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When administering the Coma Recovery Scale (CRS) , which of the following best describes the order to perform each item from the subscales?

You are a therapist in an outpatient clinic and have been assigned to evaluate a 24 year old female patient status post TBI 15 months ago. The patient is living at home with family members and would like to increase her physical functioning in order to return to work as a sales associate for Macy’s. During a test of upper extremity rapid alternating movement, the movements of the hands and elbows become irregular with wider excursions than expected. As speed is increased, the movements become more disorganized. What are these findings indicative of?

A new patient on the rehabilitation unit demonstrates consistent verbal outbursts in therapy, ranging from yelling at other patients to cursing at you as the therapist.  She becomes easily frustrated when asked to perform novel tasks, and occasionally reaches out to grab or attempt to hit your arm when you try to guide her through a motor skill on her weaker side.  What level would this patient be on the Ranchos Los Amigos Scale?

A patient with a TBI is demonstrating signs of escalating agitated behavior. They perseverate on attempting to remove their rear-locking seatbelt (restraint) and stand, even though they require minimal assistance for balance. The volume of the patient’s voice is becoming louder, with them repeatedly saying “Get this thing off me.” The MOST APPROPRIATE response from the therapist would be:

A patient recovering from traumatic brain injury (TBI) is functioning at level IV on the Ranchos Los Amigos Levels of Cognitive Functioning Scale (LOCF). During the therapist’s initial examination, the patient becomes agitated and tries to bite the therapist. What is the therapist’s BEST course of action?

Mrs. Jones presents with motor restless impulsive behaviors. She repeatedly stands without assistance, reporting pain in her lower back and that her wheelchair cushion is too firm. when staff apply the wheelchair seatbelt restraint, she begins to yell and kick at the staff members.  She is confused and disoriented, frequently mistaking staff members as family and becomes angry when staff attempt to re-orient her. Her room is adjacent to the elevator, resulting in high visitor traffic and noise outside her room. Which of the following is a list of the External Triggers for her agitated behaviors?

A patient with multiple traumatic injuries is receiving VC ventilation.  The following data are documented: . 1000           1200 1400 BP (mm Hg) 130/76 124/70  116/62 SpO2              96% 91% 89% PIP (cm H2O) 29 33 38 Breath sounds over the right thorax are diminished and the trachea is deviated to the left.  A respiratory therapist should recommend obtaining a

A patient has been receiving mechanical ventilation through a tracheostomy tube for 16 days.  The patient begins to thrash about in the bed following withdrawal of a drug-induced coma.  The patient’s tracheostomy tube has become dislodged.  Following appropriate sedation, a respiratory therapist should NEXT

A patient’s chest radiograph shows diffuse alveolar infiltrates.  The following data are available: CVP        15 mm HgPPA        30 mm HgPCWP        26 mm HgC.I.          1.6 L/min/m2  A respiratory therapist should recommend administering

A patient with severe COPD is receiving PC, A/C ventilation with 30% oxygen.  The patient becomes tachypneic and is apprehensive, mottled, and hypertensive.  Auscultation reveals distant breath sounds on the right as compared to the left.  Tracheal deviation to the left is observed.  A respiratory therapist should recommend evaluation for a potential