2.5 - TBI - Cognitive-Behavioral Functioning Assessment

Question 1

What is the Ranchos Los Amigos Scale of Cognitive Levels?

2

Answer 1

A scale of 8 Levels of Cognitive Functioning in original scale

The revised scale has been expanded to 10 levels

Question 2

What are the highest and lowest levels in the original Ranchos Los Amigos Scale of Cognitive Levels?

Answer 2

1 – No response

8 – Purposeful-appropriate

Question 3

What are the highest and lowest levels in the original revised Ranchos Los Amigos Scale of Cognitive Levels?

Answer 3

1 – No response

10 – Purposeful-appropriate-modified independent

Question 4

What are the levels in the original Ranchos Los Amigos Scale of Cognitive
Levels?

Answer 4

1 = No Response

2 = Generalized Response

3 = Localized Response

4 = Confused–Agitated

5 = Confused–Nonagitated

6 = Confused–Appropriate

7 = Automatic_Appropriate

8 = Purposeful_Appropriate

Question 5

If you score a 1-3 on the Ranchos Los Amigos Scale of Cognitive
Levels, what mental state are you in?

Answer 5

Coma or coming out of a coma

Question 6

If you score a 4-6 on the Ranchos Los Amigos Scale of Cognitive
Levels, what mental state are you in?

Answer 6

Confused state

Question 7

If you score a 7+ on the Ranchos Los Amigos Scale of Cognitive
Levels, what mental state are you in?

(2)

Answer 7

No confusion

More independent

Question 8

On the Ranchos Los Amigos Scale of Cognitive

Levels, what is Stage I: No Response?

Answer 8

Person appears to be in deep sleep

Question 9

On the Ranchos Los Amigos Scale of Cognitive
Levels, what is Stage II: Generalized Response?

(2)

Answer 9

Person responds inconsistently to stimuli

Response is non-
purposeful.

Question 10

On the Ranchos Los Amigos Scale of Cognitive
Levels, what is Stage III: Localized Response?

(2)

Answer 10

Responds inconsistently

Response is specific to the stimulus

Question 11

On the Ranchos Los Amigos Scale of Cognitive

Levels, what is Stage IV: Confused + Agitated?

Answer 11

Heightened activity of any stimuli

Question 12

On the Ranchos Los Amigos Scale of Cognitive
Levels, what is Stage V: Confused-Inappropriate, Non-Agitated?

(4)

Answer 12

Patient looks awake

Memory impaired

Needs lots of structure

Can become aggravated with too much stimulus

Question 13

On the Ranchos Los Amigos Scale of Cognitive
Levels, what is Stage VI: Confused-Appropriate?

(2)

Answer 13

Know what things going on around them

Answers are inconsistent with question

Question 14

On the Ranchos Los Amigos Scale of Cognitive

Levels, what is Stage VII: Automatic-Appropriate?

Answer 14

Person is engaged in a structured life

Question 15

On the Ranchos Los Amigos Scale of Cognitive
Levels, what is Stage VIII: Purposeful-Appropriate?

(2)

Answer 15

Person is aable to remember more

Responses are consistently
appropriate and fitting of the question

Question 16

On the Ranchos Los Amigos Scale of Cognitive Levels, what is Stage IX: Purposeful-Appropriate (stand-by assistance on request)?

(3)

Answer 16

Person is able to complete tasks accurately for a couple of hours

Aware of and acknowledges limitations

Uses assistive memory devices

Question 17

On the Ranchos Los Amigos Scale of Cognitive Levels, what is Stage X: Purposeful-Appropriate (modified independent)?

(3)

Answer 17

Person is able to handle multiple tasks simultaneously in all environments

May require periodic breaks

Anticipates impact of impairments and disabilities

Question 18

During which levels of the Ranchos Los Amigos Scale of Cognitive Levels is it USEFUL to have the TV on?

Answer 18

1-3

7+ (since you are trying to integrate the individual into everyday situations)

Question 19

During which levels of the Ranchos Los Amigos Scale of Cognitive Levels is it HARMFUL to have the TV on?

Answer 19

4-6