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Which of the following should be the primary focus of early language intervention for at-risk infants? A.Establishing object permanence through play activities B.Training primary caregivers to facilitate language learning C.Creating readiness activities in the context of play D.Enhancing social communication through play activities - ✔✔Training primary caregivers to facilitate language learning The figure above shows the oral, pharyngeal, and esophageal structures involved in swallowing. Which of the following best describes the transit of the bolus at the moment depicted in the figure? - ✔✔B.The bolus is being propelled from the oral cavity by the tongue and has entered the pharynx.
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Which of the following should be the primary focus of early language intervention for at-risk infants? A. Establishing object permanence through play activities B. Training primary caregivers to facilitate language learning C. Creating readiness activities in the context of play D. Enhancing social communication through play activities - ✔✔Training primary caregivers to facilitate language learning The figure above shows the oral, pharyngeal, and esophageal structures involved in swallowing. Which of the following best describes the transit of the bolus at the moment depicted in the figure? - ✔✔B.The bolus is being propelled from the oral cavity by the tongue and has entered the pharynx. Primary motor innervation to the larynx and velum is provided by which cranial nerve? - ✔✔IX- Vagus Nerve
Fela is a third-grade student in a public school. She is a speaker of African American Vernacular English (AAVE) who has difficulty with the Standard American English (SAE) dialect used in her classroom. Her teacher believes that Fela's language skills are affecting her academic performance and has referred her to the school's speech-language pathologist. Which of the following is an appropriate rationale for providing language intervention for Fela? A. It will likely foster better communication with Fela's linguistically and culturally diverse peers. B. It will likely improve Fela's code-switching ability with her teacher and other adult speakers of SAE. C. It may expand Fela's later academic and vocational opportunities. D. It will likely lead Fela to adopt SAE as her primary dialect. - ✔✔Options (A), (B), and (C) are correct. The intervention will foster better communication because Fela and her peers will have a common dialect. Also, the intervention will provide Fela with the ability to switch easily between dialects using SAE structures. Furthermore, being able to switch codes will enable Fela to participate in more educational and vocational opportunities. Federal laws regarding freedom of access to information stipulate that client records kept or written by health care professionals can be A. reviewed only by other health-care professionals
A.It is measured in decibels and corresponds to the intensity level at which spondaic words can be recognized approximately 50% of the time. B.It makes use of test materials that are limited to monosyllabic words. C.It provides information on how well speech is understood at conversational levels. D.It is useful in validating acoustic intermittence measures - ✔✔A.It is measured in decibels and corresponds to the intensity level at which spondaic words can be recognized approximately 50% of the time. A clinician who employs active listening is doing which of the following? A.Responding to both the content and the affect of the client's remarks B.Listening very carefully and taking extensive notes C.Conducting a clinician-directed interview D.Directing the client to specific answers to questions - ✔✔Option (A) is correct. A clinician who employs active listening responds to both the content (the denotative message) and the affect (the emotional content) of a client's remarks. This investigation was motivated by observations that when persons with dysarthria increase loudness, their speech improves. Some studies have indicated that this improvement may be related to an increase of prosodic variation. Studies have reported an increase of fundamental
frequency (F0) variation with increased loudness, but there has been no examination of the relation of loudness manipulation to specific prosodic variables that are known to aid a listener in parsing out meaningful information. This study examined the relation of vocal loudness production to selected acoustic variables known to inform listeners of phrase and sentence boundaries: specifically, F0 declination and final-word lengthening. Ten young, healthy women were audio-recorded while they read aloud a paragraph at what each considered normal loudness, twice-normal loudness, and half-normal loudness. Results showed that there was a statistically - ✔✔C.Vocal loudness B.The prosody of persons with dysarthria may not show similar loudness effects. C.A within-subjects design A 55-year-old woman, recently hospitalized for probable cerebrovascular accident (CVA), is referred for evaluation of stuttering speech. The initial conversation with the client indicates that speech is characterized by frequent initial-phoneme repetitions and prolongations as well as associated mildly effortful eye blinking. Which of the following pieces of information is crucial to accurate speech diagnosis and decisions regarding management of the speech problem?
A number of research reports have described poor auditory memory in children with language impairments. Which of the following can most appropriately be concluded from these studies? A.Poor auditory memory can be improved by language-intervention programs that focus on teaching vocabulary and word meanings. B.Poor auditory memory is a reflection of a language impairment, and clinicians and researchers cannot effect improvement. C.Poor auditory memory could be a reflection or a cause of a language impairment or could be related to some other factor, and further research is needed to determine which is the case. D.Children with language impairments normally do not have well-developed representational skills. - ✔✔Option (C) is correct. Research reports are restricted to the variables examined in the studies on which they are based. A relationship between poor auditory memory and language impairment has been found in some research studies. Other factors could be involved, however, suggesting that further research is needed. Conclusions about treatment or the effects of the impairment must be made through additional research studies. Ms. Brown, a 70 - year-old retired female, was admitted to the hospital following a CVA. The SLP conducted a comprehensive evaluation that revealed the presence of left-side neglect, anosognosia (denial of impairment), and visuospatial problems, including prosopagnosia (difficulty recognizing familiar faces). Although her auditory comprehension and repetition skills
were good, she experienced difficulty with topic maintenance and turn taking. Based on the clinical features described, Ms. Brown's diagnostic classification would most likely be A.Wernicke's aphasia B.Conduction aphasia C.Cognitive-communicative disorder consistent with right hemisphere damage D.Cognitive-communicative disorder consistent with left hemisphere damage - ✔✔Option (C) is correct. The symptoms described in the scenario are consistent with damage to the right hemisphere. A client exhibits weakness, atrophy, and fasciculations of the right side of the tongue and lower face. The client also has right vocal-fold weakness and nasal regurgitation of fluid when swallowing. These problems are the result of damage to which part of the nervous system? A.Brain stem B.Cerebellum C.Left cerebral cortex D.Right cerebral cortex - ✔✔A.Brain stem ***Why? -- Weakness, atrophy, fasciculations, and the other described symptoms are all consistent with a lower motor neuron locus and suspected cranial nerve abnormalities (primarily CN X and XII). These cranial nerves emerge directly from the brain stem and help
t/tʃ z/dʒ t/k d/g If a target sound for initial intervention is to be selected on the basis of established developmental norms, then that sound will be A./s/ B./ʃ/ C./k/ D./tʃ/ - ✔✔/k/--- According to developmental norms, /k/ is the target phoneme that should be selected for intervention. A public-school-based speech-language pathologist is employed in a state that sets the maximum caseload at 65. However, the clinician's caseload is currently at 64 with a waiting list of 10 additional students. The school principal insists that the speech-language pathologist enroll the 10 students immediately, because the district cannot locate another clinician to assist with the caseload. Which of the following is the most appropriate way for the speech-language pathologist to address the situation?
A.Enroll 1 of the 10 students and provide the principal with a written statement of caseload needs, mentioning the amount, type, and frequency of treatment B.Refer the 10 students to a speech-language pathologist working in a private setting C.Suggest that the principal ask a school speech-language pathologist from another school district to take the 10 students D.Maintain current caseload until an additional speech-l - ✔✔A.Enroll 1 of the 10 students and provide the principal with a written statement of caseload needs, mentioning the amount, type, and frequency of treatment **Why?--It provides the principal with a statement detailing the needs of the students awaiting treatment but also observes the state's caseload limit. Fiber-optic instrumentation is appropriate for evaluation of which of the following types of disorders? A.Articulation B.Phonation C.Proprioception D.Respiration - ✔✔Phonation--- Fiber-optic nasopharyngoscopy or laryngoscopy is a commonly used approach to evaluate vocal fold anatomy and physiology for voice production (phonation).
D.Cochlear dysfunction - ✔✔Eustachian tube dysfunction--- a major factor contributing to middle-ear disease and conductive hearing loss, is nearly universal in infants with cleft palate. Which of the following, if observed in the speech of an African American child, is most likely to represent a dialectical variation rather than an articulation error? A./f/ for /θ/ in postvocalic position B./θ/ for /s/ in all positions C.Affricates for fricatives in word-final position D.Dentals for velars in word-initial position - ✔✔/f/ for /θ/ in postvocalic position---The use of voiceless labiodental fricatives for voiceless interdental fricatives is a feature of African American Vernacular English (AAVE). Children diagnosed as having specific language impairments are likely to exhibit the greatest deficits in which of the following? A.Production of sentences with appropriate inflectional morphology and syntax B.Acquisition of word meanings
C.Comprehension of short sentences D.Motoric aspects of written expression - ✔✔Production of sentences with appropriate inflectional morphology and syntax--- Children with specific language impairments typically have difficulty producing utterances that are morphologically and syntactically well formed. A 5 - year-old girl with a repaired cleft palate has recently undergone a pharyngeal flap operation to correct velopharyngeal incompetence, but she continues to use glottal stops, pharyngeal fricatives, and mid-dorsum palatal stops. Which of the following is the most appropriate action for the SLP to take? A.Recommending that the child be examined by a cleft palate team to determine the cause of the persistent articular errors B.Referring the child back to the surgeon to determine the need for a revision of the pharyngeal flap C.Initiating articulation treatment to teach the correct placement for the stops and fricatives D.Initiating articulation treatment to teach correct production of nonpressure consonant sounds - ✔✔Initiating articulation treatment to teach the correct placement for the stops and fricatives--- This child is using compensatory glottal stops, mid-dorsum palatal stops, and pharyngeal fricatives for standard American English stops and fricatives. She has had surgical management to correct velopharyngeal incompetence. She now needs to learn to produce the
B.Having the client flex her head forward (perform the chin-down posture) during oral preparation and transit stages of the swallow C.Having the client turn (rotate) her head to the right when swallowing D.Providing a diet that consists of thin liquids - ✔✔B.Having the client flex her head forward (perform the chin-down posture) during oral preparation and transit stages of the swallow --- This treatment alters oral configuration to place the base of the tongue superior to the bolus inside the oral cavity. Since liquid cannot flow uphill against gravity, this intervention compensates for impaired palatoglossus contraction, which is causing impaired posterior oral containment. An SLP receives a referral regarding a 4-year-old boy who uses two words spontaneously and functionally, who began walking at 3 years of age, and who responds to his name inconsistently. On the basis of the information alone, the SLP can legitimately conclude that the child's communication profile reflects .a developmental delay B.autism spectrum disorder C.a chromosomal anomaly
D.a metabolic disorder - ✔✔Developmental Delay--- A 4-year-old typically developing child would have 4 word utterances and would respond to his name consistently. Most children start to walk around age 1. Therefore, the delay in walking, along with the delay in language, indicates a general developmental delay. Successful use of an alternative and augmentative communication system is based on such factors as selecting appropriate vocabulary, seating and positioning, and having a reliable method of controlling the system. To facilitate the most effective use of the system, clinicians most often advocate which of the following approaches? A.Unimodal B.Multimodal C.Bimodal D.Gestural - ✔✔Multi--- A multimodal approach offers more communicative options than any other of the approaches listed. Which of the following is most important for an SLP to do when assessing a child who has an acquired brain injury?
A.The child's misarticulation will interfere with reading skills. B.A certain percentage of children of a certain age can correctly articulate the misarticulated sound. C.The misarticulation is caused by faulty learning. D.The misarticulation is not physically based. - ✔✔B.A certain percentage of children of a certain age can correctly articulate the misarticulated sound. --- Developmental norms demonstrate that a certain percentage of children of a given age can correctly articulate certain sounds. Language intervention for a child at the one-word stage should be most strongly influenced by a consideration of the child's A.motor skills B.cognitive skills C.syntactic skills D.articulation skills - ✔✔cognitive--- The cognitive skills of a child at the one-word stage will most strongly influence the child's speech-language responses, so language intervention for the child should take into account the child's cognitive skills.
A single exposure of several hours duration to continuous music with an overall level of 100 dB SPL will most likely produce A.tinnitus and a temporary threshold shift in high frequencies B.tinnitus and a distortion of speech perception C.a temporary threshold shift in the low frequencies D.a permanent threshold shift - ✔✔A.tinnitus and a temporary threshold shift in high frequencies ---A single exposure of several hours duration to continuous music at a level of about 100 dB SPL will most likely produce tinnitus and a temporary threshold shift in the high frequencies. According to research on the development of Brown's morphemes in young children, which of the following is a determinant of acquisition order? A.Phonological ease of production B.Figurative-language ability C.Semantic and syntactic complexity