Chapter 8 Flashcards

1
Q

What are the two levels of a good assessment?

A

careful planning, observation, and analysis

trying to understand the whole person or family

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2
Q

Make sure that as a clinician you consider cultures. What are some issues that require sensitivity if the client is from another culture?

A
eye contact
physical touch
nature of reinforcers
family interaction patterns
intentional stuttering 
verbal and nonverbal communication styles
modes of address
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3
Q

T or F multicultural and multilingual clients require careful analysis of stuttering in all languages

A

True make sure you look at all languages the client speaks

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4
Q

What behaviors should be considered stutters during an assessment?

A
  • part word reps
  • monosyllabic whole-word reps
  • sound prolongations
  • blockages of sound or airflow
  • unequivocal sound or word avoidances
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5
Q

Reliability is first demonstrated by showing that a rater makes same judgment when he or she judges the behavior the 2nd time….what kind of reliability is this?

A

intrarater

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6
Q

Reliability then demonstrated by showing that a different ratter makes the same judgment as the first. what kind of reliability is this?

A

interater

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7
Q

how do you calculate interater reliability and intrarater?

A

reliability =agreements /agreements +disagreements + 100

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8
Q

When assessing stuttering what things do you want to assess?

A

frequency of stutter, types of stutter, duration of stutter, severity of stutter and 2ndary /core behaviors

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9
Q

when assessing stuttering you can look at % of words stuttered or % syllables stuttering

A

to calculate % syllables stuttering (%ss)

total stutters/total syllables

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10
Q

What are normal disfluencies?

A

multisyllable words repetitions, phrase repetitions, interjections and revisions

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11
Q

what are stutter like behaviors that you would assess when doing an assessment?

A

part-word and single-syllable whole-word repetitions, tense pauses and dysrhythmic phonations

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12
Q

T or F if a child has more than 50 % stutter-like disfluencies, more likely to be stuttering than normally disfluent.

A

True

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13
Q

T or F. If child has more than three stutter-like disfluencies per 100 words, more likely to be stuttering

A

True

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14
Q

T or F. after age 4 typical children show decrease in part-word repetitions

A

True If child is showing plateau or increase in part-word reps after 4, more likely to be stuttering

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15
Q

When assessing duration the common practice is to average _____ longest stutters.

A

3 (this is a component of the severity assessment)

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16
Q

What are 2ndary behaviors?

A

escape/avoidance behaviors

17
Q

what are escape behaviors?

A

2ndary behavior

occur after the stutter has started they are an attempt to stop stutter and produce a word (eyeblink)

18
Q

what are avoidance behaviors?

A

these occur before the behavior starts they are attempts to keep from stuttering (saying extra sound, changing word)

19
Q

What is an instrument used to assess severity of stuttering?

A

SSI stuttering severity instrument
assesses freq, duration 2ndary behaviors/physical concomitants (scores from these three components are summed to produce total overall score) (can be used for preschoolers, school, children and adults)

20
Q

What is the assessment instrument used to assess children btwn the age 4-12?

A

Test of childhood stuttering
-consists of three subparts
(speech fluency measure, observation measure, supplemental clinical assessment

21
Q

Make sure with stuttering that you assess speaking and reading rate as well as feelings and attitudes.

A

Yes.

22
Q

What are some assessments used to assess feelings and attitudes in preschool children?

A

kiddyCAT
Behavioral style questionnaire
impact of stuttering on preschoolers and parents

23
Q

What are some assessments used to assess feelings and attitudes in School age children?

A

A-19 scale
CAT-Communication attitude scale
Teachers assessment of student communicative competence (TASCC)

24
Q

What are some assessments used to assess feelings and attitudes in adolescents and adults?

A

modified Erickson scale of communication attitudes
(S-24)

stutterers self rating of reactions to speaking situations (SSRSS)

Perceptions of stuttering inventories

Locus of control behavior scale