Chapter 37

Question 1

Rancho Level 1

Answer 1

Unresponsive to touch, pain, auditory or verbal stimuli: NO RESPONSE.

Question 2

Rancho Level 2

Answer 2

Inconsistent, non-purposeful responses and/or reactions to painful stimuli: GENERALIZED RESPONSE.

Question 3

Rancho Level 3

Answer 3

Inconsistent reaction directly related to type of stimulus presented (e.g., touch, pain, auditory or verbal): LOCALIZED RESPONSE.

Question 4

Rancho Level 4

Answer 4

AND AGITATED RESPONSE.

Question 5

Rancho Level 5

Answer 5

Non-purposeful, random or fragmented responses when asked to do tasks that may be difficult; patient appears alert and responds to simple commands; performs previously learned tasks, but is unable to learn new ones: CONFUSED AND INAPPROPRIATE, NON-AGITATED RESPONSE.

Question 6

Rancho Level 6

Answer 6

Behavior is goal-directed; responses are appropriate to the situation with incorrect responses because of memory difficulties: CONFUSED-APPROPRIATE RESPONSE.

Question 7

Rancho Level 7

Answer 7

Correct routine responses that are robot-like; appears oriented to setting, but insight, judgment and problem-solving are poor: AUTOMATIC-APPROPRIATE RESPONSE.

Question 8

Rancho Level 8

Answer 8

Correct responses, carryover of new learning; poor tolerance for stress; some abstract reasoning difficulties. Insight, judgment and problem-solving require minimum assist to supervision: PURPOSEFUL-APPROPRIATE RESPONSE.

Question 9

Rancho Level 9

Answer 9

Able to shift attention and use memory aids. Insight, judgment, problem solving and self-monitoring require standby assistance.

Question 10

Rancho Level 10

Answer 10

Independently uses strategies, if needed, for memory, attention, judgment, problem-solving and self-monitoring. Aware of strengths and weaknesses.

Question 11

Mild Brain Injury

Answer 11

Loss of consciousness less than 30 minutes.

Question 12

Moderate Brain Injury

Answer 12

Loss of consciousness more than 30 minutes, but less than 24 hours.

Question 13

Severe Brain Injury

Answer 13

Loss of consciousness more than 24 hours.

Question 14

Glasgow Coma Scale (GCS)

Answer 14

A neurological scale used to determine the level of consciousness of a patient. The higher the number, the greater the level of consciousness.

Question 15

TBI (traumatic brain injury)

Answer 15

Brain dysfunction caused by an outside force, usually a violent blow to the head.

Question 16

What is TBI?

Answer 16

TBI (traumatic brain injury) is brain dysfunction caused by an outside force, usually a violent blow to the head.

Question 17

What is ABl?

Answer 17

ABl (acquired brain injury) is brain damage caused by events after birth, rather than as part of a genetic or congenital disorder.

These include strokes, brain illness and other brain injuries.

Question 18

What is OHI?

Answer 18

OHI (open head injury) occurs when the skull is penetrated (e.g., by a bullet) and has focal damage.

Question 19

What is CHI?

Answer 19

CHI (closed head injury) does not involve penetration of the skull, but results in both focal and broad diffuse damage of the brain.

Question 20

What is Diffuse Axonal Injury (DAl)?

Answer 20

Diffuse Axonal Injury (DAl) is a diffuse brain injury caused by stretching, shearing, or tearing of nerve fibers with subsequent axonal damage.

Question 21

What is anoxic brain injury?

Answer 21

Anoxic brain injury occurs when no oxygen gets to the brain due to heart or lung failure at the time of injury, resulting in brain damage.

Question 22

What is confabulation?

Answer 22

Confabulation is the act of filling in memory gaps, where clients describe events that did not happen, but which they believe did happen.

Question 23

What is comorbidity?

Answer 23

Comorbidity is an injury or a health condition that occurs in addition to the primary injury and affects the overall plan of care.