All Quiz Questions

Mark had slow, weak, and poorly coordinate speech production with consistent error types following his stroke. What is his diagnosis?

dysarthria

Jim continued to stand up and attempt to walk even though he has paralysis of the legs following his stroke. The PT told him not to get up and attempt to walk because it is not safe, yet he continues to do so. Jim may be experiencing _________________.

a lack of awareness of deficits

Sammi seems very low and seems to have little interest in therapy and most activities during her day. Sammi may be experiencing ______________.

depression and should be referred to a psychologist.

Mrs. Lee is a writer and holds a B.S. degree in language arts. She is a well known and best selling mystery author. You are seeing her for a mild Broca's aphasia and noted that she missed several questions in math calculations. What should be considered in interpreting the test results?

Task difficulty

It is crucial that we consider potentially confounding factors that might influence the assessment results of the clients we work with and we should consider each on an individual basis.

True

_____________ is the consistency of results obtained by two different assessors.

inter-examiner reliability

____________ refers to the degree to which what one intends or purports to measure really is what is being measured.

validity

_______________ is a test that entails presenting a series of lines in varied orientations on a page and asking the individual to mark each lien to create a cross or plus sign.

line cancellation task

There can be weaknesses in using a pre-established case history form.

True

People with neurogenic communication disorders may have some type of visual dysfunction or multiple concomitant visual problems.

True

A person's reading and writing might be impacted by their prior ......

naming abilities

phonological awareness

abstract thinking

lexical decision abilities

What is a vital component of screening?

Asking people directly what bothers them most about communication and thinking and what they most wish to improve.

Knowing our client's highest level of education is not necessary for proper assessment.

False

Brandi is having difficulty concentrating and may be having panic attacks. She has been noticed to be shaking on occasion and is complaining of stomach aches and will not eat. Brandi may be experiencing __________ and should be referred to a specialist.

anxiety

Mr. Smith had difficulty using his hand and fingers for volitional movements. What might be the problem?

limb apraxia

Mr. Jones was given his assessment in a busy hallway and scored poorly. What confounding factor may have influenced the results?

context factors

A thorough assessment for any of the adult neurogenic language disorders should include assessment of which of the following:

what a person wants to do in life and the environment needed to support that

language formulation and production at all language levels

perceived strengths and challenges associated with communication, socialization, and quality of life

cognition, including multiple aspects of mental status or orientation, memory, attention, and executive functions

Alex was unable to draw images and copy images in a specified way. Alex may have ________________.

visuoconstructive deficit

As part of our case history process, we should learn the hobbies, volunteer work, and personal interests of our clients.

True

_______________ are a loss of visual information regarding specific components of the visual space.

visual field deficits 

_______________ is a deficit in recognizing body parts.

autotopagnosia

A _____________ is a way in which we consider the ability, skill, or construct we wish to assess in light of the tasks used to assess it and analyze the others aspects of performance that may also be reflected in what is assessed.

process/task analysis approach

______________ is an experimental condition in which a person is asked to make a judgement about words (e.g, word versus nonword discrimination or whether a word has been shown before.)

lexical decision task

Which skills/abilities are important to know about our client's abilities prior to the onset of an acquired neurogenic disorder.

intelligence

education

literacy

Problems with alignment and movement of the eyes due to impairments of the extraocular muscles that control eye movement, nerves, or cortical systems result in _____________.

ocular motor problems

The design of a test will never influence the results.

False

__________ refers to the consistency with which an individual assessor gets the same assessment results.

intra-examiner reliability

__________ is a deficit in recognizing faces.

prosopagnosia

Bob has difficulty articulating. You notice that while he is communicating he gropes for the right way to move his lips and tongue. His errors are not consistent and he has a slow rate and abnormal stress pattern when he talks. What is his diagnosis?

apraxia of speech

There are a myriad of impairments and conditions that people with neurogenic language disorders may have than can affect their linguistic performance.

True

Yen was falling asleep during the exam requiring the therapist to call his name and tap him on the arm. This may impact assessment results. He is experiencing a problem with __________.

arousal

_____________ is a deficit in recognizing visual stimuli.

visual agnosia

________________ is the degree to which a test, or any specific stimulus or set of stimuli within a test, represents actual real-world types of stimuli that would be encountered in the everyday life of the person being tested.

ecological validity

This processes refers to identifying a disorder label that either apply or do not apply to an individual according to an evaluation of his or her body structure and function.

differential diagnosis

Mary attempted to assess her client's language skills. In the test, the client was asked to add digits together. There is a problem with ______________.

both of the above

_____________ refers to the consistency with which something is measured or evaluated.

reliability

It is crucial that we know about our client's living arrangements, physical location, type of housing, and other people who live in the home as we are responsible to ensure the safety and welfare of our clients.

True

The context in which we work will influence organization and preparation in which we may engage to assess a person's abilities in any particular domain or set of domains.

True

It is crucial that the assessment (as well as treatment) process be collaborative and to be knowledgeable about the scope of practice of other disciplines and show respect for real and perceived boundaries in order to ensure sustainable and effective working relationships.

True

what are the three levels of discourse or social use of language?

extralinguistic

linguistic

paralinguistic

We do not need to be concerned with the medications our patients are on as they will not have an impact on our assessment and treatment results.

False

Mr. Jones was engaged in a conversation with his wife. Suzie SLP noted that the meanings that Mr. Jones conveyed during his communication with his wife were not consistent throughout his conversation. In his writings it was also noted that he had inconsistent themes. Mr. Jones is having difficulty with _____________.

discourse coherence

Ms. Heller decided that she would use the complexity account of treatment efficacy when working with Mrs. Havermat in her aphasia treatment. Ms. Heller will most likely use which method in this approach?

train atypical exemplars

Having people in any kind of rehabilitation intervention select their own goals as part of the intervention planning, communicating about those goals to interdisciplinary team members, and collaborating across types of intervention to help people meet their goals is key to a person-centered approach. This approach was first introduced in mental health treatment and is now utilized in working with those who have neurogenic language disorders.

Goal Attainment Scaling (GAS)

The likelihood of benefit from a given treatment for a defined population under ideal conditions is ___________.

efficacy

When giving a prognosis, we must be careful not to ______(select all that apply).

overstate gravely negative or cheerfully positive predicitons

be overly confident about what you think you know

oversimplify the complex interaction of factors that influence recovery

The SLP field is as much an art as it is a science and we should embrace both.

True

We should acknowledge the difference in viewpoints and be mindful of the multiple perspectives on real-life impacts of communication disabilities when working with clients and their loved ones.

True

Which assessments are those that allow tailoring of assessment materials to the interests, ability level, and cultural and linguistic background of the person being assessed.

Dynamic assessment

We have a lack of EBP so it is not critical that we look for it in our treatment methods.

False

It is important to vigorously advocate for the people we serve and to learn and develop strategies for advocacy to boost access to services and supports for people with neurogenic communication disorders.

True

What is at the center of the assessment process?

the client

Test design factors will not influence results.

False

What is the optimal focus of initial treatment soon after a stroke or brain injury?

Focus on communication needs

balance of compensatory with restitutive appraoches

consider pros and cons of focusing on attention

counsel and share information

promote rest

Miss Goldman was not sure whether to see Mr. Bloom for 30 or 60 minutes a day. Miss Goldman is considering what factor of treatment?

treatment intensity

Ms. Bereswill was providing touch, vibration, light, scents, and sounds to Mr. Smith. This type of therapy is known as __________________.

sensory stimulation

Discourse analysis is vital to treatment planning.

True

Match the level of social use of language with its definition. These are key in discourse analysis.

linguistic

the verbal form and content

Match the level of social use of language with its definition. These are key in discourse analysis.

extralinguistic

the environmental context of language use and the roles and backgrounds of the individuals involved in an exchange

Match the level of social use of language with its definition. These are key in discourse analysis.

paralinguistic

prosodic aspects of intonation, pitch, and stress; use of gestures and facial expressions

Doctors may prescribe pharmacological interventions to facilitate recovery from stroke.

True

In aphasia therapy, especially in people with dementia, it is important that we 

teaches communication partners how to support the person with aphasia using support communication strategies and treatment focuses on the communication partner, not the person with aphasia.

Discourse may also be considered in terms of _____________, the intended purposes underlying the specific communicative intent of what is expressed at any given moment or in a given context.

speech acts

In a process analysis approach to assessment, we 

determine the impact of confounding factors on our conclusions

consider all possible skills, abilities, predispositions, and aptitudes that a person must have to carry out a particular assessment

acknowledge any uncertainty we may have about the validity of results in light of inherent and potentially confounding factors

consider which of those skills, abilities, predispositions, aptitudes pertain to the construct under study and which do not

We should not concern ourselves with demonstrating respect and appreciation for our older client's experience and wisdom.

False

Which is an essential component of dynamic assessment?

Discourse

We should use a mixture of standardized testing and flexibly adapted assessments.

True

Rapport building happens naturally and we do not need to concern ourselves by taking any steps or actions to build rapport with our clients.

False

Context can influence testing results.

True

We should only need a discourse analysis from a picture description to get a true account of all language abilities.

False

Best practices in assessment for aphasia require a ____________________.

strengths-based assessment

person-centered approach

a and b only (first two only)

It is critical to not only assess at the impairment level, but to also focus on what skills and abilities are intact as well as challenged.

True

Mrs. Blake critiqued the clinician about the lack of real-word stimuli used in therapy. Mrs. Blake is questioning the ____________ of the stimuli used.

ecological validity

What is the interactive use of language, encompassing comprehension and production, regardless of modality (written, spoke, or singed language and verbal as well as nonverbal communication)?

Discourse

The best time to initiate treatment for people with neurodegenerative conditions is as soon as possible, once the symptoms related to language of generalized intellectual impairment arise.

True

Treatment begins _________________________.

the moment assessment starts.

The relationship between the examiner and the person being testing has no impact on testing results.

False

Personal and environmental factors do not need to be considered during assessment and treatment.

False

Discourse analysis helps determine strengths and weaknesses not evident through other forms of assessment.

True

The ability to help people with neurogenic communication disorders is direcly connected to a profound understanding of the complex nature of each person's 

challenges in light of their real-life goals.

What determines a diagnoses?

Experts - the clinician.

Dr. Springer is studying how the recent research findings of electrical stimulation may enhance semantic relations therapy in his client's outcomes. Dr. Springer is practicing ______________.

implementation science

An index of change that occurs as a result of time, intervention, or both.

outcome

Surgical doctors successfully stopped the bleeding in Mr. Fiori's brain and restored the blood for to areas that were not receiving adequate supply. This allowed the brain tissue to become more functional. This is known as ____________.

reperfusion

We are all limited in appreciating cultural and linguistic differences that may influence our assessments.

True

Since people with aphasia have difficulty with language, we should speak directly to others (like family) in the context.

False

We are the vehicle to getting the best information we can and synthesizing it so that the best-informed decisions can be made about further intervention.

True

Which aspects should we attempt to improve when working with clients?

activity engagement

socialization

independence

wellness

medical management

quality of life

safety

Suzie was read a short story and had to answer questions about it in order for the clinician to determine her ability to comprehend. What are associated abilities or deficits that may influence results?

memory

attention

expressive abilities

auditory skills

all of the above

We should not vary the genre when sampling discourse of our clients.

False

When we demonstrate the individuals we serve are the core of our purpose as clinical professionals, we demonstrated ________________.

person-centered care

Best practices in assessment entail

a set of strong principles

a solid theoretical base supporting assessment and the constructs to be assessed

knowledge of numerous assessment methods and tools

adherence to pearls of wisdom that have been shared and honed by seasoned clinicians

all of the above

________ is any characteristic of a person's abilities; any aspect of the tools, procedures, and processes that we use, and any aspect of the testing context or situation in the assessment context that could lead to invalid results.

Confounding factor

Embrace assessment as a ________________ that consists of methodically formulating questions and hypotheses.

research process

__________ entails individual and collective means of making connections across utterances, individuals, and topics in spoke or written communication.

discourse cohesion

There is a never a chance we will be mistaken when we draw conclusions from results.

False

We must actively consider and plan how to make skills functional and generalize toward real life participation.

True

There is not a need to include family members, caregivers, or others in the therapeutic process.

False

Our role in assessment will not have a significant influence on the assessment results.

False