Week 3

Question 1

• combines functional with remedial components
• designed to help clients think about what strategy or methods they will be using to complete a designated task
• includes self-management and self-instructional strategies
• variability across treatment related to this approach

Answer 1

metacognitive strategy intervention

Question 2

• directed at changing the person’s abilities while simultaneously adapting the task and environment to be at the just right challenge level
• addressing the person, task and environment

Answer 2

multicontextual approach

Question 3

in the multicontextual treatment approach, cognitive dysfunction is conceptualized in terms of deficits in what?

Answer 3

underlying strategies

Question 4

small units of behaviors that contribute to the effectiveness and efficiency of occupational performance

Answer 4

strategies

Question 5

what is not emphasized in the multicontextual approach?*

Answer 5

specific task performance

Question 6

with the multicontextual approach, therapy is delivered in ___ mode.

Answer 6

reactive

Question 7

name the 2 aspects of information processing.

Answer 7

• functional capacity

- structural capacity

Question 8

functional capacity is what?

Answer 8

modified

Question 9

structural capacity is what?

Answer 9

fixed

Question 10

treatment is directed to maximize ___ ___.

Answer 10

functional capacity

Question 11

name 3 overall treatment goals for the multicontexual approach.

Answer 11

• increase the variety and quality of processing strategies and behaviors.
• increase the ability to anticipate, monitor, and verify the accuracy of performance.
• increase the ability to flexibly apply strategies and metacognitive skills to a variety of situations.

Question 12

what is the emphasis of the overall treatment goals for the multicontextual approach?

Answer 12

generalization

Question 13

name the 2 types of internal strategies of the multicontextual treatment approach.

Answer 13

• situational strategies

- nonsituational strategies

Question 14

effective in selected tasks and environments (ex: grouping, rehearsal, visual imagery, scanning left-right)

Answer 14

situational strategies

Question 15

effective in wide variety of tasks ‘context free’ (ex: planning ahead, self-monitoring, pacing speed)

Answer 15

nonsituational strategies

Question 16

name 3 examples of external strategies.

Answer 16

• checklist or task guidance
• anchor for scanning
• highlighting most critical points

Question 17

alternative form of the same task while keeping the underlying conceptual characteristics consistent

Answer 17

near transfer

Question 18

3-6 task parameters are changed; the task shares some physical features with the original task but the similarities are less obvious

Answer 18

intermediate transfer

Question 19

all task parameters are changed except for 1-2; the task is conceptually the same but physically different

Answer 19

far transfer

Question 20

transfer of what is being learned in treatment to everyday functioning

Answer 20

very far transfer

Question 21

name the 4 component steps of the multicontextual treatment approach.

Answer 21

1. specify a processing strategy (observed behavior in variety of different tasks)
2. task analysis and establishment of criteria for transfer
3. practice application of the strategy in multiple environments and tasks
4. individual characteristics: to increase motivation and active participation

Question 22

___ increases with the number of examples and situations provided.

Answer 22

transfer

Question 23

difficulty level is not increased until evidence of ___ ___ is observed.

Answer 23

far transfer

Question 24

there is an important distinction btwn training that emphasizes specific skills and training that emphasizes which 2 things?

Answer 24

self-regulation and strategy use

Question 25

the patient needs to be able to do what to promote learning from context dependent state to a context independent state?

Answer 25

monitor his level of performance

Question 26

describe the best way to introduce the task.

Answer 26

define purpose, create an atmosphere of challenge

Question 27

name 6 metacognitive skills.

Answer 27

- task evaluation - predicting consequences - goal formulation - self-monitoring - self-initiation - self-control (inhibit impulsive responses)

Question 28

begin strategy training at what level?

Answer 28

the level of breakdown

Question 29

remembering something particular in a different context

Answer 29

transfer

Question 30

applying a strategy or technique used to many other contexts and experiences

Answer 30

generalization

Question 31

why is awareness important to improve rehab gains?

Answer 31

increases motivation to participate

Question 32

name 3 reasons why goal setting is important.

Answer 32

- understand what problem should be addressed - understand how it would be measured, what to expect - connect the problem and its improvement with everyday life

Question 33

what is an important aspect of the multicontextual approach?

Answer 33

just right challenge level

Question 34

what we're born with - fixed, cannot be changed

Answer 34

structural capacity

Question 35

can be altered/modified

Answer 35

functional capacity

Question 36

what is the ultimate treatment goal?

Answer 36

reaching generalization and the most functional capacity we can in everyday life activities

Question 37

what is the end goal of the dynamic interactional model of cognition?

Answer 37

optimal performance

Question 38

strategies that a person can do on their own that come from within

Answer 38

internal strategies

Question 39

strategies that come from the context/environment

Answer 39

external strategies