Week 5 Flashcards

1
Q

if someone demonstrates intellectual awareness which intervention approach should you use?

A

task/habit training approaches and indirect approaches (transfer is not a goal)

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2
Q

severe cognitive language deficits impair ability to learn and generalize

A

intellectual awareness

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3
Q

cognitive impairments allow for potential learning and generalization

A

emergent awareness

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4
Q

if someone demonstrates anticipatory awareness which intervention approach should you use?

A

strategy training approaches - transfer is a goal

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5
Q
  • knowledge of one’s illness and deficits
  • ability to recognize the problems caused by the brain’s impaired functioning
  • knowledge and regulation of a person’s own cognitive processes and capacities
  • the accurate appraisal and understanding of your abilities and preferences and their implication for your behavior and their impact on others
A

self-awareness

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6
Q

unawareness is more frequently observed with which 3 types of injuries?

A
  • frontal lesions
  • right hemisphere lesions
  • breakdown of functional interactions btwn nodes within the fronto-parietal control network
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7
Q
  • coping strategy, psychological symptom to protect the individual.
  • response to feedback-resistance, blame others, hostility
A

denial

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8
Q
  • reflects luck of recognition of an intact function

- response to feedback - perplexity, surprise, indifference

A

awareness

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9
Q

awareness is not a ___ disorder.

A

unitary

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10
Q

name 2 ways in which awareness is not a unitary disorder.

A
  • varies across specific domains - cognitive, physical, social-emotional-behavioral, functional
  • variations observed within domains
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11
Q

greater awareness is usually observed in which 3 domains?

A
  • self-care activities
  • motor and sensory impairments
  • memory
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12
Q

less awareness is usually observed in which 3 domains?

A
  • IADLs (driving, managing finances)
  • abstract reasoning/problem-solving
  • socio-emotional-behavioral changes
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13
Q

t/f - lack of self-awareness of cognitive, behavioral, and emotional sequelae is reported to be one of the greatest obstacles in brain injury rehabilitation.

A

true

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14
Q

name the 3 components of crossan’s model of awareness.

A
  1. intellectual awareness
  2. emergent awareness
  3. anticipatory awareness
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15
Q

toglia and kirk’s model supports the idea of self-awareness as a ___ ___ that can be changed through experience with a task, and interactions btwn pre-existing knowledge of a certain task and any new knowledge that may emerge while performing a certain task.

A

dynamic ability

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16
Q

describe the 3 components of toglia and kirk’s model.

A
  1. pre-existing knowledge: self-prediction
  2. experience with a task
  3. emerged new knowledge: self-estimation
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17
Q

self-knowledge and beliefs that exists outside the context of tasks

A

general awareness

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18
Q
  • activated within a task

- appraisal of task, task experience, self-monitoring - error recognition and adjustment, self-evaluation

A

on-line awareness

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19
Q

describe 2 methods of assessing self-awareness.

A
  • comparison btwn self-rating with: relative or clinician and actual performance
  • comparison among: prediction, actual performance, and estimation
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20
Q

the self-awareness of deficits interview (SADI) assesses self-awareness of which 3 components?

A
  • deficits
  • functional implications
  • ability to set realistic goals
21
Q

assessment of awareness requires considerations of multiple methods such as which 4 components?

A
  • observations across tasks
  • different aspects (anticipation, error monitoring)
  • timing of questions
  • specificity of questions
22
Q

name 3 mediated learning/treatment methods to use before a task.

A
  • connect
  • anticipation
  • self-generation of strategies
23
Q

name 3 mediated learning/treatment methods to use during a task.

A
  • mediation
  • error detection/correction
  • strategy evaluation and adjustment
24
Q

name 3 mediated learning/treatment methods to use after a task.

A
  • self-evaluation
  • strategy reflection and awareness
  • connections to previous/future activities
25
name 4 general principles/training techniques for awareness.
- trust relationship - discuss cognitive symptoms in direct but supportive manner - create balance: deficits and control for success - just right challenge level
26
name 6 types of feedback.
- supportive but direct feedback - sandwich method - emphasize why the errors occurred rather than the errors themselves - indirect feedback - videotape feedback - experimental feedback
27
what is the most common way to assess functional status in elderly adults?
self-reported measures
28
name an example of a self-report measure.
barthel index
29
name an example of a performance-based measure?
AMPS
30
self-awareness is important for __ __.
self-advocacy
31
- can be a spectrum | - not always completely unaware or completely aware
unawareness
32
how can you detect if someone is using denial or is truly unaware?
denial - comes up as anger, they don't want to hear it or accept it unawareness - may act confused and perplexed
33
the more abstract an ability is, the ___ it is to be aware of it.
harder
34
which functions are the easiest to be aware of?
physical
35
which 2 functions are the hardest to be aware of?
cognitive and social/emotional
36
which area of function is moderate to be aware of?
functional
37
awareness that is activated within something we do; emerges during the task
emergent awareness
38
name a criticism of the crossan model of awareness.
very static - doesn't explain how a person can move from one level to another or how we can improve self-awareness
39
activated during a task
online awareness
40
general awareness = ___ awareness
intellectual
41
AR assesses which type of awareness?
online
42
a comparison between self-rating with relative or clinician and actual performance that equals 0 would represent what?
no discrepancy (good awareness)
43
a negative comparison score would indicate what?
person is underestimating their awareness
44
- good for outpatients | - measures self-awareness with ADLs, social skills
PCR
45
- 96 tasks to choose based on difficulty levels - ask them 7 questions after they perform the task - assesses online awareness bc it's looking at how they performed within the task and then seeing if they can acknowledge which mistakes they made
assessment of awareness of disability
46
describe subjective bias in assessments.
caretakers can rate low based on their own feelings - depressive, pessimistic - "they won't be able to do anything" vs the opposite
47
you should ask the patient to do what kind of tasks to increase awareness?
functional, concrete tasks at the just right challenge level that they do on an everyday basis based on occupational profile.
48
negative feedback btwn 2 supportive feedbacks
sandwich method