Exam 3 Part 3

Question 1

What are the goals of an initial assessment (3)?

Answer 1

Determine communication demands, evaluate impact of hearing loss, identify problem settings

Question 2

What are the goals of a final assessment (4)?

Answer 2

Improved conversational fluency, decrease communication difficulties, repeat of initial assessment materials, critique of AR program

Question 3

What are factors that define conversational fluency (4)?

Answer 3

Sharing of speaking time, time spent in silence, exchange of information and ideas, time spent repairing communication breakdowns

Question 4

Minimal communication breakdowns, ideas easily exchanged, no dominance amongst one speaker, minimal silence

Answer 4

High conversational fluency

Question 5

Numerous communication breakdowns, minimal exchange of ideas, one speaker dominates, awkward silence

Answer 5

Low conversational fluency

Question 6

Period spent delivering a contribution to a conversation

Answer 6

Conversational turn

Question 7

Average words spoken during turn

Answer 7

Mean length of speaking turn (MLT)

Question 8

A way to assess the sharing of speaking time

Answer 8

Mean length turn ratio (MLT ratio)

Question 9

What measures do we need to consider to assess conversational fluency (3)?

Answer 9

Conversational setting and situation, complexity of topic, creation of conversation that elicits difficulty

Question 10

What are some procedures to measure conversational fluency and communication difficulties?

Answer 10

Interview, questionnaire, daily log, group discussion, structured communication interaction

Question 11

Used to garner subjective responses regarding communication breakdown, difficulty to quantify information, informally elicit specific information

Answer 11

Interview

Question 12

What are some factors required to be a good interviewer?

Answer 12

Good listener, attentive, non-judgemental, encouraging of conversation, committed to helping individuals

Question 13

____ ____affects conversational fluency

Answer 13

Conversational difficulties

Question 14

Quick and easy to administer, may provide rating scale for ranking difficulty, use assessment instrument to elicit specific information, may miss important patient specific information, patient rates their own difficulty, gives us qualitative or quantitative information

Answer 14

Questionnaire

Question 15

What is the most popular way to assess conversational fluency and conversational difficulties?

Answer 15

Questionnaires

Question 16

What are some types of questionnaires that are used in assessing conversational fluency and conversational difficulties?

Answer 16

Abbreviated profile of hearing aid benefit, Client oriented scale of improvement, etc.

Question 17

Implement method to self-monitor progress, rate amount of conversations understood, record difficulties in listening situations, provides quantitative information in a long period, records types of repair strategies

Answer 17

Daily log

Question 18

Group of people identify concerns, group leader facilitates discussion, establish ground rules, everyone is encouraged to participate, some patients may be reluctant to participate

Answer 18

Group discussion

Question 19

Stimulate conversational exchanges to depict difficulties, clinician and client evaluate stimulated conversation, discuss flow, turn-taking, and person’s understanding of conversation, can be time-consuming

Answer 19

Structured communication interaction

Question 20

Carry out spontaneous exchange between communication partners that mimics real life situations, clinician uses elicitation techniques to create breakdown, assess client’s repair strategies, results may vary as a function of communication partner

Answer 20

Unstructured communication interaction