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

Structured social communication skills training groups provide practice, feedback, and generalization opportunities for pragmatic language deficits after TBI.

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

Frequent use of analgesics for post-traumatic headache can paradoxically cause medication overuse headache, necessitating a carefully managed withdrawal.

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

The Neurofunctional Approach focuses on practicing actual functional tasks in naturalistic environments to build automaticity and habit, bypassing impaired cognitive processes.

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

Skills are most easily retrieved in the context in which they were learned; training in clinical settings may not transfer to community environments without deliberate generalization strategies.

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

The Giacino et al. (2012) multicenter RCT demonstrated that amantadine accelerates recovery of consciousness and functional outcomes in minimally conscious and vegetative states.

(CBIS) Certified Brain Injury Specialist Practice Test

(CBIS) Certified Brain Injury Specialist Practice Test

CBIS Treatment Approaches and Interventions 5