Speech and Language Assisting Final

Questions from Exam 1 and Exam 2

You need to evaluate a test's ability to correctly identify an individual as having a disorder (in the future). Which test feature would you want to examine?

Positive Predicative Power

You are curious about your test's ability to correctly classify somebody's skills as normal when you already know they are normal. Which aspect of the test would you want to examine?

Specificity

Which of the following was a formal activity completed during the cognitive evaluation you watched in class?

Rivermead Behavioral Memory Test, 3rd edition

You are a speech-language pathologist working with 2 and 3-year olds. Which of the following tasks would be the most appropriate task for you to have this child complete during the evaluation?

• narrative sample

• conversational sample

• expository sample

• play-based sample

play-based sample

An individual has had a TBI and is having difficulty remember what items are called or calls them by the wrong name. What is this referred to as?

Anomia

As you are reviewing a test, you find out that it correctly identifies individuals as having a disorder 79% of the time and those without a disorder 85% of the time. What aspect of the test are you evaluating?

Criterion Validity

What type of an activity below would you need to include an orofacial examination (oral mech exam)?

swallowing disorders

A client has the following profile after completing their hearing screening. What would you determine?

• 1000 Hz. - raised hand

• 500 Hz. - raised hand

• 2000 Hz. - raised hand

• 4000 Hz. - no response

• 6000 Hz. - no response

Fail

You are writing your diagnostic report. You have summarized the case history, interview, and testing information. Now you need to interpret the data and determine if the client has a disorder. In what part of the SOAP note would you indicate that an individual's skill is appropriate or they have a disorder?

Assessment

You are summarizing data gathered about a client that includes their number of turns talking and whether they initiated or responded in that turn while playing with a peer. In what part of the evaluation did this data get gathered?

Observation

You are working as an SLP in a school setting. You are not able to discuss a student's IEP with his/her babysitter because of what law?

FERPA

You have been asked to conduct a diagnostic for an individual that is 45 years old and had a stroke. You work at private practice where they ask the client/caregiver to complete an intake/case history form. What part of the evaluation are you completing when you do this?

Review

As an outpatient, private practice clinic, where would you find information on your client as part of the review portion of the RIOT model?

Case history form

When placing headphones on the client, what color of cord should be on the right ear?

red

You are a Part B SLP who is completing an evaluation to determine if a child qualifies for services. Which of the following would be the most likely activity for you when completing an observation of this child during the evaluation?

• observe child at home with caregiver

• observe child at clinic with caregiver

• observe child playing with you from a recording

• observe child in classroom with peers

observe child in classroom with peers

You are completing a language sample and need to evaluate the child's semantic abilities. Which measure might you calculate on the language sample?

number of different words

As you are observing a young child, you see that they are playing alone while they build a tower next to a peer who is also building their own tower. What level of play are they engaged in?

Parallel Play

You have a client on your caseload at the school who is 18 years old. What services is the client participating in?

Part B Services

You are wanting to know how reliable the standardized test is relative to itself. Which measure would you want to examine?

Standard Error of measure

At what decibel level do you present tones when training the client to response during the hearing screening?

50 dB

Which of the following items would violate the Fair Testing Practices?

• Including tasks that are similar to daily living (e.g., conversation with spouse or partner)

• translating a standardized test into another language

• separating activities so the client doesn’t fatigue

• Completing multiple activities during the session

Translating a standardized test into another language

Which of the following would be an example of a penetrating traumatic brain injury?

• a piece of glass pierces client’s head while at construction site

• an individual hits their head on the dash of the car during an accident

• an individual is hit by a car when riding their bike and hits their head on the pavement

• a client gets hit in the head with a soccer ball

a piece of glass pierces client’s head while at construction site

You are playing with a 3-year old child and recording the sample so that you can transcribe and analyze it later. What type of sample are eliciting?

play-based sample

You have an 18-month old client that has no other neurological disorders but has 30 words. Given this limited information, what is the most likely cause of their communication abilities?

late talker

A client completes their speech testing and has speech difficulties characterized by inconsistent speech errors and inappropriate prosody. What type of disorder do they most likely have?

Apraxia of Speech

Which of the following questions would be an example of ethnographic interviewing?

• Tell me about a time when you couldn't understand your spouse

• Does your spouse get angry or upset when you can't understand them?

• How does your spouse react when you don't understand?

• Sometimes people stop talking when they aren't understood. Does your spouse do this?

tell me about a time when you couldn’t understand your spouse

Which of the following would be assessed by the SLP when a cognitive disorder is suspected?

• denial of disability

• impaired memory

• high frustration and anxiety

• smell and taste

impaired memory

Luis is having his hearing screened in a classroom and you notice that their is a lot of ambient noise because of the air conditioning. What frequency is most likely to be impacted during the screening?

500 Hz

You are conducting an evaluation at a school. You are talking with the teacher to determine what aspects of school are difficult for the student. What part of the evaluation is this?

interview

You are administering a test that evaluates a student's speech skills. The test results in a comparison to others the student's same age. What type of test would this be?

standardized, norm-referenced test

During an evaluation, the client kept doing an interdental /s/. After the testing, you ask the client to make the /s/ sound with their tongue behind their teeth in isolation. They do this and then you ask them to say the same words you had before but this time keep your tongue behind your teeth. They do this and are able to improve their production to 3/5. What type of activity were you doing?

stimulability

You are reviewing your test's __________ and notice that when the same tester administered the test, the scores obtained were within 1-3 standardization points of each other.

interrater reliability

The purpose of ______________ is to determine whether an individual is appropriate for their age and not to diagnose a disorder.

screening

You have a referral for a client that has poor grammaticality, especially with verb-tense agreement (e.g., He want that instead of He wants that.) What area of language is impacted?

Form

Describe a modification that could be done for an oral mech exam for a child.

Instead of using a tongue depressor, you could use a sucker or a lollipop instead.

Identify two nonpenetrating causes for a traumatic brain injury.

1. Being hit in the head by a ball

2. Falling and hitting your head on the ground.

Give an example of task you would complete during an oral mechanism examination to assess:

1. tongue mobility

2. jaw strength

1. Have patient stick out their tongue and move it side to side and up and down

2. Place your hand on one side of their jaw and ask them to not let you move their jaw to the opposite side.

When calculating chronological age, what date goes on top and what date goes on the bottom?

Date of testing goes on top

Date of birth goes on bottom

How is the date organized when finding chronological age?

year, month, day

What is the chronological age when the client's date of birth is 3/16/21 and testing was completed on 12/20/24?

3; 9; 4

Dr. Brandel is doing treatment to increase a client's length of utterance. Each time the client says a single-word, Dr. Brandel expands the utterance to 2 or 3 words using an expansion. What is Dr. Brandel using?

treatment strategy

Malia is working with her client on auxiliary be. During a drill activity, she starts ______________ by asking the client "What's happening" while a person slides down the slide. After a pause, she says, "the dog is sliding."

a teaching episode

Oscar is conducting treatment with an 48-month-old who is working on grammatical utterances. The child says "him want doggy" when pointing to the dog and Oscar says, uses a recast and says, "He wants the dog." This would be an example of _________ feedback.

indirect feedback

Sarah is working on a treatment plan with her client. She knows that to identify the appropriate treatment approach she will need to focus on __________________ which is the basis of treatment.

target behavior

The client has three goals that are being targeted. The clinician decides to work on each goal one at a time without moving to the next until the previous one is met. What goal attack strategy is the clinician using?

horizontal

Aihan is an SLP at a school and has been wanting to make sure that she is doing her teaching episodes correctly for the articulation therapy she is using. She begins taking data during treatment to ensure she asks the client to do enough productions and that her feedback is consistent. What is Aihan doing?

fidelity of treatment

The client has three goals that are being targeted. The clinician decides to use an A-B-C pattern with each goal targeted for a week before moving to the next goal. After finishing a pattern, the clinician will go back to the beginning and start over. What goal attack strategy is the clinician using?

cyclical

Dr. Coy has submitted a plan of care to the insurance company to obtain approval to work with a client for 15 sessions that are 45 minutes each over the next 5 weeks. What is the length of treatment?

15 session

The client has three goals that are being targeted. The clinician decides to work on every goal one in every treatment session. What goal attack strategy is the clinician using?

horizontal

During _____________, the SLP should cue the client to do a behavior so feedback can be provided and learning can happen.

teaching episode

Luna is 5 years old and needs to improve her production of clusters and velar sounds because she is not understood by her classroom teacher or those outside her family. The SLP needs to focus on _____________ to identify the appropriate treatment approach and how to collect data.

target behavior

Zaire is working on the following goal with her SLP. During this treatment session, the SLP works on the following words: snake, snow, snip, snail. At the end of the session, the SLP has Zaire say these 4 words, 3 times each and takes data. What type of data is the SLP taking?

LTG – Zaire will correctly produce /s/ in all positions with 70% accuracy during a narrative retell by November 1, 2024.

–STG1 – Zaire will independently say /s/ in initial position of single-words in 70% of 20 words (10 treated and 10 untreated) by August 1, 2024.

–STG2 – Zaire will independently say /s/ in final position of single words in 70% of 20 words (10 treated and 10 untreated) by September 1, 2024.

–STG3 – Zaire will independently say /s/ in sentences in 70% of 20 words (10 treated and 10 untreated) by October 1, 2024.

treatment of session data

Abrianna is working with her client to increase loudness when talking. Today, she is targeting breath support. After a practice trial, she tells the client, "You did well holding the "ah" for 10 seconds, but you did not support with your diaphragm. Next time you need to push from here (pointing to diaphragm) and not in your neck." What type of feedback would this be?

direct

When Implementing the Structure Knowledge in Language and Literacy program (i.e., SKILL), the manual and training state that you should not do the lessons in a different order. That is because this is a research tested ______________.

treatment approach

Maria is supposed to provide direct feedback on 60% of the teaching episodes during her speech therapy. She takes data on her session about her teaching episodes and tracks which ones have direct feedback versus which ones don't to make sure she did the correct amount. What was Maria checking?

fidelity of treatment

The part of the session where learning takes place is _______.

drill the skill/activities

The part of the goal that tells the clinician the activity that will be done to gather data is __________.

context/activity

You are working with your client on the below goal. At the end of the session, you have the client retell the story Sally Saw a Seahorse and calculate Zaire's production of /s/ in all positions. What data are you collecting?

LTG – Zaire will correctly produce /s/ in all positions with 70% accuracy during a narrative retell by November 1, 2024.

–STG1 – Zaire will independently say /s/ in initial position of single-words in 70% of 20 words (10 treated and 10 untreated) by August 1, 2024.

–STG2 – Zaire will independently say /s/ in final position of single words in 70% of 20 words (10 treated and 10 untreated) by September 1, 2024.

–STG3 – Zaire will independently say /s/ in sentences in 70% of 20 words (10 treated and 10 untreated) by October 1, 2024.

progress monitoring data

A teaching episode will most often end with ________________.

feedback from the SLP

Dr. Meigh went to a training and learned how to do the Lee Silverman Voice Treatment. She was provided a manual and materials to reference when she got back to the clinic. What type of intervention did she learn?

treatment approach

Malicah is working with his client on the following goal. He knows that he needs to collect data on five words that are treated in therapy and five words that are not because the __________________ is provided in the well-written goal.

By August 15, 2025, Lexi will say 8/10 words (5 treated, 5 untreated) with velar in the initial position correctly when shown a picture by the client and asked to label it.

• method for monitoring progress is clear

• the goal is objective

• the goal is clearly written

• all of the above

all of the above

Dr. Coy has submitted a plan of care to the insurance company to obtain approval to work with a client for 15 sessions that are 45 minutes each over the next 5 weeks. What is the length of session?

45 minutes each

Dr. Coy has submitted a plan of care to the insurance company to obtain approval to work with a client for 15 sessions that are 45 minutes each over the next 5 weeks. What is the frequency of sessions?

3 per week

The part of the goal that tells you what level the client needs to achieve to meet that goal is the _______________.

measureability

Malia is an SLP who is working with a client doing treatment to improve voice. She takes data during the session on herself regarding her teaching episodes of fading of feedback. This would be an example of what type of data?

fidelity of treatment