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TBI and cognitive-communication items ask you to stage recovery (Rancho Los Amigos), identify the cognitive domain affected, and choose evidence-based intervention (spaced retrieval, errorless learning, external strategies). Expect 5-8 items.
Try answering before revealing the rationale — mark misses to retry later.
Q1.A patient is combative, disoriented, and pulling at IV lines 2 weeks post-TBI. The MOST likely Rancho level is:
Correct: B. Rancho Level IV = confused-agitated. Behavior is bizarre, non-purposeful, and often aggressive; attention span is short. Level VI is confused-appropriate; VIII is purposeful/appropriate.
Q2.Which intervention is BEST for a client with severe memory impairment who is learning to use a medication reminder system?
Correct: B. Errorless learning prevents the encoding of incorrect responses, which is critical in severe memory impairment where errors are re-learned as facts.
Q3.A TBI survivor with executive dysfunction struggles with daily planning. Which strategy is MOST evidence-based?
Correct: B. External compensatory strategies are the strongest evidence-based intervention for executive dysfunction after TBI. Restorative attention drills alone have weaker evidence.
Praxis Path unlocks a full question bank + 132-question timed mock exam and spaced-repetition flashcards.
Do I need to memorize all 10 Rancho levels?
Know the anchors (I, IV, VI, VIII) cold. Others are less commonly tested.
Restorative vs compensatory — which does Praxis prefer?
Compensatory is usually favored for chronic executive/memory deficits; restorative for early attention rehabilitation.
What is PTA?
Post-traumatic amnesia — the period after TBI when the patient cannot form continuous memory of ongoing events. Its resolution is a key prognostic marker.