California PTA Laws Practice Exam

Can a patient give free, full, or informed consent to engage in sexual activity with a physical therapist?

1. Yes, if they are of legal age

2. No, it is not permissible

3. Yes, if the therapist is licensed

4. No, but it depends on the situation

The correct answer is: No, it is not permissible

The correct answer is that it is not permissible for a physical therapist to engage in sexual activity with a patient, regardless of the circumstances. This is rooted in the ethical standards and laws governing the practice of physical therapy as well as the inherent power dynamics involved in the therapist-patient relationship. Informed consent in a clinical setting requires that a patient is not coerced and understands the implications of their decisions. However, the power imbalance between a therapist and their patient makes it impossible for any consent to be considered free and fully informed in this context. The therapist holds a position of authority and trust, so any sexual relationship would violate professional ethics and the established standards of care. Even if the patient is of legal age, has given consent, or if the therapist is licensed, the foundational principle that governs the therapist-patient relationship emphasizes boundaries that are essential for maintaining professionalism and ensuring patient safety. Therefore, engaging in sexual activity under these circumstances is considered unethical and is prohibited by law and professional guidelines.