Deck 11: Cognition

Question 1

An OTA is treating a 23-year-old client who experienced a TBI. The client would like to reenter the community and seek employment. Which symptom could potentially cause the biggest issues with future employment?

A) Repeating words or stories
B) Sharing inappropriate information
C) Forgetting names
D) Balance deficits

Answer 1

Sharing inappropriate information

Question 2

An OTA is treating a 57-year-old client who experienced a CVA in his left hemisphere. This individual will most likely experience which of the following in addition to deficits on the right side of the body?

A) Personality and behavioral changes
B) Decreased concentration
C) Short-term memory loss
D) Contraversive pushing syndrome

Answer 2

Personality and behavioral changes

Question 3

An individual with a TBI begins to have inappropriate conversations with other members during group. Which of the following would be most beneficial to this individual?

A) The OTA should allow the group members to respond to the individual about his language.
B) The OTA should pull the client aside and tell him that the language is inappropriate.
C) The OTA should ignore the behavior because the client will stop when he is no longer getting attention.
D) The OTA should put the client in a time-out from the group.

Answer 3

The OTA should allow the group members to respond to the individual about his language.

Question 4

When treating clients in a group setting, they are able to work on many skills. What is one of the best overall benefits that clients can receive from group therapy?

A) They can address money management.
B) They are able to work on skills in real situations.
C) They are able to ask others for assistance during tasks.
D) They are with others experiencing the same issues.

Question 5

An OTA is treating an individual who experienced an arteriovenous malformation. Which of the following symptoms will the OTA most likely encounter with this client?

A) Impulsive behavior
B) Ataxia/apraxia
C) Decreased initiation
D) Changes in language skill

Question 6

A 45-year-old client who has experienced a TBI would like to resume her role in handling the family finances. She is proficient with using checks, deposit tickets, and a debit card in the outpatient group setting. Which would be the most beneficial to this client to generalize learning?

A) Take a trip to her bank and allow her to make a deposit/withdrawal.
B) Walk to the hospital bank and have her discuss how she will withdraw money.
C) Teach the client how to use online banking from her home.
D) Deal only in cash when in the community.

Question 7

An OTA is treating a client who has experienced a CVA. The client is showing improvement with cognition, and the OTA is teaching the client to use internal strategies when working. Which of the following would the OTA most likely be teaching this client?

A) How to double-check work
B) How to use a memory notebook
C) How to use an alarm on the client's phone
D) How to access online banking

Question 8

An OTA is treating a 62-year-old client in a long-term care setting. The client is experiencing behavior changes, disinhibition, paranoia, and difficulty with word finding and spelling. What disorder is this individual most likely experiencing?

A) Parkinson's disease
B) Amyotrophic lateral sclerosis
C) Multiple sclerosis
D) Diabetes

Question 9

An OTA is working with an elderly individual who has experienced a CVA on selecting food choices at a restaurant because dining out is one of the client's preferred hobbies. The family is concerned that the client is not ready to leave the hospital and does not want him to go into the community. What activity can the OTA do to best replicate this experience?

A) Set up a mock restaurant and have the client practice ordering from menus.
B) Take the client to the hospital cafeteria and allow him to make choices for a meal.
C) Allow the client to look at menus, and have the family bring food items to the client.
D) Have the client pull all the healthy menu choices from two restaurant menus.

Question 10

An OTA is working with a client on selective attention strategies after a TBI. Which of the following would best utilize selective attention?

A) Smelling that part of the dinner is burning while cooking
B) Completing household chores with occasional phone interruptions
C) Performing household chores while listening to the news
D) Wearing earbuds with music playing while resting on the couch