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CDRS Exam > Behind The Wheel Evaluation > Flashcards

Behind The Wheel Evaluation Flashcards

1
Q

Supplies for when working with hearing impaired people

A

Small traffic board
Supply of notepaper
Driver education text book with lesson assignments

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2
Q

Hand signal for “go”

A

Left hand Up right with palm forward move, hand forward

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3
Q

Hand signal for “stop”

A

Left hand held motionless in upright position with palm pointed forward

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4
Q

Hand signal for “check”

A

Left hand held upright and moved left to right to encourage turning head

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5
Q

Hand signal for “check mirrors”

A

Top rearview mirror with nail and point to outside mirror
Should be followed immediately with motion of left-hand forward

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6
Q

Hand signal for “check blind spots”

A

Left hand toward right or left rear windows
May require tap on arm to get attention

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7
Q

Hand signal for “right and left turns”

A

Point to the right or left
Use circular motion of finger, faster or slower, to indicate speed of turning the steering wheel

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8
Q

Hand signals for “turn signals”

A

Point toward signal lever and motion up or down

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9
Q

Hand signals for “move right or left”

A

Pointing left hand straight forward with palm pointed in the direction of needed correction, slowly move hand in that direction

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10
Q

Hand signal for “backing”

A

Closed hand point with some in desired direction

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11
Q

Behaviors to observe during road tests

A

Impulsivity
Distractibility
Confusion
Following directions
Anxiety
Inattention
Slowness
Executive functioning

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12
Q

Six Primary Driving actions assessed during BTW

A

Gap acceptance
Limit line
Observations of Environment
Driving path
Speed
Communication

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13
Q

Common recommendations for restrictions

A

Shorter trips
Slower roadways
Daytime driving
Avoiding rush-hour traffic
Requiring another passenger

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14
Q

Designing the road test for people with decreased visual acuity

A

Read road signs– Read and find
Low light levels/overcast day/underground parking garage

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15
Q

Designing the road test for Blurred or double vision

A

Multi lane traffic
Watch vehicle positioning
Identify/read signs
Park between cars

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16
Q

Designing road test for poor eye coordination/muscle imbalance

A

Find signs
Follow a particular vehicle
Curves, many L/R turns
Go around another vehicle

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17
Q

Designing the road test for individuals with field cut

A

Busy intersections with cross traffic and pedestrians
Frequent Lane changes
Checklane positioning on unmarked streets

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18
Q

Designing road test for people with impaired scanning/ocular Pursuit

A

Follow another vehicle
Busy parking lots and heavy traffic intersections
Describe road scene ahead

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19
Q

Designing road test for individuals with impaired depth perception

A

Frequent stops at stop signs
Park between cars
Maneuver around busy parking lot
Drive and slow heavy city traffic

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20
Q

What severe visual perceptual deficits look like on the road

A

– Can’t tell where they are in the road
– Weaves severely, but can’t tell they are
– Can’t recognize what’s in the mirror
– Can’t noticed a significant clues in areas, like incoming traffic went on wrong side of street
– Can’t learn the first trick or two you try to teach

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21
Q

What can be done for severe visual perceptual deficits

A

– Nothing
– Waiting
– Teach how to ride the bus

22
Q

What delayed reaction time looks like on the road

A

– Stop at last minute
– Hard braking
– Fail to slow gradually, off gas late
– Response abruptly to something that could have been planned, like slowing on a freeway ramp
– Failed to act to change a head

23
Q

What can be done for delayed reaction time

A

– Wait one to six months for improvement
-Teach increased spotting, anticipate changes, look for brake lights, increase following distance, noticed vehicles several cars ahead, stick to slower traffic
– Commute
– Be specific about what to look at
– Look through windshield
– Eyes must be up, use good visual scanning close/far repeatedly, also L/R

24
Q

What does impaired depth perception look like on the road when they don’t know it

A

– Stops too closely behind other cars
– Turns too late or too early
– Pulls out in front of approaching cars
– Waits too long to pull into traffic
– Comes close to parked cars
– Stops in the middle of the intersection or way back
– Right turns too close

25
Q

What it looks like on the road with impaired depth perception and they overcompensate

A

– Stop very far behind cars
– Swing wide around parked cars
– Go very slowly around turns
– Wide right turns
– They tell you what they see
– Can’t emerge or blend with traffic going same direction

26
Q

What can be done for impaired depth perception

A
  • get them out of the car and walked between the car to physically feel the distance, Then compare it to vision, and remember the difference
    – Drive with/for them so they feel accurate steering and remember
    – Stretch your arms to show the space
    – Teach them clues like points on the car to judge with
    – Teach the visual clues: “a car that is 3 in.² in the mirror is far, fills the mirror is close”
    – Use side mirrors for more input
    – Use commentary driving
    – Eyes must be up, if they look too close they will misjudge
  • Use good I’m looking close/far repeatedly, also left/right
    – Come up close to an object so you can still get around it, allow enough room to maneuver
    – Back up to a chain-link fence to judge in reverse
  • point out cars that are the same size as the one they are using
    – Go through water to show the different track the wheel takes on a turn
27
Q

What it looks like on the road with figure ground deficits

A

Look at dogs or buildings
Does not look at lights, signs etc
Doe not notice important items (like car about to pull out)
Looks at building signs vs traffic lights

28
Q

What can be done for figure ground deficits

A

Teach what is significant
Teach what matters
Teach the obvious (sweeper sign is irrelevant)

29
Q

What it looks like on the road with spatial relations deficits

A

Can’t return where they came from
Can’t orient position on map
Can’t tell how close cars are when looking over shoulder
Change lanes when not enough room and not safe
Look too long to decide what they are seeing
Can’t problem solve after a wrong turn

30
Q

What can be done for impaired spatial relations

A

Nothing if it is severe
If otherwise has no impairments:
-holding up fingers in blind spot to glance and count
- rubber band on mirror to mark off lanes
- align front quarter panel using tape on center of windshield with right lane marking
- take a mental picture from a glance then remember what was seen in that glance
- park at T intersection and study approaching traffic
- use large mirrors
- ask if anyone is behind
- back up to a traffic cone to judge in reverse
- come close to an object so you can maneuver around
- point out cars that are similar size
- go through water to see how wheels track

31
Q

What it looks like on the road with field cuts when they know it

A

Describe blackness on one side
Try to make up for it by looking there
Miss clues on cut side (signs, parked cars, streets, pedestrians, left turns, lane lines)
Drive as though cardboard was taped to half of windshield

32
Q

What it looks like on road with field cuts when they don’t know

A

Never bother to look around
Ignore all items on cut side

33
Q

What can be done for field cuts

A

Teach them to look over there frequently
Teach them to remember what they glance at
Add trailer type mirrors to cut side to bring cut field into view
Use parabolic mirrors
Sometimes prisms
No driving
Ride the bus
Wait, return to vision therapy

34
Q

What does impaired judgment look like on the road

A

See a car approaching by pull out anyway
Looking too long to try to judge what they are seeing

35
Q

What can be done for impaired Judgement

A

Wait
Walk a lot
Sit and watch traffic pass
Passenger activities:
-when is it safe to go
- when would it no longer be safe to go
- repetition of looking and judging

36
Q

What does neglect look like on the road

A

Miss all streets in neglected side and don’t realize
Deny the problem
Rides the bumps, following the edge (left)
Rides the bumps to guide themselves (right)
Follow the curb, even in cue de sac (left)

37
Q

What can be done for neglect

A

Wait
Retest 6-12 months
Teach alternative community mobility

38
Q

Driver characteristics to watch for in pre-traffic driving portion of road lessons/testing

A

Difficulty with basic driving tasks (I.e. finding gear shift)
Difficulty finding the center of an unmarked path
Difficulty following instructions
Little to no improvement after several driving maneuvers in this area
Excuses about car, other drivers, pedestrians, etc
No sign of driver confidence after several maneuvers in this area

39
Q

Procedure for reduced risk turns

A
  1. Entry into proper lane
  2. Signal 100-150 ft in advance
  3. Lane entry into side of turn/turning lane
  4. Decelerate
  5. Initiate turn into proper lane
  6. Accelerate 2/3 way through turn
  7. Steering reversal
40
Q

Right turn conflicts at green light

A

Pedestrians
Parked/stalled vehicle
Tailgater pre/post turn
People turning left into your path

41
Q

Right turn conflicts at red light

A

Pedestrians all directions
Bikes from rear
Cross traffic from left (want 8-10 sec gap)

42
Q

Left turn conflicts

A

Pedestrians/bikes
Cross traffic
Oncoming traffic
Multi lane turns, trucks perform off tracking
Large vehicle in oncoming traffic left turn lane
Blind spot if completing a wide left turn
Oncoming right on red
Left turn takes 10-12 seconds to complete

43
Q

Commands if a quick stop is needed

A

Command: “STOP”
Response: QUICK FRIM BRAKE

44
Q

Practicing response to hood up

A

Command: hold clip board in front if drivers eyes
Response: LOOK UNDER HOOD
STEER RIGHT-BRAKE-STOP

45
Q

Practicing response to brake failure

A

Command: “BRAKES FAILED”
Response: RAPID BRAKE PUMP
SHIFT TO LOW- CONTROL STEERING
PARKING BRAKE
STEER RIGHT
STOP

46
Q

Practicing stuck accelerator response

A

Command:”ACCELERATOR STUCK “
Response: SHIFT NEUTRAL
STEER RIGHT - BRAKE
IGNITION OFF
STOP

47
Q

Practicing flat tire response

A

Command: “TIRE FLAT”
Response: OFF GAS -NO BRAKE
CONTROL STEERING -STEER TO SIDE
GENTLE BRAKE
STOP

48
Q

Practicing engine stall response

A

Command: (turn off ignition)
Response: SHIFT NEUTRAL
RESTART
SHIFT DRIVE
CONTINUE

OR

BRAKE -STOP
SHIFT NEUTRAL or PARK
RESTART
SHIFT DRIVE

49
Q

Practice power brake failure response

A

Command: “POWER BRAKE FAILED “
Response: PUSH HARDER ON BRAKE
PARKING BRAKE

50
Q

Practice power steering failure response

A

Command:”POWER STEERING FAILED”
Response: STEER HARDER TO RIGHT
BRAKE
STOP

CDRS Exam (16 decks)

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