Treatment Approaches and Interventions Flashcards

A CBIS is developing a behavior intervention plan for a TBI survivor who becomes verbally aggressive when asked to transition between activities. The FIRST step should be:

Answer: Conduct a functional behavioral assessment

A functional behavioral assessment must precede intervention to understand why the behavior occurs and identify the most effective, individualized strategies.

Which of the following best describes the goal of post-acute rehabilitation in TBI?

Answer: Optimize community reintegration and quality of life

Post-acute TBI rehabilitation emphasizes functional independence, community participation, and quality of life rather than complete neurological restoration.

Amantadine hydrochloride is used in TBI rehabilitation primarily to:

Answer: Accelerate functional recovery and reduce agitation

Amantadine enhances dopaminergic and glutamatergic neurotransmission and has been shown in randomized trials to accelerate functional recovery in disorders of consciousness.

Which type of group therapy is specifically designed to help TBI survivors recognize and compensate for their own cognitive deficits?

Answer: Metacognitive strategy training group

Metacognitive strategy training groups teach self-awareness and self-regulation skills to compensate for executive function deficits after TBI.

When treating post-traumatic depression in a TBI patient, SSRIs are preferred over tricyclic antidepressants primarily because TCAs:

Answer: Have anticholinergic effects that worsen cognition and lower seizure threshold

TCAs have significant anticholinergic side effects that impair cognition and increase seizure risk, making SSRIs the safer first-line choice in TBI.

A TBI survivor with intact motor function but poor task planning would most benefit from which occupational therapy approach?

Answer: Dynamic Interactional Model (DIM)

The Dynamic Interactional Model addresses cognitive processing strategies during functional tasks, making it ideal for planning and organizational deficits.

In TBI rehabilitation, the term 'deceleration of recovery' most commonly refers to:

Answer: A plateau in functional gains despite continued rehabilitation

A recovery plateau—where measurable functional progress slows or stops—signals the need to reassess goals, modify interventions, or shift to maintenance strategies.