SCI
TBI / CVA / EF
Cognitive Models
Evaluation
Health Literacy
100

The passive flexion of fingers during wrist extension (natural biomechanical occurrence). OT uses this movement to increase functional BUE use for patients with spinal cord injuries.

Tenodesis

100

Pathology of muscle tone following a TBI/CVA that involves specific joint positions of flexion and/or extension.

Flexor synergy or extensor synergy patterns

100

Known for its "goal-plan-do-check" structure and guided discovery approach, this model targets skill acquisition.

CO-OP Model

100

What is considered a normal score on the MoCA?

A score of 26 or higher

100

What is the average reading level according to the NAAL?

8th to 9th grade level

200

This condition causes partial or complete paralysis on only one side of the body.

Hemiplegia

200

Damage here may lead to emotional lability with rapid or extreme mood swings and depression.

Left frontal lobe

200

Used especially for children/adolescents with ADHD, this model emphasizes metacognitive learning, environmental supports, and occupation-centered interventions.

Cognitive Function (Cog-Fun) Model

200

What does EVM stand for in the GCS, and how many criteria are in each category?

Eye Opening (4), Verbal Response (5), Motor Response (6)

200

Name 2 factors influencing health literacy.

Complexity and demands of the modern health system

Social stigma (e.g., people assume you don't know how to take care of your condition)

Limited health support measures, or measures not adapted to the person and his/her environment

Complex documents and messages

Lack of health literacy awareness and knowledge

Health professionals’ limited communication skills

Language barriers

Education/income level

Sociocultural factors

300

List three common causes of autonomic dysreflexia.

Needing to perform bladder/bowel routine, having tight/irritating clothing, pressure injuries, ingrown toenails, extreme temperatures, quick temperature changes, UTIs, constipation, and gastrointestinal problems are all common causes of AD.

300

Characterized by rigid extension of both the arms and legs and is caused by damage to the extrapyramidal tracts. 

Decerebrate posturing

300

A model using leather lacing tasks to determine cognitive functioning levels in ADLs/IADLs.

Cognitive Disability Model 

300

A client who is agitated, non-purposeful, and requires max assist is most likely at which Rancho level?

Rancho Level IV

300

Name 2 recommendations to improve readability and grade level, according to Gupta et al., 2017.

Keep information short, using words of one or two syllables, sentences of eight to ten words and paragraphs of three to five sentences.  

Limit use of medical jargon and define terms you do use. Avoid acronyms (e.g., CABG, HIV) and be sure to provide the full term along with the acronym if it is needed.

Chunk information with clearly defined headings between sections of information and allowing for more white space on the page. 

Use visuals and graphics.

Write at a reading level of 6th grade or below.

Respect and value your audience and emphasize small, practical steps with examples of success in a particular action.

Be consistent in word use. 

Use analogies your audience will recognize. 

400

Area of skin supplied by a spinal nerve for sensation.

Dermatome

400

Loss of personal past (memories) after injury or trauma and is usually recovered during the healing process.

Retrograde amnesia

400

This cognitive model focuses on person, activity, and environment interactions to support occupational performance and awareness of deficits. Addresses self-awareness, personal context, and identifies cognitive strategies.

Dynamic Interactional Model

400

A catch followed by minimal resistance through less than half of the ROM is which MAS score?

1+

400

What is the difference between personal health literacy and organizational health literacy? 

Personal health literacy is the degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others.

Organizational health literacy is the degree to which organizations equitably enable individuals to find, understand, and use information and services to inform health-related decisions and actions for themselves and others.

500

This spinal cord level marks the return of effective grasp and release due to intrinsic hand muscle function.

C8

500

This type of memory allows you to ride a bike without thinking (Hint: Unconscious memory ability, second-hand nature).

Implicit/procedural memory

500

A 52 year old client recovering from a right CVA is practicing a simple meal-preparation task (making a sandwich). During the task, the client repeatedly forgets to gather all necessary ingredients and becomes frustrated when the sandwich is incomplete. When the OT asks about the errors afterward, the client can verbally identify what went wrong but does not notice the errors as they occur. According to the DIM, which intervention BEST targets the underlying deficit?

A. Practicing the meal prep task repeatedly until errors decrease.

B. Providing structured opportunities for the client to predict potential errors before beginning the task and identify strategies to avoid them.

C. Increasing task complexity to challenge cognitive endurance/flexibility.

D. Simplifying the environment to reduce visual stimuli and reduce cognitive load during the task.

B. Providing structured opportunities for the client to predict potential errors before beginning the task and identify strategies to avoid them.

500

Someone functioning at this level on the ACLS can live independently.

Level 4.6

500

Name 3 assessments utilized to evaluate health literacy.

Rapid Estimate of Adult Literacy in Medicine (REALM)

Test of Functional Health Literacy in Adults (TOFHLA)

Short Test of Functional Health Literacy in Adults (STOFHLA)

Short Assessment of Health Literacy –Spanish and English (SAHL-S&E)

Newest Vital Sign (NVS)