Hearing Loss Communication Strategies for Hearing Loss Test 2 — Questions and Answers
Question 1: Cued Speech is a visual communication system that uses:
- Only hand signs representing concepts
- Handshapes near the mouth to differentiate sounds that look alike on the lips (Correct answer)
- Written cards held up during conversation
- Facial expressions alone
Correct answer: Handshapes near the mouth to differentiate sounds that look alike on the lips
Cued Speech uses eight handshapes in four positions near the mouth to make all English phonemes visually distinct, supplementing speechreading.
Question 2: Communication Access Real-time Translation (CART) provides what service for people with hearing loss?
- Real-time speech-to-text captioning of spoken words (Correct answer)
- Sign language interpretation
- FM system audio transmission
- Tactile sign language support
Correct answer: Real-time speech-to-text captioning of spoken words
CART is a real-time captioning service where a trained stenographer types spoken words which are displayed as text on a screen, providing full communication access.
Question 3: Which communication mode involves using both speech and signing simultaneously?
- Oral communication
- Total communication / Simultaneous Communication (SimCom) (Correct answer)
- Auditory-verbal therapy
- Bilingual-bicultural approach
Correct answer: Total communication / Simultaneous Communication (SimCom)
Simultaneous Communication (SimCom), used within Total Communication approaches, involves using spoken language and a signed system at the same time.
Question 4: The Auditory-Verbal (AV) approach to communication emphasizes:
- Learning sign language as the primary language
- Maximizing use of residual hearing with hearing technology to develop spoken language without signing (Correct answer)
- Equal use of speech and sign language
- Lip reading as the primary strategy
Correct answer: Maximizing use of residual hearing with hearing technology to develop spoken language without signing
The Auditory-Verbal approach focuses on using amplification (hearing aids or cochlear implants) to develop listening and spoken language skills, minimizing reliance on visual cues and sign language.
Question 5: In a noisy restaurant, a person with hearing loss would benefit MOST from which seating strategy?
- Sitting in the center of the room
- Sitting near the kitchen for sound signals
- Sitting with their back to the room noise and the speaker facing the light (Correct answer)
- Sitting at the highest table available
Correct answer: Sitting with their back to the room noise and the speaker facing the light
Positioning with back to the noise source and ensuring good lighting on the speaker's face optimizes both the signal-to-noise ratio and speechreading conditions.
Question 6: Which term describes the fatigue experienced by people with hearing loss from the extra cognitive effort required to understand speech?
- Sensorineural fatigue
- Listening effort fatigue (Correct answer)
- Peripheral auditory fatigue
- Tinnitus-induced fatigue
Correct answer: Listening effort fatigue
Listening effort fatigue (also called auditory fatigue or cognitive fatigue) occurs because people with hearing loss must expend significantly more cognitive resources to decode speech than those with normal hearing.
Cued Speech is a visual communication system that uses: