AURAL REHAB Flashcards
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:
participation restriction
individuals who have hearing loss are underserved, in part because of:
lack of audiologists
lack of reimbursement
geographical location
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?
participation restriction
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?
outcome measure
provide clients with tools to address activity limitations and participation restrictions
goal selection in aural rehab
difficulty comprehending speech in the presence of background noise is an example of:
activity limitation
in the WHO nomenclature, a disability is:
functional consequence of an impairment
aspects of activity limitations (according to WHO) may be influenced by:
an active lifestyle
person’s willingness to be assertive regarding needs
communication partners
T/F: when developing an AR plan, the SLP and audiologist provide the most important input regarding that plan
FALSE
T/F: auditory training can change a person’s hearing sensitivity
FALSE
analytic training focuses on:
recognition of individual speech sounds
phoneme based training is designed to hone:
bottom-up processing
according to transfer appropriate processing theory (TAP) in regard to auditory training:
gains are greatest for the talker on which the patient trained
T/F: segmental information of speech provides all the information needed for communication
FALSE
in adults, what cognitive skills might be trained during auditory training?
auditory attention
processing speed
a clinician targeted specific sound differences in word pairs during an auditory training activity. what type of training was being utilized?
analytic training
acoustically, how are vowels primarily identified?
1st and 2nd formants
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?
discrimination
the advantage afforded by adding hearing to vision is known as:
speechreading enhancement
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:
the word with low frequency of usage has far fewer lexical neighbors than the word with a high frequency of usage
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?
saccade
when speechreading, individuals need to focus more on the ____ when seeking prosodic information about questions vs statements.
upper face
Mr. Simmons is taking a lipreading test. which word is he most likely to identify correctly?
A. thumb
B. Bathtub
C. hornet
d. elephant
C. hornet
if a person is a candidate for intensive speechreading training, this person is most likely to be:
a new recipient of a cochlear implant
what kind of information should a speech reader provide to the talker to explain how to communicate with him?
talker should talk slightly louder
talker should face him while talking
which two sounds are an example of viseme?
A. b, p
B. f, t
C. m, n
D. l, w
A. p, b
what are groups of speech sounds that appear identical on the lips (e.g., p, m, b)?
visemes
what is mean length turn ratio?
ratio of MLTs of two talker who are engaged in conversation
what can cause a person’s difficulty with conversational fluency to fluctuate?
communication partners
topic of discussion
physiological state
the term generous listening is used to describe:
instances in which a clinician listens while providing positive regard, attention, and acknowledgements
if a clinician wanted to informally assess someone’s conversational fluency, the most direct way might be to:
conduct an interview using open-ended questions
what is the most straightforward assessment procedure?
interview
what is listening in a way that lets patients know they are being heard, without being judged, and provides positive attention, regard, and acknowledgement?
generous listening
reasons that conversational fluency is difficult to measure clinically?
-fluency varies with topic of conversation
-fluency varies as a function of the communication partner
-communication difficulties may not arise
Marion, an adult woman with hearing loss, often bluffs during conversations. what is likely to be true regarding her bluffing?
creates a feeling of helplessness during her conversations
A ____ is a course of action taken to enhance communication.
communication strategy
most positive outcome of using a nonverbal repair strategy?
the point of communication breakdown is signaled
during an AR session, the clinician shows a video of effective facilitative strategies being utilized. which type of self-efficacy activity was described?
vicarious experience
what is the most effective way to improve self-efficacy in adults with hearing loss?
practice successfully using the communication strategy
once an adult with hearing loss has received training regarding communication strategies, what most likely would be the next goal in the AR plan?
improve the adult’s self-efficacy to manage difficult listening situations
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 possible psychosocial consequence of hearing loss
T/F: a person who adopts an assertive conversational style may blame others for misunderstandings
FALSE
families should be included in the aural rehabilitation plan for an older adult in which ways:
joint goal setting
hearing aid orientation
group education sessions
what is one’s sense of being able to conduct day-to-day activities without undue reliance on others?
self-sufficiency
a fairly recent component added to the diagnostic test battery, implemented by some audiologists is:
cognitive screening
a patient-centered orientation designs rehab services that are based on:
a patient’s background
untreated hearing loss is associated with:
cognitive decline
what might be the cause of an artificial air-bone gap in an older adult?
impacted cerumen
hearing loss in the older adult population usually starts in the:
high frequencies
“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:
biomedical
typically, what deteriorates first with Alzheimer’s disease?
memory
what physical or cognitive conditions might influence the development of an older person’s AR plan?
manual dexterity
T/F: a standardized language test should not be utilized when assessing a child with hearing loss.
FALSE
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
TRUE
what is the most important factor to consider when choosing a communication outcome for a child with hearing loss?
will the child have access to a consistent model of the chosen outcome across settings
typical segmental errors made by children who have profound hearing loss include:
neutralization of vowels
which communication outcome utilizes hearing through amplification and speechreading/ visual cues to develop spoken language for communication?
auditory oral
why are cognitive skills difficult to measure in children with hearing loss?
professionals may not be trained in the child’s chosen communication outcome
these children often have difficulty with the language involved in the testing
what phonological processes might a child with hearing loss demonstrate in conversational speech?
FCD and stopping
which characteristic is most likely to be observed in a school age child with hearing loss?
decreased use of bound morphemes
if a child is having difficulty with a particular activity, the AR clinician might do which of the following:
move from an unstructured to a structured environment
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:
synthetic training
when does auditory development begin for a child?
as early as week 20 of prenatal development
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?
audition first
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?
acoustic highlighting of the missed information
a child with access to auditory information only through 500 Hz will:
have auditory access to cues for duration pattern
a 6 month old baby stops playing with a toy when some talks is an example of:
detection
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?
talk with the parent about which situations are creating challenges for device use and brainstorm specific strategies to try to address these
what is not one of the four design principles for an auditory training curriculum?
stimuli
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?
an external locus of control regarding his project grade
what is reverberation?
sound bouncing from floor to ceiling and wall to wall
especially when a child was very poor speech and language skills, a communication strategies training program for parents might include special emphasis on:
receptive repair strategies
an IEP usually includes statements about everything but:
legal ramifications if the plan is not implemented
what is NOT a duty of an educational audiologist?
daily maintenance and verification of listening systems
children with hearing loss attend classes with children with normal hearing in what kind of classroom?
mainstream
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.
TRUE
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.
FALSE
how should you gain the attention of a Deaf person?
tap the Deaf person on the shoulder
