COMD 4450 Exam 1 with 100% correct
answers 2025/2026
Clinical activities that result in:
1. a diagnosis (and severity of diagnosis)
2. a statement of prognosis
3. recommendations - ANS ✔✔What is an assessment?
Our opinion on how a child may or may not respond to therapy and the reasons for that. - ANS
✔✔What is a statement of prognosis?
What we intend to do in regard to speech and language development; do we need to refer out
for other assessments (i.e. ENT for chronic ear infections, audiologist, psychologist, etc.) - ANS
✔✔What things might be in a recommendation?
Aging and related disease processes that affect previously mastered speech/language skills. -
ANS ✔✔In assessment, what are most adult disorders due to?
Developmental factors that tend to disrupt the speech/language process. - ANS ✔✔In
assessment, what are most child disorders due to?
1. to give an idea of what we may want to do
2. to save time (to know what areas need to be focused on)
3. people often know there is a problem, but know little about the nature of the problem. A
case history allows us to describe the nature of the problem - ANS ✔✔Why do we take a case
history?
,In a medical setting - very often, if not always. In a university setting - always. In schools - they
often don't have case history information. Case histories are usually taken before meeting the
client. - ANS ✔✔When are case histories taken?
Stay professional, dress professionally, avoid being too friendly. Use clear direct language,
nonjudgemental, confidential, show interest and concern. Have a clean, uncluttered physical
environment. Be upfront about billing. - ANS ✔✔How is a case history taken?
Use everyday language. Avoid jargon or be sure to describe what you mean.
Show sensitivity to cultural differences. - ANS ✔✔What type of language should be used during
a case history?
Something the secretary will give you. Information collected over the phone that is passed on to
you. - ANS ✔✔What is an intake?
Identifying information (name, phone, address, dob, insurance policy/id number, referral
source)
Statement of problem/main concern
Other services (PT, OT, Spec Ed, Psych)
Developmental History - ANS ✔✔What is included in an intake?
growing, sitting up supported, what age did they walk, speech developmental history - when
babbling started, first words, combining words, when they first fed themselves, etc. - ANS
✔✔What is included in the developmental history?
Medical information (primary, neuro, allergies, psychologist, ENT, other)
Allergies (could be potentially life threatening)
Medications (some make children sleepy or hyperactive, determine best time to see child)
,Hearing (tested, tubes, # of infections)
Vision (tested, concerns)
Sensory concerns (esp ASD kids)
Current communication level (verbal, nonverbal, gestures, sign, PECS, # or words, sentences) -
ANS ✔✔What other information is included in the developmental history?
Child's strengths, weaknesses, frustrations
Receptive/expressive language
Previous speech/language therapy
Behavioral issues
Motivation (what will child work for?) - ANS ✔✔What further information is included in the
developmental history?
1. to get additional details on the child, family, and the disorder
2. to obtain clarification on items
3. to answer preliminary questions parents/client might have - ANS ✔✔What is a case history
used for?
Be prepared, record (audio/video) in the beginning, takes your time (don't rush!), use open
ended questions (follow up yes/no questions), use professional jargon sparingly, address
feelings, attitudes and beliefs. - ANS ✔✔What are some guidelines in conducting the clinical
interview?
Difficulty establishing rapport
Asking redundant questions
Ignoring or bypassing important information
Entertaining preconceived ideas about the clients and their families - ANS ✔✔What are some
common problems in parent/client interviews?
, You need to get info in such a way that is respectful to the client. You may need to get sensitive
information that may lead to hostility in response. Assure them you will hold answers
confidentially. Be careful of what you write in report. You don't want to point to bad parenting
or guilt. - ANS ✔✔What happens if the interviewee seems hesitant to respond to questions or
appears hostile?
one assessment activity. - ANS ✔✔What is hearing screening?
Pure tone testing. Typically administered at 20 dB for 500, 1000, 2000, & 4000 Hz. Pass/fail only.
SLPs do not complete threshold searches. Play audiometry may need to be used with young
children. Often do an otoscopy. If fail, refer to audiologist. - ANS ✔✔How do we do hearing
screening?
Orofacial examination
Diadochokinetic Tasks
Speech/Language sample
Standardized assessment instruments
Alternative and integrated assessment procedures
Stimulability
Post-assessment counseling
Assessment report - ANS ✔✔What other assessment activities are performed?
A research process that includes:
Careful selection of test items
Representative sample drawn from a defined population
Statistical analysis of results
Establishment of age-based norms
answers 2025/2026
Clinical activities that result in:
1. a diagnosis (and severity of diagnosis)
2. a statement of prognosis
3. recommendations - ANS ✔✔What is an assessment?
Our opinion on how a child may or may not respond to therapy and the reasons for that. - ANS
✔✔What is a statement of prognosis?
What we intend to do in regard to speech and language development; do we need to refer out
for other assessments (i.e. ENT for chronic ear infections, audiologist, psychologist, etc.) - ANS
✔✔What things might be in a recommendation?
Aging and related disease processes that affect previously mastered speech/language skills. -
ANS ✔✔In assessment, what are most adult disorders due to?
Developmental factors that tend to disrupt the speech/language process. - ANS ✔✔In
assessment, what are most child disorders due to?
1. to give an idea of what we may want to do
2. to save time (to know what areas need to be focused on)
3. people often know there is a problem, but know little about the nature of the problem. A
case history allows us to describe the nature of the problem - ANS ✔✔Why do we take a case
history?
,In a medical setting - very often, if not always. In a university setting - always. In schools - they
often don't have case history information. Case histories are usually taken before meeting the
client. - ANS ✔✔When are case histories taken?
Stay professional, dress professionally, avoid being too friendly. Use clear direct language,
nonjudgemental, confidential, show interest and concern. Have a clean, uncluttered physical
environment. Be upfront about billing. - ANS ✔✔How is a case history taken?
Use everyday language. Avoid jargon or be sure to describe what you mean.
Show sensitivity to cultural differences. - ANS ✔✔What type of language should be used during
a case history?
Something the secretary will give you. Information collected over the phone that is passed on to
you. - ANS ✔✔What is an intake?
Identifying information (name, phone, address, dob, insurance policy/id number, referral
source)
Statement of problem/main concern
Other services (PT, OT, Spec Ed, Psych)
Developmental History - ANS ✔✔What is included in an intake?
growing, sitting up supported, what age did they walk, speech developmental history - when
babbling started, first words, combining words, when they first fed themselves, etc. - ANS
✔✔What is included in the developmental history?
Medical information (primary, neuro, allergies, psychologist, ENT, other)
Allergies (could be potentially life threatening)
Medications (some make children sleepy or hyperactive, determine best time to see child)
,Hearing (tested, tubes, # of infections)
Vision (tested, concerns)
Sensory concerns (esp ASD kids)
Current communication level (verbal, nonverbal, gestures, sign, PECS, # or words, sentences) -
ANS ✔✔What other information is included in the developmental history?
Child's strengths, weaknesses, frustrations
Receptive/expressive language
Previous speech/language therapy
Behavioral issues
Motivation (what will child work for?) - ANS ✔✔What further information is included in the
developmental history?
1. to get additional details on the child, family, and the disorder
2. to obtain clarification on items
3. to answer preliminary questions parents/client might have - ANS ✔✔What is a case history
used for?
Be prepared, record (audio/video) in the beginning, takes your time (don't rush!), use open
ended questions (follow up yes/no questions), use professional jargon sparingly, address
feelings, attitudes and beliefs. - ANS ✔✔What are some guidelines in conducting the clinical
interview?
Difficulty establishing rapport
Asking redundant questions
Ignoring or bypassing important information
Entertaining preconceived ideas about the clients and their families - ANS ✔✔What are some
common problems in parent/client interviews?
, You need to get info in such a way that is respectful to the client. You may need to get sensitive
information that may lead to hostility in response. Assure them you will hold answers
confidentially. Be careful of what you write in report. You don't want to point to bad parenting
or guilt. - ANS ✔✔What happens if the interviewee seems hesitant to respond to questions or
appears hostile?
one assessment activity. - ANS ✔✔What is hearing screening?
Pure tone testing. Typically administered at 20 dB for 500, 1000, 2000, & 4000 Hz. Pass/fail only.
SLPs do not complete threshold searches. Play audiometry may need to be used with young
children. Often do an otoscopy. If fail, refer to audiologist. - ANS ✔✔How do we do hearing
screening?
Orofacial examination
Diadochokinetic Tasks
Speech/Language sample
Standardized assessment instruments
Alternative and integrated assessment procedures
Stimulability
Post-assessment counseling
Assessment report - ANS ✔✔What other assessment activities are performed?
A research process that includes:
Careful selection of test items
Representative sample drawn from a defined population
Statistical analysis of results
Establishment of age-based norms
