SLP Social and Cognitive Communication 2

Question 1

A 10-year-old with TBI struggles to understand sarcasm and jokes. Which cognitive-communication domain is primarily impaired?

Accepted Answer

Theory of mind and pragmatic inference

Answer

Understanding sarcasm and humor requires theory of mind — inferring the speaker's intended meaning differs from literal words — a core pragmatic skill often impaired after TBI.

Question 2

Which assessment tool is specifically designed to evaluate functional communication in adults with cognitive-communication disorders following brain injury?

Accepted Answer

ASHA FACS

Answer

The ASHA Functional Assessment of Communication Skills (FACS) measures real-world communication performance across social, life-skill, communication of basic needs, and reading/writing domains.

Question 3

A patient with right hemisphere damage frequently goes off-topic during conversation. This is best described as impaired:

Accepted Answer

Discourse coherence

Answer

Maintaining topic relevance across a conversation requires discourse coherence, a macro-level language skill frequently disrupted by right hemisphere damage.

Question 4

Which of the following best describes 'cognitive flexibility' as it relates to social communication?

Accepted Answer

The capacity to shift attention and perspective during conversation

Answer

Cognitive flexibility allows speakers to adjust conversational strategies, take listener perspective, and shift topic focus — all essential for adaptive social communication.

Question 5

A child with autism spectrum disorder uses scripted phrases from TV shows in unrelated social contexts. This behavior is called:

Accepted Answer

Echolalia

Answer

Delayed echolalia involves reproducing previously heard utterances — often from media — in contexts where they may not be communicatively appropriate.

SLP - Speech-Language Pathology Practice Test

SLP - Speech-Language Pathology Practice Test

SLP Social and Cognitive Communication 2