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Flashcards in Cognition Deck (32)
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1

List the level of consciousness.

1. Alertness
2. Lethargy
3. Obtundation
4. Stupor
5. Coma
6. Unresponsive vigilance state
7. Minimally conscious state

2

Describe a patient who would be considered alert.

- opens eyes and looks at therapist
- responds fully and appropriately to stimuli

3

Describe a patient who is considered at a lethargy conscious level.

- pt appears drowsy; FALLS asleep EASILY

- opens eyes and looks at examiner

- responds to questions

4

Describe a patient who is demonstrating obtundation?

- opens eyes and looks at therapist

- responds to questions, but responds SLOWLY and is confused

-decreased alertness and interest in environment

5

Describe a patient in a stupor.

- can only be aroused from sleep with PAINFUL stimuli

- verbal responses are slow or absent

- Pr returns to unresponsive state with stimuli is removed

- demonstrates minimal awareness of self and environment

6

Describe a patient in a coma

- state of consciousness from which pt CANNOT be aroused

- eyes remained close

- no response to external stimuli or environment

7

Describe a patient in Unresponsive vigilance state.

- a state characterized by the return of sleep/wake cycles, normalization of vegetative vitals

- lack of cognitive responsiveness (can be aroused but is unaware)

8

What is considered a persistent vegetative state?

a state lasting > 1 year for TBI and >3 mons for anoxic brain injury

9

Describe a patient in a minimally conscious state.

State characterized by severely altered consciousness with nominal but definite evidence of self or environment awareness

10

A score ranging from 1-8 is considered what on the glascoma scale (GCS)

Severe brain injury

11

A score ranking from 9-12 is considered what kind of brain injury on the Glasgow Coma Scale (GCS)?

Moderate brain injury

12

A score ranking from 13-15 is indicative of what kind of brain injury on the Glasgow Coma Scale (GCS)?

Minor brain injury (scores 13-15)

13

When going through the Glasgow Coma Scale a therapist is assessing response to what three elements?

1. Eye opening
2. Motor response
3. Verbal response e

14

A therapist is wanting to test immediate recall (memory), how can she/he do this?

Name three items previous presented after a brief interval (i.e. 5 minutes)

15

A therapist is wanting to assess short-term memory of patient. How can he/she do this?

Recall recent events (i.e. What did you have for breakfast)

16

A therapist is wanting to assess remote (long-term) memory. How can he/she do this?

Recall of past events (i.e. where were you born? Where did you grow up)

17

A therapist asks a patient to recall seven numbers in the order they were presented. What is the therapist trying to assess?

Length of attention span and therapist is using a digit span retention test

18

A therapist wants to assess the patients ability to attend to task without redirection (sustained attention). How can he/she do this?

Determine time spent on task and frequency of redirection

19

Describe divided attention.

Ability to shift attention from one task to another

20

When assessing attention what else should a therapist assess?

Divided attention

Ability of dual task control

perseveration (mental inertia)

21

Describe perseveration.

Getting stuck on a task

22

Describe focused attention.

Ability to stay on task in presence of detractors

23

How would a therapist assess focused attention

Assess impact of environmental vs internal detractors

24

True or false: therapist should assess the ability of a patient to follow one- or two step, multilevel commands

True

25

List Emotional Responses/Behaviors that should be assessed.

1. Safety, judgment: impulsivity and lack of inhibition
2. Affect/mood: irritability, agitation, depression and withdrawal
3. Frustration tolerance
4. Self-centeredness
5. Insight into disabilty
6. Ability to follow rules of social conduct
7. Ability to tolerate criticism

26

List Higher-level cognitive abilities that can be assessed.

1. Judgement, problem-solving
2. Abstract reasoning
3. Fund of general knowledge: current events, ability to learn new information, generalize learning to new situations
4. Calculation: Serial 7 test (count backwards from 7)
5. Sequencing: ability to order components of cognitive or function task; assess if cueing is necessary, frequency of cues

27

The MMSE screening includes what items?

Orientation

Registration

Attention and calculation

Recall and language

28

A max score on the MMSE is ?

30

29

A score on the MMSE 21-24 indicates what?

Mild cognitive impairment

30

A score on the MMSE of 16-20 indicates ?

Moderate impairment