Final

Question 1

Functions of the right hemisphere: Language

Answer 1

• Prosody
• Emotional content
• Humor
• Figurative Language

Question 2

Functions of the right hemisphere: construction (visuo spatial)

Answer 2

• External details

* General Orientation

Question 3

Functions of the right hemisphere: Calculation

Answer 3

• Visuospatial organization of digits

Question 4

Functions of the right hemisphere: Memory

Answer 4

• Non-verbal memory

Question 5

Functions of the right hemisphere?

Answer 5

Processes holistic non-linear, spatially distributed arrays.
It is holistic and context-dependent, ex: Verbal jokes, Metaphors, Narratives, Indirect speech acts and Intonation
Recognition of facial expression

Question 6

2. How do you screen for visual neglect?

Answer 6

Cancelation
Line bisection
Scanning
Drawing

Question 7

Cancellation

Answer 7

look at an array of stimuli (symbols, numbers, letters, etc.) on a page. Make a mark through all of target symbol. Can increase number of items or number of different stimuli to make more difficult. Total number missed is a measure of general attention abilities, and more missed on left side is related to left neglect.

Question 8

Line bisection

Answer 8

bisect a horizontal line through it’s center

Question 9

Scanning

Answer 9

scan rows of numbers, letters, or symbols for the target. Id all instances of target

Question 10

Drawing

Answer 10

from memory or copy symmetrical objects (flower, man, cross, house, tree, square)

Question 11

• Test for right hemisphere syndrome

Answer 11

RICE - Evaluation of Right Hemisphere
Burns, Halper, & Mogil 1985 (2nd Edition)
MIRBI - The Mini Inventory of Right Brain Injury, Pimental & Kingburg 1989
(2nd Edition)

Question 12

Categories of dementia and examples

Answer 12

• Age: “presenile dementia” (before age 65) and “senile dementia” (after age 65)
• Cortical: Alzheimer’s dementia & Pick’s Disease
• Subcortical: Parkinson’s Disease, Huntington’s Chorea & Progressive Supranuclear Palsy
• Mixed: Vascular dementia, Lewy body dementia & Front temporal dementia

Question 13

The early stages of Alzheimer’s disease: strengths

Answer 13

Language comprehension
Express needs independently
Conversations
Answers multiple choice and yes/no questions

Question 14

The early stages of Alzheimer’s disease: deficits

Answer 14

Diminished reading comprehension
Difficulty with written expression
Word finding
Paraphasia
Reduced verbal output
Pragmatic deficits
Distractibility
Difficulty concentrating
Confusion
Disorientation
Problems maintaining ADLS

Question 15

5. How could you differentiate between primary progressive aphasia (PPA) and dementia?

Answer 15

• Cognition (idea/taught) is not impacted in PPA while it is in Dementia
• Patients with Dementia often encounter difficulties performing daily activities while patients with PPA do not.
• PPA occurs with apparent reason
- No identifiable stroke, tumor, infection, or metabolic disease.
• PPA is a clinical syndrome and not a reflection of a particular underlying brain pathology, while Dementia is a syndrome due to disease of the brain and it is characterized by diffuse impairments of memory, intellect and cognitions appearing later in life.
• PPA can announce the presence of degenerative neurologic disease

Question 16

Dementia

Answer 16

is a syndrome due to disease of the brain, it characterized by diffuse impairment of memory, intellect and cognition appearing late in life, developing gradually and worsening over time.

Question 17

PPA characteristics

Answer 17

characterized by gradual deterioration of language functions. Many patients develop impairments in memory, attention, reasoning and executive function 2 to 10 years after the appearance of aphasia.

Question 18

6. Symptoms of fronto-temporal dementia

Answer 18

• Early decline in personal & interpersonal conduct
• Emotional blunting
• Loss of insight
• Mental inflexibility
• Distractibility
• Impersistence
• Hyper orality & dietary changes
• Perseverative behavior

Question 19

8. Adequate goals for clients with dementia

Answer 19

Mobility, Communication, Socialization & Behavior

Question 20

• Montessori based intervention

Answer 20

• R’ will consistently respond to cue to recall presence of food tray and initiate self‐feeding 80% of trials.
: Connects past interest and skills with present spared skills. Ex: recalling family member’s names to increase communication and socialization in visits

Question 21

millieu therapy

Answer 21

To increase socially appropriate behaviors
• Client will correctly match names with peers on unit to promote socialization and interaction during meals 80% of trials.

Question 22

Spaced-retrieval training

Answer 22

Pts recall important information over progressively longer intervals of time.
“Client will recall location of daily schedule to complete ADL’s independently & improve participation in meals and with peers 90% of trials.”

Question 23

Reminiscence Activities:

Answer 23

Capitalize on person’s remote memory, is usually persevered until the late stages
• Client will utilize personal memory book to remain constructively engaged and promote conversation with others 90% of trials.

Question 24

PPA

Answer 24

clinical syndrome and not reflection of a particular underlying brain pathology decline in linguistics abilities for no apparent reason (no identifiable stroke, tumor, infection, or metabolic disease)

Question 25

Vascular dementia

Answer 25

an important cause of dementia in adults, second to Alzheimer’s with 15-20% of dementia cases. Diagnosed by the presence of dementia and evidence of cerebrovascular disease. Pure vascular is uncommon
Patients have a history of hypertension, heart disease or both and multiple strokes.
• Abrupt deteriorations & stair-step decline