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ECU Cognitive/Linguistic Impairment in Brain-Injured Adults > 3.3 - TBI - Formal Assessment > Flashcards

3.3 - TBI - Formal Assessment Flashcards

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1
Q

What 2 factors should we consider for formal TBI assessments?

A

Test length and ease of administration

How test is perceived by patients

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2
Q

What are 4 questions we should ask before choosing a formal TBI assessment?

A

Is it appropriate for the testing environment

Is it appropriate for the patient’s cognitive Level

Is it likely to facilitate or increase patient’s level of agitation

Can you finish the test in one session and what are the implications of not finishing (e.g. change in cognitive level)

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3
Q

What is the Cognitive-Linguistic Quick Test?

A

A test to quickly identify strengths and weaknesses in five cognitive domains

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4
Q

What cognitive domains are assessed in the Cognitive-Linguistic Quick Test?

A

Attention

Memory

Executive functions

Language

Visuospatial skills

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5
Q

How long does it take to administer the Cognitive-Linguistic Quick Test?

A

5 - 30 minutes

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6
Q

Where can the Cognitive-Linguistic Quick Test be administered?

(2)

A

At a table

At patient’s bedside

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7
Q

What testing languages can be used to administer the Cognitive-Linguistic Quick Test?

(2)

A

English

Spanish

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8
Q

What is the Ross Information Processing Assessment Second Edition (RIPA-2)?

(1+2)

A

A test to…

  • Quickly quantify levels of cognitive-linguistic deficits in TBI victims
  • Compare severity levels in each of 10 areas tested:
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9
Q

What 10 areas are assessed in the Ross Information Processing Assessment Second Edition (RIPA-2)?

A

Immediate Memory

Recent Memory

Temporal Orientation (Recent Memory)

Temporal Orientation (Remote Memory)

Spatial Orientation

Orientation to Environment

Recall of General Information

Problem Solving and Abstract Reasoning

Organization

Auditory Processing and Retention

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10
Q

What is the Brief Test of Head Injury (BTHI)?

2

A

A test to quickly probes cognitive, linguistic, and communicative abilities of patients with severe head trauma

Ideal first assessment post-coma

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11
Q

How long does it take to administer the Brief Test of Head Injury (BTHI)?

To score it?

A

25 - 30 minutes

10 minutes to score

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12
Q

What are the benefits of the Brief Test of Head Injury (BTHI)?

A

It’s sensitive to small performance changes

It’s useful for tracking recovery patterns during the period of spontaneous recovery

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13
Q

What are the 7 Subtests in the Brief Test of Head Injury (BTHI)?

A

Orientation + Attention

Following Commands

Linguistic Organization

Reading Comprehension

Naming

Memory

Visual- Spatial Skills

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14
Q

At what Glasgow Coma Scale would you give the Brief Test of Head Injury (BTHI)??

A

IV-V

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15
Q

What are the Scales of Cognitive Ability in Traumatic Brain Injury (SCATBI)?

A

An assessment of cognitive and linguistic abilities of adolescent and adult patients with head injuries

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16
Q

How long does it take to administer the Scales of Cognitive Ability in Traumatic Brain Injury (SCATBI)?

A

30 minutes – 2 hours

17
Q

What 5 subtests are contained in the Scales of Cognitive Ability in Traumatic Brain Injury (SCATBI)

A

Perception

Discrimination

Orientation

Organization

Recall + Reasoning

18
Q

What does the Test of Everyday Attention (TEA) measure?

1+3

A

Three aspects of attention

  • Selective attention
  • Sustained attention
  • Attentional switching
19
Q

How long does it take to administer the Test of Everyday Attention (TEA)?

A

45 - 60 minutes

20
Q

What are the 8 subtests on the Test of Everyday Attention (TEA)?

A

Map Search

Elevator Counting

Elevator Counting with Distractions

Visual Elevator

Auditory Elevator with Reversal

Telephone Search

Telephone Search Dual Task

Lottery

21
Q

What is the Rivermead Behavioral Memory Test (RBMT) designed to assess?

A

Memory skills related to everyday situations

22
Q

What is the Riverbed Behavioral Memory Test (RBMT) useful for?

A

Predicting everyday life task memory problems

23
Q

How long does it take to administer the Riverbed Behavioral Memory Test (RBMT)?

A

20 - 30 minutes

24
Q

What are the 9 subtests in the Riverbed Behavioral Memory Test (RBMT)?

A

Remembering an appointment

Remembering a short route: immediate and delayed

Remembering a belonging

Remembering to deliver a message

Picture recognition

Orientation

Story recall: immediate and delayed

Remembering a name

Face recognition

25
Q

What is the Wechler Memory Scale (WMS-IV) designed to assess?

(3)

A

Learning

Memory

Working memory

26
Q

How long does it take to administer the Wechler Memory Scale (WMS-IV)?

A

30 - 35 minutes

27
Q

How many primary indexes are in the Wechler Memory Scale (WMS-IV)?

How many supplemental indexes?

A

8 primary indexes

4 supplemental

28
Q

What are the 8 primary indexes of the Wechler Memory Scale (WMS-IV)?

A

Auditory Immediate

Visual Immediate

Immediate Memory

Auditory Delayed

Visual Delayed

Auditory Reception Delayed

General Memory

Working Memory

29
Q

Why is proper test administration important?

A

Assures reliability & validity of results

Satisfies ethical standards and codes of responsibility

30
Q

What is “standardization”?

A

Uniform procedures for administering tests for

  • Observation
  • Equipment
  • Materials
  • Scoring rules
31
Q

Why is formal assessment standardization important?

A

To keep results as objective as possible

To compare test results

32
Q

Can accommodations be added to formal assessments?

Do these changes the validity of the score?

A

Yes but this needs to be modified

No

33
Q

What kinds of accommodations can be added to formal assessments?

A

Format

Response

Setting

Timing

Scheduling

34
Q

What is a modification to a formal assessment?

A

A change in administration that alters the comparability of scores

ECU Cognitive/Linguistic Impairment in Brain-Injured Adults (23 decks)

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