©JASONMcConnel 2024/2025 ALL RIGHTS RESERVED.
EXTX 650 - Midterm Exam Questions And
Correct Answers 100% Verified.
Be familiar with the SLPA Scope of Practice according to the CA Speech-Language Pathology
and Audiology Board - Answer✔▪ Conducting a speech-language screening, without
interpretation, and using screening protocols developed by the supervising Speech-Language
Pathologist (SLP)
▪ When competent to do so, as determined by the supervising SLP, acting as an interpreter for
non- English speaking patients or clients and their family members
▪ Providing direct treatment assistance to patients or clients under the supervision of a SLP
▪ Scheduling activities and preparing charts, records, graphs, and data
▪ Following and implementing documented treatment plans or protocols developed by a
supervising SLP
▪ Performing checks and maintenance of equipment, including, but not limited to, augmentative
communication devices
▪ Documenting patient or client progress toward meeting established goals, and reporting the
information to the supervising SLP
▪ Assisting with speech-language pathology research projects, in-service training, and family or
community education
▪ Assisting a SLP during assessments, including, but not limited to, assisting with formal
documentation, preparing materials, and performing clerical duties for the supervising SLP
▪ Maintaining a minimum of 12 professional development hours over a two year period
▪ Disclosure of his/her name and registration status, as granted by the state, on a name tag in at
least 18 point type
Be familiar with activities outside the scope of practice of an SLPA - Answer✔▪ Represent
himself or herself as an SLP;
▪ Perform standardized or nonstandardized diagnostic tests, formal or informal evaluations, or
swallowing screenings/checklists
▪ Perform procedures that require a high level of clinical acumen and technical skill (e.g., vocal
tract prosthesis shaping or fitting, vocal tract imaging and oral pharyngeal swallow therapy with
bolus material)
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, ©JASONMcConnel 2024/2025 ALL RIGHTS RESERVED.
▪ Tabulate or interpret results and observations of feeding and swallowing evaluations performed
by SLPs
▪ Participate in formal parent conferences, case conferences, or any interdisciplinary team
without the presence of the supervising SLP or other designated SLP
▪Provide interpretative information to the student/patient/client, family, or others regarding the
patient/client status or service
▪ Write, develop, or modify a student's, patient's, or client's treatment plan in any way;
▪ Assist with students, patients, or clients without following the individualized treatment plan
prepared by the certified SLP and/or without access to supervision;
▪ Sign any formal documents (e.g., treatment plans, reimbursement forms, or reports; the SLPA
should sign or initial informal treatment notes for review and co-sign with the supervising SLP
as requested)
▪ Select students, patients, or clients for service;
▪ Discharge a student, patient, or client from services;
▪ Make referrals for additional service;
▪ Disclose clinical or confidential information either orally or in writing to anyone other than the
supervising SLP (the SLPA must comply with current HIPPA and FERPA guidelines) unless
mandated by law;
▪ Develop or determine the swallowing strategies or precautions for patients, family, or staff;
▪ Treat medically fragile students/patients/clients independently;
▪ Design or select augmentative and alternative communication systems or devices.
Be familiar with what interpretation means, specifically within the roles of SLPA/ SLP -
Answer✔Summarizing, integrating, and using data for the purpose of clinical decision making,
which may only be done by SLPs. SLPAs may summarize objective data from a session to the
family or team members
Understand the qualifications of a Supervising SLP - Answer✔▪ Current ASHA certification
and/or state licensure
▪ Completion of at least 2 years of practice following ASHA certification
▪ Completion of an academic course or at least 10 hours of continuing education credits in the
area of supervision, completed prior to or concurrent with the first SLPA supervision experience.
▪ CA law requires a minimum of 6 hours in supervision training in the initial 2 year period of
supervision, and 3 hours of supervision training every two years thereafter
▪ The SLP:
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, ©JASONMcConnel 2024/2025 ALL RIGHTS RESERVED.
-Will ensure that the extent, kind, and quality of the clinical work performed are consistent with
the training and experience of the assistant and shall be accountable for the assigned tasks
performed by the assistant.
-Will review client/patient records
-Monitor and evaluate assessment and treatment decisions of the assistant
-Monitor and evaluate the ability of the assistant to provide services at the site(s) where he or she
will be practicing and to the particular clientele being treated
-Will ensure compliance with all laws and regulations governing the practice of speech-language
pathology
-Will assist with the development of a plan for the assistant to complete twelve (12) hours of
continuing professional development every two years
--Through state or regional conferences, workshops, formal in-service presentations, independent
study programs, or any combination of these, concerning communication disorders
-Will discuss with the assistant the manner in which emergencies will be handled.
-Will not supervise more than three (3) support personnel, not more than two of which hold the
title of Speech- Language Pathology Assistant.
Be able to explain the supervision requirements in the first 90 days, including how much direct
and indirect time is required weekly - Answer✔▪ A total of at least 30% supervision, including at
least 20% direct and 10% indirect supervision, is required weekly.
-This ensures that the supervisor will have direct contact time with the SLPA as well as with the
student, patient, or client.
▪ During each week, data on every student, patient, and client seen by the SLPA should be
reviewed by the supervisor.
▪ In addition, the direct supervision should be scheduled so that all students, patients, and clients
seen by the assistant are directly supervised in a timely manner.
▪ Supervision days and time of day (morning/afternoon) may be alternated to ensure that all
students, patients, and clients receive some direct contact with the SLP at least once every 2
weeks.
Understand the differences between direct and indirect supervision: Direct Supervision -
Answer✔▪ On-site, in-view observation and guidance while a clinical activity is performed by
the assistant.
▪ This can include the supervising SLP viewing and communicating with the SLPA via
telecommunication technology as the SLPA provides clinical services, because this allows the
SLP to provide ongoing immediate feedback.
▪ Does not include reviewing a taped session at a later time.
▪ Observation of a portion of the screening or treatment procedures performed by the SLPA,
3|Page
EXTX 650 - Midterm Exam Questions And
Correct Answers 100% Verified.
Be familiar with the SLPA Scope of Practice according to the CA Speech-Language Pathology
and Audiology Board - Answer✔▪ Conducting a speech-language screening, without
interpretation, and using screening protocols developed by the supervising Speech-Language
Pathologist (SLP)
▪ When competent to do so, as determined by the supervising SLP, acting as an interpreter for
non- English speaking patients or clients and their family members
▪ Providing direct treatment assistance to patients or clients under the supervision of a SLP
▪ Scheduling activities and preparing charts, records, graphs, and data
▪ Following and implementing documented treatment plans or protocols developed by a
supervising SLP
▪ Performing checks and maintenance of equipment, including, but not limited to, augmentative
communication devices
▪ Documenting patient or client progress toward meeting established goals, and reporting the
information to the supervising SLP
▪ Assisting with speech-language pathology research projects, in-service training, and family or
community education
▪ Assisting a SLP during assessments, including, but not limited to, assisting with formal
documentation, preparing materials, and performing clerical duties for the supervising SLP
▪ Maintaining a minimum of 12 professional development hours over a two year period
▪ Disclosure of his/her name and registration status, as granted by the state, on a name tag in at
least 18 point type
Be familiar with activities outside the scope of practice of an SLPA - Answer✔▪ Represent
himself or herself as an SLP;
▪ Perform standardized or nonstandardized diagnostic tests, formal or informal evaluations, or
swallowing screenings/checklists
▪ Perform procedures that require a high level of clinical acumen and technical skill (e.g., vocal
tract prosthesis shaping or fitting, vocal tract imaging and oral pharyngeal swallow therapy with
bolus material)
1|Page
, ©JASONMcConnel 2024/2025 ALL RIGHTS RESERVED.
▪ Tabulate or interpret results and observations of feeding and swallowing evaluations performed
by SLPs
▪ Participate in formal parent conferences, case conferences, or any interdisciplinary team
without the presence of the supervising SLP or other designated SLP
▪Provide interpretative information to the student/patient/client, family, or others regarding the
patient/client status or service
▪ Write, develop, or modify a student's, patient's, or client's treatment plan in any way;
▪ Assist with students, patients, or clients without following the individualized treatment plan
prepared by the certified SLP and/or without access to supervision;
▪ Sign any formal documents (e.g., treatment plans, reimbursement forms, or reports; the SLPA
should sign or initial informal treatment notes for review and co-sign with the supervising SLP
as requested)
▪ Select students, patients, or clients for service;
▪ Discharge a student, patient, or client from services;
▪ Make referrals for additional service;
▪ Disclose clinical or confidential information either orally or in writing to anyone other than the
supervising SLP (the SLPA must comply with current HIPPA and FERPA guidelines) unless
mandated by law;
▪ Develop or determine the swallowing strategies or precautions for patients, family, or staff;
▪ Treat medically fragile students/patients/clients independently;
▪ Design or select augmentative and alternative communication systems or devices.
Be familiar with what interpretation means, specifically within the roles of SLPA/ SLP -
Answer✔Summarizing, integrating, and using data for the purpose of clinical decision making,
which may only be done by SLPs. SLPAs may summarize objective data from a session to the
family or team members
Understand the qualifications of a Supervising SLP - Answer✔▪ Current ASHA certification
and/or state licensure
▪ Completion of at least 2 years of practice following ASHA certification
▪ Completion of an academic course or at least 10 hours of continuing education credits in the
area of supervision, completed prior to or concurrent with the first SLPA supervision experience.
▪ CA law requires a minimum of 6 hours in supervision training in the initial 2 year period of
supervision, and 3 hours of supervision training every two years thereafter
▪ The SLP:
2|Page
, ©JASONMcConnel 2024/2025 ALL RIGHTS RESERVED.
-Will ensure that the extent, kind, and quality of the clinical work performed are consistent with
the training and experience of the assistant and shall be accountable for the assigned tasks
performed by the assistant.
-Will review client/patient records
-Monitor and evaluate assessment and treatment decisions of the assistant
-Monitor and evaluate the ability of the assistant to provide services at the site(s) where he or she
will be practicing and to the particular clientele being treated
-Will ensure compliance with all laws and regulations governing the practice of speech-language
pathology
-Will assist with the development of a plan for the assistant to complete twelve (12) hours of
continuing professional development every two years
--Through state or regional conferences, workshops, formal in-service presentations, independent
study programs, or any combination of these, concerning communication disorders
-Will discuss with the assistant the manner in which emergencies will be handled.
-Will not supervise more than three (3) support personnel, not more than two of which hold the
title of Speech- Language Pathology Assistant.
Be able to explain the supervision requirements in the first 90 days, including how much direct
and indirect time is required weekly - Answer✔▪ A total of at least 30% supervision, including at
least 20% direct and 10% indirect supervision, is required weekly.
-This ensures that the supervisor will have direct contact time with the SLPA as well as with the
student, patient, or client.
▪ During each week, data on every student, patient, and client seen by the SLPA should be
reviewed by the supervisor.
▪ In addition, the direct supervision should be scheduled so that all students, patients, and clients
seen by the assistant are directly supervised in a timely manner.
▪ Supervision days and time of day (morning/afternoon) may be alternated to ensure that all
students, patients, and clients receive some direct contact with the SLP at least once every 2
weeks.
Understand the differences between direct and indirect supervision: Direct Supervision -
Answer✔▪ On-site, in-view observation and guidance while a clinical activity is performed by
the assistant.
▪ This can include the supervising SLP viewing and communicating with the SLPA via
telecommunication technology as the SLPA provides clinical services, because this allows the
SLP to provide ongoing immediate feedback.
▪ Does not include reviewing a taped session at a later time.
▪ Observation of a portion of the screening or treatment procedures performed by the SLPA,
3|Page
