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CBIS Exam Study Guide Questions with
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Dementia - ✔✔Must be coupled with a functional limitation in everyday life due to the cognitive change PPCS - ✔✔Always includes neuropsychological assessment, psychiatric history, psychological response to previous injuries, available support system, and current coping skills Disorders of consciousness - ✔✔Coma, vegetative, persistent vegetative, minimally conscious MTBI represents - ✔✔75% of all TBIs in the US MTBI symptoms resolve... - ✔✔Most symptoms resolve in 2- weeks
CTE - ✔✔A rare progressive degenerative condition of the central nervous system. Diffuse axonal injury causes release of tau proteins. Blood Brain Barrier - ✔✔At the vascular level harmful substances cannot pass through the membrane to harm the brain and it has its own glial cells that serve as its own immune defense and garbage disposal Aspiration - ✔✔Food, liquid, or vomit inhaled into thw lungs can result in pneumonia or other respiratory infections Pressure Sores - ✔✔Caused by inadequate pressure relief, prolonged positioning on one's side or buttocks, shearing of skin, casts, infections, incontinence, and poor nutrition
Domains of cognitive functioning hierarchy - ✔✔Attention Categorization Memory Processing speed Executive functions Metacognition Problems with metacognition affect - ✔✔Your ability to self- monitor and use thoughts to change or improve thinking and behavior coma-emergent - ✔✔Do not use consequence based programming; medication, controlling the environment, providing structure, educate family Intermittent reinforcement - ✔✔A particular response sometimes produces reinforcer; examples hourly pay and
slot machines
capacity for self-determination; and intervention is most effective when requested Assistive technology for cognition - ✔✔Low-tech (calendars and post-its) high tech(smart phones and tablets) and complex specialized systems Individuals with disabilities education act - ✔✔Federal mandate requiring public schools to provide appropriate education through special ed supports and services Most brain maturation occurs... - ✔✔Birth-5 years old IEP transition plan - ✔✔To address life after high school; post secondary education; vocational training; employment; adult services; living arrangements; community participation
Family reports of post-injury changes to include - ✔✔Changes in mood and emotional health; unequal sharing of household responibilities and lack of resources to combat BI related complications Parents of individuals with BI report... - ✔✔Significantly higher rates of stress Culture - ✔✔Any group that shares a theme or set of issues; can entail social mores and historical traditions and beliefs passed down from generation to generation Secondary causes of sexual dysfunction - ✔✔Physical- spasticity and ataxia; cognitive- attention, memory; emotional and behavioral- depression and apathy; other- marital dysfunction and social isolation 1st stage of Case Management - ✔✔Assessment
Exploitation - ✔✔The illegal use of a dependent individual's property or expenditure of funds without the consent of the individual IEP - ✔✔A legal plan developed by special ed team including parents specifying goals based on assessment Return to duty - ✔✔No symptoms at rest or after excertion Sustained Attention - ✔✔The ability to maintain attention to complete a task accurately and efficiently over a period of time Working memory - ✔✔Temporary storage and active processing of information; examples counting change and recalling a sequence of digits immediately after they are given
Studies of individuals 5-10 years post injury report predominant factors relating to disability were - ✔✔Cognitive, behavior, and personality changes rather than physical changes Bill of rights - ✔✔Should be posted; patients have all rights as citizens under law; and provide respect etc. Pre-existing difficulties for individuals who develop a psychiatric disorder following a BI include - ✔✔Job dissatisfaction; low economic status; less education; lack of close personal relationships Seizures become medical emergencies when - ✔✔They last longer than 5 minutes Synaptogenesis - ✔✔The greater the numbers of synaspes within a grouping of neurons the greater the speed and efficiency with which those neurons communicate
