Cognitive Domains
Delirium vs. Cognitive Impairment
Cognitive Assessments
Intervention Elements
Medical Potpourri
100

This cognitive skill allows a patient to stay focused while completing an ADL routine.

Attention.

100

This condition is acute with sudden onset.

Delirium.

100

What assessment is used to detect delirium?

4AT.

100

What intervention strategy aims to improve and strengthen cognitive skills?

Remediative.

100

How many bones are in the adult human body?

206.

200

Remembering instructions given by the OT relies on this cognitive skill.

Memory.

200

This condition is chronic with a gradual onset.

Cognitive impairment.

200

This assessment is best used when a patient is disoriented to track orientation over time.

O-Log.
200

True or False: A compensory intervention technique involves using strategies, environmental modifications, or external supports to compensate for cognitive deficits. 

True.

200

What is the largest organ in the human body?

Skin.

300

Recognizing a hazard and choosing a safe solution uses this cognitive skill.

Problem-solving.

300

True or false: A key distinction of delirium is symptom fluctuation.

True.

300

You would use this assessment if you wanted to assess a patient's ability to manage medications.

Medi-Cog.

300

True or false: You should heavily rely on a remediative technique when cognitive deficits are interfering with safety and have limited potential to improve. 

False.

300

This is commonly referred to as the "funny bone", despite it not actually being a bone.

Ulnar nerve.

400

Planning, organizing, sequencing, and self-monitoring all fall under this broad cognitive domain.

Executive functioning.

400

True or false: Cognitive impairment is reversible.

False.

400

This assessment has limited evidence for its validity in predicting driving safety, but is highly validated for measuring visual perception, processing speed, and executive functioning.

Trails AB.

400

True or False: The reason you would grade down an activity is to challenge cognitive skills. 

False. 

400

What is the medical term for goosebumps?

Piloerection. 

500

A patient struggles to identify their limitations and is adamant that they are safe to return home despite functional impairments. What two cognitive skills are impaired?

Insight and Judgement.

500

Name two approaches that can help to prevent delirium.

Possible answers: Reorientation, early mobility, cognitive engagement, sleep hygiene, establishing routine, multimodal sensory stimulation.

500

What is the raw score cutoff for cognitive impairment on the AM-PAC ACISF?

Less than or equal to 21.

500

Name one way an OT could grade up and one way an OT could grade down tooth brushing.

Grade Up: Incorporate dual tasking, provide multi-step directions, fade cues. 

Grade Down: Provide one-step directions, increase cues, reduce distractions.

500

How many times does an average adult blink per minute?

15-20.