Deck 29: Cognitive and Perceptual Dysfunction

Question 1

Task performance is most negatively influenced by which of the following?

A)Simple instruction in an unfamiliar environment
B)Complex instruction in a familiar environment
C)Simple instruction in a familiar environment
D)Complex instruction in an unfamiliar environment

Answer 1

D

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

A)sustained attention.
B)focused attention.
C)alternating attention.
D)divided attention.

Answer 2

B

Question 3

Identifying ideomotor apraxia during an examination of bed mobility can be accomplished by which of the following?

A)Place an object or person with relevance to patient on side of bed.
B)Demonstrate rolling for the patient first.
C)Verbalize the procedure needed to roll before the rolling.
D)Manually cue patient to initiate and complete the roll.

Answer 3

A

Question 4

Which of the following is a primary advantage of using remedial techniques to retrain functional activities for a patient with cognitive dysfunction?

A)Remedial techniques are effective with limited insight.
B)Remedial techniques do not require good language skills.
C)Remedial techniques maximize neural recovery.
D)Remedial techniques produce functional results in a short time period.

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?

A)Retraining
B)Sensory integration
C)Neurofunctional
D)Rehabilitative/compensatory

Question 6

Training a patient with visual scanning and visual cancellation activities to improve reading function is an example of which treatment approach?

A)Retraining
B)Sensory integration
C)Neurofunctional
D)Rehabilitation/compensatory

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.

Question 8

Visual-perceptual impairment can be differentially diagnosed from homonymous hemianopsia by which of the following tests?

A)Visual fixation
B)Ocular pursuits
C)Visual acuity
D)Visual object identification

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

A)spatial relations impairment.
B)position in space impairment.
C)topographic disorientation.
D)divided attention impairment.

Question 10

Which of the following describes relearning to initiate sit-to-stand using visual cues following brain injury?

A)Compensation
B)Adaptation
C)Perception
D)Integration

Question 11

When preparing to cross a busy street,a patient with perceptual difficulties will struggle most with which of the following?

A)Reading the stop sign
B)Stepping off the curb
C)Looking both ways
D)Waiting for cars to pass

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

A)unilateral neglect.
B)homonymous hemianopsia.
C)anosognosia.
D)somatognosia.

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

Question 14

Which of the following is an example of a compensatory approach for treating short-term memory loss?

A)Computer games
B)Memory log
C)List recall drill
D)Logical association

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.

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

A)does not reach the bowl with the cup before pouring.
B)cannot tip the cup to pour the liquid.
C)cannot determine which one is the red cup.
D)knocks the cup over when reaching for it.

Question 17

Which of the following statements provides "knowledge of results" feedback to a patient working on wheelchair mobility?

A)"You propelled your wheelchair to the end of the room."
B)"You propelled your wheelchair without running into objects."
C)"You propelled your wheelchair too slowly."
D)"You propelled your wheelchair without assistance."

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

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

A)figure-ground discrimination.
B)sustained attention.
C)form discrimination.
D)short-term memory.

Question 20

A patient who exhibits difficulty with recognizing personal performance errors is demonstrating difficulty with which of the following?

A)Executive function
B)Perception
C)Learning
D)Memory