Human Development and Behavior Flashcards

According to the World Health Organization's ICF framework, a TBI survivor's inability to return to their prior job represents a problem at which level?

Answer: Participation

Participation in the ICF refers to involvement in life situations such as employment; inability to work represents a participation restriction.

Which principle of neuroplasticity is most directly supported by evidence that TBI rehabilitation outcomes improve with high-intensity, repetitive practice?

Answer: Use it and improve it

'Use it and improve it' states that training a brain function leads to its enhancement; high-intensity repetition drives synaptogenesis and functional recovery.

A 16-year-old TBI survivor insists on making risky decisions against medical advice, citing their right to choose. This conflict is best understood through which developmental lens?

Answer: Identity formation and autonomy struggles of adolescence

Adolescent identity formation involves asserting autonomy; TBI can disinhibit this drive while simultaneously impairing the risk-assessment capacity needed to exercise it safely.

Learned helplessness in TBI survivors is most effectively addressed through which rehabilitation approach?

Answer: Graded mastery experiences that build self-efficacy

Graded mastery experiences counteract learned helplessness by creating successive successes that rebuild the survivor's belief in their own effectiveness (self-efficacy).

Which behavioral observation would most strongly suggest that a TBI survivor has achieved the 'acceptance' phase in Kübler-Ross's grief model regarding their disability?

Answer: They engage in realistic goal-setting and future planning

Acceptance is characterized by realistic acknowledgment of the situation and forward-looking engagement, evidenced by practical goal-setting and planning.

A TBI survivor raised in a collectivist culture places family decision-making above personal autonomy in rehabilitation choices. A CBIS specialist should:

Answer: Recognize this as a cultural value and incorporate family into shared decision-making

Cultural competence requires recognizing that collectivist values are normative for many cultures, and rehabilitation should accommodate family-centered decision-making.

Which age group shows the greatest discrepancy between apparent recovery and long-term developmental outcomes after moderate-to-severe TBI, often described as a 'growing into deficit'?

Answer: School-age children and adolescents

'Growing into deficit' describes school-age and adolescent TBI survivors who appear recovered early but show increasing deficits as developmental demands outpace their injured brain's capacity.