Self Awareness

Question 1

metacognition

Answer 1

knowing what you know (and don’t know)

Question 2

insight

Answer 2

ability to understand a person or situation very clearly

Question 3

self-awareness

Answer 3

knowledge of one’s own abilities and inabilities

Question 4

anosognosia

where is it most common

Answer 4

lack of insight or awareness

• most impaired for activities with large cognitive components (work, conflict, time management)
• least impaired for BADL, memory deficits

most often R CVA

Question 5

denial

Answer 5

a psychological method of coping

Question 6

neglect

Answer 6

failure to respond to meaningful stimuli on the opposite side of the lesion
most often R CVA

Question 7

pyramidal model of awareness

Answer 7

1st (bottom) - intellectual
emergent
anticipatory

Question 8

intellectual awareness

Answer 8

ability to understand at some level a function is impaired

knowing you have a problem

Question 9

emergent awareness

Answer 9

ability to recognize a problem when it is actually happening

know you are experiencing a problem

Question 10

anticipatory awareness

Answer 10

anticipate a problem will occur as the result of a deficit

knowing in advance that an existing problem will affect future performance

Question 11

dynamic comprehensive model of awareness

Answer 11

self awareness is dynamic rather than hierarchic relationship
influenced by:
- knowledge, beliefs, task demands, context of a situation

Question 12

self awareness should be evaluated ___ initiating an intervention program focused on living skills

Answer 12

before

Question 13

assessments

Answer 13

*multiple sources for comparison
medical history
questionnaires
interviews
rating scales
cognitive assessments
observations

Question 14

5 questions to consider when developing a tx plan for lack of awareness

Answer 14

1. what is the person’s knowledge of strengths and deficits?
2. how much of the problem is denial vs. unawareness?
3. is unawareness generalized or modality specific and does it accompany other cognitive deficits?
4. does the person consciously or unconsciously accommodate changes in functioning?
5. what are the consequences of awareness?

Question 15

which type of awareness should you assess first?

Answer 15

intellectual

Question 16

when should you ask pt to rate their abilities?

Answer 16

before, during, and after

Question 17

what kinds of activities should you observe?

Answer 17

functional and meaningful activities that provide a challenge

Question 18

interventions for impaired self awareness

Answer 18

video feedback
mirrors
game format
simulation - video game
group tx
role reversal

Question 19

pause/prompt/praise

Answer 19

pause: delay feedback and allow for self correction
non specific prompt: “can you stop and tell me what you are doing?”
specific prompt: “can you check the recipe and see what goes first?”
praise: acknowledge improvement

Question 20

game format

Answer 20

use to teach people with serious unwanted behaviors
can focus on knowledge, comprehension, and application
pre and post discussion