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aural rehab > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Understanding of Audiological rehabilitation includes:

A
  • Characteristics of hearing loss
  • effect of hearing loss on people
  • methods for remediation.
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2
Q

Hearing loss characteristics include:

A

1-Degree and configuration of loss
2-time of onset
3-type of loss
4- auditory speech recognition ability

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3
Q

Configurations of hearing loss:

A
  • Flat
  • sloping
  • precipitous
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4
Q

Persons with limited amounts of hearing loss are referred to as being:

A

hard of hearing

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5
Q

It is recommended that either 3000 or 4000 Hz be used in:

A

evaluating loss

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6
Q

degree of loss is the same as:

A

hearing sensitivity

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7
Q

time when the loss is acquired

A

time of onset

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8
Q

_________ _________ refers to hearing loss present at birth or prior to the development of speech and language.

A

PRElingual deafness

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9
Q

hearing loss occurs during the development of speech and language

A

PERilingual deafness

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10
Q

loss occurs after about age 5

A

Postlingual deafness

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11
Q

loss of hearing after schooling is completed e.g. late teens of later

A

Deafened

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12
Q

born or subsequently experienced a partial loss

A

hard of hearing

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13
Q

sensorineural, mixed, conductive, functional (non-organic), and central auditory processing

A

Types of loss

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14
Q

The following are all synonyms of what:
speech recognition
speech identification
speech discrimination

A

Auditory speech recognition ability

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15
Q

Primary consequence of hearing loss is:

A

its impact on verbal communication

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16
Q

Secondary consequences and side effects of hearing loss include:

A

educational, vocational, psychological, and social implications.

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17
Q

Activity limitation refers to

A

Primary consequence of hearing loss

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18
Q

Participation restriction in social, emotional, educational, and vocational areas.

A

secondary consequences of hearing loss

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19
Q

Aural Rehabilitation Model: Assessment

A 
CORE:
communication status
overall participation
related personal factors
environmental factors
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20
Q

Aural Rehab model: Management

A

CARE

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21
Q

Hearing loss and activity limitations: auditory abilities and consequences of hearing loss.
Auditory, visual, language, manual. communication self-report, previous rehabilitation, overall

A

Communication status

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22
Q

Participation aspects of hearing loss including psychological, social, vocational, and educational factors.

A

Overall participation variables

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23
Q 
Attitude types I, II, III, IV
Personality
IQ
age
race
gender
A

Related personal factors

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24
Q

services,systems, barriers, facilitators, acoustic conditions

A

Environmental factors

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25
Management Procedures
1) Counseling and psychosocial 2) audibility or amplification 3) Remediation of communication activities 4) Environmental coordination/participation improvement
26
Interpretation, information, counseling and guidance, acceptance, understanding, expectations and goals
Counseling and psychosocial
27
Hearing aid fitting, cochlear implants, assistive devices, instruction and orientation
Audibility and amplification
28
Tactics to control situation, philosophy based on realistic expectations, personal skill building
Remediate communication activities
29
Situation improvement, vocational, educational, social, communication partner, community context
Environmental/coordination/participation improvement
30
________ change acoustic energy to electrical energy
microphone
31
______ microphones are equally sensitive to sounds coming from all directions
omnidirectional
32
_______ microphones permit varying sensitivity to sound coming from all directions.
Directional
33
Directional microphones improve _______ ratio and ______ of individuals with sensorineural hearing loss.
signal-to noise ratio | word understanding ability
34
________ is where the manipulation and amplification of the signal takes place.
Amplifier
35
_______ takes the amplified electrical signal and converts it back to an acoustic signal
Receiver
36
Where is the microphone placedin a behind the ear hearing aid?
on top of the aid near the upper portion of the ear
37
The larger size of the device (behind the ear) permits larger amplifiers and receivers to _______ for severe losses.
compensates
38
hearing aids that fill the entire concha are referred to as _______
in-the-ear hearing aid
39
canal aids are small and fit in the canal
inside the canal hearing aid
40
_______ barely visible with placement in the external ear canal
completely in the canal hearing aid
41
Advantages of: in-the-ear in the canal completely in the canal include:
- ease of management-aid and shell asre in one piece | - placement of microphone at the more natural level of the ear canal opening
42
_____ has the cosmetic advantage of being very difficult to see
completely in the canal
43
________ has the acoustic advantage of placement of the receiver near the tympanic membrane.
completely in the canal
44
Receiver placement in the canal improves _________ frequency reception with less chance for acoustic _______
high frequency | feedback
45
Receiver placement in the canal can lead to increased repair due to _______
cerumen
46
Individuals with mild to moderate hearing losses who use all in the ear and completely in the canal hearing aids complain of hearing their voice ____ ____
too loud
47
voice sounds like if its in the barrel
occlusion effect
48
receiver in the canal broadens the _____ _____ response of the instrument
high frequency
49
a hard plastic material that makes an earmold, very durable but is prone to acoustic feedback
lucite
50
______ helps in relieving pressure, reducing the overamplification of low frequencies
Venting
51
If pure tome thresholds between250 and 4000 Hz are better than 35 dbHL, the person's hearing is considered _____ _____ _____
within normal limits
52
Factors in selecting the hearing aid candidate
hearing loss degree of communication disability motivation to use amplification
53
The more severe the hearing loss the more ____ is needed.
gain
54
______ can provide greater gain without acoustic feedback
behind the ear hearing aids
55
__________ allow for low frequency information to be delivered through the normal pathway while providing amplification to mid and high frequencies through the hearing aid for patients with a moderate high-frequency loss and normal hearing in the low frequencies.
Open fit Behind the ear hearing aid
56
________ microphones can help in some background noise situations.
directional
57
The ______ setting on hearing aids uses a coil designed to pick up the electromagnetic signal from telephones or assistive devices which allows the hearing aid to pick up acoustic signal.
telecoil
58
The difference in dB between the input signal from the testing equipment and the output signal from the hearing aid.
gain
59
A graphic representation of the gain at each frequency
Frequency response curve
60
The dB sound pressure level produced by the hearing aid with the gain control int he full-on position with an input of 90 dB SPL.
Output sound pressure level 90
61
This measurement is an indication of what the maximum power output of the hearing aid is.
Output sound pressure level 90
62
This information is important to ensure the output in the hearing aid will not reach unsafe levels for the patient.
Output sound pressure level
63
A measurement of new frequencies generated by the hearing aid that are harmonics of the original signal, This is typically reported as a percent of the total output of the hearing aid.
harmonic distortion
64
Hearing aids are to aid the individual in being able to hear better. Adjustments to hearing aids can take months for some patients.
Hearing expectations
65
The patient must be able to turn the device on and off.. change programs adjust volume and be able to use a telephone
Instrumental operation
66
The client should talk with the hearing aids in his ears bu turned off to determine if an occlusion effect is present.
Occlusion effect
67
Discuss the battery type
Batteries
68
Demonstrate feedback and counsel to the client as to when the aid should squeal and when it should not
acoustic feedback
69
give a brief overview of how to fix common problems at home and point out the troubleshooting guide in the hearing aid's manual.
system troubleshooting
70
demonstrate the process and have the client insert and remove the device prior to leaving the office
Insertion and removal
71
Demonstrate use of the wax cleaning tool and microphone battery contact brushes
cleaning and maintenance
72
explain the company and your clinic's policies regarding the warranty and what to do in case the aid is malfunctioning
Service, warranty and repairs

aural rehab (4 decks)

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