Question 1

Your patient has left side unilateral neglect.All of the following treatment suggestions are appropriate to facilitate right brain activity EXCEPT:&#10;A)Use of shapes and blocks with activities&#10;B)Lots of verbal cues&#10;C)Clenching and unclenching the left hand during or prior to a functional activity&#10;D)Presenting items to the patient's left side

Accepted Answer

Lots of verbal cues would not facilitate right brain activity and may actually increase left brain dominance. The other treatment suggestions are appropriate for facilitating right brain activity in patients with left side unilateral neglect. Using shapes and blocks with activities can enhance spatial perception and organization. Clenching and unclenching the left hand can help to activate the right hemisphere and increase attention to the neglected side. Presenting items to the patient's left side can also help to increase attention and awareness of the neglected side.

Question 2

You observe that your patient appears apathetic in therapy sessions, sometimes displays inappropriate behavior, and lacks insight into the feelings of others.You report that he displays which of the following deficits?

A)Apraxia
B)Agnosias
C)Impairment of executive functions
D)Attention impairments

C

Accepted Answer

Apathy, inappropriate behavior, and lack of insight into others' feelings are symptoms commonly associated with impairment of executive functions, which include the ability to plan, organize, initiate, and monitor behavior. Apraxia involves difficulty in performing purposeful movements, agnosias involve difficulty recognizing and identifying sensory stimuli, and attention impairments involve difficulty sustaining attention and focusing on tasks.

Question 3

Having a patient use a wall calendar to assist in staying to a routine is an example of a strategy to address which of the following cognitive and perceptual deficits?&#10;A)Memory impairment&#10;B)Attention impairment&#10;C)Agnosias&#10;D)Impairments of executive functions

Accepted Answer

Using a wall calendar can assist with memory impairment by providing a visual aid to help the patient remember important dates, appointments, and tasks.

Question 4

If your patient is characterized as having cognitive and perceptual difficulties, you could expect to observe any of the following EXCEPT:&#10;A)Inability to do tasks independently or safely&#10;B)Inability to localize to light-touch testing&#10;C)Difficulty switching from one task to the next&#10;D)Diminished capacity to identify objects necessary for task completion

Accepted Answer

Cognitive and perceptual difficulties typically relate to higher order thinking skills such as problem-solving, decision-making, attention, memory, and recognition. Difficulties in these areas may affect the ability to complete tasks independently and safely, switch between tasks or identify objects necessary for task completion. However, difficulty localizing to light-touch testing is more likely associated with sensory deficits.

Question 5

A patient does not appear able to follow your verbal instructions, even when provided with additional visual cues.You conclude that she may have problems with which of the following?&#10;A)Hearing loss&#10;B)Receptive aphasia&#10;C)Hemianopsia&#10;D)Any of the above

Accepted Answer

The patient's inability to follow verbal instructions, even with additional visual cues, suggests potential issues in multiple areas: hearing loss (difficulty hearing the instructions), receptive aphasia (trouble understanding spoken language), or hemianopsia (partial blindness that could affect the ability to see visual cues). Therefore, any of these conditions could be responsible.

Deck 27: Pta: Cognitive and Perceptual Dysfunction