AURAL REHAB Flashcards

1
Q

Mr. Jones did not attend his granddaughter’s school play because he didn’t think he could understand what he kids were saying. not attending the school play is an example of an:

A

participation restriction

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2
Q

individuals who have hearing loss are underserved, in part because of:

A

lack of audiologists
lack of reimbursement
geographical location

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3
Q

Joyce no longer attends her sunday school class at church because she is having difficulty following along with the conversation due to her hearing loss. what is joyce not attending her class an example of?

A

participation restriction

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4
Q

what indicates the type of benefits experienced by either an individual or a group of individuals to a treatment or series of treatments and/or indicates a response?

A

outcome measure

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5
Q

provide clients with tools to address activity limitations and participation restrictions

A

goal selection in aural rehab

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6
Q

difficulty comprehending speech in the presence of background noise is an example of:

A

activity limitation

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7
Q

in the WHO nomenclature, a disability is:

A

functional consequence of an impairment

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8
Q

aspects of activity limitations (according to WHO) may be influenced by:

A

an active lifestyle
person’s willingness to be assertive regarding needs
communication partners

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9
Q

T/F: when developing an AR plan, the SLP and audiologist provide the most important input regarding that plan

A

FALSE

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10
Q

T/F: auditory training can change a person’s hearing sensitivity

A

FALSE

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11
Q

analytic training focuses on:

A

recognition of individual speech sounds

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12
Q

phoneme based training is designed to hone:

A

bottom-up processing

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13
Q

according to transfer appropriate processing theory (TAP) in regard to auditory training:

A

gains are greatest for the talker on which the patient trained

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14
Q

T/F: segmental information of speech provides all the information needed for communication

A

FALSE

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15
Q

in adults, what cognitive skills might be trained during auditory training?

A

auditory attention
processing speed

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16
Q

a clinician targeted specific sound differences in word pairs during an auditory training activity. what type of training was being utilized?

A

analytic training

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17
Q

acoustically, how are vowels primarily identified?

A

1st and 2nd formants

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18
Q

as part of an AR program, a new adult CI user listens to a set of word pairs presented by the clinician. the adults responds “same” or “different” based on the pair of words presented. what auditory skill is the AR clinician targeting?

A

discrimination

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19
Q

the advantage afforded by adding hearing to vision is known as:

A

speechreading enhancement

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20
Q

typically, a word that has a high frequency of usage is easier to identify on the face than a word that has low frequency of usage. an exception to this rule of thumb is:

A

the word with low frequency of usage has far fewer lexical neighbors than the word with a high frequency of usage

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21
Q

what term refers to rapid and intermittent eye movement such that the eyes fixate on one point and then another point in the visual field?

A

saccade

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22
Q

when speechreading, individuals need to focus more on the ____ when seeking prosodic information about questions vs statements.

A

upper face

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23
Q

Mr. Simmons is taking a lipreading test. which word is he most likely to identify correctly?
A. thumb
B. Bathtub
C. hornet
d. elephant

A

C. hornet

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24
Q

if a person is a candidate for intensive speechreading training, this person is most likely to be:

A

a new recipient of a cochlear implant

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25
Q

what kind of information should a speech reader provide to the talker to explain how to communicate with him?

A

talker should talk slightly louder
talker should face him while talking

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26
Q

which two sounds are an example of viseme?
A. b, p
B. f, t
C. m, n
D. l, w

A

A. p, b

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27
Q

what are groups of speech sounds that appear identical on the lips (e.g., p, m, b)?

A

visemes

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28
Q

what is mean length turn ratio?

A

ratio of MLTs of two talker who are engaged in conversation

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29
Q

what can cause a person’s difficulty with conversational fluency to fluctuate?

A

communication partners
topic of discussion
physiological state

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30
Q

the term generous listening is used to describe:

A

instances in which a clinician listens while providing positive regard, attention, and acknowledgements

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31
Q

if a clinician wanted to informally assess someone’s conversational fluency, the most direct way might be to:

A

conduct an interview using open-ended questions

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32
Q

what is the most straightforward assessment procedure?

A

interview

33
Q

what is listening in a way that lets patients know they are being heard, without being judged, and provides positive attention, regard, and acknowledgement?

A

generous listening

34
Q

reasons that conversational fluency is difficult to measure clinically?

A

-fluency varies with topic of conversation
-fluency varies as a function of the communication partner
-communication difficulties may not arise

35
Q

Marion, an adult woman with hearing loss, often bluffs during conversations. what is likely to be true regarding her bluffing?

A

creates a feeling of helplessness during her conversations

36
Q

A ____ is a course of action taken to enhance communication.

A

communication strategy

37
Q

most positive outcome of using a nonverbal repair strategy?

A

the point of communication breakdown is signaled

38
Q

during an AR session, the clinician shows a video of effective facilitative strategies being utilized. which type of self-efficacy activity was described?

A

vicarious experience

39
Q

what is the most effective way to improve self-efficacy in adults with hearing loss?

A

practice successfully using the communication strategy

40
Q

once an adult with hearing loss has received training regarding communication strategies, what most likely would be the next goal in the AR plan?

A

improve the adult’s self-efficacy to manage difficult listening situations

41
Q

an adult client reports depression regarding his newly diagnosed hearing loss and states “i just dont want to do anything with friends now because i cant understand what they say.” what is the adult client demonstrating?

A

a possible psychosocial consequence of hearing loss

42
Q

T/F: a person who adopts an assertive conversational style may blame others for misunderstandings

A

FALSE

43
Q

families should be included in the aural rehabilitation plan for an older adult in which ways:

A

joint goal setting
hearing aid orientation
group education sessions

44
Q

what is one’s sense of being able to conduct day-to-day activities without undue reliance on others?

A

self-sufficiency

45
Q

a fairly recent component added to the diagnostic test battery, implemented by some audiologists is:

A

cognitive screening

46
Q

a patient-centered orientation designs rehab services that are based on:

A

a patient’s background

47
Q

untreated hearing loss is associated with:

A

cognitive decline

48
Q

what might be the cause of an artificial air-bone gap in an older adult?

A

impacted cerumen

49
Q

hearing loss in the older adult population usually starts in the:

A

high frequencies

50
Q

“you have a sensorineural hearing loss, i’m afraid that there is no cure” might be said by an audiologist who is following what kind of patient-care approach:

A

biomedical

51
Q

typically, what deteriorates first with Alzheimer’s disease?

A

memory

52
Q

what physical or cognitive conditions might influence the development of an older person’s AR plan?

A

manual dexterity

53
Q

T/F: a standardized language test should not be utilized when assessing a child with hearing loss.

A

FALSE

54
Q

T/F: deaf children of Deaf parents do not demonstrate the same cognitive trends expected of children with hearing loss who do not have a Deaf parent

A

TRUE

55
Q

what is the most important factor to consider when choosing a communication outcome for a child with hearing loss?

A

will the child have access to a consistent model of the chosen outcome across settings

56
Q

typical segmental errors made by children who have profound hearing loss include:

A

neutralization of vowels

57
Q

which communication outcome utilizes hearing through amplification and speechreading/ visual cues to develop spoken language for communication?

A

auditory oral

58
Q

why are cognitive skills difficult to measure in children with hearing loss?

A

professionals may not be trained in the child’s chosen communication outcome
these children often have difficulty with the language involved in the testing

59
Q

what phonological processes might a child with hearing loss demonstrate in conversational speech?

A

FCD and stopping

60
Q

which characteristic is most likely to be observed in a school age child with hearing loss?

A

decreased use of bound morphemes

61
Q

if a child is having difficulty with a particular activity, the AR clinician might do which of the following:

A

move from an unstructured to a structured environment

62
Q

Bobby is a 6:0 year old boy with bilateral CIs. He has a hearing age of 5:0. Following 2 step directions in background noise is being targeted during his AR sessions. This is an example of:

A

synthetic training

63
Q

when does auditory development begin for a child?

A

as early as week 20 of prenatal development

64
Q

during an auditory verbal therapy session, a parent is coached to sing a song about changing an infant’s diaper before showing the child the diaper. What term best describes the strategy the parent utilized?

A

audition first

65
Q

During an AR session, a child is consistently having difficulty following 2 step directions. what strategy might be best for the AR clinician to utilize?

A

acoustic highlighting of the missed information

66
Q

a child with access to auditory information only through 500 Hz will:

A

have auditory access to cues for duration pattern

67
Q

a 6 month old baby stops playing with a toy when some talks is an example of:

A

detection

68
Q

suppose a two year old child is not consistently wearing a recently activated cochlear implant. assuming the CI has been checked and is working appropriately, what action by the AR clinician would be most appropriate?

A

talk with the parent about which situations are creating challenges for device use and brainstorm specific strategies to try to address these

69
Q

what is not one of the four design principles for an auditory training curriculum?

A

stimuli

70
Q

during an incident in the classroom, Thomas became angry with a classmate during a group activity. he yelled at his group, “if we get a bad grade, its your fault!” what was thomas demonstrating?

A

an external locus of control regarding his project grade

71
Q

what is reverberation?

A

sound bouncing from floor to ceiling and wall to wall

72
Q

especially when a child was very poor speech and language skills, a communication strategies training program for parents might include special emphasis on:

A

receptive repair strategies

73
Q

an IEP usually includes statements about everything but:

A

legal ramifications if the plan is not implemented

74
Q

what is NOT a duty of an educational audiologist?

A

daily maintenance and verification of listening systems

75
Q

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

A

mainstream

76
Q

T/F: Deaf children of Deaf parents do not demonstrate the same cognitive trends expected of children with hearing loss who do not have a Deaf parent.

A

TRUE

77
Q

T/F: once a communication outcome is chosen, it should not be changed. it is recommended to persevere because the child will successful with sufficient intervention.

A

FALSE

78
Q

how should you gain the attention of a Deaf person?

A

tap the Deaf person on the shoulder