SLP Treatment Planning & Therapeutic Interventions 2 — Questions and Answers
Question 1: Which approach is MOST appropriate when treating a child with autism spectrum disorder who is nonverbal and has limited joint attention?
- Discrete trial training focusing on imitation and joint attention (Correct answer)
- Oral motor exercises to strengthen articulators
- Traditional articulation therapy using minimal pairs
- Phonological awareness training with rhyming tasks
Correct answer: Discrete trial training focusing on imitation and joint attention
Discrete trial training targeting imitation and joint attention builds foundational communication skills for nonverbal children with ASD.
Question 2: A client with Broca's aphasia is struggling to produce multi-word utterances. Which intervention technique directly targets this deficit?
- Melodic intonation therapy (Correct answer)
- PACE (Promoting Aphasics' Communicative Effectiveness)
- Semantic feature analysis
- Response elaboration training
Correct answer: Melodic intonation therapy
Melodic intonation therapy uses prosody and rhythm to facilitate verbal output in clients with Broca's aphasia and non-fluent speech.
Question 3: When using the Lidcombe Program for early childhood stuttering, what is the primary role of the parent?
- To deliver contingencies for stutter-free speech and unambiguous stuttering in natural settings (Correct answer)
- To model fluent speech during structured reading tasks
- To administer formal stuttering severity assessments weekly
- To reinforce avoidance behaviors that reduce speech anxiety
Correct answer: To deliver contingencies for stutter-free speech and unambiguous stuttering in natural settings
The Lidcombe Program trains parents to deliver verbal contingencies for fluent and stuttered speech in everyday environments.
Question 4: A client with dysphagia has been assessed as having reduced hyolaryngeal excursion. Which exercise directly targets this impairment?
- Shaker exercise (head-lift exercise) (Correct answer)
- Masako maneuver
- Effortful swallow
- EMST (Expiratory Muscle Strength Training)
Correct answer: Shaker exercise (head-lift exercise)
The Shaker exercise strengthens suprahyoid muscles to improve anterior hyolaryngeal excursion and UES opening.
Question 5: Which principle of motor learning supports practicing a single speech sound in many different word contexts rather than drilling one word repeatedly?
- Variable practice (Correct answer)
- Blocked practice
- Random practice
- Massed practice
Correct answer: Variable practice
Variable practice involves varying the task across multiple contexts, which promotes generalization of motor speech skills.
Question 6: A school-age child presents with phonological disorder characterized by cluster reduction. Which intervention approach is MOST efficient for targeting multiple error patterns simultaneously?
- Cycles approach (Hodson) (Correct answer)
- Traditional Van Riper articulation therapy
- Melodic intonation therapy
- Social stories intervention
Correct answer: Cycles approach (Hodson)
The Cycles approach systematically targets multiple phonological patterns in rotating cycles, promoting overall phonological system reorganization.
Question 7: When selecting treatment goals for an adult with TBI who has cognitive-communication deficits, which factor should be prioritized in treatment planning?
- The client's functional communication needs and participation goals (Correct answer)
- Normalization of all standardized test scores
- Targeting deficits in order of severity from most to least impaired
- Focusing exclusively on memory remediation before addressing communication
Correct answer: The client's functional communication needs and participation goals
Functional communication needs and participation goals guide TBI treatment planning to maximize real-world outcomes and quality of life.
SLP Treatment Planning & Therapeutic Interventions 2
Which approach is MOST appropriate when treating a child with autism spectrum disorder who is nonverbal and has limited joint attention?