Deck 19: Treatment of Cognitive-Perceptual Deficits: A Function-Based Approach

Question 1

The remedial approach to treatment focuses on:

A) component skills.
B) the cause of dysfunction.
C) tabletop activities.
D) all of the above.

Answer 1

D
Remediation (or restoration or transfer of training)emphasizes restoration of the function or skill lost due to the stroke.Remedial treatment relies on several assumptions: the cerebral cortex is malleable and can adapt,and the brain can repair and reorganize itself after injury.Practice and repetition are assumed to result in learning.In turn,learning results in a more organized,functional system.Another assumption is that tabletop activities,such as pegboard tasks or computer activities,directly affect the underlying processing skills required for the patient to perform those activities.The most important assumption is that improved task performance of tabletop activities will be carried over to improved performance in functional activities.

Question 2

Which treatment approach uses repetitive practice of certain activities to increase task independence?

A) Functional approach
B) Remedial approach

Answer 2

A
The functional approach uses repetitive practice in particular activities,usually daily living tasks,to help the patient become more independent.This approach is designed to treat symptoms rather than the cause of the dysfunction.

Question 3

The Strategy Training Approach for those with apraxia includes cues to manage problems with:

A) initiation.
B) execution.
C) control.
D) all of the above.

Answer 3

D
This intervention is focused on errors related to initiation (inclusive of developing a plan of action and selection of necessary and correct objects),execution (performance of the plan),and control (inclusive of controlling and correcting the activity to ensure an adequate result).

Question 4

Activity processing interventions focus on:

A) feedback during and after task performance.
B) tactile-kinesthetic input.
C) metacognitive skills.
D) both a and c.

Question 5

If a patient performs a task that differs from a task reviewed in therapy by one characteristic (e.g.,shape),the patient has been successful in which degree of learning transfer?

A) Near
B) Far
C) Very far
D) None of the above

Question 6

Which of the following is considered a behavior modification technique?

A) Shaping
B) Prompting
C) Guiding
D) Both a and b

Question 7

Tasks that involve the concepts of "in," "under," "over," and "above" are the interventions of choice for a patient presenting with:

A) neglect.
B) perseveration.
C) motor apraxia.
D) spatial relations dysfunction.

Question 8

The ability to maintain focus during morning self-care is called:

A) selective attention.
B) sustained attention.
C) alternating attention.
D) inattention.