Comd 4500 study guide exam 1
questions well answered graded A+
Settings where SLPs work and how their jobs differ across workplaces (e.g., acute,
rehab, etc.) - correct answer ✔✔education
health care
acute care hospital
acute care hospital - correct answer ✔✔• mostly consultation - little opportunity to start
treatment
• emphasis on diagnostic evaluation
-rehabilitation center
• treatment focus - over weeks or even months
• capitalize on physiologic recovery
-home care
• continued rehabilitation
-nursing home
• monitoring of communication and
swallowing status
• maintenance of abilities over time
health care - correct answer ✔✔- 39%
-16% in nonresidential facilities (outpatient clinics, home care)
-13% in hospitals
-10% in residential facilities(skilled nursing facilities)
,education - correct answer ✔✔- 56%
-53% in schools 3% in universities and colleges
Types of SLP specialty certification - correct answer ✔✔-tracheostomy care
-augmentative and alternative communication
-swallowing disorders
- head and neck cancer
- trach and ventilator care
the new specialty board and certification processes for those interested in voice, swallowing,
neurologic disorders, and augmentative and alternative communication.
What SLPs can and cannot diagnose - correct answer ✔✔One final thing that's really important
for us to understand is that the speech-language pathologist never makes a medical diagnosis. It
is fine for us to diagnose a communication disorder and label it as mild, moderate, or severe.
However, we cannot suggest a particular medical diagnosis to the patient.
One example would be if a patient comes to you with a progressive weakness, and their speech
worsens over time. Furthermore, you have seen dozens of patients like this in the past who
have had ALS. You can not say to the patient that that is what you suspect; all you could
realistically do is say to the patient that there could be a neurological basis to their
communication disorder and that they need to see a neurologist to receive a full medical
evaluation.
Rehabilitation teams - correct answer ✔✔rehabilitation
• treatment focus - over weeks or even months
• capitalize on physiologic recovery
multidisciplinary teams
, -SLPs don't work alone
-each member brings expertise
-physician, nurses, PT, OT, RT, dietitian, psychologist
-avoid turf wars
-collaboration more productive than competition
ASHA Code of Ethics general principles - correct answer ✔✔
How Code of Ethics breaches are publicized - correct answer ✔✔-ASHA Leader reports the
Board of Ethics Decisions
-breaches investigated thoroughly
-sanctions match the seriousness of the case -censure -- the most common
-sanction suspension of membership and certification for months or years
-lifetime suspension for severest cases
-A given society has adopted the codes of conduct, and while breaching this code of ethics may
not result in legal consequences, there can be sanctions depending upon the nature of the
society that has adopted those
-It is simply not acceptable as a professional to breach any medical record. It is essential to
maintain true and accurate billing. Once in a while, it may be tempting to exaggerate what a
clinician has done slightly or to use a code that does not really directly apply because it may
result in greater reimbursement. This is a big no-no.
- The final notion covered by the principle of ethics is that we are responsible for reporting
ethical breaches that we may observe in our colleagues.
power of attorney - correct answer ✔✔• proxy for the patient who cannot participate
indecision-making
• proxy (agent) role continues as patient's condition changes
• knows patient's values and desires
• accept or refuse specific treatments
questions well answered graded A+
Settings where SLPs work and how their jobs differ across workplaces (e.g., acute,
rehab, etc.) - correct answer ✔✔education
health care
acute care hospital
acute care hospital - correct answer ✔✔• mostly consultation - little opportunity to start
treatment
• emphasis on diagnostic evaluation
-rehabilitation center
• treatment focus - over weeks or even months
• capitalize on physiologic recovery
-home care
• continued rehabilitation
-nursing home
• monitoring of communication and
swallowing status
• maintenance of abilities over time
health care - correct answer ✔✔- 39%
-16% in nonresidential facilities (outpatient clinics, home care)
-13% in hospitals
-10% in residential facilities(skilled nursing facilities)
,education - correct answer ✔✔- 56%
-53% in schools 3% in universities and colleges
Types of SLP specialty certification - correct answer ✔✔-tracheostomy care
-augmentative and alternative communication
-swallowing disorders
- head and neck cancer
- trach and ventilator care
the new specialty board and certification processes for those interested in voice, swallowing,
neurologic disorders, and augmentative and alternative communication.
What SLPs can and cannot diagnose - correct answer ✔✔One final thing that's really important
for us to understand is that the speech-language pathologist never makes a medical diagnosis. It
is fine for us to diagnose a communication disorder and label it as mild, moderate, or severe.
However, we cannot suggest a particular medical diagnosis to the patient.
One example would be if a patient comes to you with a progressive weakness, and their speech
worsens over time. Furthermore, you have seen dozens of patients like this in the past who
have had ALS. You can not say to the patient that that is what you suspect; all you could
realistically do is say to the patient that there could be a neurological basis to their
communication disorder and that they need to see a neurologist to receive a full medical
evaluation.
Rehabilitation teams - correct answer ✔✔rehabilitation
• treatment focus - over weeks or even months
• capitalize on physiologic recovery
multidisciplinary teams
, -SLPs don't work alone
-each member brings expertise
-physician, nurses, PT, OT, RT, dietitian, psychologist
-avoid turf wars
-collaboration more productive than competition
ASHA Code of Ethics general principles - correct answer ✔✔
How Code of Ethics breaches are publicized - correct answer ✔✔-ASHA Leader reports the
Board of Ethics Decisions
-breaches investigated thoroughly
-sanctions match the seriousness of the case -censure -- the most common
-sanction suspension of membership and certification for months or years
-lifetime suspension for severest cases
-A given society has adopted the codes of conduct, and while breaching this code of ethics may
not result in legal consequences, there can be sanctions depending upon the nature of the
society that has adopted those
-It is simply not acceptable as a professional to breach any medical record. It is essential to
maintain true and accurate billing. Once in a while, it may be tempting to exaggerate what a
clinician has done slightly or to use a code that does not really directly apply because it may
result in greater reimbursement. This is a big no-no.
- The final notion covered by the principle of ethics is that we are responsible for reporting
ethical breaches that we may observe in our colleagues.
power of attorney - correct answer ✔✔• proxy for the patient who cannot participate
indecision-making
• proxy (agent) role continues as patient's condition changes
• knows patient's values and desires
• accept or refuse specific treatments
