NBCOT Questions and Answers Latest Update Graded A

NBCOT Questions and Answers Latest Update Graded A hand dominance development at 3-6 years, but is not fully defined until 6 years agnosia Agnosia is a category of deficits where the patient lacks recognition of familiar objects as perceived by the senses. apraxia inability to execute or carry out learned (familiar) movements, despite having desire and physical ability to do so ideomotor apraxia inability to imitate gestures or perform a purposeful motor task on command, even though patient is able to fully understand idea or concept ideational apraxia inability to carry out complex sequential motor acts d/t disruption of conception (loss of tool function knowledge) oral apraxia difficulty forming and organizing intelligible words, though the musculature required is intact - contrasted w/ dysarthria wh/ involves muscles and causes slurred speech neuroma unorganized mass of nerve fibers resulting from a laceration or amputation in which the nerve regrows in unorganized bundles - results in sharp, radiating pain age at which infant sits erect and unsupported for several minutes 8-9 months cause and symptoms of reflex sympathetic dystrophy (aka CRPS) caused by trauma, post-surgical inflammation, infection, or laceration to an extremity - characterized by pain, edema, shiny skin, blotchy skin, excessive sweating or dryness symmetric tonic neck reflex 1. When an infant's neck is extended, the elbows extend and hips flex. When the head is lowered, the elbows flex and hips extend. 2. Transitions baby from lying on floor to being able to crawl asymmetric tonic neck reflex aka "fencing reflex" - when infant turns head, the same side extremities extend and opposite side extremities flex tonic labyrinthine reflex extensor pattern with head extension in supine or flexor pattern with head flexed in prone acute care psychiatric Which setting would benefit from directive group treatment = highly structured approach for minimally functional individuals a task group What type of group structure works best for individuals with substance abuse? psychoeducational group What group format is best for eating and adjustment disorders? laissez-faire leadership "hands off" approach where goals are not stated, purpose is unclear, members are not discouraged or encouraged - works only for a high-functioning group gower's sign when asked to get up from sitting on floor, child will move hands on legs as though crawling up to the thighs and then assume a standing position erb-duchenne palsy upper brachial plexus injury causing paralysis of arm, wasting of hand muscles, and decreased sensation; arm held in characteristic "waiter's tip position;" recovery usually btwn 3-24 months klumpke's palsy lower brachial plexus injury resulting in claw hand deformity; usually improves btwn 3-6 months classes of peripheral nerve injuries Class I: neuropraxia Class II: axonotmesis Class III: neurotmesis glasgow coma scale eye response parameters best eye response (4 [spontaneous], to speech, to pain, to 1 [no response]) glasgow coma scale verbal response parameters best verbal response (5 [oriented x3], confused, inappropriate words, incomprehensible sounds, to 1 [no response]) glasgow coma scale motor response parameters best motor response (6 [obeys commands], moves to localized pain, flxn w/drawal from pain, decorticate, decerebrate, to 1 [no response]) glasgow coma scale score range and indications 3-15; score of 8 or lower = severe TBI, 9-12 = moderate, 13-15 = mild rancho level