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Terms in this set (66)
Right handed patients with posterior disconnection syndrome cannot name or talk about objects held out of sight in the left hand
It is possible but highly unlikely that a right-handed stroke patient with presumed alexia without agraphia and no other neurological signs has intact visual fields if the patient has no previous hx. of neurological issues
You would expect right-sided paralysis in a right-handed person who has conduction aphasia
Neglect is a deficit in
Denial of deficits
The inability to recognize faces
Production of a monotone voice
Clients with right-hemisphere injury are often unable to
Interpret tone and prosody in speech as well as recognize and understand facial expression
Clients with right-hemisphere damage typically exhibit appropriate narrative production with good topic maintenance skills
Clients with right hemisphere damage commonly have deficits in
Visioperctual skills such as incomplete pictures of objects
Clients with RHD typically have linguistic deficits true or false
Clients with RHD typically have deficits in memory true of false
Clients with RHD typically do have purely linguistic deficits
Clients with RHD typically have aprosodia
Clients with RHD typically have significant deficits in the areas of sustained and selective attention
Extralinguistic deficits include deficits in
Grasping main idea, tangential and egocentric oral expression
The act of remaining alert for incoming stimuli
Is the term used to define a patients denial of deficits
A discourse deficit that impact the ability to identify main idea or central theme
Describes a possible reason for why RHD clients have difficulty providing multiple meanings for words, sentences, or paragraphs that focuses on the clients inability to select an alternative meaning because too many choices are available and the client can't narrow it down sufficiently to offer an additional option.
Is used to define a loss of ability to attend to information from any of the senses to the left or right of midline
Describes a possible reason for why RHD clients have difficulty providing multiple meanings for words, sentences, or paragraphs that focuses on the clients inability to come up with any more than one option
This is a term used to describe a loss of vision or visual field cut
The process of identifying important information from a narrative and combining them together to extract meaning or draw a conclusion
Selection and integration
Clients with RHD have difficulty remaining alert to the possibility of an event true or false
Clients with RHD have difficulty extracting information from both linguistic and non-linguistic contexts as a result of visual perceptual deficits. True or false.
Clients with RHD experience problems communicating because of:
1. Deficit sin inferring skills
2. Processing emotional content of messages
4. Difficulty interpreting tone, prosody and pitch
5. Not providing sufficient content even though they maybe verbose
6. Difficulty with accepting alternative meanings
7. Difficulties understanding cause and effect
Patients can have both visual neglect and visual field blindness. True or false.
Clients with right-hemisphere damage exhibit difficulties with comprehension of narratives and conversations including:
1. Draw conclusions based on insufficient information
2. Difficulty identifying key information in the narrative or conversation
3. Literal interpretation of implied meanings
4. Decreased prosody
5. Difficulty ending conversation
Deficits in attention for an individual with right-sided brain injury can be in both visual and auditory attention. True or false
Type of reasoning; observation of specific situations leads to a development of a specific rule
Loss of long term memories of events and experiences from prior injury
Concentration of mental effort on a stimuli
Initiating and completion tasks, awareness of strengths and weaknesses, goal setting and planning
Ability to take stimulus and process it, Includes speech, processing style, and domain of learning
Ability to take information and compare/contrast, sort by time, attributes, and parts
Learning which takes place due to attention and effort
Ability to split attention between 2 tasks, for example driving.
The process of forming conclusions, judgements or inferences from facts of premise
Recall of previously known information and experiences prior to the injury
Ability to remain focused on the same stimuli over time
Awareness of sensation and readiness to attend
Ability to focus on a specific incoming stimuli while ignoring other stimuli
Ability to explore various options during reasoning
Recall of newly learning material, post-injury
Recall of information while using that information to reason or preform a task
Deficits in the ability to understand non-verbal communication, prosody, emotional content off messages, inefficient or imprecise expressive language
Loss of long term memories of events and experiences post-injury
Recall of information right after it is presented
Short term memory
Learning which takes place during functional activities, not directly taught
Recall of information over time
Long term memory
Loss of ability to attend to stimuli, often seen with unilateral impact
Loss of an area of vision
Explain how cognitive deficits impact communication. Provide at least 2 examples.
A person's communicative ability will suffer if they are experiencing cognitive deficits because the areas that become second nature when we communicate are effected. These include things like organizing, concentrating, awareness, attention and memory. If these areas are effected communication is impacted because a person they won't be able to attend to conversations with people and they'll forget what was said.
According to the author of your text, the inability to recognize and follow typical routes such as going from one office to another at work is called
Client suffering from traumatic brain injury typically have linguistic deficits but may not have aphasia. True or false.
Clients with traumatic brain injury have deficits in verbal and non-verbal attention and memory. True or false.
Discuss the possible linguistic deficits observed in clients with TBI
A person with a TBI might suffer from anomia and also expressive and receptive difficulties. Expressive language difficulties might include story telling, topic maintenance, sequencing, and writing. The receptive deficits they might experience can include following directions, reduce comprehension skills and reading comprehension.
Clients with TBI have deficits focused in the areas of cognition with primary deficits in memory and attention. True or false.
Provide an example of a functional task that requires sustained attention. explain why
Watching a movie is an example of a functional task that requires sustained attention. This requires a person to maintain focus for a long period of time and if distractions arise they have the ability to re-focus.
Provide an example of a functional task that requires filtering of attention. explain why
Trying to do an assignment while your family is downstairs having a good time. This require your brain to address the distractions that are present and filter it out so that you can focus on what is important and where your attention should be.
Create an informal assessment task that could assess a clients organizational skills. What type/s of organizational skills would be needed. Don't use examples from class.
Having them put the dishes away from the dishwasher to the cabinets/drawers in a certain amount of time.
-The client would need to use feature identification and organize by category to organize the dishes appropriately. Time management would also be necessary to complete this task because their is a certain time limit. After this task, we would also look at the clients flexibility and their ability to revise a plan and problem solve when thinking about what could have been done differently.
Discuss some barriers to successful executive functioning.
A person with TBI may not know their own strengths and limitations and try and take on tasks that are way to taxing or way to easy for them. They are not able to set their own reasonable goals and they struggle to stay organized and have the drive to compete the goal at hand. Their ability to initiate certain behaviors to preform a task could be impaired and they may need a certain push just to do the most simple things. These clients can be very self-centered which would get in the way of making progress while working with other people. They must be able to take what they have learned in therapy and apply it to what goes on in their everyday lives- this will take practice.
An individual that demonstrates skills in one setting but is unable to demonstrate those same skills in a new setting is exhibiting difficulties with organization. True or false.
A client with TBI has difficulty with language tasks like narratives and discourse because of...
The client has attention deficits and they can't attend to a conversation. Their memory skills are will make it difficult for them to remember to topic of discussion.
What characteristics would be observed in a client with a hx. of TBI without aphasia.
1. They have bilateral diffused damage
3. Speech problems such as apraxia and dysarthria
4. Deficits in linguistic and non-linguistic skills
5. Communication worse than language
6. Behavioral and/or personality changes
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