Exam 3: CPT

Question 1

What does CPT stand for?

Answer 1

Cognitive Performance Test

Question 2

What does the CPT assess?

Answer 2

Cognition in daily task performance and change over time in individuals with Alzheimer’s Disease (AD).

Question 3

Is the CPT a standardized or nonstandardized test?

Answer 3

Standardized

Question 4

Where is the CPT used?

Answer 4

• hospital settings
• outpatient clinics
• community clinics
• sub-acute care facilities
• long-term care facilities
• in the home

Question 5

What is the CPT used to explain and predict?

Answer 5

The client’s capacity to function in various contexts. It also guides intervention plans, and measures/tracks the severity of a cognitive-functional disability.

And helps to determine the compensatory and safety needs of the client.

Question 6

How does the CPT examine cognitive integration with functioning in an environmental context?

Answer 6

It incorporates cognitive challenges within the complexity of an IADL context.

Question 7

CPT Performance Patterns are made up of how many subtasks?

Answer 7

7

Question 8

List the CPT Performance Patterns Subtasks –

Answer 8

1-Med box
2-Shop
3-Wash
4-Toast
5-Phone
6-Dress
7-Travel

Question 9

How many cognitive levels is the CPT organized into?

Answer 9

6 – These levels range from intact performance (level 6 or 5) to profound disability (level 2).

Question 10

At which level does the client demonstrate efficient and error-free execution of the task (for Wash, Toast, & Dress)?

Answer 10

Level 6 or 5

Question 11

Which level (for Med box, Shop, Phone, and Travel) has “relatively” mild working memory / executive function impairments (may be slow or impulsive making errors that they CAN correct)? At this level the client can process multiple written, verbal, visual, and contextual cues. (Some subtasks only scale to this level.)

Answer 11

Level 5

Question 12

At this level EXECUTIVE DYSFUNCTION manifests in testing. (The client cannot act on multiple task details and contextual directions without task reductions and cues.)
The client can reach the main goal of each task, but they are NOT able to pay simultaneous attention to the details, nor inhibit distracter props.

Answer 12

Level 4

Question 13

At this level working memory/executive functioning impairments are severe. The client relies on implicit procedural recognition memories to use the objects, but they lose sight of the intended outcome of the task.

Answer 13

Level 3

Question 14

At this level the client touches or holds props, but they cannot use the objects to perform the associated actions.

Answer 14

Level 2

Question 15

The revised CPT has been expanded to a decimal mode system with this many levels.

Answer 15

26 – which presents a linear progression of change in cognitive domains (such as attention span, language, spatial awareness)

Question 16

The OTA must demonstrate this in order to administer the CPT.

Answer 16

Service Competency (also depends on the practice setting)

Question 17

What should be done before formal CPT administration on clients?

Answer 17

It should be practiced first.

Question 18

When giving CPT directions the practitioner moves from Initial directions to what?

Answer 18

General Cue
(ex. verbal cueing: non specific verbal assistance. i.e. - "What do you do first?")

Question 19

When giving CPT directions if you need to move from General Cues you then move to which type of cueing?

Answer 19

Specific Cues (ex. specific verbal assistance. i.e. - “Put the bread in the toaster.”)

Question 20

If Specific Cues don’t help you then move to what?

Answer 20

Task Set Up and Cues (ex. physical demonstration of what the client should do) If that doesn’t work…client is not able to complete the task.

Question 21

Focus on the mechanics of giving the CPT, which means observing what?

Answer 21

First, observe FUNCTION and BEHAVIOR, then take results and look at the cognitive levels.

Question 22

At which level should you begin administration of the test? Higher than client’s suspected level, at their level, or lower than their suspected level?

Answer 22

Higher than suspected level

Question 23

To be skilled in administering the CPT, what is needed?

Answer 23

Practice, practice, practice.

Question 24

Once competence has been developed how long does it take to administer the 7 subtasks of the CPT?

Answer 24

about 45 minutes (on average 5 minutes to administer each subtask)

Question 25

List some factors that can skew CPT scores –

Answer 25

• low education (difficulty with reading tasks)
• cultural bias (clients may have no concept of the task)
• physical disabilities (clients unable to manipulate objects in the subtasks)

Question 26

How many subtasks must be administered in order to get a valid score?

Answer 26

at least 5!

Question 27

When working with populations that have very mild to moderate cognitive disability, what is necessary for an accurate assessment result?

Answer 27

A FULL assessment (all 7 subtasks)

Question 28

CPT studies indicate which two subtasks may cancel each other out?

Answer 28

Dress & Travel (Therefore, CPT 5 subtask battery is another option for the very mild to moderately impaired population.)

Question 29

Any CPT battery less than CPT5 should be referred to as what?

Answer 29

short CPT or CPT screen

Question 30

Can the CPT be performed with the client’s personal belongings?

Answer 30

NO!
Important to remember if doing a home assessment. Because this can promote functioning and skew their score. (Must use standard props.)