RLA Levels of Cognitive Functioning

Question 1

RLA Level of Cognitive Functioning

How many levels are there? What are their respective labels?

Answer 1

There are 8 levels.

I - No response
II - Generalized response
III - Localized response
IV - Confused-Agitated
V - Confused-Inappropriate
VI - Confused-Appropriate
VII - Automatic-Approprite
VIII - Purposeful-Appropriate

Question 2

RLA Level of Cognitive Functioning

Patient appears to be in a deep sleep and is completely unresponsive to any stimuli

Answer 2

I - No response

Question 3

RLA Level of Cognitive Functioning

Patient reacts inconsistently and non-purposefully to stimuli in a nonspecific manner.

Answer 3

II - Generalized response

Question 4

RLA Level of Cognitive Functioning

Responses are limited and often the same regardless of stimulus presented.

Answer 4

II - Generalized response

Question 5

RLA Level of Cognitive Functioning

Responses may be physiological changes, gross body movements, and/or vocalization.

Answer 5

II - Generalized response

Question 6

RLA Level of Cognitive Functioning

Patient reacts specifically but inconsistently to stimuli.

Answer 6

III - Localized response

Question 7

RLA Level of Cognitive Functioning

Responses are directly related to the type of stimulus presented.

Answer 7

III - Localized response

Question 8

RLA Level of Cognitive Functioning

May follow simple commands such as closing eyes or squeezing hand in an inconsistent, delayed manner.

Answer 8

III - Localized response

Question 9

RLA Level of Cognitive Functioning

Patient is in a heightened state of activity.

Answer 9

IV - Confused-Agitated

Question 10

RLA Level of Cognitive Functioning

Patient lacks short- and long-term recall.

Answer 10

IV - Confused-Agitated

Question 11

RLA Level of Cognitive Functioning

Gross attention to environment is very brief; selective attention is often nonexistent.

Answer 11

IV - Confused-Agitated

Question 12

RLA Level of Cognitive Functioning

Verbalizations are frequent and are incoherent and/or inappropriate to the environment; confabulation may be present.

Answer 12

IV - Confused-Agitated; OR
V - Confused-Inappropriate

Worded in level V as: Verbalization is often inappropriate and confabulatory.

Question 13

RLA Level of Cognitive Functioning

Does not discriminate among persons or objects; is unable to cooperate directly with treatment efforts.

Answer 13

IV - Confused-Agitated

Question 14

RLA Level of Cognitive Functioning

Behavior is bizarre and non-purposeful relative to immediate environment.

Answer 14

IV - Confused-Agitated

Question 15

RLA Level of Cognitive Functioning

Patient is able to respond to simple commands fairly consistently. However, with increased complexity of commands or lack of any external structure, responses are non-purposeful, random, or fragmented.

Answer 15

V - Confused-Inappropriate

Question 16

RLA Level of Cognitive Functioning

Demonstrates gross attention to the environment but is highly distractible and lacks ability to focus attention on a specific task.

Answer 16

V - Confused-Inappropriate

Question 17

RLA Level of Cognitive Functioning

With structure, may be able to converse on a social automatic level for short periods of time.

Answer 17

V - Confused-Inappropriate

Question 18

RLA Level of Cognitive Functioning

Memory is severely impaired; often shows inappropriate use of objects; may perform previously learned tasks with structure but is unable to learn new information.

Answer 18

V - Confused-Inappropriate

Question 19

RLA Level of Cognitive Functioning

Patient shows goal-directed behavior but is dependent on external input or direction

Answer 19

VI - Confused-Appropriate

Question 20

RLA Level of Cognitive Functioning

Follows simple directions consistently and shows carryover for relearned tasks such as self-care.

Answer 20

VI - Confused-Appropriate

Question 21

RLA Level of Cognitive Functioning

Responses may be incorrect due to memory problems, but they are appropriate to the situation.

Answer 21

VI - Confused-Appropriate

Question 22

RLA Level of Cognitive Functioning

Past memories show more depth and detail than recent memory.

Answer 22

VI - Confused-Appropriate

Question 23

RLA Level of Cognitive Functioning

Patient appears appropriate and oriented within the hospital and home settings; goes through daily routine automatically, but frequently robot-like.

Answer 23

VII - Automatic-Appropriate

Question 24

RLA Level of Cognitive Functioning

Patient shows minimal to no confusion and has shallow recall of activities.

Answer 24

VII - Automatic-Appropriate

Question 25

RLA Level of Cognitive Functioning

Shows carryover for new learning but at a decreased rate.

Answer 25

VII - Automatic-Appropriate

Question 26

RLA Level of Cognitive Functioning

With structure is able to initiate social or recreational activities; judgment remains impaired.

Answer 26

VII - Automatic-Appropriate

Question 27

RLA Level of Cognitive Functioning

Patient is able to recall and integrate past and recent events and is aware of and responsive to environment.

Answer 27

VIII - Purposeful-Appropriate

Question 28

RLA Level of Cognitive Functioning

Shows carryover for new learning and needs no supervision once activities are learned.

Answer 28

VIII - Purposeful-Appropriate

Question 29

RLA Level of Cognitive Functioning

May continue to show a decreased ability relative to pre-morbid abilities, abstract reasoning, tolerance for stress, and judgment in emergencies or unusual circumstances.

Answer 29

VIII - Purposeful-Appropriate

Question 30

Level IX

Answer 30

Purposeful-Appropriate; Stand-by assistance on request

Question 31

Level X

Answer 31

Purposeful-Approproate; Modified independent