SLPA NC BOARD EXAM MOCK QUESTIONS

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

Providing demonstration for a patient, you should...

Stand facing the patient so he/she can see your face

Important consideration when deciding on a direct selection method for augmentative communication?

How well the hand can be used

Study of sound systems of language

Phonology

Production of speech sounds through the physical movement of the jaw, tongue, lip, and velum to shape the vocal tract...

Articulation

Extinction is a method of...

Withholding attention

The following is a violation of client's confidentiality?

Discussing the client's case with family members

Important when planning materials for culturally diverse patients...

1. Reviewing materials to ensure they are not offensive

2. Avoid scheduling appointments on religious or cultural holidays

3. Keep accurate and detailed records of treatment

How many SLPAs can a full-time SLP register?

2

Hospitals and medical facilities provide a systematic process for identifying a sequence of key events in the course of a patient's admission, treatment, and discharge called...

Critical pathway

When assisting an SLP with FEES, what may an SLPA do?

Assist with set-up for FEES

What word requires alveolar contact?

Tip

When working with a patient with Aphasia, you provide the /b/ phoneme to assist eliciting the word "baby" is an example of...

Phonemic cue

Repetition of an inappropriate response is termed:

Perseveration

Deletion of final consonants, cluster reduction, reduplication of syllables are examples of:

Phonological processes

The initial evaluation of the SLPA must be completed by the SLP within the 1st:

60 days;90 days

While working with your client, you observe bruises that may indicate child abuse, you...

Report it to your SLP

Documentation of discussions with patients, families, and medical personnel should be done:

In writing as soon as possible

A SLPA is working in an outpatient hospital setting with a brain-injured patient. The patient always has one-on-one supervision provided by the nurse technicians. The patient is brought to the therapy session by a familiar technician, but someone unfamiliar comes to pick up the patient. The SLPA should:

Ask the person for an ID badge

All of the following are important when planning materials for culturally diverse patients:

1. Review materials to ensure they are not offensive

2. Avoid scheduling appointments on religious or cultural holidays

3. Keep accurate and detailed records of treatment

An employer asks you to treat a client without a written protocol provided by your supervising SLP. You should:

Inform your Supervising SLP

What is not considered an articulator?

Larynx

What violates client confidentiality?

Discussing the client's case with family members

An augmentative communication device has been returned in an unclean condition. You should perform all of the following:

1. Verify the safety of the equipment

2. Use appropriate infection control procedures in cleaning the device

3. Document the condition and cleaning on the equipment records

While working with a patient according to the protocol, the patient becomes frustrated and refuses to continue. The SLPA should:

Go on to the next and report the problem to the supervising SLP

When managing the behavior of patients, you should:

Reinforce positive behaviors

a critical pathway is:

A systematic process for identifying a sequence of key events in the treatment process

When screening a child for speech and language and they do not answer a question correctly, what should you do?

Mark it incorrect and write down what they said

While reading a protocol, you see the following: "provide a 3:1 ratio response for reinforcement." That means:

Provide reinforcement once for every correct 3rd response

/p/ and /b/ are:

'plosives

What is neutral positioning?

90 degree flex at the feet, hips, and elbows

Speech that is an immediate imitation of some other speaker rather than a spontaneous production is...

Echolalia

Which is not a progressive disorder?

Cerebral Palsy

Variations in rate, pitch, loudness, stress, intonation, and rhythm of continuous speech are termed:

Prosody

While working with a lady in her 60's, you notice that many of the tasks are too difficult for her. You should...

Document concerns for the SLP

While working in a school setting, a parent comes to you and asks that her child be seen for speech therapy. You should...

Notify the SLP

If a protocol requires 75% accuracy, what data would support this?

15/20

The initial evaluation of the SLPA must be completed by the SLP within the first:

60 days

The competency checklist (evaluation of the SLPA) must be submitted to the board within the first _________ days of registration.

90 days

/baby/ is an example of:

Multisyllabic word

The larynx is also known as the:

Voice box

Who is responsible for the SLPA's treatment of patients?

The supervising SLP

One way of showing quality of treatment is:

Show eye contact with patients

The GFTA is a(n):

Articulation test

____________ _____________ is not a way that an SLPA can acquire more education.

Direct services

A child's production of "spaghetti" becomes "gasghetti" is an example of:

Consonant harmony

/see/ is an example of a ________ syllable?

Open

The 2 major categories of motor speech disorders include:

Apraxia and Dysarthria

This occurs when the velopharyngeal mechanism does not close the opening to the nasal passage during the production of non-nasal sounds:

Hypernasality