Deck 17: How Therapists Think: Exploring Therapists’ Reasoning When Working with Patients Who Have Cognitive and Perceptual Problems Following Stroke

Question 1

The term that best refers to a denial of a paretic extremity as one's own is:

A) anosognosia.
B) neglect.
C) confabulation.
D) body scheme disorder.

Answer 1

A
This term refers to the impairment when individuals deny that they are paralyzed or that their affected arm or side is a part of themselves.The affected limb may be referred to as an object,or these individuals may claim that someone else's arm is lying in bed with them.

Question 2

While performing a grooming evaluation,a patient is noted to smear the toothpaste over her hands and face.This deficit is termed:

A) ideational apraxia.
B) motor apraxia.
C) somatognosia.
D) spatial relations deficit.

Answer 2

A
This impairment is defined as a breakdown of knowledge of what to do to perform,which results from loss of a neuronal model or a mental representation about the concept required for performance,and lack of knowledge regarding object use;it also refers to sequencing of activity steps or use of objects in relation to each other.Objects are typically used incorrectly.

Question 3

Occipital lobe dysfunction results in:

A) hemianopsia.
B) visual agnosia.
C) prosopagnosia.
D) all of the above.

Answer 3

D
The above are all impaired functions of the occipital lobe.

Question 4

A loss of access to kinesthetic memory patterns that results in clumsy manipulation patterns is:

A) ideational apraxia.
B) motor apraxia.
C) astereognosis.
D) tactile agnosia.

Question 5

A patient has difficulty orienting his shirt to his body.He continually puts the shirt on upside down or backwards.The deficit blocking independence is:

A) motor apraxia.
B) ideational apraxia.
C) spatial relations dysfunction.
D) visual agnosia.

Question 6

Parietal lobe dysfunction may result in:

A) impaired sensory reception from the contralateral side.
B) tactile agnosia.
C) body scheme disorders.
D) all of the above.

Question 7

While dressing,a patient attempts to dress the therapist's arm instead of her own.This impairment is termed:

A) somatagnosia.
B) body neglect.
C) spatial relations dysfunction.
D) confusion.