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Adult Language Assessment > Exam 2: RHS > Flashcards

Exam 2: RHS Flashcards

1
Q

50% of adults with RH strokes have

A

cog-comm disorders

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2
Q

50% of adults with LH strokes have

A

aphasia

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3
Q

~95% of adults with aphasia receive

A

inpatient speech-language rehab treatment

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4
Q

~80% of adults with cog-comm disorders associated with RHS receive

A

inpatient speech-language rehab treatment

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5
Q

attention problems

A

50% divided attn
35% selective attn

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6
Q

Anosognosia

A

lack of awareness of deficit
*improves over time

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7
Q

suppression

A

inhibition of contextually-irrelevant meanings

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8
Q

semantic lang probs

A

suppression
figurative language

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9
Q

prag language probs

A

conversation
affect & emotion
theory of mind

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10
Q

nonlinguistic deficits

A

attn deficits
lack of awareness
visuoperceptual deficits
cog/executive dysfunction
neglect

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11
Q

attn deficits

A

may be hyper- or hypo-aroused or have difficulty sustaining attn, especially on the left side

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12
Q

visuoperceptual deficits

A

object recognition
constructional tasks (puzzles, blocks)
spatial orientation (familiar routes, moving from point A to point B)

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13
Q

neglect

A

pt. fails to report, respond, or orient to stimuli on side opposite of brain lesion (contralateral) despite the motor and sensory capacity to do so

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14
Q

may be one manifestation of a larger, more generalized attentional impairment; considered an intellectual and not just a perceptual deficit

A

neglect

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15
Q

Neglect in LHS

A

often resolves

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16
Q

Neglect in RHS

A

may persist

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17
Q

subtypes of neglect

A

viewer-centered (egocentric)
stimulus/object centered (allocentric)

18
Q

egocentric neglect

A

“left” shifts w person’s visual focus

19
Q

allocentric neglect

A

“left” side of objects is neglected regardless of placement in visual field

20
Q

evaluation nonlinguistic deficits

A

cancellation
scanning
line bisection
drawing tasks
oral reading tasks
writing tasks

21
Q

linguistic deficits

A

word discrimination
naming
following commands
word definitions
word fluency
reading & reading comp
writing

22
Q

often, linguistic deficits are

A

mild and do not affect communication significantly

23
Q

to evaluate linguistic deficits:

A

traditional language Ax

24
Q

understanding of implied meaning of complex narratives

A

extralinguistic deficit

25
Q

understanding humor, irony, and sarcasm

A

extralinguistic deficit

26
Q

expressing their own intended meaning

A

extralinguistic deficit

27
Q

using extralinguistic cues that convey emotion

A

extralinguistic deficit

28
Q

occasionally, confabulation

A

extralinguistic deficit

29
Q

extracting and integrating bits of info

A

extralinguistic deficit

30
Q

generative alternative meanings

A

extralinguistic deficit

31
Q

comprehending and expressing emotion

A

extralinguistic deficit

32
Q

comprehending and producing prosody

A

extralinguistic deficit

33
Q

to evaluate extralinguistic deficits

A

language sample (structure & content)
picture description
tell a joke and ask pt. to explain why it is funny

34
Q

apragmatism

A

a disorder in conveying and/or comprehending meaning or intent through linguistic, paralinguistic, and/or extralinguistic modes of context-dependent communication

35
Q

context of apragmatism

A

convo partners
environment
cultural considerations
goal of the interaction

36
Q

Impact of RHS deficits on outcomes, cognitive deficits, unilateral neglect, and anosognosia

A

mortality
functional status on discharge
long term recovery
quality of life
dependence in ADLs
length of stay
discharge to dependent setting
participation-level outcomes

37
Q

impact of apragmatism

A

lack of empathy
poor reader of non-verbal cues

38
Q

Why do RH strokes fall through the cracks?

A

have to be more severe before they can be identified as easily as LH strokes

39
Q

anosodiaphoria

A

seem indifferent to the problem (may make them less likely to seek help)

40
Q

RH stroke patients are less likely to:

A

*get the the ED within the first 3 hours
*get clot busting drug Tx than LH strokes (but twice as likely to get tPA if they demonstrate neglect)
*undergo longer hospital stays because they typically arrive at the ED later than pts w LH strokes

41
Q

social interactions will uncover deficits

A

better than test scores

Adult Language Assessment (22 decks)

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