Ranchos Los Amigos Scale of Cognitive Functioning

Question 1

Ranchos Level I

Answer 1

No response

Question 2

Ranchos Level II

Answer 2

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

Question 3

Ranchos 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

Ranchos Level IV

Answer 4

Confused & Agitated: Patient exhibits bizzarre, nonpurposeful, incoherent or inappropriate behaviors, has no short term recall, attention is short and nonselective

Question 5

Ranchos Level V

Answer 5

Confused, Inappropriate, Nonagitated: Patient gives random, fragmented, and non purposeful responses to complex or unstructured stimuli, simple commands followed consistently, memory and selective attention are impaired, new info is not retained

Question 6

Ranchos Level VI

Answer 6

Confused & Appropriate: Patient gives context appropriate, goal-directed responses, dependent upon external input for direction, there is carryover re-learned, but not for new tasks, and recent memory problems persist

Question 7

Ranchos Level VII

Answer 7

Automatic Appropriate: Patient behaves appropriately in familiar setting, performs daily routines automatically, and shows carryover for new learning at lower than normal rates, patient initiates social interactions, but judgement remains impaired

Question 8

Ranchos Level VIII

Answer 8

Purposeful & Appropriate: Patient oriented and responds to the environment but abstract abilities are decreased relative to premorbid levels