If an employer directs a physical therapist to act against the practice act, the therapist should:

In situations where an employer directs a physical therapist to act against the practice act, the most appropriate response is to refuse to comply and seek guidance. This response is essential because acting against the practice act could lead to serious legal and professional consequences for the therapist and potentially compromise patient care and safety.

Refusing to comply underscores the therapist's commitment to ethical and legal standards that govern their practice. By seeking guidance, whether from a supervisor, legal counsel, or the appropriate regulatory board, the therapist is taking proactive steps to clarify the situation and ensure that they remain compliant with the practice act. This approach helps to uphold professional integrity and protect the welfare of patients while also addressing the conflict presented by the employer's directive.

Taking this stance can be crucial for maintaining professional standards and safeguarding one's license to practice. It also demonstrates a commitment to ethical practice, which is paramount in the healthcare field.

The other choices might lead to complications or ethical dilemmas. For instance, completing the activity may expose the therapist to legal repercussions and harm the patient. Documenting the directive is vital in some contexts but does not address the immediate need to uphold the practice act. Informing the patient could also lead to breaches of trust and confidentiality unless it's done in a legally and ethically appropriate