Cognition (Week 6+7)

Question 1

3 Primary cognitive functions

Answer 1

orientation
attention
memory

Question 2

5 components of attention

Answer 2

focused
sustained
selective
divided
alternating

Question 3

retrograde amnesia

Answer 3

loss of memory before trauma

Question 4

anterograde amnesia

Answer 4

loss of memory after trauma

Question 5

Prerequisite for higher level thinking

Answer 5

3 primary cognitive functions (orientation, attention, memory)

Question 6

PTA

Answer 6

post traumatic amnesia

- after trauma pt confused and unable to store/retrieve new info

Question 7

6 higher level cognitive functions

Answer 7

reasoning
concept formation
problem solving
executive functions
self awareness
metacognition

Question 8

highest level of executive functioning

Answer 8

self awareness

Question 9

need to have all 3 levels of self awareness to have this?

Answer 9

metacognition

Question 10

List 3 levels of self awareness

Answer 10

intellectual
emergent
anticipatory

Question 11

What separates OTs from other professionals assessing cognition?

Answer 11

cognitive assessment focuses on occupational performance

Question 12

5 approaches to cognitive rehab

Answer 12

o	1. Skill-task-habit training	
o	2. Strategy training
o	3. Task-environment modification
o	4. Cognitive stimulation therapy (CST)
o	5. Process-specific training

Question 13

3 cognitive rehab approaches that result in improvement of occupational performance
What are they linked to?

Answer 13

1. Skill-task-habit training
2. Strategy training
3. Task-environment modification

Teaching and learning concepts/methods used in therapy

Question 14

3 examples of teaching-learning concepts used in therapy

Answer 14

errorless learning
spaced retrieval
multicontext approach

Question 15

What is errorless learning?

Answer 15

• Patient consistently performs the desired behavior or strategy correctly
• Errors are prevented

Question 16

What is multicontext approach?

Answer 16

Strategies are picked and practiced in a variety of graded tasks and settings

Question 17

What is spaced retrieval?

Answer 17

Patient recalls information for progressively longer periods of time

Question 18

What teaching learning concept is used for face-name recognition?

Answer 18

spaced retrieval

Question 19

Cognitive rehab strategy typically for people w/severe impairment or impaired self-awareness?
Why?

Answer 19

• skill- task-habit-training

- bc relies on procedural and errorless learning (implicit/nondeclaritive memory)

Question 20

human behavior stems from these 2 systems?

Answer 20

cognitive system

automatic system

Question 21

Cognitive rehab strategy typically for people w/mild to moderate impairment or relatively intact self-awareness?
Why?

Answer 21

• strategy training

- relies on conscious control (explicit/declaritive memory)

Question 22

Goal of skill- task-habit-training?

Answer 22

focus on everyday routines like ADLs

Question 23

2 Down-sides to skill- task-habit-training

Answer 23

o 1. Very context based

o 2. Very time consuming

Question 24

T/F

Strategy training is aimed at learning new tasks

Answer 24

False

Question 25

3 training phases of strategy training

Answer 25

acquisition
application
adaptation

Question 26

What is the focus of strategy training?

Answer 26

compensatory cognitive strategies

Question 27

T/F

Direct attempts to improve memory through drill and practice of remembering are effective

Answer 27

False

Question 28

Difference b/w passive and active memory strategy

Answer 28

• passive = severe memory impairment whose caregivers set up and maintain the external memory strategy/system
• active = are aware of their problems with forgetting and learn to use the memory strategy

Question 29

Strategy of mentally manipulating info to increase likelihood of later recall

Answer 29

internal memory strategies

Question 30

checklists, timetables, memory books, day planners, and assistive technology are examples of?

Answer 30

external memory strategies

Question 31

CO-OP is an example of what cognitive strategy?

Answer 31

Metacognition strategy (type of strategy training)

Question 32

Type of cognitive rehab where pt is not expected to learn or change, but the task demands, social dynamics and/or environment are decreased?

Answer 32

Task-Environment Modification

Question 33

Type of cognitive rehab that is usually a group format and shows good QOL connection but no carryover to ADLs?

Answer 33

Cognitive Stimulation Therapy

Question 34

Type of cognitive rehab that does not have research to prove it or OT model to relate to

Answer 34

Process-Specific Training

Question 35

2 types of process specific training for attention

Answer 35

Attention process training

Limb activation therapy