Aural Rehab Exam 3

A false-positive during Universal Newborn Hearing Screening means that the baby has a hearing loss but passes the screening test.

False - The baby does not have a hearing loss but fails the screening test.

Otoacoustic emissions are

low level sounds emitted spontaneously from the cochlea on presentation of an auditory stimulus.

If an infant fails the screening test but is later found not to have hearing loss when more in depth audiological testing is performed, the baby will likely still be referred for a genetic testing to determine if he or she has latent hearing loss.

False - No genetic testing is necessary if a baby is found to have normal hearing and no other conditions.

The approach for providing services to infants who have been identified with hearing loss can best be described as:

family-centered

Visual reinforcement audiology is based on principles of:

operant conditioning

Myles passed his newborn hearing screening. However, he is not meeting his language milestones at 24 months of age.  What is the next step for Myles?

An audiological assessment

The audiologist is the designated professional who helps the family during the development, implementation, and evaluation of the IFSP (Individualized Family Service Plan).

False - The service coordinator does this.

When the IFSP specifies a particular intervention or service for a child who has hearing loss, what is not specified or pre-determined during development of the plan?

price/charges

Early intervention programs are typically: 

centered-based and/or home-based

Which is typically not true of the coaching provided in a home-based program:

A. the clinician creates unusual experiences for the child so the child will stay engaged and look forward to the clinician's home visits

B. the clinician works with the child while the parent(s) can perform other tasks such as housework

C. the clinician brings a set of toys from the clinic to stimulate language in the child

D. all of the above

D. All of the above

T/F: A classroom teacher should be able to troubleshoot a child's hearing aid.

True

The average classroom noise is approximately

50-60 dBA

T/F: The creation of a multidisciplinary team, formation of an IEP (Individualized Education Program), and classroom placement for a child entering the school system usually all occur at about the same time.

True

The team member most likely to recommend an FM soundfield system for a classroom is the ________.

Audiologist

Children with hearing loss attend classes with children with normal hearing in what kind of classroom?

Mainstream

Language acquisition is typically parameterized by all but the following variables?

A. content

B. conversational fluency

C. form

D. pragmatics

B. Conversational Fluency

Which of the following has the most profound impact on speech development with hearing impaired individuals?

A. Congenital hearing loss

B. Progressive hearing loss

C. Adventitious loss 

D. Deafened later in life

E. Presbycusis

A. Congenital hearing loss

Which of the following is not true about presbycusis?

A. Vowel sounds are harder to hear

B. Happens gradually

C. High frequencies are primarily affected

D. A common complaint is "I can hear, but I can't understand"

E. Background noise makes speech understanding difficult

A. Vowel Sounds are harder to hear

T/F: Life factors are conditions that help define one’s life, such as relationships, family, vocation, church membership, and service in the community.

True

Assessment

Determining "Who is this person?"

Informational counseling

Explaining the audiogram in terms the patient can understand

Development of a plan

Together with the patient appreciating a specific problem, and then identifying and considering possible options

Implementation

Fitting with appropriate hearing aids and ALD's

Outcomes assessment

Assessing perceived benefit with a questionnaire

Follow-up

Re-testing patient hearing to make sure no changes have occurred

T/F: Adults over the age of 85 years are not candidates for cochlear implants, even if they have profound hearing loss.

False: Adults as old as 100 years have received cochlear implants.

Aural rehabilitation plans may need to be altered for patients with ________.

A. vision problems

B. arthritis

C. dementia

D. all of the above

D. All of the above

Typically, what deteriorates first with Alzheimer's disease?

A. memory

B. language skills

C. reasoning

D. all of the above

A. Memory

The two stages of developing an AR plan for older adults are what?

evaluation and intervention

Quality of life is _____________ when hearing loss is treated.

increased

They will spend whatever it takes to have an enjoyable retirement

Baby Boomer

Very price oriented

Traditional Senior

Often prefer the traditional medical model

Traditional Senior

They embrace technology

Baby Boomer

Tend to save money and don't like going into debt

Traditional Senior

Not necessarily interested in having the best, just something that works.

Traditional Senior

They are more physically active

Baby Boomer

In their 60's and 70's

Baby Boomer

what percentage of adults with hearing loss experience tinnitus?

70-80%

What personal factors should you take into account when creating AR plan?

• Stage of life

• life factors

• socioeconomic factors

• culture & ethnicity

• psychological adjustment

• gender

• social, vocational, & home communication difficulties

• deaf or hard of hearing?

• other hearing/ear related complaints

what are the 6 general categories of building an AR plan for adults?

1. assessment

2. informational counseling

3. building of a plan

4. implementation

5. outcomes assessment

6. follow-up

What advice/recommendations would you give to someone with tinnitus?

• hearing aids

• mask noise

• cut certain foods

• relaxation techniques

• psych referral