SLP Hearing and Aural Rehabilitation 5

Question 1

Which self-assessment scale is specifically designed to measure the psychosocial impact of hearing loss in older adults?

Accepted Answer

Hearing Handicap Inventory for the Elderly (HHIE)

Answer

The HHIE is a validated self-report questionnaire that measures the emotional and social/situational handicapping effects of hearing loss in elderly individuals.

Question 2

During speechreading training, a clinician teaches a patient to use context to predict missing words. This strategy is best described as:

Accepted Answer

Top-down linguistic processing

Answer

Using linguistic context and prior knowledge to predict speech content represents top-down processing, which supplements incomplete acoustic/visual information.

Question 3

An infant fails a newborn hearing screening. According to EHDI (Early Hearing Detection and Intervention) guidelines, the diagnostic audiological evaluation should be completed by:

Accepted Answer

3 months of age

Answer

EHDI guidelines follow the 1-3-6 model: screen by 1 month, diagnose by 3 months, and enroll in early intervention by 6 months of age.

Question 4

A patient with moderate hearing loss demonstrates loudness recruitment. How should hearing aid gain be programmed to accommodate this?

Accepted Answer

Use compression to provide more gain for soft sounds and less for loud sounds

Answer

Wide dynamic range compression (WDRC) applies greater gain to soft sounds and progressively less gain to louder sounds, accommodating the narrowed dynamic range caused by recruitment.

Question 5

An SLP working with a deaf child who uses American Sign Language (ASL) is planning aural rehabilitation goals. Which principle best guides the clinician's approach?

Accepted Answer

Respect the family's communication philosophy and integrate it into intervention

Answer

Ethical aural rehabilitation practice respects the family's chosen communication approach, whether oral, ASL, or bimodal, and incorporates their philosophy into collaborative goal-setting.

SLP - Speech-Language Pathology Practice Test

SLP - Speech-Language Pathology Practice Test

SLP Hearing and Aural Rehabilitation 5