Neuropsych 2

Question 1

Define cognition

Answer 1

transform sensory to mental representations (thoughts/ideas)

Question 2

cognition is contrasted with what that can also guide our behaviour and social functioning?

Answer 2

emotional processing

Question 3

When is cognition important to clinical setting: 2 points

Answer 3

1. can be diagnostic (dementia)

2. function level: decision making

Question 4

domains of cognition include 5 main ones:

Answer 4

1. learning/memory
2. language
3. visuospatial
4. attention
5. executive fucntion

Question 5

bedside neuropsych testing focus on?

Answer 5

identifying impairment via tasks

Question 6

ACE-III used how?

Answer 6

cognitive screening tool

Question 7

define decision-making capacity:

Answer 7

has cognition to make, understand, communicate and execute decisions during ADLs

Question 8

Is capacity assumed?

Answer 8

yes

Question 9

capacity is universal or specific?

Answer 9

decision specific

Question 10

if you disagree with a person’s decision, is that lack capacity?

Answer 10

Nope.

Question 11

Competence vs. capacity?

Answer 11

Competence: legal
Capacity: medical

Question 12

example of someone with capacity but without competence? what is the key principle?

Answer 12

deciding to build a house without training as a builder. people have the right to make poor decisions

Question 13

When can you do a capacity assessment? 3 things needed

Answer 13

if there is a trigger leading to

1. organ level abnormality
2. cognitive impairment
3. one must directly lead to two

Question 14

How to assess capacity according to APS? 5 points

Answer 14

1. can’t understand information
2. can’t retain info needed to make decision
3. appreciate consequences
4. weight risk/benefits
5. communicate the decision

Question 15

VCAT makes two kinds of orders/appointments, what do they do?

Answer 15

1. Appoint guardian (personal/lifestyle decisions)

2. appoint administrator (legal/financial)