Exam Preview for 7072: Managing Traumatic Brain Injury Through The

Managing Traumatic Brain Injury Through The Rancho Los Amigos Levels Of Cognitive Function

Please note: exam questions are subject to change.

1. Which injuries would be classified as non-traumatic brain injuries? Motor Vehicle Collision Fall Stroke Blunt force trauma
2. Your patient is in the ICU and demonstrates spontaneous eye opening and spontaneous arm movements. What is their current Ranchos Los Amigos level? Ranchos I Ranchos II Ranchos III Ranchos IV
3. Your patient is now demonstrating behaviors consistent with Ranchos IV and is highly agitated. What techniques should be AVOIDED to provide therapeutic interventions in this stage? Initiate training on novel tasks for motor learning. Use a calm, quiet voice and provide space. Avoid loud, busy, and brightly lit treatment areas. Engage the patient in familiar tasks with low challenge and errors.
4. You are completing a chart review for an initial evaluation of a patient following a TBI. The patient experienced a fall from a ladder, which resulted in a left hemisphere subarachnoid hemorrhage with residual edema in the frontal lobe. What impairments may you expect to see in the initial evaluation? Impaired initiation, impaired coordination of highly skilled movements, aphasia, right hemi-paresis, apraxia Left neglect, aphasia, right hemi-paresis, apraxia Impaired initiation, impaired coordination of highly skilled movements, aphasia, left hemi-paresis Right neglect, aphasia, right hemi-paresis, apraxia
5. A patient is making functional gains and has emerged to a Ranchos level VII (automatic, appropriate). What are some important features your interventions should include? Keeping the tasks simple, providing choices, maintaining a schedule Keeping the environment consistent, calm, and repetitive tasks Avoiding novel tasks, maintaining quiet environments, and incorporating higher aerobic intensity Introducing new learning, new environments, and incorporate higher aerobic intensities