Question 1

Task performance is most negatively influenced by which of the following?&#10;A)Simple instruction in an unfamiliar environment&#10;B)Complex instruction in a familiar environment&#10;C)Simple instruction in a familiar environment&#10;D)Complex instruction in an unfamiliar environment

Accepted Answer

Complex instruction in an unfamiliar environment can be overwhelming and confusing for individuals, leading to poor task performance. Familiar environments can provide a sense of comfort and knowledge to individuals, allowing them to perform better even with more complex instructions. Simple instructions in either familiar or unfamiliar environments may not negatively impact task performance as much as complex instructions in unfamiliar environments.

Question 2

A patient is unable to maintain a self-stretching activity while watching another patient walk in the parallel bars.This is an example of difficulty with&#10;A)sustained attention.&#10;B)focused attention.&#10;C)alternating attention.&#10;D)divided attention.

Accepted Answer

B

Question 3

Identifying ideomotor apraxia during an examination of bed mobility can be accomplished by which of the following?&#10;A)Place an object or person with relevance to patient on side of bed.&#10;B)Demonstrate rolling for the patient first.&#10;C)Verbalize the procedure needed to roll before the rolling.&#10;D)Manually cue patient to initiate and complete the roll.

Accepted Answer

Placing an object or person with relevance to the patient on the side of the bed will require the patient to initiate and complete the rolling motion toward that side of the bed. If the patient is unable to do so, it could indicate ideomotor apraxia. Demonstrating rolling for the patient first (B) may not accurately assess for ideomotor apraxia as the patient may be able to imitate the movement without actually initiating it on their own. Verbalizing the procedure needed to roll before the rolling (C) may help with cognitive sequencing, but may not necessarily identify ideomotor apraxia. Manually cueing the patient to initiate and complete the roll (D) would not accurately assess for ideomotor apraxia as it would provide external assistance rather than assessing the patient's ability to initiate the movement on their own.

Question 4

Which of the following is a primary advantage of using remedial techniques to retrain functional activities for a patient with cognitive dysfunction?&#10;A)Remedial techniques are effective with limited insight.&#10;B)Remedial techniques do not require good language skills.&#10;C)Remedial techniques maximize neural recovery.&#10;D)Remedial techniques produce functional results in a short time period.

Accepted Answer

Remedial techniques aim to address underlying deficits in cognitive function and promote neural recovery, which can have longer-lasting effects on functional activities than compensatory techniques that simply teach workarounds. While remedial techniques may require more active participation from the patient and may take longer to produce results, they can ultimately lead to greater independence and improved quality of life. Choices A and B are not necessarily advantages of remedial techniques, as they may still require some level of insight and language skills from the patient. Choice D is also not an advantage, as remedial techniques may take longer to produce functional results than compensatory techniques.

Question 5

A therapist chooses to reteach meal preparation in a regular kitchen with real food for a patient with cognitive dysfunction.What cognitive approach is being employed?&#10;A)Retraining&#10;B)Sensory integration&#10;C)Neurofunctional&#10;D)Rehabilitative/compensatory

Accepted Answer

The neurofunctional approach focuses on practicing real-life tasks in natural settings to improve functional skills, which aligns with reteaching meal preparation in a regular kitchen.

Question 6

Training a patient with visual scanning and visual cancellation activities to improve reading function is an example of which treatment approach?&#10;A)Retraining&#10;B)Sensory integration&#10;C)Neurofunctional&#10;D)Rehabilitation/compensatory

Accepted Answer

Retraining involves exercises and activities designed to improve specific cognitive or perceptual skills, such as visual scanning and cancellation, to enhance overall function, like reading.

Question 7

The physical therapist attempts kinesthesia testing with a patient post CVA by asking the patient to mimic with the uninvolved arm the passive movement the therapist is performing on the involved arm.The patient does not move the uninvolved arm despite repeated cues.A possible explanation includes

A)somatagnosia.
B)apraxia.
C)spatial disorientation.
D)aphasia.

Accepted Answer

The answer of The physical therapist attempts kinesthesia testing with...

Question 8

Visual-perceptual impairment can be differentially diagnosed from homonymous hemianopsia by which of the following tests?&#10;A)Visual fixation&#10;B)Ocular pursuits&#10;C)Visual acuity&#10;D)Visual object identification

Accepted Answer

Visual object identification involves the recognition and interpretation of visual information, which is a process that can be impaired in individuals with visual-perceptual impairment. Homonymous hemianopsia, on the other hand, is a deficit in visual field perception and does not directly affect visual object identification. Therefore, the ability to identify visual objects can help differentiate between these two conditions. Visual fixation, ocular pursuits, and visual acuity are measures of basic visual function and may not provide enough information to differentiate between these two conditions.

Question 9

A patient with apraxia demonstrates confusion and an inability to succeed when asked to navigate a maze.The most likely cause of the problem is&#10;A)spatial relations impairment.&#10;B)position in space impairment.&#10;C)topographic disorientation.&#10;D)divided attention impairment.

Accepted Answer

The answer of A patient with apraxia demonstrates confusion and...

Question 10

Which of the following describes relearning to initiate sit-to-stand using visual cues following brain injury?&#10;A)Compensation&#10;B)Adaptation&#10;C)Perception&#10;D)Integration

Accepted Answer

The answer of Which of the following describes relearning to...

Question 11

When preparing to cross a busy street,a patient with perceptual difficulties will struggle most with which of the following?&#10;A)Reading the stop sign&#10;B)Stepping off the curb&#10;C)Looking both ways&#10;D)Waiting for cars to pass

Accepted Answer

The answer of When preparing to cross a busy street,a...

Question 12

A patient with a right CVA,ambulating with a rolling walker,continually runs into objects on the left side of the walking path.Without further testing,this presentation can be called&#10;A)unilateral neglect.&#10;B)homonymous hemianopsia.&#10;C)anosognosia.&#10;D)somatognosia.

Accepted Answer

The answer of A patient with a right CVA,ambulating with...

Question 13

A patient is able to verbalize the steps needed to complete the activity you have requested; however,accuracy in physically completing the task is significantly lacking.This is an example of a deficit in what aspect of executive function?

A)Volition
B)Planning
C)Purposeful action
D)Effective performance

Accepted Answer

The answer of A patient is able to verbalize the...

Question 14

Which of the following is an example of a compensatory approach for treating short-term memory loss?&#10;A)Computer games&#10;B)Memory log&#10;C)List recall drill&#10;D)Logical association

Accepted Answer

The answer of Which of the following is an example...

Question 15

While carrying a full glass of water across a room to a table,a patient with impairment of divided attention is requested to search the room for target objects.Which of the following is most likely to occur?

A)The patient will not complete either activity.
B)The patient will carry the water to the table but with decreased speed and accuracy.
C)The patient will spill the water and focus on finding the targets.
D)The patient will complete both activities accurately.

Accepted Answer

The answer of While carrying a full glass of water...

Question 16

A patient demonstrates difficulty pouring liquid from a red cup into a green bowl.The therapist determines the deficit is ideomotor apraxia when the patient&#10;A)does not reach the bowl with the cup before pouring.&#10;B)cannot tip the cup to pour the liquid.&#10;C)cannot determine which one is the red cup.&#10;D)knocks the cup over when reaching for it.

Accepted Answer

The answer of A patient demonstrates difficulty pouring liquid from...

Question 17

Which of the following statements provides &#34;knowledge of results&#34; feedback to a patient working on wheelchair mobility?&#10;A)&#34;You propelled your wheelchair to the end of the room.&#34;&#10;B)&#34;You propelled your wheelchair without running into objects.&#34;&#10;C)&#34;You propelled your wheelchair too slowly.&#34;&#10;D)&#34;You propelled your wheelchair without assistance.&#34;

Accepted Answer

The answer of Which of the following statements provides &#34;knowledge...

Question 18

A home health physical therapist is working with a patient post CVA on stair negotiation in the home.Repetitive practice on the stairs with the use of white tape on the first and last step is a combination of which two treatment approaches?

A)Neurofunctional and rehabilitative/compensatory
B)Neurofunctional and retraining
C)Rehabilitative/compensatory and sensory integration
D)Retraining and rehabilitative/compensatory

Accepted Answer

The answer of A home health physical therapist is working...

Question 19

Following a mild head injury,a 13-year-old patient demonstrates declining academic performance in reading comprehension.Without further testing,the aspect of cognitive function most likely involved is&#10;A)figure-ground discrimination.&#10;B)sustained attention.&#10;C)form discrimination.&#10;D)short-term memory.

Accepted Answer

The answer of Following a mild head injury,a 13-year-old patient...

Question 20

A patient who exhibits difficulty with recognizing personal performance errors is demonstrating difficulty with which of the following?&#10;A)Executive function&#10;B)Perception&#10;C)Learning&#10;D)Memory

Accepted Answer

The answer of A patient who exhibits difficulty with recognizing...

Deck 29: Cognitive and Perceptual Dysfunction