Treatment Planning & Therapeutic Interventions Flashcards

A toddler with late language emergence is enrolled in a parent-implemented naturalistic language intervention. Which parental behavior change is MOST critical for promoting language development?

Answer: Following the child's lead and commenting on the child's focus of attention

Following the child's lead and mapping language onto the child's current focus supports joint attention and natural language learning.

A patient with head and neck cancer is experiencing post-radiation dysphagia. Which prophylactic exercise program aims to prevent radiation-induced fibrosis before treatment completion?

Answer: Prophylactic swallowing exercises (e.g., jaw stretching, tongue range-of-motion, effortful swallow) begun during radiation

Prophylactic swallowing exercises maintain muscle flexibility and movement during radiation to reduce post-treatment fibrotic complications.

A school-age child with language-based learning disabilities is struggling with reading comprehension. Which SLP intervention targets the language underpinnings of reading?

Answer: Targeting inferencing, narrative structure, and vocabulary in oral and written language contexts

Language-based reading interventions target higher-level language skills (inferencing, vocabulary, discourse) that support comprehension beyond decoding.

When treating a client with cluttering, which primary target should the SLP prioritize in initial intervention?

Answer: Self-monitoring and awareness of rate and intelligibility breakdowns

Clients with cluttering often have reduced self-awareness of rate and intelligibility, making self-monitoring the foundational first target.

An SLP is treating an adult with right hemisphere damage who demonstrates tangential discourse. Which intervention technique specifically targets discourse coherence?

Answer: Story grammar mapping and main idea identification tasks

Story grammar mapping helps clients with RHD recognize relevant information and organize discourse around main ideas and themes.

A clinical supervisor is working with a graduate student clinician on a client with fluency disorder. The supervisor notices the student is reinforcing avoidance behaviors. What should the supervisor address first?

Answer: The importance of not reinforcing avoidance because it maintains the fear-avoidance cycle and long-term handicap

Reinforcing avoidance behaviors perpetuates the fear-avoidance cycle and prevents the long-term desensitization necessary for fluency treatment success.

A client with spasmodic dysphonia (adductor type) is receiving botulinum toxin injections. What is the SLP's role AFTER injection?

Answer: Provide voice therapy to maximize functional communication during the hypophonic period and train compensatory strategies

After botulinum toxin injection, SLPs help clients manage the temporary hypophonic side effects and optimize voice use during the treatment window.