NBCOT Rancho Los Amigos

An individual recovering from a traumatic brain injury is assessed to be at Level VI of the Rancho Los Amigos Levels of Cognitive Functioning Scale. Which should the occupational therapist use to implement treatment?

A. Sensory stimulation activities include moving to music.

B. Community re-entry activities such as taking a bus.

C. Simple meal preparation tasks such a making a sandwich.

C. Simple meal preparation tasks such a making a sandwich.

Common Theme with Levels 1, 2 , & 3

Total Assistance

Common Theme with Levels 4 & 6

Confused

Common Theme with Levels 7 & 8

Automatic/Purposeful

No Response, appears sleep

Level 1

Generalized Response, might move with pain

Level 2

Localized Response (blink with light, roll away from stimulate).

Level 3

Confused & Agitated , Max A, Where am I ????

I don't know where i am. I don't know what time it is, what is going on !!!!!!!!!!!!!!!!!

Level 4

Pt appears moody and trying to get out of bed.

Level 4

Confused but no longer agitated, but still inappropriate

Level 5

Patient was given a tooth brush and started brushing his hair withy a smile.

Level 5

Pt is able to preform highly familiar task but still needs a lot of structure.

Level 5

Confused, but Appropriate

Level 6

Attention can last up to 30 min, emerging awareness.. I think I know who you are, for 30 min.

Level 6

Automatic and Appropriate

Level 7

New learning occurs with minimal assistance and has carryover.

Level 7

Purposeful and Appropriate

Level 8

Can complete a task for up to an hour.

Level 8

Pt can use a to do list now :)

level 8

Awareness, I know who are but I'm a little confused of what going on, can you help me please.

Level 6