nc slpa exam

Who is responsible for reporting changes in registration to the Board?

Primary Supervising Licensee

Who approves the SLPA's curriculum?

Board of Examiners

A licensee employed full time may register to be a primary supervisor of no more than ______________ assistants at one time

2

A licensee employed part time (less than 30 hours) may register to be a supervisor of no more than ___________ assistants at one time.

1

Who is responsible for ensuring compliance of registration process, ethics of SLPA is complete?

Primary Supervising Licensee

What must an SLPA's badge say?

SLP-ASSISTANT

True or False? Temporary license holders may not register assistants

True

Primary Supervising Licensee must submit an annual registration fee in the amount of ___________ for the assistant

$40

Licensee who registers an assistant must hold a current ________________ in North Carolina for ___________ years or equivalent qualifications from another state

permanent, 2

Licensees who register an assistant must have an understanding of

Record keeping

Scope

Ethics

Written protocols

Changes that do not directly relate to patient care including _____________ must be reported to the board in writing within _______________ days of effective change

change of address, 10 business days

For registration assistants must present

Evidence of successful completion of an Associate's Degree in Speech Language Pathology from an accredited institution or evidence of successful completion of a Bachelor's Degree from an accredited institution and completion of the courses: AND passing score on competency test approved by the board

Intro to SLP

SLP Office Procedures

Disorders and Treatment 1

Disorders and Treatment 2

Assistive Technology

SLP Fieldwork

SLP Fieldwork Seminar

*Who monitors job responsibilities of the SLPA?

*supervising SLP

Who is responsible for registering an SLPA on the license of an SLP in NC?

North Carolina Board of Examiners for Speech-language Pathologists and Audiologists

An SLP-Assistant may administer a speech-language screening provided that it meets all the following criteria except:

unambiguous administration protocols

administration time must be under 15 minutes

test items require no more than a binary judgment

require no clinical interpretation

administration time must be under 15 minutes

Board means

North Carolina Board of Examiners for Speech Language Pathologists and Audiologists

Licensee

individual who holds current permanent NC SLPA license given by NC board of examiners for speech language pathologists and audiologists

Secondary Supervising Licensee

May supervise SLPA in absence of primary supervising licensee to cover variation in work hours

Treatment Protocols

Written session plan

Treatment Protocol must include

1. Eliciting conditions

2. Target of behavior

3. Consequence of behavior

Registration

Process through which SLPA is approved by the board

Who submits annual application to the board?

Licensees

True or False? secondary supervising licensee may also be registered to supervise the assistant allowing for flexibility in scheduling

True

Who has full responsibility of assistant?

supervising licensee

Licensees must inform the patient when an assistant is providing services, how must they be informed?

SLPA must wear badge stating SLP-ASSISTANT

They must be informed in writing

It must be included in their chart including patients name and date

Assignment of tasks and amount and type of supervision is determined by who

supervising licensee

What is taken into consideration when considering assistant treatment plan for patient?

1. Skills of assistant

2. Needs of patient

3. Service setting

BEFORE assigning a task to an assistant, licensee must do what?

1. Evaluate the patient

2. Written treatment plan

3. Provide assistant with

*Components of SOAP note?

*Subjective:

Objective:

Assessment:

Plan

Objective

Data collected during session

Subjective

info reported by clients family or client themselves, subjective observations

Plan

Course of action to be followed

Assessment

Compare clients' progress across sessions

Compensatory Strategies Used for Stuttering

1. Bouncing

2.Relaxing the stutter

3. Catching the stutter

4. Intentional stuttering

5. Slower speech rates

6. Light contact

7. Easy onset

8. Pausing and chunking

9. Preparatory set

10. Cancellation

11. Easy stuttering

12. Relaxed breath patterns

13. Slow/stretched speech

14. Sliding or pullouts

Articulation Disorder

Difficulty in production of specific speech sounds

Phonological Disorder

Speech sound disorder that focuses on predictable rule based on errors

Ex of Phonological Disorders

Fronting

Stopping

Final consonant deletion

4 Systems Needed for Speech

1. Respiratory

2. Phonatory

3. Articulatory

4. Nervous System

Disfluency

Bumpy speech

Purpose of Communication

process of processing and passing messages between sender and receiver effectively

Extension

Add more information to child's utterances

Expansion

Keep child's word order the same we just expand it slightly to make utterances grammatically correct

5 Objectives of Intervention

1. Client should show improvement in not just clinical setting

2. Automatic

3. Self monitored

4. Make optimum progress in limited amount of time

5. Intervention should be sensitive to cultural and personal characteristics

Treatment Protocol

Written guideline

Treatment Protocol specifies

- Therapy duration

- Therapy frequency

- Type of service

Treatment Protocol has

goals, consequences, antecedents, cues/prompts, skilled interventions

Levels of Cueing

1. Verbal model (tell child what to do)

2. Tactile cue (touch)

3. Visual cue (visual support to cue "pictures")

4. Verbal prompt (start to say what child is supposed to say)

5. Gestural cue (use gestures to help child)

6. Verbal Re-Cue: repeat your verbal cues, expanding if necessary

7. Model - show child exactly what to do

8. Independent - no help given

Apraxia

Acquired oral motor speech disorder affecting individual's ability to translate conscious speech pairs into motor plans, results in limited difficult speech ability

*What are the 5 Objectives of Intervention?

*1. Client should ahow improvement not just in a clincial setting; Progress should be generalized to real-world environments.

2. Should be automatic

3. Should be self-monitered

4. Shoul make optimum progress in minimum amount of time

5. Interventionshould be sensitive to personal and cultural characteristics.

What is a treatment protocol?

Written guideline that specifies therapy frequency, duration, and type of service. Also has goals, skilled interventions, antecedents, cues/prompts, and consequences used during the session.

As an SLPA, why is it important to be culturally competent?

As an SLPA, you are able to treat the client to the best of your ability, while being sensitive to any cultural differences that you may have to adapt to in order to treat the client properly.

*What are the different levels of cueing and what do they include?

*1. Model- show child exactly what to do

2. Verbal Model- tell child exactly what to do

3. Tactile Model- use touch to help the child

4. Verbal Prompt- start to say what the child is supposed to say

5. Verbal Re-Cue- repeat your verbal cues, expanding on it as needed

6. Verbal Cue- tell the child what to do, ex. "Find the ball"

7. Visual Cue- use visual support to cue "pictures"

8. Gestural Cue- use gestures to help the child

9. Independent- no help given

What is Apraxia?

Acquired oral motor speech disorder affecting an individual's ability to translate conscious speech pairs into motor plans, which results in limited difficult speech ability.

What are the components of a SOAP Note?

(S): subjective- data that includes the concerns of the family member(s) or individual and subjective observations by the SLP/SLPA

(O): objective- data includes specific clinical findings, test results, and a summary of the data collected during the therapy session

(A): assessment- compares the client's performance across sessions

(P): plan- states the course of action to be followed

What is Baseline Data?

Data before intervention starts

What is a phonological disorder?

Speech sound disorder that focuses on predictable rule based on errors such as fronting, stopping, and final consonant deletion.

What is the difference between extension and expansion?

Extension- add more information to the child's utterances.

Expansion- keep the child's word order the same we just expand it slightly to make the utterances grammatically correct.

What is the difference between communication and language?

Communication- exchange of ideas, information or messages from one person to another.

Language- how we express what we think or how we feel.

What are some non linguistic cues?

Gestures, body posture, facial expressions, eye contact, head and body movement, physical distance (proxemics)

What are a few compensatory strategies used for stuttering (disfluent speech)?

1. Sliding or pullouts

2. Relaxing the stutter

3. Catching the stutter

4. Intentional stuttering

5. Easy stuttering/fluent stuttering

6. Bouncing

7. Cancellation

8. Preparatory set

9. Light contact

10. Slower speech rates

11. Relaxed breath patterns

12. Slow/stretched speech

13. Easy onset

14. Pausing and chunking

What is an articulation disorder?

Difficulty in the production of individual speech sounds

What is an language disorder?

Difficulty in comprehension, speaking, writing, and other forms of language.

Define a fluency disorder

"Bumpy speech" characterized by non-smooth and interrupted speech

What is the purpose of communication?

Processing and passing of messages between sender and receiver effectively

What 4 systems do we need for speech?

1. Respiratory

2. Phonatory

3. Articulatory

4. Nervous system

Why is dialect important?

Depending on the client's dialect is how they will pronounce or have certain names for certain things

What are the 4 learning modalities?

1. Kinesthetic-learning by movement

2. Tactile-learning by touch

3. Visual-learning by sight

4. Auditory-learning by hearing

When you return a patient/client to his hospital room/classroom, a waiting family member begins to question you about details of therapy, you should...

Refer family member to supervising SLP

Which of the following is a prerequisite for registration as an SLPA?

1. Evidence of completion

2. Primary supervising licensee must complete and submit registration form

3. Passing score on exam

CVC is considered:

Consonant-Vowel-Consonant (Closed)

What is not within scope of practice?

Oral motor exercises for Dysphagia (swallowing)

Characteristics of Coma:

1. Eyes remain closed

2. Inability to communicate

Failure to move in purposeful way

In order to be classified as having Dementia, ___________ must be impaired and at least one of the following:

1. Abstract thinking

2. Judgement

3. Higher cortical functions

4. Personality memory

Physical production of sound to communicate meaning through the neuromuscular control of structures on the vocal tract is known as:

Speech

Aspect of language concerned with word meaning is known as:

Semantics

All Should be communicated to the Supervising SLP:

1. Reaches stated level of performance of goal

2. Responds correctly on 15% of the trials

3. Responds negatively to training materials

*Who is responsible for keeping the Board of Examiners appraised of changes in registration information?

*Supervising primary SLP

Peabody...

Picture Vocabulary Test

Brief assessment directed toward a general population of high risk group to identify individuals that may have a communication disorder is...

Screening

When interacting with a laryngectomee patient and family, its important to remember, they...

1. Need information about communication options

2. Patient has been through traumatic surgery

Required of a licensee when services are being rendered to the public by SLPA...

1. Patient and/or family must be informed in writing

2. SLPA must wear a name tag or badge including job title, SLP-A

Device that delivers electrical stimulation to the auditory nerve via electrode array, surgically implanted in the cochlea...

Cochlear implant

Construction muscles in the pharynx squeezing a bolus through the pharynx is called

Peristalsis

Vowels are described by the 4 statements:

1. Tongue position/lip posturing

2. Location of front to back position of tongue

3. Lip rounding

4. Tongue height

Child who overgeneralizes vocabulary to fit new situations might say...

Eated

Who may determine an SLPA's job tasks, the amount, and type of supervision?

Licensed supervising SLP

Multiple switches on an augmentative communication device means...

Can control more than one component

Phonological processes

1. Final Consonant Deletion

2. Fronting

3. Stopping

Amount of time a school-aged special needs student spends with non-handicapped peers...

Least Restrictive Environment

Loss of sound sensitivity produced by damage to the inner ear of auditory nerve...

Sensorineural hearing loss

If the left and right side of the palate do not fuse together during the 12th week of gestation, baby likely has...

Cleft palate

Licensed SLP must do before assigning a clinical task to an SLPA...

1. Evaluate patient

2. Write general treatment plan

3. Provide the assistant with a written session protocol

Pauses, hesitations, interjections, prolongations, and repetitions that interrupt the flow of speech are...

Fluency disorders

Self-absorption, repetitive self-stimulation behavior, inability to socially interact with others, and echolalia are characteristics of...

Autism

Voice disorders have 3 types of deviations: pitch, loudness, and...

Quality

3 components of language...

1. Form

2. Content

3. Uses

If SLP continually reprimands you for not returning materials and that other SLPs have trouble finding materials, you...

Discuss specific concerns with SLP

Required elements of session or treatment protocol:

1. Signed by SLPA and Supervising SLP

2. Must be in writing

3. Specify the eliciting conditions, target behavior, and contingent response

New treatment protocol is needed when...

1. Stimulus needs to change

2. Target behavior changes

3. Consequences need to change

Informal assessment...

Observe/interact with client while taking notes