Rehabilitation Philosophy & Cultural Competency

Question 1

4 models of disability as foundations for rehabilitation

Answer 1

biomedical - treatment concerned with changing individual (to get better)
functional - intervention aimed at adaptation for meaningful participation
environment - intervention to address physical and social environment of individual
sociopolitical - goal of inclusion, civil rights, equal status society

Question 2

the ___ model of disability identifies deficits, implying there is “something wrong” with the person, promotes exclusion of therapeutic services after medical stabilization, does not lend itself well to psychiatric or cognitive conditions

Answer 2

biomedical model

Question 3

most individualized model of disability, which serves as basis of “person centered” care

Answer 3

functional model - aimed at adapting the function of the individual for meaningful participation

Question 4

the ___ model of disability led to social movements which resulted in the Americans with Disabilities Act

Answer 4

environment model - prejudice, discrimination, and stigma are part of environment and not inherent part of disability

Question 5

the ____ model of disability recognizes prejudice and discrimination as causal factors in disability

Answer 5

sociopolitical / independent living model - goals of inclusion, civil rights, equal social status. Highlights society’s responsibility for accommodating people with disability

Question 6

the ____ model of disability views disability as result of sin/evil/character flaw

Answer 6

moral or religious model

Question 7

6 ethical principles that guide therapeutic relationships

Answer 7

autonomy
veracity (truth, honesty)
beneficence
justice
non-maleficence
fidelity (trust)

Question 8

5 virtues that guide therapeutic relationships

Answer 8

integrity
respectfulness
prudence (acting in good faith)
compassion
trustworthiness

Question 9

5 critical components to facilitating and maintaining therapeutic relationships

Answer 9

people-first language
humaneness
communication
question vs directives (providing choice)
non-judgmental approach

Question 10

extender model of rehabilitation

Answer 10

trained staff provide therapy, supervised by licensed or certified clinical staff

Question 11

iatrogenesis (iatrogenic behavior)

Answer 11

inadvertently induced negative effects or problems caused by physician, therapy, or med/rehab setting

Question 12

PABIR

Answer 12

post acute brain injury rehab (residential)

Question 13

ATC

Answer 13

assistive technology for cognition

Question 14

ethnicity vs race vs sociorace

Answer 14

ethnicity - relates to national origins and those norms
race - relates to biological or physical traits
sociorace - conceptualization of race by multiculturalists, recognizes social and historical aspects of group of people

Question 15

any group that shares a theme or issues

Answer 15

culture

Question 16

way in which people perceive their relationships to nature, institutions, other people, and things

Answer 16

worldview - includes moral standards, human-nature interface, group relations

Question 17

assumption that human characteristics common to all members of the species produce psychological givens with cultural influencing their development and display

Answer 17

universalism

Question 18

person’s ability to solve problems in everyday settings

Answer 18

practical intelligence

Question 19

distinct set of skills necessary in order to successfully navigate the environment

Answer 19

social intelligence

Question 20

T/F: dementia dx (diagnosis) must include functional limitations in daily life due to cognitive changes

Answer 20

TRUE

Question 21

(M/F) were observed to have worse outcomes on most of the variables studied relating to brain injuries

Answer 21

females - higher mortality, poor outcomes, less likely to return to work, higher depression/ PTSD, higher reported difficulty with sexuality
(even though males with TBI outnumber females with TBI 2:1)

Question 22

benign neglect

Answer 22

staff discomfort in treating certain conditions without intention of malice, such as sexual issues following TBI

Question 23

ideological system that denies, denigrates, and stigmatizes any non-heterosexual form of behavior or lifestyle

Answer 23

heterosexism