepression after asession.b. The practitioner dreads and. The practitioner thinksupcoming appointment withexcessively about a clienta client.between sessions.31. Dressing in a special manner for certain clients may be a sign of:a. countertransferencec. power differentialb. dual relationshipd. transference32. The best defense against transference and countertransference is:a. abiding by state mandatesc. limiting services tofamily and close friendsb. discontinuing the relationshipd. maintaining healthyprofessional boundaries14MiladyER Ch03 11-16.indd 142/24/10 10:05 AM

33. Bartering for work or services may create what typeof relationship?a. balance of powerc. nontherapeuticb. duald. power differential34. Which of the following is a classic dual relationship?a. client barters for massagec. practitioner bartersservicesmassage for otherservicesb. client and practitioner taked. client refers friends to theon other rolespractitioner35. The practitioner who develops feelings for a client should dowhich of the following?a. ask the client out to coffeec. determine mutualconsentb. assess the client’s feelingsd. refer the client to anotherpractitioner36. Who is responsible for maintaining professional boundaries?a. clientc. peer supervisorb. massage therapistd. all answers37. The positive touch of massage increases which of the following?a. cortisolc. norepinephrineb. dopamined. stress38. People who suffer from depression have low levels of:a. cortisolc. norepinephrineb. epinephrined. serotonin39. Touch is consideredor dominate the receiver.a. aggressiveb. casualwhen it is applied to do harm to40. In a therapeutic setting,a. casualb. erotictouch is never appropriate.c. positived. therapeutic41.c. eroticd. no answersis a natural physiological and cognitive response tostimulation perceived as erotic by the body.a. Positive touchc. Sexual arousalb. Sexual abused. Touch therapy15MiladyER Ch03 11-16.indd 152/24/10 10:05 AM

42. Which of the following conceals most signs of a woman’ssexual arousal?a. careful lightingc. proper table positionb. proper drapingd. no answers43. Therapists who find they are involved in cases of transference,countertransference, or dual relationships should pursue:a. client referralc. supervisionb. power differentialsd. therapeutic massage44. Insupervision, therapists who practice similar formsof therapy meet regularly and consistently using an agreedupon format.a. mentorc. mental healthb. peer groupd. clinical45. Which of the following is not an exampleof practice?a. maintaining accurate clientc.recordsb. staying within scope of practice d.46.of ethical standardstreating clients withcourtesysharing client informationfreelyis the ability to be tolerant under stressful orundesirable conditions.a. Intuitionc. Patienceb. Honestyd. Tact47. The quality of being reliable, responsible, self-disciplined, andwell adjusted is:a. tactc. maturityb. intuitiond. self-motivation48.is projected by attitudes about self and one’schosen profession.a. Cheerfulnessc. Intuitionb. Honestyd. Self-esteem49. The ability to set positive goals and put forth the energy andeffort needed to achieve those goals is called:a. self-motivationc. tactb. self-esteemd. maturity50. A(n)is particularly important in personal service becauseprofessionals address the health and well-being of individuals.a. appropriate business namec. robust business planb. reliable reputationd. employee handbook16MiladyER Ch03 11-16.indd 162/24/10 10:05 AM

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