Neurogenic Communication Disorders Exam #2 Review

How does anosognosia severely limit a patient’s recovery

How does anosognosia severely limit a patient’s recovery

they’re unable to recognize their deficits so they don’t think they need therapy

Unilateral left neglect

a deficit in ability to respond to stimulus on one side of the body or environment

What is prosopagnosia

face blindness

____ takes place in the first few months following a stroke or TBI

spontaneous recovery

How do you treat anosognosia

counseling & coaxing the patient to take responsibility of their deficit; record therapy and ask the person to predict how they will perform on the task then show them the recording after

____ is an acquired impairment in the ability to form letters or words with letters in written language

agraphia

____ occurs when an individual produces a word entirely different than the intended word

neologism

How might you formally screen prosopagnosia?

showing pictures of people they should recognize and ask them to name them (incorrect = prosopagnosia)

Give an example of automatic language

name and curse words; counting, days of the week, months of the year, happy birthday song

Ability to repeat words heard originates with the _____ the white matter pathway between Broca’s area and Wernicke’s area

arcuate fasciculus

What is simultagnosia

disorder produces the inability to perceive many details at once

___ is an acquired impairment in reading

alexia

Describe the difference between restorative and compensatory therapy approaches in aphasia

restorative therapy is meant to get where they were before the injury; compensatory therapy is supposed to help manage where they’re at

What is an example of a compensatory approach

AAC devices and environmental management

How are selective and alternating attention different

selective: focus on one stimulus and ignore others; alternating: move attention between two stimuli

____ aphasia is a condition of having aphasia in the right hemisphere in right handed individuals arising from a right cerebral hemisphere lesion

crossed

What type of phonemic paraphasia is hen for pen

phonemic substitution

What is a case history

information gathered about a patient

Errorless learning in an example of what type of approach to treatment

restorative

Primary progressive aphasia creates ____ disturbances in the absence of _____ deficits

language; cognitive

___ also is known as color agnosia or color blindness

cerebral achromatopsia

List an example of a treatment task for sustained attention

sorting objects, trail making tasks

What are the functor words and the content words in the following sentence: My very lazy cat sleeps

Content: cat, sleeps; Functor: my, very, lazy

_____ is a neuropsychiatric disorder characterized by belief their loved ones have been replaced with strangers

capgras

During an assessment with a person with aphasia that might have a receptive language deficit. List two activities that may be helpful in determining this.

give a command and ask yes or no questions

T/F Individuals with nonfluent aphasia are characterized with short phases or single word utterances

true

List two modalities of expressive language

speaking and writing

_____ is the inability for a person to recognize their deficits, which is common after a stroke or brain injury

anosognosia

If a clinician asks a patient to interpret a painting, like Norman Rockwell's Breaking Home Ties, what skill are they assessing

inferencing

Schuell’s stimulation is an example of what type of approach to treatment

restorative

How might you informally access divided attention in a patient with RHD?

carrying on a conversation while sorting cards or playing a game

What type of paraphasia is lunch for bicycle?

unrelated verbal paraphasia

You’re completing a case study on an individual with aphasia. What are three questions to ask the patient and/or their family?

What are you struggling with at home? What type of support system do you have? Do you already use any strategies to help?

____ is a neuropsychiatric disorder where the patient believes a familiar person can take on the guise of another person and can assume their exact appearance

Fregoli Delusion

List two modalities of receptive language

reading and listening

Describe a patient with global aphasia’s ability to repeat

severe/profoundly impaired (they can’t)

Which hemisphere is responsible for word finding, dominant or nondominant

dominant

T/F The following is an adequate description of a patient with broca’s aphasia. Very fluent speaker, extremely poor communicator.

false

Which hemisphere is responsible for interpreting facial expressions, dominant or nondominant

nondominant

List a commonly used aphasia battery

Western Aphasia Battery

T/F Individuals with fluent aphasia typically have no (or very limited) gross motor deficits

true

Why do individuals with fluent aphasia typically have no (or very limited) gross motor deficits?

the lesion is further from motor strip

What is somatoparaphrenia

when the patient thinks an extremity or side of their body belongs to someone else

List a commonly used assessment for RHD

MoCA, The Right Hemisphere Language Battery, The Mini Inventory of Right Brain Injury (MIRBI), Ross Information Processing Assessment

Describe the difference between cortical and subcortical aphasias

cortical aphasia is when the lesion is in the outer lobes (frontal, parietal, occipital, temporal) and subcortical aphasia happens when the lesion occurs in structures beneath the lobes (basal ganglia, thalamus)

T/F Individuals with fluent aphasia can be describes as having fluent and often nonsensical speech

true

T/F Grammar errors in simple syntax are common characteristics for a patient with nonfluent aphasia

true

Describe a patient with Wernicke’s aphasia verbal expression abilities

grossly intact devoid of real meaning

If an SLP suspects their patient is suffering with depression, what should they do

refer to a psychiatrist, let the team know

AAC stands for alternative and augmentative communication. Describe the differences between alternative communication and augmentative communication.

augmentative enhances communication the patient already has, alternative takes the place of communication they were able to do