Ranchos Los Amigos Level of Cognitive Functioning Scale

Question 1

Level I:

Answer 1

No Response: Patient does not respond to external stimuli and appears asleep

Question 2

Level II:

Answer 2

Generalized Response: Patient reacts to external stimuli in nonspecific, inconsistent, and nonpurposeful manner with
stereotypic and limited responses

Question 3

Level III:

Answer 3

Localized Response: Patient responds specifically and inconsistently with delays to stimuli, but may follow simple
commands for motor action

Question 4

Level IV:

Answer 4

Confused, Agitated Response: Patient exhibits bizarre, non-purposeful, incoherent or inappropriate behaviors, has no short-term recall, attention is short and nonselective.

Question 5

Level V:

Answer 5

Confused, Inappropriate, Nonagitated Response: Patient gives random, fragmented, and nonpurposeful responses to complex or unstructured stimuli - Simple commands are followed consistently, memory and selective attention are
impaired, and new information is not retained.

Question 6

Level VI:

Answer 6

Confused, Appropriate Response: Patient gives context appropriate, goal-directed responses, dependent upon external input for direction. There is carry-over for relearned, but not for new tasks, and recent memory
problems persist

Question 7

Level VII:

Answer 7

Automatic, Appropriate Response: Patient behaves appropriately in familiar settings, performs daily routines automatically, and shows carry-over for new learning at lower than normal rates. Patient initiates social
interactions, but judgment remains impaired.

Question 8

Level VIII:

Answer 8

Purposeful, Appropriate Response: Patient oriented and responds to the environment but abstract reasoning abilities are decreased relative to premorbid levels.