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Aphasia > Exam Bank 2 > Flashcards

Exam Bank 2 Flashcards

0
Q

Provide a brief script how you could appropriately describe your role and explain why you plan to administer a language assessment

A

Hello, my name is Juanita I am the slp here at the hospital. Part of my job is to help patient, families and staff communicate the best they can. So today I want to have a chat with you and ask you some questions to help me know what we can so to help you communicate better with us and us with you.

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1
Q

List 4 general purposes of communication assessment as outlined by Brookshire.

A
  1. To assist in diagnosing communication impairment
  2. To arrive at a prognosis for recovery
  3. To make decisions about appropriateness and potential focus of treatment
  4. To measure outcomes of treatment
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2
Q

List 6 different and distinct goals of assessment as outlined by Chapey.

A
  1. Determine the presence or absence of aphasia- lead to a diagnosis
  2. Identify any condition impacting on communication difficulty
  3. Analysis of cognitive ability
  4. Analysis of ability to comprehend
  5. Analysis of ability to produce
  6. Analysis of quality if life.
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3
Q

Provide 4 examples of information that may be relevant to obtain that specifically relate to communication activities

A
  1. Names of key communication partners
  2. Social contacts (pre and post)
  3. Topics of conversation/interest
  4. Communication style prior to CVA (talkative/reserved)
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4
Q

Name 2 resources/assessments you can you to obtain information specifically relates to communication activities

A
  1. Aphasia needs assessment- revised

2. Communication activities checklist

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5
Q

Describe the communication effectiveness index by listing a) who typically completes it b) the response format c) number or items and d) examples of two items.

A

A) completed by someone close to PWA usually partner or carer
B) response rates current performance on rating scale “not at all able - as able before the stroke”
C) 16 items
D) getting somebody’s attention
Communicating his or her emotion

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6
Q

List one reason for completing a social network analysis with a client who has aphasia

A

Can be used as an outcome measure

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7
Q

When informally assessing language, identify whether auditory comprehension skills or verbal expressive skills are typically assessed first and why

A

When elicitating language it’s only natural the comprehension is required before output. It’s key to get an understanding of their comprehension abilities in order to analyse verbal expression appropriately

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8
Q

List 4 aspects of language that SPs typically assess in an informal language screening assessment

A
  1. Spoken discourse
  2. Auditory comprehension
  3. Verbal expression
  4. Reading comprehension
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9
Q

Name one assessment that could be used to obtain information about your clients communication activities

A

Communication activities checklist

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10
Q

Provide 2 examples of spoken discourse samples

A
  1. Conversational speech

2. Picture description task

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11
Q

Provide two examples of different auditory comprehension tasks

A
  1. Following commands

2. Yes/no questions

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12
Q

Provide 2 examples of different verbal expression tasks

A
  1. Confrontation naming tasks

2. Verbal fluency tasks

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13
Q

Provide two examples of written expression tasks

A
  1. Automatic writing

2. Writing to dictation

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14
Q

Provide 2 examples of reading comprehension tasks

A

Single word level

Word-picture/object description

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15
Q

Provide 1 example of a confrontation task

A

PWA shown a picture/object and asked to name it

16
Q

Provide one example of responsive naming task

A

“What do you brush your teeth with?”

17
Q

Provide one example of a verbal fluency task

A

Tell me all the animals you can in 1 min

18
Q

Provide an example of an automatic writing task

A

Writing numbers, days of the week

19
Q

Provide 2 examples of functional communication tasks you could use in an acute hospital setting

A
  1. Check reading by having PWA read a get well card

2. Follow a few commands and answer yes/no questions

20
Q

Name two language screening assessments

A
  1. Quick assessment for aphasia
  2. Aphasia screening test- 2nd ed.
  3. ScreeLing
21
Q

Name 4 comprehensive formal language assessments

A
  1. Comprehensive aphasia test
  2. Western aphasia battery - revised
  3. Boston diagnostic Aphasia examination 3rd edition and the Boston naming test 2nd edition
  4. Psycholinguistic assessment of language processing in aphasia
22
Q

Name 4 functional communication assessments

A
  1. Inpatient functional communication interview (IFCI)
  2. Communication activities of daily living- 2 (CADL-2)
  3. The communication effectiveness index (CETI)
  4. Functional communication profile (FCP)
23
Q

The communication activities of daily living assesses communication activities in seven areas. List 4

A
  1. Reading, writing an using numbers
  2. Social interactions
  3. Contextual communication
  4. Nonverbal communication
24
Q

Name 2 communication related quality of life scales

A
  1. Stroke and aphasia quality I life scales-39

2. Quality of communication life scales

25
Q

List the 4 overlapping domains in the living with aphasia: framework for outcome measurement

A
  1. Participation in life situation
  2. Personal, identity, attitudes an feelings
  3. Language and related impairments
  4. Communication and language environment
26
Q

According to Murray and Clark, informal measures of quality of life, provide 2 relevant questions to include in an informal assessment

A

Can you still do the same activities as before?

Do you feel that you are the same person as you were before?

27
Q

What communication disorder frequently occurs with Broca’s aphasia and why?

A

Apraxia, because Broca’s area is close to the primary motor cortex

28
Q

List pieces of I formation and why you need it you will typically get from the medical chart of family prior to your initial patient interview

A
  1. Date of initial incident- important to know time since onset to get an idea of where they are in terms of recovery and in terms of planning for appropriate assessment or therapy.
  2. Associated defects - may impact on communication and therapy
29
Q

List 2 ways how you would differentially diagnose between dementia and aphasia

A

Dementia patients may appear as successful communicators but digress from topic or ramble at length. Aphasia patients will often have effortful speech or fluent speech filled with paraphasias. Dementia patients are not likely to produce errors in language form.

30
Q

Provide 4 examples of impairment level questions

A
  1. How would you like your talking to improve ?
  2. What types of things are difficult for you to communicate?
  3. How would you like your reading to improve?
  4. How would you like your writing to improve
31
Q

4 questions for participation level

A
  1. What was a typical day like before your stroke?
  2. What leisure activities were you involved in before your stroke?
  3. Tell me about your role at the church.
  4. What might be able to help you visit friends more?
32
Q

4 questions for activity level

A
  1. Who do you like to talk to?
  2. Do you need to use the telephone?
  3. Do you need to read?
  4. What do you need to read?
33
Q

What does SMARTER stand for?

A 
Shared 
Monitored 
Accessible
Relevant 
Transparent
Evolving 
Relationship centred goals
34
Q

List and briefly describe the five steps in the functional communication therapy planner

A
  1. Information gathering - uses questionnaires and an interview to gather info about the client
  2. Collaborative goal setting- inclusive view of the client, uses the principle of shared decision making, and goals are prioritised
  3. Pretreatment evaluation- goals broken down into activities, the whole communicative event is observed or simulated, each activity is rated
  4. Treatment- should be client orientated, relevant in content, individual, holistic and empowering
  5. Post treatment evaluation - reevaluation of same activities rated earlier, then start again with new goals
35
Q 
Definition:
HTN:
WFL:
h/o:
LOC:
A

Hypotension
Within functional limits
History of
Level of consciousness

36
Q 
Definition:
CVA
Hx
RUE
RLE
A

Cerebrovascular accident
Case history
Right upper extremity
Right lower extremity

Aphasia (1 decks)

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