TBI Tests and Measures

Question 1

what are the levels of the Rancho Los Amigos Levels of Cognitive Functioning?

Answer 1

I-X

Question 2

Rancho Los Amigos Level I type of response

Answer 2

no response

Question 3

characteristics of rancho los amigos level I

Answer 3

patient appears to be in a deep sleep
completely unresponsive to any stimuli

Question 4

what rancho los amigos level is characterized by the patient appearing to be in a deep sleep, completely unresponsive to any stimuli?

Answer 4

I

Question 5

rancho los amigos level II type of response

Answer 5

generalized response

Question 6

characteristics of rancho los amigos level II

Answer 6

patient reacts inconsistently and non-purposefully to stimuli in a nonspecific manner
responses are limited and often the same regardless of stimulus presented
responses may be physiological changes, gross body movement, vocalization

Question 7

what ranchos los amigos level is characterized by the patient reacting inconsistently and nonpurposefully to a stimuli in a nonspecific manner, responses are limited and often the same regardless of stimulus presented, responses may be physiological changes, gross body movement and vocalization?

Answer 7

II

Question 8

rancho los amigos level III type of response?

Answer 8

localized response

Question 9

rancho los amigos level III characteristics?

Answer 9

-patient reacts specifically, but inconsistently to stimuli
-responses are directly related to the type of stimulus presented
-may follow simple commands like closing the eyes or squeezing the hand in an inconsistent, delayed manner

Question 10

what rancho los amigos level is characterized by the patient reacting specifically, but inconsistently to stimuli, with responses directly related to the type of stimulus presented and may follow simple commands like closing the eyes or squeezing the hand in an inconsistent, delayed manner?

Answer 10

III

Question 11

rancho los amigos level IV type of response?

Answer 11

confused-agitated

Question 12

rancho los amigos level IV characterisitics?

Answer 12

patient is in a heightened state of activity
behavior is bizarre and non-purposeful relative to immediate environment
unable to cooperate directly with treatment
verbalizations are frequently incoherent and/or inappropriate to environment
confabulation may be present
gross attention is brief
selective attention is non-existent
lacks short and longterm recall

Question 13

what rancho los amigos level would present as the following:
patient is in a heightened state of activity
behavior is bizarre and non-purposeful relative to immediate environment
unable to cooperate directly with treatment
verbalizations are frequently incoherent and/or inappropriate to environment
confabulation may be present
gross attention is brief
selective attention is non-existent
lacks short and longterm recall

Answer 13

IV

Question 14

rancho los amigos level V type of response?

Answer 14

confused-inappropriate

Question 15

rancho los amigos level V characteristics?

Answer 15

patient is able to respond to simple commands fairly consistently, but responds non-purposefully, random or fragmented with increased command complexity/lack of external structure
gross attention to environment
highly distractible/lacks ability to focus on specific task
verbalizations- inappropriate and confabulatory
severely impaired memory- unable to learn new tasks
performs previously learned tasks with structure

Question 16

what rancho los amigos level is characterized by the following:
patient is able to respond to simple commands fairly consistently, but responds non-purposefully, random or fragmented with increased command complexity/lack of external structure
gross attention to environment
highly distractible/lacks ability to focus on specific task
verbalizations- inappropriate and confabulatory
severely impaired memory- unable to learn new tasks
performs previously learned tasks with structure

Answer 16

V

Question 17

rancho los amigos level VI type of response?

Answer 17

confused-appropriate

Question 18

rancho los amigos level VI characteristics?

Answer 18

patient shows goal directed behaviors, but is dependent on external input
follows simple directions consistently and shows carryover for relearned tasks (self-care)
past memories show more depth/detail than recent memories
responses may be incorrect due to memory problems, but are appropriate to situation

Question 19

what rancho los amigos level is characterized by the following:
patient shows goal directed behaviors, but is dependent on external input
follows simple directions consistently and shows carryover for relearned tasks (self-care)
past memories show more depth/detail than recent memories
responses may be incorrect due to memory problems, but are appropriate to situation

Answer 19

VI

Question 20

rancho los amigos level VII type of response?

Answer 20

automatic appropriate

Question 21

rancho los amigos level VII characteristics?

Answer 21

appears appropriate and oriented to hospital and home setting
goes through daily routine automatically, but is frequently robot-like
min-no confusion and has shallow activity recall
carryover for new learning at a decreased rate
able to initiate social/recreational activities with structure, judgement remains impaired

Question 22

what rancho los amigos level is characterized by the following:
appears appropriate and oriented to hospital and home setting
goes through daily routine automatically, but is frequently robot-like
min-no confusion and has shallow activity recall
carryover for new learning at a decreased rate
able to initiate social/recreational activities with structure, judgement remains impaired

Answer 22

VII

Question 23

rancho los amigos level VIII type of response?

Answer 23

purposeful-appropriate

Question 24

rancho los amigos level VIII characteristics?

Answer 24

patient able to recall/integrate past and recent events
aware and responsive to environment
may continue to show decreased ability relative to premorbid abilities, abstract reasoning, stress tolerance and judgement in emergency/unusual scenarios
carryover for new learning and needs no supervision once activities are learned

Question 25

what rancho los amigos level is characterized by the following: patient able to recall/integrate past and recent events aware and responsive to environment may continue to show decreased ability relative to premorbid abilities, abstract reasoning, stress tolerance and judgement in emergency/unusual scenarios carryover for new learning and needs no supervision once activities are learned

Answer 25

VIII

Question 26

rancho los amigos level IX type of response?

Answer 26

purposeful-appropriate

Question 27

rancho los amigos level IX characteristics?

Answer 27

patient able to recall/integrate past and recent events aware and responsive to environment may continue to show decreased ability relative to premorbid abilities, abstract reasoning, stress tolerance and judgement in emergency/unusual scenarios carryover for new learning once activities are learned with SBA available on request

Question 28

what rancho los amigos level is characterized by the following: patient able to recall/integrate past and recent events aware and responsive to environment may continue to show decreased ability relative to premorbid abilities, abstract reasoning, stress tolerance and judgement in emergency/unusual scenarios carryover for new learning once activities are learned with SBA available on request

Answer 28

IX

Question 29

rancho los amigos level X type of response?

Answer 29

purposeful-appropriate

Question 30

rancho lose amigos level X characteristics?

Answer 30

patient able to recall/integrate past and recent events aware and responsive to environment may continue to show decreased ability relative to premorbid abilities, abstract reasoning, stress tolerance and judgement in emergency/unusual scenarios carryover for new learning once activities are learned with Mod I

Question 31

what rancho los amigos level is characterized by the following: patient able to recall/integrate past and recent events aware and responsive to environment may continue to show decreased ability relative to premorbid abilities, abstract reasoning, stress tolerance and judgement in emergency/unusual scenarios carryover for new learning once activities are learned with Mod I

Answer 31

X

Question 32

Glasgow Coma Scale

Answer 32

neurological assessment used initially after injury to determine arousal and cerebral cortex function following TBI

Question 33

what neurological assessment is used initially after injury to determine arousal and cerebral cortex function following TBI?

Answer 33

GCS

Question 34

GCS grading system?

Answer 34

1-6 scale assessing eye, motor and verbal response

Question 35

GCS eye response score of 1

Answer 35

NIL

Question 36

GCS eye response score of 2

Answer 36

response to pain

Question 37

GCS eye response score of 3

Answer 37

response to speech

Question 38

GCS eye response score of 4

Answer 38

spontaneous

Question 39

what score would patient be given if being assessed via GCS following TBI and they demonstrated NIL eye response?

Answer 39

1

Question 40

what score would patient be given if being assessed via GCS following TBI and they demonstrated eye response to pain?

Answer 40

2

Question 41

what score would patient be given if being assessed via GCS following TBI and they demonstrated eye response to speech?

Answer 41

3

Question 42

what score would patient be given if being assessed via GCS following TBI and they demonstrated eye response was spontaneous?

Answer 42

4

Question 43

GCS motor response score of 1

Answer 43

NIL

Question 44

GCS motor response score of 2

Answer 44

extensor response

Question 45

GCS motor response score of 3

Answer 45

abnormal flexion

Question 46

GCS motor response score of 4

Answer 46

withdraws

Question 47

GCS motor response score of 5

Answer 47

localizes pain

Question 48

GCS motor response score of 6

Answer 48

obeys commands

Question 49

what score would patient be given if being assessed via GCS following TBI and they demonstrated NIL motor response?

Answer 49

1

Question 50

what score would patient be given if being assessed via GCS following TBI and they demonstrated an extensor motor response?

Answer 50

2

Question 51

what score would patient be given if being assessed via GCS following TBI and they demonstrated an abnormal motor response?

Answer 51

3

Question 52

what score would patient be given if being assessed via GCS following TBI and they demonstrated a withdrawing motor response?

Answer 52

4

Question 53

what score would patient be given if being assessed via GCS following TBI and they demonstrated a motor response where they were able to localize pain?

Answer 53

5

Question 54

what score would patient be given if being assessed via GCS following TBI and they demonstrated motor responses consistent with obeying commands?

Answer 54

6

Question 55

GCS verbal response score of 1

Answer 55

NIL

Question 56

GCS verbal response score of 2

Answer 56

incomprehensible sounds

Question 57

GCS verbal response score of 3

Answer 57

inappropriate words

Question 58

GCS verbal response score of 4

Answer 58

confused conversation

Question 59

GCS verbal response score of 5

Answer 59

oriented

Question 60

what score would patient be given if being assessed via GCS following TBI and they demonstrated NIL verbal response?

Answer 60

1

Question 61

what score would patient be given if being assessed via GCS following TBI and they demonstrated incomprehensible sounds as a verbal response?

Answer 61

2

Question 62

what score would patient be given if being assessed via GCS following TBI and they demonstrated inappropriate words as a verbal response?

Answer 62

3

Question 63

what score would patient be given if being assessed via GCS following TBI and they demonstrated confused conversation as a verbal response?

Answer 63

4

Question 64

what score would patient be given if being assessed via GCS following TBI and they demonstrated an oriented verbal response?

Answer 64

5

Question 65

what does a GCS score

Answer 65

severe brain injury or coma

Question 66

what GCS score indicates a severe brain injury or coma?

Answer 66

score

Question 67

what does a GCS score of 9-12 indicate?

Answer 67

moderate brain injury

Question 68

what GCS score indicates moderate brain injury?

Answer 68

9-12

Question 69

what does a GCS score of 13-15 indicate?

Answer 69

mild brain injury

Question 70

what GCS score indicates mild brain injury?

Answer 70

13-15

Question 71

what would the following scores of the GCS indicate: eye response: 1 motor response: 1 verbal response: 1

Answer 71

eye response: NIL motor response: NIL verbal response: NIL GCS score: 3, severe injury/coma

Question 72

what would the following scores of the GCS indicate: eye response: 2 motor response: 2 verbal response: 2

Answer 72

eye response: to pain motor response: extensor response verbal response: incomprehensible sound GCS score: 4, severe injury/coma

Question 73

what would the following scores of the GCS indicate: eye response: 3 motor response: 3 verbal response: 3

Answer 73

eye response: to speech motor response: abnormal flexion verbal response: inappropriate words GCS score: 9, moderate brain injury

Question 74

what would the following scores of GCS indicate: eye response: 4 motor response: 4 verbal response: 4

Answer 74

eye response: spontaneous motor response: withdraws verbal response: confused conversation GCS score: 12, moderate brain injury

Question 75

what would the following scores of GCS indicate: eye response: 4 motor response: 5 verbal response: 5

Answer 75

eye response: spontaneous motor response: localizes pain verbal response: oriented GCS score: 14, mild brain injury

Question 76

what would the following scores of GCS indicate: eye response: 4 motor response: 6 verbal response: 5

Answer 76

eye response: spontaneous motor response: obeys commands verbal response: oriented GCS score: 15, mild brain injury