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Finding the Sweet Spot in Functional Cognitive Intervention: Grading Tasks to Maximize Outcomes

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1.  Annually in the United States, 2.4 million people sustain a traumatic brain injury and 795,000 people sustain an acquired brain injury from non-traumatic causes. More than ____ of all survivors experience cognitive impairment.
  1. 30%
  2. 22%
  3. 15%
  4. 10%
2.  Working on the computer, stopping to answer the phone and going back to working on the computer is an example of shifting between tasks that demand different behavioral or cognitive skills. What type of attention is this?
  1. Sustained
  2. Divided
  3. Alternating
  4. Selective
3.  Which type of memory facilitates temporary storage and active processing of information?
  1. Working memory
  2. Short term memory
  3. Sensory memory
  4. Long term memory
4.  Executive function tasks include all of the following EXCEPT:
  1. Sequencing complex actions
  2. Sequencing one action
  3. Problem-solving
  4. Modifying behavior in light of new information
5.  General education about brain injury, education related to specific deficits, increase awareness as necessary, patient's prediction of performance, intervention, and review of results is ____________ during the cognitive rehabilitation process.
  1. Adaptation
  2. Acquisition
  3. Anosignosia
  4. Awareness training
6.  Which of the following would be completed during cognitive rehabilitation to promote adaptation?
  1. Finding the Just Right Challenge - the task should be graded to provide a significant challenge, yet allow the patient to be successful
  2. Increase challenge
  3. General education
  4. Increase awareness
7.  Which of the following scenarios would be graded to the most difficult level for a patient completing a multiple errands task?
  1. Give written directions and written rules
  2. Give verbal directions and written rules
  3. Give written directions and verbal rules
  4. Give verbal directions and verbal rules
8.  Which would be an example of grading down a cognitive task?
  1. Giving only verbal instructions
  2. Adding more details to the task
  3. Having the patient complete the task in an environment with no distractions
  4. Having the patient complete the task with only abstract cues
9.  Which of the following tasks would be most appropriate for a high-level patient planning on return to work at a bank?
  1. Baking a cake
  2. Working in a spread sheet while also being required to answer phone calls and take messages
  3. Completing a shopping trip to the gift shop given only a verbal list of what to purchase and a budget
  4. Identifying items that start with every letter of the alphabet during a way finding task
10.  Strategy training includes which of the following?
  1. Focus on the "process" not the content
  2. Goal is not to develop specific skills or isolated strategy but to develop general strategies to be applied across situations
  3. Repeated practice across a variety of situations is key - including the concepts of generalization, complexity/grading, and assuring safe discharge
  4. All of the above are true

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