The Rancho Los Amigos Levels of Cognitive Functioning Scale is used to classify levels of TBI across how many levels?

• A. Six levels
• B. Eight levels
• C. Nine levels
• D. Ten levels

Answer: (B)

The Rancho Los Amigos Levels of Cognitive Functioning Scale uses eight stages to describe how a person is recovering after a brain injury. Each stage reflects a clear change in how the person responds to stimuli, follows directions, and engages with the environment, which helps guide rehab goals and prognosis. The progression starts with no response and moves through general and localized responses, then through levels of confused or inappropriate behavior, ending with automatic and finally purposeful, appropriate functioning. That eight-stage framework is why eight levels is the correct answer.