Diagnostic Methods Quiz 9

In a fluency assessment, speech rate_________

• Is very important to assess, and includes determining speech rate when disfluencies are included and excluded in a speech sample.

• Can be a point of interest, but is not critical to assess in a fluency assessment.

• Does not need to be assessed unless there is worry of a dysarthria.

• Should not be assessed as it places undue pressure and stress on the individual during the assessment.

Is very important to assess, and includes determining speech rate when disfluencies are included and excluded in a speech sample.

A 12-year-old client, Joe, comes to your clinic for a fluency evaluation.  You note that he displays one prominent secondary behavior. Which of the following behaviors might this be?

• Joe protrudes his tongue during moments of stuttering.

• Joe indicates that he gets very anxious and experiences sweaty palms when he has to speak publicly.

• Joe produces inaudible blocks on the phonemes /p/ and /k/.

• Joe repeats the secondary (unstressed syllables) in multisyllabic words.

Joe protrudes his tongue during moments of stuttering.

Aurora, age 2.5, is displaying many developmentally typical disfluencies. Which disfluency is stutter-like and should be discussed with her concerned parents?

• "Um, yeah, I wanna dat"

• "It no go, it no go dat way"

• "I I I.....I I no get dat"

• "Momma, I want da....give me dat one"

"I I I.....I I no get dat"

The vast majority of people who stutter are not emotionally affected by their stuttering.  Their feelings and attitudes about their speech can be typically categorized as positive.

• true

• false

false

Let's go t-t-t-t-tomorrow." is an example of what type of disfluency? 

• Phrase repetition

• Whole-word repetition

• Sound/syllable repetition

• Whole-word interjection

Sound/syllable repetition

You are conducting a fluency assessment on Ralphie, age 13:3. During the evaluation, you observe that he has rapid eye blinking and head tilting behaviors when he experiences disfluent speech.  What type of accessory/secondary behavior is Ralphie exhibiting?

• Avoidance

• Associated motor behaviors

• Expectancy

• Physiologic responses

Associated motor behaviors 

The Disfluency Index refers to:

• A caregiver rating scale on which an individual's disfluencies are rated on a "mild-moderate-severe" scale

• Categorizing and describing secondary behaviors

• Counting the number of disfluencies present in a speech sample and indexing them according to category

• The percentage of disfluent speech in a speech sample

The percentage of disfluent speech in a speech sample

When assessing cluttering, the only aspect of speech and communication that should be assessed is fluency.

• true

• false

false

You are beginning to work with Blake, a 10:1 year old boy who moderately stutters.  Which speech sample(s) would be appropriate for you to retrieve to learn more about Blake's disfluent moments?

• Oral reading sample (eg: Blake reads a paragraph or two from Diary of a Wimpy Kid aloud.

• An expository monologue of Blake explaining how to play his favorite sport.

• Conversations with teachers and peers (eg: Blake participates in a classroom discussion and talks with friends at lunch).

• all of the above 

all of the above 

Which of the following is NOT a risk factor that suggests that a child who stutters will require intervention?

• Stuttering has continued and worsened for 6 months or longer.

• Other speech or language disorders are present.

• The child's family has strong concerns about their child's stuttering.

• The child is female.

The child is female.