SLP Assessment and Intervention Principles 3 โ Questions and Answers
Question 1: A 7-year-old produces /r/ correctly in isolation but not in words or conversation. This pattern suggests the child is at which level of generalization?
- Imitation level
- Isolation level (Correct answer)
- Carry-over level
- Structured practice level
Correct answer: Isolation level
Correct production only in isolation (the simplest context) indicates the child has not yet generalized the sound to more complex linguistic units.
Question 2: Which assessment tool is specifically designed to evaluate pragmatic language skills in school-age children?
- GFTA-3 (Goldman-Fristoe Test of Articulation)
- CELF-5 (Clinical Evaluation of Language Fundamentals)
- CASL-2 (Comprehensive Assessment of Spoken Language) (Correct answer)
- PECS (Picture Exchange Communication System)
Correct answer: CASL-2 (Comprehensive Assessment of Spoken Language)
The CASL-2 includes subtests that assess pragmatic judgment and supralinguistic skills, making it well-suited for evaluating pragmatic language.
Question 3: During AAC assessment, the feature matching process involves:
- Selecting the least expensive device available
- Matching device features to the individual's motor, cognitive, and language profile (Correct answer)
- Choosing the device most commonly used in the client's school district
- Administering a standardized language test before any device trial
Correct answer: Matching device features to the individual's motor, cognitive, and language profile
Feature matching systematically aligns the characteristics of AAC systems with the user's specific sensory, motor, cognitive, and communication needs.
Question 4: A client with acquired apraxia of speech would be MOST likely to show which characteristic error pattern?
- Consistent phoneme substitutions across all contexts
- Inconsistent errors that increase with word length and complexity (Correct answer)
- Vowel errors in the absence of consonant errors
- Normal prosody with severely impaired phoneme inventory
Correct answer: Inconsistent errors that increase with word length and complexity
Apraxia of speech is characterized by inconsistent, motorically based errors that worsen as utterance length and complexity increase.
Question 5: The Lidcombe Program is an evidence-based intervention designed to treat:
- Childhood apraxia of speech in preschoolers
- Stuttering in children under 6 years of age (Correct answer)
- Phonological disorders using contrastive pairs
- Expressive language delays in toddlers
Correct answer: Stuttering in children under 6 years of age
The Lidcombe Program is a behavioral, parent-delivered stuttering treatment for preschool-aged children, conducted in the natural environment.
Question 6: Which principle of motor learning supports using variable practice during articulation therapy?
- It reduces cognitive load during therapy tasks
- It promotes retention and generalization by requiring motor planning across changing contexts (Correct answer)
- It allows the client to achieve higher accuracy within a session
- It is recommended only for adult clients, not children
Correct answer: It promotes retention and generalization by requiring motor planning across changing contexts
Variable practice conditions require constant motor planning adjustments, which enhances long-term retention and generalization compared to blocked practice.
Question 7: An SLP documents that a client's language sample yielded a Type-Token Ratio (TTR) of 0.35. This indicates:
- High lexical diversity relative to total words spoken
- Limited vocabulary diversity with high word repetition (Correct answer)
- Above-average use of complex sentence structures
- Normal morphosyntactic development for age 6
Correct answer: Limited vocabulary diversity with high word repetition
A low TTR (closer to 0) reflects fewer unique word types relative to total tokens, indicating limited lexical diversity.
A 7-year-old produces /r/ correctly in isolation but not in words or conversation.
This pattern suggests the child is at which level of generalization?