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Cognitive Eval > Week 5 > Flashcards

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
Q

name 4 general principles/training techniques for awareness.

A
  • trust relationship
  • discuss cognitive symptoms in direct but supportive manner
  • create balance: deficits and control for success
  • just right challenge level
26
Q

name 6 types of feedback.

A
  • supportive but direct feedback
  • sandwich method
  • emphasize why the errors occurred rather than the errors themselves
  • indirect feedback
  • videotape feedback
  • experimental feedback
27
Q

what is the most common way to assess functional status in elderly adults?

A

self-reported measures

28
Q

name an example of a self-report measure.

A

barthel index

29
Q

name an example of a performance-based measure?

A

AMPS

30
Q

self-awareness is important for __ __.

A

self-advocacy

31
Q
  • can be a spectrum

- not always completely unaware or completely aware

A

unawareness

32
Q

how can you detect if someone is using denial or is truly unaware?

A

denial - comes up as anger, they don’t want to hear it or accept it
unawareness - may act confused and perplexed

33
Q

the more abstract an ability is, the ___ it is to be aware of it.

A

harder

34
Q

which functions are the easiest to be aware of?

A

physical

35
Q

which 2 functions are the hardest to be aware of?

A

cognitive and social/emotional

36
Q

which area of function is moderate to be aware of?

A

functional

37
Q

awareness that is activated within something we do; emerges during the task

A

emergent awareness

38
Q

name a criticism of the crossan model of awareness.

A

very static - doesn’t explain how a person can move from one level to another or how we can improve self-awareness

39
Q

activated during a task

A

online awareness

40
Q

general awareness = ___ awareness

A

intellectual

41
Q

AR assesses which type of awareness?

A

online

42
Q

a comparison between self-rating with relative or clinician and actual performance that equals 0 would represent what?

A

no discrepancy (good awareness)

43
Q

a negative comparison score would indicate what?

A

person is underestimating their awareness

44
Q
  • good for outpatients

- measures self-awareness with ADLs, social skills

A

PCR

45
Q
  • 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
A

assessment of awareness of disability

46
Q

describe subjective bias in assessments.

A

caretakers can rate low based on their own feelings - depressive, pessimistic - “they won’t be able to do anything” vs the opposite

47
Q

you should ask the patient to do what kind of tasks to increase awareness?

A

functional, concrete tasks at the just right challenge level that they do on an everyday basis based on occupational profile.

48
Q

negative feedback btwn 2 supportive feedbacks

A

sandwich method

Cognitive Eval (13 decks)

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