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47 Cards in this Set
- Front
- Back
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what is phonology?
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the study of the sound system of a language
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what is phonetic level?
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. (artic and motor)
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what is phonemic level?
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(langauge based error)
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what is syntax?
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the rules and patterns of the formation of grammatical sentences and phrases of a language
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what is agrammatism?
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the inability to produce a grammatical or intelligible sentence. The client omits the functor words and only has nouns and sometimes verbs
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what is paragrammatism?
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.
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what is speech melody?
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.
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what is prosody?
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the patterns of stress and intonation in a language
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what is intonation?
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the pattern or melody of pitch changes in connected speech, especially the pitch pattern of a sentence,
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what is fluency?
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.
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what is fluent?
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.
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what is non-fluent?
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.
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what is anomia?
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an inability to name.
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what is repetition? and how does auditory comprehension affect it?
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.
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what is automatic speech and islands of fluency.
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the ability of an individual to say some phrases with no problem
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how is auditory comprehension relevant to aphasia?
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.
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Information should be..
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personally relevant.
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when interacting with a person with aphasia,what should a professional monitor within their speech?
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the quantity of the infomation, if the person has a capacity defecit, the use of relational terms such as bigger, smaller, etc)
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how is reading affected in an individual with aphasia?
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(letters, words, phrases, grammatical words, functor words)
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how is writting affected in a person with aphasia?
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(mechanics, spelling, syntax)
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what are the 4 steps to a non-standardized aphasia exam?
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obtain and analyze a discourse sample. Evaluate auditory comprehension. Evaluate repetition skills. and evaluate naming skills.
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when obtaining a discourse sample you need to. do what?
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differentiate between fluent and non fluent. get connected speech sample and verify the accuracy of the info to rule out memory issues
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the narrative sample (cookie theif picture) will give you an idea of what?
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expository speech (not just yes or no) which reduces demands on memory and the examiner knows the content.it will also give you a baseline to compare progress
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what is the goal of conversational interviews?
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to get insight into the disorder, and get well formulated responses and social exchanges
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what should you do when getting a conversational speech sample?
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warm up with friendly topics, then ask open ended questions and an emotionally charged topic
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when evaluating auditory comprehension, what are the "rules of thumb"
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assume intact output pathways. No aphasic will have lost all auditory comprehension abilities, nor will they have perfect abilities
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what other things can interfer with a person's aparent level of auditory comprehension?
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we have to assume they have normal hearing. Left side neglect, visual feild problems (hemianopsia) or different first language could interfer too.
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what is relative impairment?
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what the person can not do
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what is relative preservation
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what the person can do. We need to find their "window" of preserved auditory comprehension and work within it.
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when testing auditory comprehension we need to look at what abilities?
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the comprehension of commands, the comprehension of single words, comprehension of sentences and paragraphs
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what things should we keep in mind when evaluating someones auditory comprehension?
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emotionality, presonal relevance, frequency of occurance, words are a good representation of semantically easy and difficulty, patterns of impairment
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what should you do when testing someone's comprehension of commands?
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begin with commands, not single words, can they ID things?
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what should you do when testing someones comprehension of single words?
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start with semantic categories, look at identification and recognition skills. this will help us identify where to start treatment
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talk about the factors that can influence someones performance on a single word comprehension task...
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number of syllables per word (use 2 short, 2 medium, and 2 long). word frequency, personal relevance, semantic category, concreateness of word
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when evaluating auditory comprehension, this is some information about wernickes and transcortical aphasia that would be good to know
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people with wernickes aphasia have problems understanding body parts, and people with transcortical aphasia have pure word deafness
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why do we evaluate the comprehension of sentences and paragraphs?
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because this is how we speak, and a connected speech sample more accuratly reflects their strengths and what they are expected to understand
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how to we evaluate a clients level of comprehension for sentences and paragraphs?
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we should use unique stories with humor and open-ended, questions, (readers digest). Have stated and unstated content to discuss
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why do we look at a persons repetition skills?
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it helps us to know what type of aphasia a person has
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how do we test single word repetition skills?
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start with concrete single words. start with a voiced consonant (no blends) then blends in initial position then vowels in intitial position?
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there will be 2 extremes when testing repetition, what are they?
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1. they can do everything byt not tongue twisters
2. they can only repeat an automatic response (oh boy) when asked to repeat |
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how do you test repetition abilities with sentences?
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begin with short frequently occuring stimuli and gradually increase to more complex
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what are the basic concepts to remember when testing a clients naming skills (checking for anomia)?
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all aphasics have naming difficulties. The manifestation of anomia is different for different types of aphasia. remember the influence of stress and fatigue
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what skills should you target when looking at a clients naming abilities?
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confrontation naming, resonsive naming, categorical naming.
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how do you do a confrontation naming task?
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put the pictures on the table and have client name it. Move from high to low occurance/really familiar/not familiar/long/short and different semantic categories
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how do you do a responsiveness naming task?
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client gives a word in response to a question (i.e., what color is snow?) this will tell you about auditory comprehension and word retrieval.
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dont do a responsiveness naming task if what?
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the client has poor auditory comprehension
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how do you do a categorical naming task?
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have client recall items within a semantic category. many will do well in confrontation naming but will do bad on this because there are so many options.
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