Exam 3-ACL

Question 1

ACL- what is it’s intended use?

Answer 1

Is a screen of functional cognition with persons whose cognitive abilities appear to be in the range of 3.0-5.8 on the Allen scale of cognitive levels and models of performance.
It is a quick, inexpensive assessment for detecting unrecognized or suspected cognition
Provides an estimate of scope or severity

Question 2

ACL- intended populations?

Answer 2

• adults with psychiatric disorders
• adults with dementia
• those whose patterns of functional behavior appear to have global cognitive functioning
• adolescents with psychiatric problems
• adult with TBI or CVA

Question 3

ACL- how is it structured?

Answer 3

• sensory cues from the leather, lace, and needles
• administrator’s verbal and demonstrated cues and instruction
• feedback from the person’s motor actions while making the stitches

Question 4

ACL- what are the stitches/levels?

Answer 4

level 3- running stitch
level 4- whip stitch
level 5- single cordovan

Question 5

ACL- when can an OTA administer?

Answer 5

• must be TCU or other appropriate setting
• OTA is service competent
• OT does other assessments with the client

Question 6

ACL- when must an OT administer?

Answer 6

settings where the OT is doing diagnostic workups or giving functional diagnosis and intervention for IADL competency issues.

Question 7

ACL- correlations to MMSE (Mini Mental State Exam)

Answer 7

Low level 3 = 1-12 on MMSE
High 3- low 4 = 12-17 on MMSE
Mid 4- High 4 = 18-23 on MMSE
Level 5- 5.8 = 25+ (30 possible) on MMSE

Question 8

T/F- ACL is used for behavioral patients

Answer 8

False

Question 9

T/F- You should get to know client before you administer the test.

Answer 9

True

Question 10

ACL 0-0.8 is what mode of performance/level of care?

Answer 10

Comatose- Total assistance

Question 11

ACL 1-1.8 is what mode of performance/level of care?

Answer 11

Awareness- Total assistance

Question 12

ACL 2-2.8 is what mode of performance/level of care?

Answer 12

Gross Body Movements/Maximum Assistance

Question 13

ACL 3-3.8 is what mode of performance/level of care?

Answer 13

Manual Actions/Moderate Assistance

Question 14

ACL 4-4.8 is what mode of performance/level of care?

Answer 14

Familiar Activity/Minimum Assistance

Question 15

ACL 5-5.8 is what mode of performance/level of care?

Answer 15

Learning new activity/Standby Assistance

Question 16

ACL 6 is what mode of performance/level of care?

Answer 16

Planning new activity/No supervision required

Question 17

What levels of cognition are looked at under ACL 1: Awareness?

Answer 17

Withdrawing from noxious stimuli, responding to stimulation, locating stimulation, rolling in bed, raising body parts

Question 18

What levels of cognition are looked at under ACL 2: Gross body movement?

Answer 18

Overcoming gravity, righting reactions, aimless walking, directed walking, grabbing

Question 19

What levels of cognition are looked at under ACL 3: Manual Actions?

Answer 19

Grasping objects, distinguishing objects, sustaining actions on objects, noting effects on objects, and using all objects

Question 20

What levels of cognition are looked at under ACL 4: Familiar Activity?

Answer 20

Sequencing, differentiating features, completing goal, personalizing, and rote learning

Question 21

What levels of cognition are looked at under ACL 5: Learning new activity?

Answer 21

Continuous neuromuscular adjustments, discriminating between parts of an activity, self-directed learning, considering social standards of context, consulting with others