Fluency

Question 1

A client who stutters mentions to his SLP that his social lift is limited because “no one will talk to me bc I stutter.” This is an example of the common defense mechanism known as…

A. Displacement
B. Projection
C. Repression
D. Rationalization

Answer 1

D. Rationalization

Rationalization is a defense mechanism that allows pt to address internal or external stressors, as well as emotional conflicts. The pt develops self-serving incorrect explanations of feeling, actions, or thoughts of others or himself to cover up motives for certain behaviors

Question 2

Based on clinical observation, how can a clinician determine whether a client has a normal disfluency or abnormal dysfluency?

A. Any presence of secondary behaviors
B. Presence of any prolongations
C. A pitch decrease during moment of stuttering
D. Consistent rhythm and tone of a clients voice

Answer 2

A. Any presence of secondary behaviors

When a pt exhibits physical tension or secondary behaviors that are associated with stuttering, it is an indication of abnormal dysfluencies