CBIS Treatment Approaches and Interventions 5

Question 1

Which of the following is an evidence-based intervention for improving social communication skills in TBI survivors?

Accepted Answer

Social communication skills training groups

Answer

Cognitive processing therapy (CPT)

Answer

Systematic desensitization

Answer

Interoceptive exposure therapy

Question 2

A TBI survivor has persistent post-traumatic headaches unresponsive to over-the-counter analgesics. Overuse of these medications may lead to:

Accepted Answer

Medication overuse headache (rebound headache)

Answer

Tolerance to anticonvulsants

Answer

Increased ICP

Answer

Worsening cognitive impairment only

Question 3

The Neurofunctional Approach to occupational therapy after TBI emphasizes:

Accepted Answer

Training functional tasks in real-life environments using repetition and routine

Answer

Remediating underlying cognitive processes in clinical settings

Answer

Modifying the environment rather than training the patient

Answer

Psychodynamic exploration of injury-related trauma

Question 4

Which factor most significantly limits the generalizability of skills learned during TBI rehabilitation to real-world settings?

Accepted Answer

Transfer-appropriate processing failure (context dependency)

Answer

Insufficient session frequency

Answer

Premorbid low IQ

Answer

Inadequate caregiver training

Question 5

For a TBI survivor with disorders of consciousness (DOC), which intervention has the strongest evidence for promoting recovery of consciousness?

Accepted Answer

Amantadine pharmacotherapy

Answer

Sensory stimulation programs

Answer

Bilateral deep brain stimulation (DBS)

Answer

High-dose methylphenidate

Question 6

Family education in TBI rehabilitation is considered essential primarily because:

Accepted Answer

Caregiver knowledge and behavior significantly impact survivor outcomes and reduce caregiver burden

Answer

Families are legally required to participate in treatment planning

Answer

Insurance reimbursement is contingent on family attendance

Answer

Families can replace professional therapists in the home

Question 7

A TBI patient with severe anosognosia (lack of self-awareness of deficits) is LEAST likely to benefit from which intervention approach without modifications?

Accepted Answer

Compensation-based strategies relying on patient insight

Answer

Environmental modifications and caregiver training

Answer

Self-monitoring strategy training with video feedback

Answer

Structured behavioral management programs