Transcript & Full SLP Case Study | 2026 Update |
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1. What is the primary diagnosis and clinical profile of Jordan Z.
in this SimuCase case study?
ANSWERS>: Jordan Z. is a pediatric patient (typically 4-5 years
old) diagnosed with a severe expressive language disorder and
childhood apraxia of speech (CAS), with relatively strong
receptive language skills. He has limited verbal speech
intelligibility, necessitating an AAC evaluation.
2. What is the chief complaint reported by Jordan’s parents
during the case history?
ANSWERS>: They report that Jordan becomes highly frustrated
when he cannot be understood, leading to behavioral
outbursts. They are seeking a communication system to reduce
his frustration and help him express his wants, needs, and ideas
effectively.
3. According to ASHA’s Participation Model, what is the first
step in conducting an AAC assessment?
,ANSWERS>: Identifying the participation patterns and needs of
the individual (what the child wants/needs to communicate),
followed by assessing their current capabilities and barriers.
4. What assessment tool is commonly used to evaluate Jordan’s
receptive and expressive language skills to establish a baseline?
ANSWERS>: The Preschool Language Scale, 5th Edition (PLS-5)
or the Clinical Evaluation of Language Fundamentals, Preschool-
3 (CELF Preschool-3). Receptive scores are typically higher than
expressive scores in this profile.
5. Why is it critical to assess Jordan’s receptive language abilities
before selecting an AAC device?
ANSWERS>: Receptive language determines the linguistic
representation the child can understand. If Jordan has strong
receptive language, he is a candidate for a robust, language-
based AAC system (like core vocabulary boards or a Speech-
Generating Device) rather than just simple cause-and-effect
switches.
6. What is "Feature Matching" in the context of an AAC
assessment?
, ANSWERS>: The process of matching the specific features of an
AAC system (e.g., vocabulary size, symbol type, navigation
requirements, access method) to the cognitive, linguistic,
motor, and sensory abilities of the user.
7. During the observational phase of the SimuCase transcript,
what behaviors does Jordan exhibit when he cannot make his
needs known?
ANSWERS>: Jordan points, grunts, and eventually throws
materials or turns away from the clinician, demonstrating
communication breakdown and resulting frustration.
8. What is the primary access method evaluated for Jordan
during the dynamic assessment?
ANSWERS>: Direct selection (touching the screen or symbols
with his finger), as he demonstrates adequate fine motor
control and visual attention to interact with a tablet interface.
9. What is the difference between a "Static" and a "Dynamic"
display AAC system?
ANSWERS>: A static display has a fixed grid of symbols that does
not change unless the overlay is physically swapped. A dynamic