Flashcards in Exam 3: CPT Deck (30):
What does CPT stand for?
Cognitive Performance Test
What does the CPT assess?
Cognition in daily task performance and change over time in individuals with Alzheimer's Disease (AD).
Is the CPT a standardized or nonstandardized test?
Where is the CPT used?
-sub-acute care facilities
-long-term care facilities
-in the home
What is the CPT used to explain and predict?
The client's capacity to function in various contexts. It also guides intervention plans, and measures/tracks the severity of a cognitive-functional disability.
And helps to determine the compensatory and safety needs of the client.
How does the CPT examine cognitive integration with functioning in an environmental context?
It incorporates cognitive challenges within the complexity of an IADL context.
CPT Performance Patterns are made up of how many subtasks?
List the CPT Performance Patterns Subtasks --
How many cognitive levels is the CPT organized into?
6 -- These levels range from intact performance (level 6 or 5) to profound disability (level 2).
At which level does the client demonstrate efficient and error-free execution of the task (for Wash, Toast, & Dress)?
Level 6 or 5
Which level (for Med box, Shop, Phone, and Travel) has "relatively" mild working memory / executive function impairments (may be slow or impulsive making errors that they CAN correct)? At this level the client can process multiple written, verbal, visual, and contextual cues. (Some subtasks only scale to this level.)
At this level EXECUTIVE DYSFUNCTION manifests in testing. (The client cannot act on multiple task details and contextual directions without task reductions and cues.)
The client can reach the main goal of each task, but they are NOT able to pay simultaneous attention to the details, nor inhibit distracter props.
At this level working memory/executive functioning impairments are severe. The client relies on implicit procedural recognition memories to use the objects, but they lose sight of the intended outcome of the task.
At this level the client touches or holds props, but they cannot use the objects to perform the associated actions.
The revised CPT has been expanded to a decimal mode system with this many levels.
26 -- which presents a linear progression of change in cognitive domains (such as attention span, language, spatial awareness)
The OTA must demonstrate this in order to administer the CPT.
Service Competency (also depends on the practice setting)
What should be done before formal CPT administration on clients?
It should be practiced first.
When giving CPT directions the practitioner moves from Initial directions to what?
(ex. verbal cueing: non specific verbal assistance. i.e. - "What do you do first?")
When giving CPT directions if you need to move from General Cues you then move to which type of cueing?
Specific Cues (ex. specific verbal assistance. i.e. - "Put the bread in the toaster.")
If Specific Cues don't help you then move to what?
Task Set Up and Cues (ex. physical demonstration of what the client should do) If that doesn't work...client is not able to complete the task.
Focus on the mechanics of giving the CPT, which means observing what?
First, observe FUNCTION and BEHAVIOR, then take results and look at the cognitive levels.
At which level should you begin administration of the test? Higher than client's suspected level, at their level, or lower than their suspected level?
Higher than suspected level
To be skilled in administering the CPT, what is needed?
Practice, practice, practice.
Once competence has been developed how long does it take to administer the 7 subtasks of the CPT?
about 45 minutes (on average 5 minutes to administer each subtask)
List some factors that can skew CPT scores --
-low education (difficulty with reading tasks)
-cultural bias (clients may have no concept of the task)
-physical disabilities (clients unable to manipulate objects in the subtasks)
How many subtasks must be administered in order to get a valid score?
at least 5!
When working with populations that have very mild to moderate cognitive disability, what is necessary for an accurate assessment result?
A FULL assessment (all 7 subtasks)
CPT studies indicate which two subtasks may cancel each other out?
Dress & Travel (Therefore, CPT 5 subtask battery is another option for the very mild to moderately impaired population.)
Any CPT battery less than CPT5 should be referred to as what?
short CPT or CPT screen