Introduction to ABI: Post-Test

Introduction to ABI: POST-Test
This Post-Test a) Asks you the same questions as were in the pre-Test so that you can compare your answers with the Pre-TEST. b) Asks additional questions to test you knowledge in more detail. c) Asks about your role and location and for feedback on how useful you found the Module and suggestions for improvement. On completion you will also be emailed the correct answers for all the tick the box questions and sample answers for all the open-ended questions. So the questions and your answers can be emailed to you the last question asks for your email address.
1. What are two essential components of Acquired Brain Injury?

Cognitive impairmentInjury to the brainImpairment of brain functioningPermanent impairmentStrokeDon't Know
2. What is the primary function of the brain’s frontal lobe?

SensationLanguageBreatingVisionPlanning and coordinationDon't Know
3. Common areas of effects of Acquired Brain Injury include: Cognitive; Communication/language; Physical/sensory; Emotional/behavioural/personality. Which of the following are cognitive effects?

Difficulty paying attentionMuscle control difficultiesParalysisLoss of sense of smellReduced memoryDizzinessDon't Know
4. Which of the following are good rules of thumb for working with people with ABI?

People with an acquired brain injury can grow in their skills for independence in the short to medium term (except where the ABI is caused by a degenerative disease).People with an acquired brain injury can grow in their skills for independence in the long term (except where the ABI is caused by a degenerative disease).The rate of improvement can be slow but is easy to identify.Understand the injury, its effects and effects on behaviour including social changes.Take the person with ABIs behaviours personally.When working with the services network be prepared to work creatively and encourage others to work creativelyDon't Know

5. How confident are you?

	Not confident at all	Somewhat confident	Reasonably confident	Very confident
In working with people with ABI?
That you can describe what an acquired brain injury is?
That you can describe the basic anatomy of the skull and brain?
That you can identify the area of the brain that if injured could cause the person to have difficulties with planning and coordination?
That you can identify the common effects of ABI?
That you understand the levels of severity of ABI?
That you understand what rehabilitation is?
That you can identify the issues and challenges after an ABI faced by the person with the ABI and their family and friends?

6. How confident are you?

	Not confident at all	Somewhat confident	Reasonably confident	Very confident
Talking with people with ABI
Getting to know and understand people with ABI?
Working with people with ABI?
Understanding what makes each person with ABI unique?

7. How confident are you that you understand

	Not confident at all	Somewhat confident	Reasonably confident	Very confident
The extent to which people with ABI can grow in regaining skills and the time frame over which this occurs.
The significance of the connections between: the injury - the effect on the person’s brain - impairments - the problems that arise - support strategies
Emotional responses to an ABI such as loss and grief
Understand why the family, community and support staff are where change happens
The rehabilitation process

6. What is the most common cause of acquired brain injury for people 18 to 25 years?

TraumaStrokeAlcohol relatedAnoxic / HypoxicDegenerative diseaseDon't Know
7. What is the primary function of the brain’s parietal lobe?

SensationLanguageBreathingVisionPlanning and coordinationDon't Know
8. What are the typical causes of sudden onset ABIs?

Traumatic brain injuryStrokeHypoxia/anoxiaInfectionsTumoursAlcoholDegenerative neurological diseases
9. What are two causes of stroke?

Blow to the headBlocked arteryToxinsInternal bleedingBreakdown of myelinDon't know
10. ABI can be mild, moderate, severe, very severe. A mild brain injury could be someone who has good physical recovery and is able go back to previous work. Approximately what percentage of people with a mild ABI experience lifetime problems with living and learning.

0%10%20%30%40%HalfTwo thirds90%Don't know
11. Rehabilitation aims to facilitate ongoing recovery. Rehabilitation enables a person to become as independent as they possibly can. Where does rehabilitation take place?

Hospital acute bedsSpecialist rehabilitation servicesHospital general bedsIn community servicesAt homeGeneralist rehabilitation servicesDon't Know
12. For many people with ABI supporting them is being the proxy for the frontal lobe. Which three of the following would you most likely be providing support with if you were being the proxy for the frontal lobe?*

PlanningPersonal mobilityTransportCommunity servicesCommunicationSocial behaviourCoordinatingGetting startedDon't know
13. Which of the following are good rules of thumb for building the independence of unique individuals with ABI?*

Get to know the personGet to know the person over period of time and also for a period of time.See how they are when they are fatigued.Understand their cognitive abilitiesPeople with acquired brain injury can make significant gains up to five years after the injury - after that there is minimal progressPeople with ABI typically have similar skill levels across many areas.Don't Know

14. When working with people with ABI as a general rule of thumb what are the priorities for services all other things being equal. Rank the following in order of priority. * Rank the items below, using numeric values starting with 1.

	1	2	3
Specialist ABI services
Generalist services
Disability services

15. Which of the following are signs of a PERSON CENTRED Approach?*

Making sure the person and their friends and family are central to identifying needs.Focussing on the future e.g. identifying that a person will need to cook in their own home.Focussing only on the present, e.g. identifying that a person must learn to cook.Thinking about the person mainly in terms of what they cannot do.Enabling people to have lots of experiences so they can make informed choicesService providers controlling what happens to the person.
16. Which of the follow describe good GOAL DIRECTED work?*

Goals are what the client wants to achieve.Goals belong to the person with ABI, not to workers, clinicians or service providers.Rehabilitation programs exist so that person with ABI can achieve your goals.The first step is to identify issues the person with ABI wants to work on or areas they want to improve.Goals need to be specific, measurable and time limitedA good example goal is: Jill does her home exercise program and attends occupational therapy sessions
17. Which of the following PATHWAYS are partiularly important to keep in mind in working with people with ABI?*

The person's injury and their personal journey of recovery and rehabilitationThe service pathwaysThe funding pathway for rehabilitation and support services
18. Which of the following are a breach of PROFESSIONAL BOUNDARIES?*

The worker discussing the client’s difficulties with money management with a shop assistantMaking a comment about a client’s increase in weight during their personal care routineDropping in to the clients home when you are not on shiftThe personal carer has small children and often has trouble getting someone to mind them, so she brings them to the client’s house and lets them play in the house during her shift.Acceptance of gifts and/or monetary payments from a Client
19. which of the following are working rules of thumb for working with a TEAM when working with a person with ABI?

See yourself as part of a team - not just the team in your organisation but part of a team of all the people involved with the person with ABI.Identify the people is this team.Understand the others roles.The membership of the team is usually stable over timeThe person with ABI and their family/friends are a core part of the team
20. What are three common types of speech language and communication difficulties?
21. What is the difference between intellectual disability and acquired brain injury?
22. For people with an ABI what are two examples of: ABI Cause - area of injury - general effect of the injury - specific impairment - behaviour management strategy
23. You are going to be talking with family members of a person with an acquired brain injury about how they are coping. The family is coming to terms with their situation. The family member got a serious ABI about six months ago. You are running over in your mind key points that you might want to highlight during the conversation. What are five key points you would keep in the back of your mind?
24. Your service prides itself on providing individualised services to aged care clients. You have three new clients with an acquired brain injury. You have an existing staff member to support these clients. You are explaining to the staff member that the work will be different from working with aged care clients. What are some of the things you say?
25. Most of the clients your service works with are clients with an intellectual disability. You have three new clients with an acquired brain injury. You have an existing staff member to support these clients. You are talking with the staff member about the importance of building independence in working with people with acquired brain injury. What are some of the points you make?
26. You have a new information and referral worker interacting with people with acquired brain injury and their family members. You are explaining some of the emotional experiences and issues a person with an ABI may have. What are some of the points you make?
27. Your have a group of workers who are working with people with acquired brain injury. This group seems to be more stressed than the group of workers you have working with people in other areas of your service. You are running a discussion with the staff members. What are some of the points you might want to make during the course of the discussion?
Case Study

James is 28 years old and sustained a traumatic brain injury following an assault. He participated in a 3-month inpatient rehabilitation program at a Brain Injury Unit in a hospital. As a result of his injury, James has weakness down his left side, making it difficult for him to walk long distances or carry heavy objects. James also has difficulty planning and organising his time. Often on the ward in the hospital he became frustrated because he couldn't seem to get to his appointments on time. It is now eight weeks since James's discharge. He has returned to live in his two-bedroom unit. He is living alone and receiving carer support for main meal preparation and heavy household cleaning tasks. James has been finding that he is tired all the time and that he is not managing to get on top of all the household chores. He is finding this very frustrating and is often having aggressive outbursts due to this frustration. James also has difficulty remembering exactly what he has done during the week and what appointments he needs to attend. This often makes it difficult when James meets up with friends who inevitably ask, "what have you been doing lately?" It also means that he has to be extremely careful that he doesn't double-book himself. James has parents and a sister who regularly keep in touch with him.
28. You are an Information and referral worker. James rings your service up wanting additional support for cleaning in the home? How do you respond?
29. James has started to attend your social activities program. He often misses his appointments. When he does come he gets frustrated easily and makes other participants uncomfortable. What do you do?
30. You have been asked to case manage James for the next 2 years months. What are some of the emotional issues you may have to deal with for yourself? What are some of the service barriers and issues you may have to deal with?
About Your Role and Feedback on the Module

Your role and Organisation
These questions help us understand who is using the Module.
31. What is your role?

Information and referralSupport worker (for people with an TBI)Program staff (e.g. day program)Case managerManager (of staff working with people with TBIDoctor / nurseAllied healthFamily member or relative of person with TBIPerson with TBIStudent - Not in the workforceOther
32. What kind of organisation do you work in?

Hospital / Health ServiceCommunity ServiceEducational Institution / SchoolGovernment (National, State, Local)Other corporation / businessNOT APPLICABLE - not working
33. Has your workplace or educational institution asked you to do this module?

Yes - my workplace REQUIRED me to do itYes - my workplace suggested I do itYes - my educational institution REQUIRED me to do itYes - my educational institution suggested I do itNoNOT APPLICABLE - I am not in a work place or educational institution
34. Where are you located? Country? If you are located in Australia, what State/Territory?

ACTNSWNTQLDSATASVICWANot ApplicableOther
Feedback about the Module
35. How useful have you found this module?

Very UsefulUsefulA little usefulNot useful
36. Would you recommend this module to others?

Yes definitelyYesProbably notNo
37. How could this module be improved?
38. Do you want to receive email updates if new e-Learning materials for people working with people with ABI become available at www.capacityot.com.au?

YesNo
39. What is your email address?*
This is used only to email the questions and your answers to you
Full Name
Phone Number
Should be Empty:

Introduction to ABI: POST-Test

About Your Role and Feedback on the Module

Feedback about the Module