Certified Brain Injury Specialist Practice Exam

Which factors are likely to influence a patient's behaviors after a brain injury?

1. Weather changes and diet

2. Mechanism of injury and communication impairment

3. Genetic predisposition and age

4. Psychological support and medication

The correct answer is: Mechanism of injury and communication impairment

The choice highlighting the mechanism of injury and communication impairment is significant in understanding how behaviors can be influenced after a brain injury. The mechanism of injury essentially refers to the cause of the brain injury, such as whether it was a traumatic event (like a fall or accident) or a non-traumatic injury (like a stroke). This can greatly influence the type and extent of possible cognitive and behavioral changes a patient may experience. Different mechanisms may lead to distinct patterns of recovery and varying challenges in behavior. Communication impairment is another critical factor. After a brain injury, many patients may experience difficulties in speech, language comprehension, or social communication. Such impairments can lead to frustration, isolation, and changes in personality or mood, which will likely affect behaviors. When patients struggle to express themselves or engage with others, their responses to social situations and their overall behavior can shift dramatically. Consequently, these two elements—how the injury occurred and the patient’s ability to communicate—play a crucial role in shaping the behavioral outcomes post-injury. They provide insight into how the patient may react in various situations and the potential need for interventions that address both cognitive and communicative abilities to support behavioral health.