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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
Q

Management Procedures

A

1) Counseling and psychosocial
2) audibility or amplification
3) Remediation of communication activities
4) Environmental coordination/participation improvement

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26
Q

Interpretation, information, counseling and guidance, acceptance, understanding, expectations and goals

A

Counseling and psychosocial

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27
Q

Hearing aid fitting, cochlear implants, assistive devices, instruction and orientation

A

Audibility and amplification

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28
Q

Tactics to control situation, philosophy based on realistic expectations, personal skill building

A

Remediate communication activities

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29
Q

Situation improvement, vocational, educational, social, communication partner, community context

A

Environmental/coordination/participation improvement

30
Q

________ change acoustic energy to electrical energy

A

microphone

31
Q

______ microphones are equally sensitive to sounds coming from all directions

A

omnidirectional

32
Q

_______ microphones permit varying sensitivity to sound coming from all directions.

A

Directional

33
Q

Directional microphones improve _______ ratio and ______ of individuals with sensorineural hearing loss.

A

signal-to noise ratio

word understanding ability

34
Q

________ is where the manipulation and amplification of the signal takes place.

A

Amplifier

35
Q

_______ takes the amplified electrical signal and converts it back to an acoustic signal

A

Receiver

36
Q

Where is the microphone placedin a behind the ear hearing aid?

A

on top of the aid near the upper portion of the ear

37
Q

The larger size of the device (behind the ear) permits larger amplifiers and receivers to _______ for severe losses.

A

compensates

38
Q

hearing aids that fill the entire concha are referred to as _______

A

in-the-ear hearing aid

39
Q

canal aids are small and fit in the canal

A

inside the canal hearing aid

40
Q

_______ barely visible with placement in the external ear canal

A

completely in the canal hearing aid

41
Q

Advantages of:
in-the-ear
in the canal
completely in the canal include:

A
  • ease of management-aid and shell asre in one piece

- placement of microphone at the more natural level of the ear canal opening

42
Q

_____ has the cosmetic advantage of being very difficult to see

A

completely in the canal

43
Q

________ has the acoustic advantage of placement of the receiver near the tympanic membrane.

A

completely in the canal

44
Q

Receiver placement in the canal improves _________ frequency reception with less chance for acoustic _______

A

high frequency

feedback

45
Q

Receiver placement in the canal can lead to increased repair due to _______

A

cerumen

46
Q

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 ____ ____

A

too loud

47
Q

voice sounds like if its in the barrel

A

occlusion effect

48
Q

receiver in the canal broadens the _____ _____ response of the instrument

A

high frequency

49
Q

a hard plastic material that makes an earmold, very durable but is prone to acoustic feedback

A

lucite

50
Q

______ helps in relieving pressure, reducing the overamplification of low frequencies

A

Venting

51
Q

If pure tome thresholds between250 and 4000 Hz are better than 35 dbHL, the person’s hearing is considered _____ _____ _____

A

within normal limits

52
Q

Factors in selecting the hearing aid candidate

A

hearing loss
degree of communication disability
motivation to use amplification

53
Q

The more severe the hearing loss the more ____ is needed.

A

gain

54
Q

______ can provide greater gain without acoustic feedback

A

behind the ear hearing aids

55
Q

__________ 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.

A

Open fit Behind the ear hearing aid

56
Q

________ microphones can help in some background noise situations.

A

directional

57
Q

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.

A

telecoil

58
Q

The difference in dB between the input signal from the testing equipment and the output signal from the hearing aid.

A

gain

59
Q

A graphic representation of the gain at each frequency

A

Frequency response curve

60
Q

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.

A

Output sound pressure level 90

61
Q

This measurement is an indication of what the maximum power output of the hearing aid is.

A

Output sound pressure level 90

62
Q

This information is important to ensure the output in the hearing aid will not reach unsafe levels for the patient.

A

Output sound pressure level

63
Q

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.

A

harmonic distortion

64
Q

Hearing aids are to aid the individual in being able to hear better. Adjustments to hearing aids can take months for some patients.

A

Hearing expectations

65
Q

The patient must be able to turn the device on and off.. change programs adjust volume and be able to use a telephone

A

Instrumental operation

66
Q

The client should talk with the hearing aids in his ears bu turned off to determine if an occlusion effect is present.

A

Occlusion effect

67
Q

Discuss the battery type

A

Batteries

68
Q

Demonstrate feedback and counsel to the client as to when the aid should squeal and when it should not

A

acoustic feedback

69
Q

give a brief overview of how to fix common problems at home and point out the troubleshooting guide in the hearing aid’s manual.

A

system troubleshooting

70
Q

demonstrate the process and have the client insert and remove the device prior to leaving the office

A

Insertion and removal

71
Q

Demonstrate use of the wax cleaning tool and microphone battery contact brushes

A

cleaning and maintenance

72
Q

explain the company and your clinic’s policies regarding the warranty and what to do in case the aid is malfunctioning

A

Service, warranty and repairs

aural rehab (4 decks)

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