CBIS Evaluation Criteria 2 — Questions and Answers
Question 1: Which standardized tool is most appropriate for assessing functional independence in daily activities after a traumatic brain injury?
- Functional Independence Measure (FIM) (Correct answer)
- Glasgow Coma Scale (GCS)
- Rancho Los Amigos Scale
- Disability Rating Scale (DRS)
Correct answer: Functional Independence Measure (FIM)
The FIM measures functional independence across motor and cognitive domains in daily activities for rehabilitation populations including TBI.
Question 2: During a CBIS evaluation, a patient scores a 3 on the Rancho Los Amigos Scale. Which behavior best characterizes this level?
- Localized response to stimuli (Correct answer)
- Confused and agitated behavior
- Oriented and purposeful responses
- No response to any stimuli
Correct answer: Localized response to stimuli
Level III (Localized Response) is characterized by inconsistent but purposeful reactions to specific stimuli.
Question 3: What does the Disability Rating Scale (DRS) primarily measure in brain injury rehabilitation?
- Overall level of disability from coma to community reintegration (Correct answer)
- Cognitive processing speed only
- Pain intensity and frequency
- Neuroimaging findings correlated with behavior
Correct answer: Overall level of disability from coma to community reintegration
The DRS tracks the full spectrum of recovery from coma through return to productive activity in the community.
Question 4: A CBIS specialist notes that a client's scores on attention tasks decline sharply in noisy environments compared to quiet settings. This finding most likely reflects:
- Reduced cognitive reserve under environmental demand (Correct answer)
- Malingering or symptom exaggeration
- Improvement in baseline cognitive function
- A medication side effect unrelated to brain injury
Correct answer: Reduced cognitive reserve under environmental demand
Increased environmental demands expose limitations in cognitive reserve common after TBI, particularly in attention and processing speed.
Question 5: Which evaluation approach best captures functional communication deficits after a TBI?
- Functional Assessment of Communication Skills (FACS) (Correct answer)
- Montreal Cognitive Assessment (MoCA)
- Craig Handicap Assessment and Reporting Technique (CHART)
- Neurobehavioral Functioning Inventory (NFI)
Correct answer: Functional Assessment of Communication Skills (FACS)
The FACS assesses real-world communication across social, basic needs, reading/writing, and daily planning domains.
Question 6: When evaluating post-TBI fatigue, which element is most critical to document?
- Triggers, duration, and impact on daily function (Correct answer)
- Sleep latency measured by polysomnography alone
- Serum cortisol levels at rest
- Pre-injury employment history
Correct answer: Triggers, duration, and impact on daily function
Functional fatigue assessment requires understanding what precipitates it, how long it lasts, and how it limits participation.
Question 7: A CBIS specialist uses the Supervision Rating Scale (SRS) during evaluation. What is the primary purpose of this instrument?
- To quantify the level of supervision needed for safe community living (Correct answer)
- To rate caregiver burden and burnout severity
- To assess physical assistance required for mobility tasks
- To document medication management compliance
Correct answer: To quantify the level of supervision needed for safe community living
The SRS measures supervision requirements across 13 levels from independent living to full-time 1:1 supervision.
CBIS Evaluation Criteria 2
Which standardized tool is most appropriate for assessing functional independence in daily activities after a traumatic brain injury?