SLP Receptive and Expressive Language 4 — Questions and Answers
Question 1: Which intervention approach uses naturalistic teaching procedures embedded in play routines to facilitate expressive language in toddlers?
- Drill-based structured instruction
- Milieu teaching (Correct answer)
- Phonological awareness training
- Semantic feature analysis
Correct answer: Milieu teaching
Milieu teaching embeds language targets in natural interactions and play routines, using techniques like mand-model, time delay, and incidental teaching.
Question 2: An adult with traumatic brain injury has intact phonology and syntax but produces verbose, tangential discourse with poor cohesion. The primary deficit is in:
- Expressive morphology
- Discourse-level language organization (Correct answer)
- Word retrieval
- Receptive syntax
Correct answer: Discourse-level language organization
Difficulty organizing discourse coherently (staying on topic, maintaining cohesion) reflects a discourse-level expressive language deficit, common after TBI.
Question 3: A clinician uses dynamic assessment with graduated cueing to determine a child's 'zone of proximal development' for language. What is the PRIMARY goal of this approach?
- Establish a baseline standard score
- Measure language independently of cognitive ability
- Identify how much support is needed for the child to succeed (Correct answer)
- Screen for hearing loss
Correct answer: Identify how much support is needed for the child to succeed
Dynamic assessment measures response to intervention cues to identify learning potential and the level of support needed, rather than static performance alone.
Question 4: A preschooler demonstrates comprehension of spatial prepositions (in, on, under) but not temporal language (before, after, first). This pattern is consistent with:
- Normal developmental sequence (Correct answer)
- Specific receptive syntax disorder
- Semantic-pragmatic disorder
- Language regression
Correct answer: Normal developmental sequence
Spatial prepositions are acquired before temporal conjunctions in typical development, so this pattern reflects normal developmental sequencing.
Question 5: Which of the following best represents a 'word finding difficulty' as distinct from a vocabulary deficit?
- A child cannot define the word 'justice'
- A child knows a word but struggles to retrieve it on demand (Correct answer)
- A child uses overextensions for animal names
- A child has a smaller vocabulary than same-age peers
Correct answer: A child knows a word but struggles to retrieve it on demand
Word-finding difficulty is characterized by knowing a word (demonstrable through recognition) but failing to retrieve it for expressive use on demand.
Question 6: A child consistently reverses pronouns (uses 'you' when meaning 'I'). This is most commonly associated with:
- Specific language impairment
- Autism spectrum disorder (Correct answer)
- Childhood apraxia of speech
- Phonological disorder
Correct answer: Autism spectrum disorder
Pronoun reversal — particularly using 'you' for 'I' — is a classic feature of expressive language in children with autism spectrum disorder.
Question 7: Which term describes an SLP's approach of adjusting vocabulary and sentence length when speaking to a child to promote language learning?
- Self-talk
- Child-directed speech (motherese) (Correct answer)
- Parallel talk
- Expansion
Correct answer: Child-directed speech (motherese)
Child-directed speech, also called motherese or infant-directed speech, uses simplified vocabulary, slower rate, and higher pitch to facilitate language acquisition.
SLP Receptive and Expressive Language 4
Which intervention approach uses naturalistic teaching procedures embedded in play routines to facilitate expressive language in toddlers?