Evaluation Criteria Flashcards

Which neuropsychological domain is most commonly impaired following a mild TBI and should be prioritized in evaluation?

Answer: Processing speed and attention

Processing speed and sustained attention are the most sensitive and frequently affected domains after mild TBI.

The Craig Handicap Assessment and Reporting Technique (CHART) evaluates brain injury outcomes by measuring:

Answer: Social participation and role fulfillment in the community

CHART measures handicap—the social disadvantage resulting from impairment—across mobility, occupation, social integration, and economic self-sufficiency.

During post-acute evaluation, a client demonstrates intact recognition but impaired free recall. This pattern is most consistent with:

Answer: Retrieval-based memory dysfunction

Preserved recognition with poor free recall suggests the information was encoded but retrieval processes are inefficient.

A CBIS specialist conducting a vocational evaluation should prioritize which assessment component for a client with executive dysfunction?

Answer: Work sample performance under real task conditions

Work samples reveal how executive dysfunction affects actual task initiation, planning, and error monitoring in job-relevant contexts.

When using the Galveston Orientation and Amnesia Test (GOAT), a score below 66 indicates:

Answer: Continued post-traumatic amnesia

GOAT scores below 66 indicate post-traumatic amnesia (PTA) is still present, signaling incomplete recovery of continuous memory.

Which factor most significantly confounds the interpretation of cognitive evaluation results in a TBI client with a co-occurring mood disorder?

Answer: Depression-related psychomotor slowing mimicking attention deficits

Depression causes slowed processing and reduced effort that can inflate apparent cognitive impairment on standardized testing.

In a CBIS evaluation, 'ecological validity' refers to:

Answer: How well assessment findings predict real-world functioning

Ecological validity is the degree to which evaluation results generalize to and predict performance in everyday life settings.