Ch. 3 Assessing Adults

Question 1

Review the 7 step procedures (p. 94-95)

Answer 1

1. Gather info
2. Evaluate pt. symptoms and signs to ID those relevant to pt’s current problem
3. Determine if symptoms of a syndrome exists.
4. Look for correlations among symptoms to ID parts of body or physical/mental processes responsible.
5. If pt’s symptoms represent a syndrome, decide on PROGNOSIS
6. Use info of pt. to determine the effects of condition in pt. daily life
7. Use corpus of info. to estimate the effects of tx. and nature of an appropriate tx prog.

Question 2

Principles of Clinical Methods (p. 117)

Answer 2

1. Do your hwk
2. Choose appropriate place for testing
3. Schedule testing to maximize pts performance
4. Make testing a collaborative effort
5. select appropriate tests
6. let pt’s performance guide what and how you test
7. use standardized test judiciously and purposefully
8. consider validity of standardized test
9. consider adequacy of norms of standardized test
10. evaluate the representativeness of the normative sample.
11. obtain a large sample of the pts behavior to ensure test-retest stability

Question 3

what does the brain injury on pt often reflect?

Answer 3

the injury and premorbid personality

Question 4

When a pt is slow to respond due to slow mental processing and weakness of speech muscles is called…

Answer 4

Altered Responsiveness

Question 5

Mention characteristics of ALTERED RESPONSIVENESS

Answer 5

1. May not initiate purposeful activities
2. hyperresponsive
3. impulsive

Question 6

What is PERSEVERATION?

Answer 6

Repetitions of responses when no longer appropriate.

Question 7

Repetitions of responses when no longer appropriate are called:

Answer 7

PERSEVERATIONS

Question 8

The difficulty changing responses when tasks requirements change is called:

Answer 8

Diminished Response Flexibility

Question 9

Diminished Response Flexibility is:

Answer 9

The difficulty changing responses when tasks requirements change

Question 10

Mention a characteristic in Adults who have a neurogenic comm. disorder

Answer 10

1. difficulty with abstract concepts (figurative language)
2. interpret things literally
3. impaired self-monitoring
4. hard to focus and maintain attention
5. disturbance in personality and emotions
6. perseveration
7. diminished response flexibility

Question 11

When assessing a pt. who exhibit constant perseveration, do you continue the testing item, or do you stop?

Answer 11

You stop testing item. Give cues to stop perseveration from pt.

Question 12

When testing, pt’s focus and attention gets better. True or False

Answer 12

False. Attention gets worse

Question 13

What is EMOTIONAL LABILITY

Answer 13

emotions inappropriate for the situation
ex. laughing too much, cry for no reason
(hard to control because of damage to the brain)

Question 14

Emotional Lability is also called…

Answer 14

Pseudobulbar Effect

Question 15

The inappropriate outbursts and low frustration tolerance are called:

Answer 15

Catastrophic Reactions

Question 16

Catastrophic reactions are common in what type of injuries?

Answer 16

TBI

Question 17

Differentiating your pts problems from other problems similar (ex. apraxia vs. aphasia) is called:

Answer 17

Differential Dx

Question 18

what is DIFFERENTIAL DX

Answer 18

Differentiating your pts problems from other problems similar (ex. apraxia vs. aphasia)

Question 19

What can help in the localization of site of lesion?

Answer 19

Labeling the disorder

Question 20

When making a prognosis, what are the THREE variables that may affect prognosis?

Answer 20

1. Neurological findings
2. associated conditions
3. patient considerations

Question 21

What is prognosis?

Answer 21

the prediction of the course of Dz

may be based on data or best guess

Question 22

Neurological Findings.
When the course of a dz is predictable then the prognosis for speech/language is not predictable.
TRUE or FALSE

Answer 22

False. Prognosis is more predictable

Question 23

Neurological Findings.

Extent of neurological damage affects outcome. Larger and multiple lesions indicate_____ outcome.

Answer 23

Poorer Outcome

Question 24

Neurological Findings.

Why is location of damage important?

Answer 24

Because there is a POORER OUTCOME when language centers are affected.

Question 25

Pt’s who have been in coma for a long period of time have poor prognosis or good prognosis?

Answer 25

Poor prognosis

Question 26

Why pt’s who have been in coma have poor prognosis?

Answer 26

Because long intervals of coma indicate greater destruction of brain tissue.

Question 27

Associated Conditions.

Having good health, indicate poor prognosis. True or False.

Answer 27

False.

Question 28

Associated Conditions.

Pt’s with hemiplegia, seizures, and other motor impairments have poor prognosis. T or F

Answer 28

True

Question 29

Associated Conditions

The relationship between what characteristics play a role in good prognosis?

Answer 29

1. gender
2. age
3. education (more open to better med. tx since they are familiar with learning)

Question 30

When measuring recovery and response to treatment, you need:

Answer 30

Good baselines

Question 31

Therapy shouldn’t be effective and efficacious. T or F

Answer 31

False. therapy SHOULD BE both effective and efficacious

Question 32

What does efficacy means?

Answer 32

to the existence of a measurable change in a pt characteristic as a result of treatment.

Question 33

Thee existence of a measurable change in a pt characteristic as a result of treatment is called:

Answer 33

Efficacy

Question 34

Relates to the effects of treatment on a patient’s daily life well being:

Answer 34

Effectiveness

Question 35

What is effectiveness?

Answer 35

Is what relates to the effects of treatment on a patient’s daily life well being: