CBIS Test Quiz Exam GRADED A+ MOD 012 Questions & Answers 2023/2024 VERIFIED
DOC stands for... correct answers Disorders of consciousness
Number of
... [Show More] people per year in a vegetative state correct answers 4,200
Number of people per year with a DOC correct answers 315,000
3 classifications for DOC correct answers Coma, vegetative state, MCS
Coma correct answers no behavioral evidence for arousal
no voluntary response to internal or external stimuli
Might see reflexes
lasts about 2-4 weeks
Vegetative state correct answers complete absence of awareness for self and environment, but there is spontaneous stimuli-induced arousal
sleep/wake cycle
eyes are open sometimes
can last months or years
MCS correct answers minimally conscious state; severely altered consciousness where there isn't much behavioral evidence for awareness of self or environment
intermittent behavioral reactions
localized responses
Arousal correct answers involuntary responses and reflexes to external stimuli
System responsible for maintaining arousal correct answers RAS
Awareness correct answers taking in sensory information; needed for voluntary actions; coordinated by the cortical areas of the cerebrum
The 2 criteria to emerge from DOC correct answers functional communication using words or gestures for yes and no responses
OR
functional use of 2 or more objects
Central apnea correct answers lack of signals from the brain to the muscles that control breathing
Metabolic distress correct answers abnormal hormone responses that lead to increased energy demands
Dystonia correct answers involuntary muscle contraction that causes slow, repetitive movements or abnormal postures; extreme tone or stiffness
Goals for medical management of DOC correct answers maintain physical stability in order to participate in daily life as much as possible
prevent medical complications
provide opportunities for stimulation to the neurological system
Challenges for medical management of DOC correct answers Skin breakdown, respiratory issues, bowel or bladder dysfunction, autonomic dysfunction syndrome
Skin breakdown due to DOC correct answers pressure sores, friction related irritation, bowel and bladder incontinence, pressure from splints and braces
Respiratory issues from DOC correct answers dependence on a trach, sleep apnea (obstructive or central), tracheal aspiration (entry of foreign matter)
Bowel or bladder dysfunction due to DOC correct answers incontinence, constipation, bowel irregularities, discomfort, infections (C Diff or UTI), hygiene and skin issues
ADS correct answers Autonomic dysfunction syndrome; dystonia, agitation, tachycardia (rapid heart rate), diaphoresis (sweating), hyperthermia, hypertension, tachypnea (rapid breathing)
Incidence of ADS correct answers 15-33% of people with a severe TBI [Show Less]