SLPA Work Settings 2 — Questions and Answers
Question 1: Which work setting requires an SLPA to follow the Individuals with Disabilities Education Act (IDEA) when providing services?
- Acute care hospital
- Skilled nursing facility
- Public school district (Correct answer)
- Private outpatient clinic
Correct answer: Public school district
Public school districts are governed by IDEA, which mandates free appropriate public education and related services including speech-language pathology.
Question 2: An SLPA working in a neonatal intensive care unit (NICU) is most likely to assist with:
- Articulation drills
- Feeding and swallowing support for premature infants (Correct answer)
- Fluency modification techniques
- Augmentative communication device programming
Correct answer: Feeding and swallowing support for premature infants
NICU SLPAs primarily assist with feeding and swallowing interventions for premature or medically fragile newborns.
Question 3: In a residential facility for adults with intellectual disabilities, an SLPA's role most commonly includes:
- Diagnosing new communication disorders
- Implementing functional communication programs developed by the SLP (Correct answer)
- Conducting standardized assessments independently
- Determining discharge criteria
Correct answer: Implementing functional communication programs developed by the SLP
SLPAs in residential facilities implement SLP-designed functional communication programs to support daily living skills.
Question 4: Which documentation system is most commonly used in hospital-based acute care settings where an SLPA might work?
- IEP progress notes
- SOAP notes in the electronic health record (Correct answer)
- Individualized Family Service Plan updates
- Quarterly school progress reports
Correct answer: SOAP notes in the electronic health record
Hospital-based settings use SOAP (Subjective, Objective, Assessment, Plan) notes within electronic health records for clinical documentation.
Question 5: An SLPA employed by a home health agency must ensure that:
- They can independently modify the treatment plan if the client's condition changes
- The supervising SLP has approved the session plan before each home visit (Correct answer)
- They diagnose new disorders during the home visit
- They bill insurance independently for services rendered
Correct answer: The supervising SLP has approved the session plan before each home visit
Home health SLPAs must have session plans approved by the supervising SLP and cannot independently modify treatment.
Question 6: In an early intervention (Part C) setting, services are typically delivered:
- In self-contained special education classrooms
- In the child's natural environments such as home or daycare (Correct answer)
- In hospital outpatient clinics only
- In residential group homes
Correct answer: In the child's natural environments such as home or daycare
Part C of IDEA requires early intervention services to be provided in natural environments, including the home and community settings.
Question 7: Which setting would an SLPA most likely encounter patients with traumatic brain injury (TBI) in the acute recovery phase?
- Elementary school
- Long-term care facility
- Inpatient rehabilitation hospital (Correct answer)
- Private practice outpatient clinic
Correct answer: Inpatient rehabilitation hospital
Inpatient rehabilitation hospitals serve patients in the acute recovery phase after TBI, providing intensive multidisciplinary therapy.
Which work setting requires an SLPA to follow the Individuals with Disabilities Education Act (IDEA) when providing services?