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CBIS EXAM STUDY GUIDE

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CBIS EXAM STUDY GUIDE

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  • August 5, 2024
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  • CBIS
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GEEKA
CBIS EXAM STUDY GUIDE

Acute Brain Injury - answer- An injury to the brain that is not hereditary, congenital,
degenerative, or induced by birth trauma

Traumatic Brain Injury - answer- An alteration in brain function, or other evidence of
brain pathology, caused by an external force
2 Mechanisms
*trauma impact
* traumatic inertial forces

Non-traumatic brain injury - answer- Lack of O2, decreased nutrients to cells, exposure
to toxins, pressure from tumor or blockage or other neuro disorder

ABI Prevalence - answer- 2nd most prevalent disability in U. S.
* 13.5 million Americans

Children & TBI - answer- * non-accidental trauma cause of 80% of deaths in children
under 2yo
* 2/3 of children under 3yo that are abused have TBIs
*falls cause 1/2 of TBI in 0-14yo

domestic violence - answer- 67% of women in domestic violence had TBI symptoms

Mild TBI - answer- *concussion
*LOC > 30 min
*loss of memory >24hrs
*CGS 13-15
*normal CT or MRI
*any AMS at time of incident

Moderate TBI - answer- *LOC up to 24hrs
*neuro signs of brain trauma
* CGS 9-12
*may have focal findings on CT

Severe TBI - answer- *LOC <24hrs
*GCS 3-8

Dementia - answer- Must be coupled with a functional limitation in everyday life due to
the cognitive change

PPCS - answer- Always includes neuropsychological assessment, psychiatric history,
psychological response to previous injuries, available support system, and current
coping skills

,Disorders of consciousness - answer- Coma, vegetative, persistent vegetative,
minimally conscious

MTBI represents - answer- 75% of all TBIs in the US

MTBI symptoms resolve... - answer- Most symptoms resolve in 2-4 weeks

CTE - answer- A rare progressive degenerative condition of the central nervous system.
Diffuse axonal injury causes release of tau proteins.

Blood Brain Barrier - answer- At the vascular level harmful substances cannot pass
through the membrane to harm the brain and it has its own glial cells that serve as its
own immune defense and garbage disposal

Aspiration - answer- Food, liquid, or vomit inhaled into thw lungs can result in
pneumonia or other respiratory infections

Pressure Sores - answer- Caused by inadequate pressure relief, prolonged positioning
on one's side or buttocks, shearing of skin, casts, infections, incontinence, and poor
nutrition

Sleep Disturbances - answer- 30-70% of individuals with TBI report issues and
Persistent sleep difficulties may worsen over time after injury.

COLDER - answer- Character
Onset
Location
Duration and Frequency
Exacerbation
Relief

Fatique - answer- Everyone experiences; subjective; multiplw tests make it difficult to
measure

Reliability - answer- A reliable measure is one that measures consistently when applied
to different individuals at different times

Domains of cognitive functioning hierarchy - answer- Attention
Categorization
Memory
Processing speed
Executive functions
Metacognition

, Problems with metacognition affect - answer- Your ability to self-monitor and use
thoughts to change or improve thinking and behavior

coma-emergent - answer- Do not use consequence based programming; medication,
controlling the environment, providing structure, educate family

Intermittent reinforcement - answer- A particular response sometimes produces
reinforcer; examples hourly pay and slot machines

Substance use disorder SUD - answer- 10% population diagnosed

Substance misuse addressed by screening and brief interventions in acute or primary
care settings - answer- Low severity TBI and low severity SUD

Power of attorney - answer- A document in which a competent person appoints another
person to act for them; Broad or limited powers; may be durable; may be revoked by a
guardian; medical or financial;

Moral model/Religious Model - answer- Disability is a sin, evil, or character flaw

Functional Model - answer- Most individualized and personal model; basis for current
person-centered care

Person centered care maintains - answer- People can be trusted to lead their own lives;
treatment provider's attitude is major factor in outcome; people have capacity for self-
determination; and intervention is most effective when requested

Assistive technology for cognition - answer- Low-tech (calendars and post-its) high
tech(smart phones and tablets) and complex specialized systems

Individuals with disabilities education act - answer- Federal mandate requiring public
schools to provide appropriate education through special ed supports and services

Most brain maturation occurs... - answer- Birth-5 years old

IEP transition plan - answer- To address life after high school; post secondary
education; vocational training; employment; adult services; living arrangements;
community participation

Family reports of post-injury changes to include - answer- Changes in mood and
emotional health; unequal sharing of household responibilities and lack of resources to
combat BI related complications

Parents of individuals with BI report... - answer- Significantly higher rates of stress

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