Quiz 5 Flashcards
Explain what neglect is. What side would commonly be affected with RHD? Give an example of visual neglect. Name two other modalities besides vision that could be affected by neglect.
Neglect is failure to report, respond or orient when presented with stimuli on the side opposite a brain lesion. The left side would most commonly be affected. An example of visual neglect would be drawing only half of a picture. Tactile neglect and olfactory neglect.
Define anosognosia.
Anosognosia is an abnormal condition characterized by the real or feigned inability to perceive a deficit, usually paralysis, on the right side of the body possibly attributed to a lesion in the right parietal lobe.
Explain what confabulation is. What is spontaneous confabulation? What is provoked confabulation?
Confabulation is the fabrication of experiences or situations, often in a detailed or plausible way to cover up gaps in memory apparently without the intent to deceive. Spontaneous confabulation is often uttered without apparent incitement and are usually fantastic or implausible. Provoked confabulation is usually a reaction to questioning and are often tied to some real event.
Explain how making inferences is affected with RHD.
While people with RHD can identify the elements of a picture, they have difficulty making metaphoric or non-metaphoric inferences about an image.
Explain how pragmatic abilities are affected with RHD. Give an example.
People with RHD often have a deficit in pragmatic abilities. An example would be if the therapist gave the prompt, “In the morning, I pick what pants I want to wear, I pick what hat I want to wear and I pick ____” and the patient responds, “My nose!”
What does RHLB stand for? List 2 subtests of the RHLB.
RHLB stands for right hemisphere language battery. Two subtests are comprehension of spoken metaphors and appreciation of humor (reading).
List 3 therapy tasks for attention, perception, or neglect problems. (NOTE: not 3 for each, 3 as a whole.)
Patient is asked to identify the voice and color of clothing of a person in their left visual field, the patient is asked to describe from memory what they just saw in a picture and the patient is asked to work simple to complex puzzles.
List and briefly explain 3 therapy tasks for anosognosia.
The clinician informs the patient as to what they are working on and why.
The clinician informs the patient in a gentle manner when they deny their impairment.
The clinician offers a great deal of enthusiastic and positive feedback because the awareness and training may be perceived as negative.
List and briefly explain 3 therapy tasks for integrating information.
Relate or write a description of a picture, including any emotions portrayed in the picture.
Put words into groupings
Relate what proverbs and analogies mean
List and briefly explain 3 therapy tasks for pragmatic impairment.
Have the patient write a script and analyze the appropriate times for turn taking.
Instruct the patient to make eye contact at the beginning and end of their utterances. Discuss with the patient why turn taking is important in conversations.
