5331 practice test
Save Q&A
A clinician who employs active listening is doing which of the following?
A.Responding to both the content and the affect of the client's remarks
B.Listening very carefully and taking extensive notes
C.Conducting a clinician-directed interview
D.Directing the client to specific answers to questions - =Correct Answer: A
Option (A) is correct. A clinician who employs active listening responds to both the content (the
denotative message) and the affect (the emotional content) of a client's remarks.
This investigation was motivated by observations that when persons with dysarthria increase
loudness, their speech improves. Some studies have indicated that this improvement may be
related to an increase of prosodic variation. Studies have reported an increase of fundamental
frequency (F0) variation with increased loudness, but there has been no examination of the
relation of loudness manipulation to specific prosodic variables that are known to aid a listener in
parsing out meaningful information. This study examined the relation of vocal loudness
production to selected acoustic variables known to inform listeners of phrase and sentence
boundaries: specifically, F0 declination and final-word lengthening. Ten young, healthy women
were audio-recorded while they read aloud a paragraph at what each considered normal loudness,
twice-normal loudness, and half-normal loudness. Results showed that there was a statistically -
=Correct Answer: C
Option (C) is correct. The researchers manipulated vocal loudness to determine its effect on
prosodic F0 and durational variables.
,This investigation was motivated by observations that when persons with dysarthria increase
loudness, their speech improves. Some studies have indicated that this improvement may be
related to an increase of prosodic variation. Studies have reported an increase of fundamental
frequency (F0) variation with increased loudness, but there has been no examination of the
relation of loudness manipulation to specific prosodic variables that are known to aid a listener in
parsing out meaningful information. This study examined the relation of vocal loudness
production to selected acoustic variables known to inform listeners of phrase and sentence
boundaries: specifically, F0 declination and final-word lengthening. Ten young, healthy women
were audio-recorded while they read aloud a paragraph at what each considered normal loudness,
twice-normal loudness, and half-normal loudness. Results showed that there was a statistically -
=Correct Answer: B
Option (B) is correct. At the end of the abstract, the researchers Hughes suggest a relationship
between increased vocal loudness and "improvement in communicative effectiveness" in some
persons with dysarthria. This relationship is not directly supported by their study, as individuals
with dysarthria were not tested.
This investigation was motivated by observations that when persons with dysarthria increase
loudness, their speech improves. Some studies have indicated that this improvement may be
related to an increase of prosodic variation. Studies have reported an increase of fundamental
frequency (F0) variation with increased loudness, but there has been no examination of the
relation of loudness manipulation to specific prosodic variables that are known to aid a listener in
parsing out meaningful information. This study examined the relation of vocal loudness
production to selected acoustic variables known to inform listeners of phrase and sentence
boundaries: specifically, F0 declination and final-word lengthening. Ten young, healthy women
were audio-recorded while they read aloud a paragraph at what each considered normal loudness,
twice-normal loudness, and half-normal loudness. Results showed that there was a statistically -
=Correct Answer: C
Option (C) is correct. The researchers use the same group of subjects who recite a paragraph
under three conditions: at normal, twice-normal, and half-normal loudness. This is an example of
a within-subjects design, in which the dependent variables (in this case, prosodic F0 and
durational variables) are measured repeatedly in the same subjects under different task conditions
(in this case, vocal loudness).
A 55-year-old woman, recently hospitalized for probable cerebrovascular accident (CVA), is
referred for evaluation of stuttering speech. The initial conversation with the client indicates that
speech is characterized by frequent initial-phoneme repetitions and prolongations as well as
,associated mildly effortful eye blinking. Which of the following pieces of information is crucial
to accurate speech diagnosis and decisions regarding management of the speech problem?
A.The site and extent of the lesion associated with the suspected CVA
B.Whether the client has any associated dysphagia or dysphonia
C.Whether the dysfluencies began before or after the suspected CVA
D.Whether the client feels frustrated by the dysfluencies - =Correct Answer: C
Option (C) is correct. Dysfluent speech may or may not be directly caused by the patient's
suspected CVA.
Which of the following is the best action to take initially with a client who presents with poor
oral control of liquids and solids, coughing and choking while eating and drinking, and a history
of hospitalizations associated with pneumonia?
A.Thickening liquids so that the client will be better able to control oral movements for
swallowing
B.Obtaining a modified barium-swallow study to determine appropriate interventions
C.Evaluating the client's ability to eat a variety of foods in order to determine which foods are
safest
D.Prescribing that the client be NPO, since aspiration is present - =Correct Answer: B
Option (B) is correct. An assessment of the problem must be undertaken before treatment is
provided, and the best way to do this is to obtain a modified barium-swallow study.
A number of research reports have described poor auditory memory in children with language
impairments. Which of the following can most appropriately be concluded from these studies?
A.Poor auditory memory can be improved by language-intervention programs that focus on
teaching vocabulary and word meanings.
B.Poor auditory memory is a reflection of a language impairment, and clinicians and researchers
cannot effect improvement.
, C.Poor auditory memory could be a reflection or a cause of a language impairment or could be
related to some other factor, and further research is needed to determine which is the case.
D.Children with language impairments normally do not have well-developed representational
skills. - =Correct Answer: C
Option (C) is correct. Research reports are restricted to the variables examined in the studies on
which they are based. A relationship between poor auditory memory and language impairment
has been found in some research studies. Other factors could be involved, however, suggesting
that further research is needed. Conclusions about treatment or the effects of the impairment
must be made through additional research studies.
Ms. Brown, a 70-year-old retired female, was admitted to the hospital following a CVA. The
SLP conducted a comprehensive evaluation that revealed the presence of left-side neglect,
anosognosia (denial of impairment), and visuospatial problems, including prosopagnosia
(difficulty recognizing familiar faces). Although her auditory comprehension and repetition skills
were good, she experienced difficulty with topic maintenance and turn taking. Based on the
clinical features described, Ms. Brown's diagnostic classification would most likely be
A.Wernicke's aphasia
B.Conduction aphasia
C.Cognitive-communicative disorder consistent with right hemisphere damage
D.Cognitive-communicative disorder consistent with left hemisphere damage - =Correct
Answer: C
Option (C) is correct. The symptoms described in the scenario are consistent with damage to the
right hemisphere.
A client exhibits weakness, atrophy, and fasciculations of the right side of the tongue and lower
face. The client also has right vocal-fold weakness and nasal regurgitation of fluid when
swallowing. These problems are the result of damage to which part of the nervous system?
A.Brain stem
B.Cerebellum
Save Q&A
A clinician who employs active listening is doing which of the following?
A.Responding to both the content and the affect of the client's remarks
B.Listening very carefully and taking extensive notes
C.Conducting a clinician-directed interview
D.Directing the client to specific answers to questions - =Correct Answer: A
Option (A) is correct. A clinician who employs active listening responds to both the content (the
denotative message) and the affect (the emotional content) of a client's remarks.
This investigation was motivated by observations that when persons with dysarthria increase
loudness, their speech improves. Some studies have indicated that this improvement may be
related to an increase of prosodic variation. Studies have reported an increase of fundamental
frequency (F0) variation with increased loudness, but there has been no examination of the
relation of loudness manipulation to specific prosodic variables that are known to aid a listener in
parsing out meaningful information. This study examined the relation of vocal loudness
production to selected acoustic variables known to inform listeners of phrase and sentence
boundaries: specifically, F0 declination and final-word lengthening. Ten young, healthy women
were audio-recorded while they read aloud a paragraph at what each considered normal loudness,
twice-normal loudness, and half-normal loudness. Results showed that there was a statistically -
=Correct Answer: C
Option (C) is correct. The researchers manipulated vocal loudness to determine its effect on
prosodic F0 and durational variables.
,This investigation was motivated by observations that when persons with dysarthria increase
loudness, their speech improves. Some studies have indicated that this improvement may be
related to an increase of prosodic variation. Studies have reported an increase of fundamental
frequency (F0) variation with increased loudness, but there has been no examination of the
relation of loudness manipulation to specific prosodic variables that are known to aid a listener in
parsing out meaningful information. This study examined the relation of vocal loudness
production to selected acoustic variables known to inform listeners of phrase and sentence
boundaries: specifically, F0 declination and final-word lengthening. Ten young, healthy women
were audio-recorded while they read aloud a paragraph at what each considered normal loudness,
twice-normal loudness, and half-normal loudness. Results showed that there was a statistically -
=Correct Answer: B
Option (B) is correct. At the end of the abstract, the researchers Hughes suggest a relationship
between increased vocal loudness and "improvement in communicative effectiveness" in some
persons with dysarthria. This relationship is not directly supported by their study, as individuals
with dysarthria were not tested.
This investigation was motivated by observations that when persons with dysarthria increase
loudness, their speech improves. Some studies have indicated that this improvement may be
related to an increase of prosodic variation. Studies have reported an increase of fundamental
frequency (F0) variation with increased loudness, but there has been no examination of the
relation of loudness manipulation to specific prosodic variables that are known to aid a listener in
parsing out meaningful information. This study examined the relation of vocal loudness
production to selected acoustic variables known to inform listeners of phrase and sentence
boundaries: specifically, F0 declination and final-word lengthening. Ten young, healthy women
were audio-recorded while they read aloud a paragraph at what each considered normal loudness,
twice-normal loudness, and half-normal loudness. Results showed that there was a statistically -
=Correct Answer: C
Option (C) is correct. The researchers use the same group of subjects who recite a paragraph
under three conditions: at normal, twice-normal, and half-normal loudness. This is an example of
a within-subjects design, in which the dependent variables (in this case, prosodic F0 and
durational variables) are measured repeatedly in the same subjects under different task conditions
(in this case, vocal loudness).
A 55-year-old woman, recently hospitalized for probable cerebrovascular accident (CVA), is
referred for evaluation of stuttering speech. The initial conversation with the client indicates that
speech is characterized by frequent initial-phoneme repetitions and prolongations as well as
,associated mildly effortful eye blinking. Which of the following pieces of information is crucial
to accurate speech diagnosis and decisions regarding management of the speech problem?
A.The site and extent of the lesion associated with the suspected CVA
B.Whether the client has any associated dysphagia or dysphonia
C.Whether the dysfluencies began before or after the suspected CVA
D.Whether the client feels frustrated by the dysfluencies - =Correct Answer: C
Option (C) is correct. Dysfluent speech may or may not be directly caused by the patient's
suspected CVA.
Which of the following is the best action to take initially with a client who presents with poor
oral control of liquids and solids, coughing and choking while eating and drinking, and a history
of hospitalizations associated with pneumonia?
A.Thickening liquids so that the client will be better able to control oral movements for
swallowing
B.Obtaining a modified barium-swallow study to determine appropriate interventions
C.Evaluating the client's ability to eat a variety of foods in order to determine which foods are
safest
D.Prescribing that the client be NPO, since aspiration is present - =Correct Answer: B
Option (B) is correct. An assessment of the problem must be undertaken before treatment is
provided, and the best way to do this is to obtain a modified barium-swallow study.
A number of research reports have described poor auditory memory in children with language
impairments. Which of the following can most appropriately be concluded from these studies?
A.Poor auditory memory can be improved by language-intervention programs that focus on
teaching vocabulary and word meanings.
B.Poor auditory memory is a reflection of a language impairment, and clinicians and researchers
cannot effect improvement.
, C.Poor auditory memory could be a reflection or a cause of a language impairment or could be
related to some other factor, and further research is needed to determine which is the case.
D.Children with language impairments normally do not have well-developed representational
skills. - =Correct Answer: C
Option (C) is correct. Research reports are restricted to the variables examined in the studies on
which they are based. A relationship between poor auditory memory and language impairment
has been found in some research studies. Other factors could be involved, however, suggesting
that further research is needed. Conclusions about treatment or the effects of the impairment
must be made through additional research studies.
Ms. Brown, a 70-year-old retired female, was admitted to the hospital following a CVA. The
SLP conducted a comprehensive evaluation that revealed the presence of left-side neglect,
anosognosia (denial of impairment), and visuospatial problems, including prosopagnosia
(difficulty recognizing familiar faces). Although her auditory comprehension and repetition skills
were good, she experienced difficulty with topic maintenance and turn taking. Based on the
clinical features described, Ms. Brown's diagnostic classification would most likely be
A.Wernicke's aphasia
B.Conduction aphasia
C.Cognitive-communicative disorder consistent with right hemisphere damage
D.Cognitive-communicative disorder consistent with left hemisphere damage - =Correct
Answer: C
Option (C) is correct. The symptoms described in the scenario are consistent with damage to the
right hemisphere.
A client exhibits weakness, atrophy, and fasciculations of the right side of the tongue and lower
face. The client also has right vocal-fold weakness and nasal regurgitation of fluid when
swallowing. These problems are the result of damage to which part of the nervous system?
A.Brain stem
B.Cerebellum
