ACTUAL REAL EXAM WITH FREQUENTLY TESTED
QUESTIONS AND RATIONALE|ALREADY A
GRADED|GUARANTEED PASS|LATEST UPDATE 2025.
Olmstead Decision - CORRECT ANSWER A ruling made by the US Supreme Court requiring
the provision of community based services with such services are available and not opposed by
the patient in question, As opposed to being institutionalized.
TBI model systems of care - CORRECT ANSWER *16 centers in US
* developing and demonstrating a model system of care for persons with TBI
*Emphasizing continuity and Comprehensiveness of care
* maintaining a standardized national database for innovative analysis of TBI treatment and
outcomes
Peak Maturation Milepost - CORRECT ANSWER Most brain maturation occurs from birth to 6
years. Injury in that time frame may be the most devastating time for injury to occur
ages 3-5 - CORRECT ANSWER *period of rapid brain growth
*perfecting ability to form images, use words, place things in serial order, beginning problem
solving
Ages 8-10 - CORRECT ANSWER *sensory and motor systems maturing
*frontal executive systems begin accelerated development
*begin to perform operational functions
Ages 14-15 - CORRECT ANSWER *maturation of visuo-auditory and somatic systems
*review formal operations and find flaws & create new ones
Ages 17-19 - CORRECT ANSWER *maturation of frontal executive functions
*questions information, reconsiders & forms new hypothesis
AHT/SBS - CORRECT ANSWER most common in infants and young children 0-5years
More common for boys to be victim
mTBI Adolescents - CORRECT ANSWER Student athletes with concussion must be evaluated,
treated, and followed -up by health care professionals
Second Impact Syndrome - CORRECT ANSWER Can occur when an athlete sustains an initial
concussion and then sustains a second head injury before the symptoms from the first have fully
resolved
Tenet I - CORRECT ANSWER Current physical brain is related to the past physical state of our
brain
,Tenet II - CORRECT ANSWER Our psychological state is the result of a 3 part constant
reciprocally interacting relationship
Moral Model of Disability - CORRECT ANSWER Oldest model
Disability is result of sin, evil or character flaw
Biomedical Model of Disability - CORRECT ANSWER Uses objective, clear-cut, standardized
measures and expert to provide finding characteristics, causes, prognosis and treatment
2 demential (normal vs. illness)
Environmental Model of Disability - CORRECT ANSWER Environment, social and physical
can cause, defined or exaggerate a disability
Prejudice, discrimination stigma lies with the environment and not the disability
Functional Model of Disability - CORRECT ANSWER Most individualized and personal model
(patient centered care)
Extend in consequences for disability in consideration of person specific interest and
participation
Emphasizes DMEs
sociopolitical model of Disability - CORRECT ANSWER Minority group for independent
living model
Disability is collective concern of society
Societies responsibility for accommodating patient rather than the patient accommodating to
society
Six principles of person centered care - CORRECT ANSWER Autonomy, beneficence, non-
maleficence, fidelity, justice, veracity
Beneficence (Definition) - CORRECT ANSWER The clinicians obligation to do good for the
patient
Fidelity - CORRECT ANSWER Clinician should keep promises made
Veracity - CORRECT ANSWER The clinician to be truthful and professional interactions
Section 504 of Rehabilitation Act - CORRECT ANSWER Equal treatment, and appropriate
education for people with disabilities
Preferential seating, extended time on exams, test in quiet, rest breaks, shortened assignments,
books on CD
Individuals with disabilities education act (IDEA) - CORRECT ANSWER Federal education
mandate to provide free appropriate public education and special education and support services
to children with eligible disabilities
,Military Primary Injury - CORRECT ANSWER Direct impact from over-pressure wave.
Compressed air filled organs, catapults body
diagnostic indicators for SBS - CORRECT ANSWER Bleeding from brain
Brain swelling
Bleeding in eyes
Long term disabilities in SBS - CORRECT ANSWER Behavioral problems, learning
disabilities, blindness, deafness, seizures, cerebral palsy
Individual Education Plan - IEP - CORRECT ANSWER Student's academic goals based upon
assessment and the method to obtain these goals via specially designed instruction and related
services
Timeline: 60 days to complete assessment and hold IEP meeting
Military Secondary Injury - CORRECT ANSWER Debris impacts head or body
Military tertiary injury - CORRECT ANSWER Body impacts ground or object
Military Quaternary Injury - CORRECT ANSWER Inhalation of toxic gases or substance
Military acute concussion evaluation (MACE) - CORRECT ANSWER TBI screening
developed by defense and veterans BI center. Provides gross measures of cognitive domain
TBI military prevalence - CORRECT ANSWER mTBI only 56%
mTBI & PTSD 44%
Community integrated rehabilitation (CIR) - CORRECT ANSWER Post acute brain injury
rehabilitation programs designed to support persons with brain injury in the community.
Can include neural behavioral programs, residential programs, day treatment programs and home
based programs
Neural behavioral programs - CORRECT ANSWER For Severe behavioral disturbances that
require 24 hour supervision.
Residential community program - CORRECT ANSWER For those that cannot participate as
outpatient, require 24 hour supervision or support
Comprehensive holistic treatment/day treatments - CORRECT ANSWER There is a need for
intensive services and can benefit from improved awareness
Home based program - CORRECT ANSWER Client is able to resign at the home and able to
self direct care
Care management - CORRECT ANSWER Continuous system of care for a particular condition
Case management, life care planning, advocacy and public policy, support groups
, case management - CORRECT ANSWER A way of managing unique and high risk conditions
often associated with costly acute care and hospital stay.
Case Manager Functions - CORRECT ANSWER Educator, coordinator, research,
communicator, collaborator, clinician, utilization manager, transition planner, leader, quality
manager, negotiator, advocate, risk manager
6 Domains if Case Management - CORRECT ANSWER Processes and services, resource
utilization in management, psychosocial and economic support, rehabilitation, outcomes and
ethical and legal practices
Life care planning - CORRECT ANSWER A lifelong needs assessment of the needed goods
and services required for a person with brain injury to move the most independent life possible.
The plan should've called blueprints for families
Must utilize evidence based standard of care
LCP plan - CORRECT ANSWER Should be continually monitored and revised when the
persons health needs or situation changes.
Special needs trust - CORRECT ANSWER A legal arrangement in financial agreement that
allows a person with a brain injury to receive income without reducing their eligibility for the
public assistance disability benefits provided by Social Security, supplemental security income,
Medicare or Medicaid
Types of special needs trusts - CORRECT ANSWER First party SNT, third-party SNT, Inter
vivos (during life) SNT, pooled trust/community trust
Social security act of 1935 - CORRECT ANSWER Provided cash benefits & health care plans
for individuals who are aged, disabled, and those with low income.
Medicare - CORRECT ANSWER Four part insurance program established as part of the Social
Security act
Medicaid - CORRECT ANSWER Provide healthcare for people with low income, chronic
illnesses, and disabilities black private help insurance
Medicare Part A - CORRECT ANSWER No cost
Covers hospitalizations, SNF, home health and hospice
Medicare Part B - CORRECT ANSWER Premium is charged
This covers doctors appointments and outpatient
Medicare Part C - CORRECT ANSWER Premium charged
Optional cost saving managed care plan