Exam 1: CH 1

Question 1

What should be taken into consideration when “treating the whole person?” (6)

Answer 1

1. Familial factors
2. Historical factors
3. Cultural factors
4. Motivation
5. Personality
6. Emotional reactivity

Question 2

If we fail to understand the factors involving treating the whole person, what do we also fail to understand?

Answer 2

We fail to fully understand the referral.

Question 3

What is “The Whole Person” NOT?

Answer 3

“The Whole Person” is NOT just an individual.

Question 4

Who does “The Whole Person” include for children?

Answer 4

Parent(s) and caregiver(s)

Question 5

What type of information do we gather as treatment proceeds?

Answer 5

As tx proceeds, we gather information about BEHAVIORS AND THOUGHTS RELATED TO THE ISSUES REVEALED DURING INITIAL SESSIONS.

Question 6

How is therapeutic intervention best perceived?

Answer 6

Therapeutic intervention is best perceived as an “ongoing quest.”

Question 7

What does treatment’s “ongoing quest” begin with? What does treatment’s “ongoing quest” end with?

Answer 7

Begins with: formal evaluation

Ends with: Evaluative elements

Question 8

What is important to note about evaluative elements after each session?

Answer 8

Evaluative elements are included in every session after the formal assessment.

Question 9

What does CPSED stand for?

Answer 9

Cognitive, Physical, and Socio-Emotional Development

Question 10

What does CPSED have to do with human development?

Answer 10

CPSED = Cognitive, Physical, and Socio-Emotional Development

Speech and language emerges from a combination of the above elements.

Question 11

How does CPSED affect tx?

Answer 11

CPSED combines in unique ways to shape the presenting communication problem and influence the course of treatment.

Question 12

In terms of treatment for a client, how do we work with other health professionals? (3)

Answer 12

1. In conjunction with treatment
2. Instead of treatment
3. As a condition of treatment

Question 13

What should SLPs remember in terms of a client needing a specialist?

Answer 13

SLPs need to remember to judge themselves HONESTLY and REFER when a client needs a specialist.

Question 14

What do SLPs that call themselves “health professionals” create?

Answer 14

They create a diagnostic modesty that recognizes that communication disorders might need to be treated by multiple health professionals of varying training or disciplines.

Question 15

Will a diagnosing SLP always lead the treatment for the client?

Answer 15

No

Question 16

What does listening set the stage for?

Answer 16

Listening sets the stage for helping our clients to help themselves.

Question 17

What is the relationship like between a clinician and client?

Answer 17

The clinician is the guide, but must always acknowledge that the journey must be made by the client.

Question 18

How does clinical trust begin?

Answer 18

Professional empathy is the way clinical trust begins.

Question 19

At what point in time does the clinical trust between a clinician and patient begin?

Answer 19

It begins in the very first diagnostic contact and should be maintained throughout treatment.

Question 20

How does a wise clinician make suggestions and give directions?

Answer 20

She makes suggestions and gives direction when in sync with verbal and nonverbal requests to do so.

Question 21

What phrase can be twisted and misleading when it comes to a prognosis?

Answer 21

“it depends”

Question 22

What is the simple truth when it comes to prognosis?

Answer 22

Success in tx always depends on many factors.

Question 23

What does offering a clinician’s honest opinion do for a client?

Answer 23

It helps to build respect and trust that will help shape all future therapeutic interactions.

Question 24

What are two issues when providing a diagnostic “label?”

Answer 24

The labeling of a disorder may only confuse the client and may lead to assumptions that are untrue for specific individuals.

Question 25

DSM = ?

Answer 25

Diagnostic Manual of Mental Disorders

Question 26

Define DSM.

Answer 26

A catalogue of disorders that provides a scholarly basis on which trained health professional may make a diagnosis.

Question 27

Why was the DSM created?

Answer 27

The DSM was created to reduce subjectivity that went into labeling a disorder that was not of physical origin or nature.

Question 28

What type of changes have a major impact on how conditions are understood and treated?

Answer 28

Small changes

Question 29

What is an SLP “doing” by using a diagnostic category/label to describe a disorder?

Answer 29

He/she is only listing off agreed behaviors that comprise a disorder.

Question 30

What two points are important to remember about names and labels of a disorder?

Answer 30

1. Names and labels routinely go in and out of acceptance.

2. Symptoms change to follow current societal thinking.

Question 31

When an SLP shares a diagnostic label with a client and his family, what does it allow them to do?

Answer 31

Allows them to investigate literature and conduct personal research.

Question 32

What does an SLP who “keeps up” with the latest diagnostic labels establish (2)?

Answer 32

1. Establishes clinical expertise

2. Helps to establish and maintain client trust.

Question 33

When an SLP allows a client and/or his family to do their own research on a condition, what does it enable?

Answer 33

It enables informed participation in the treatment process.

Question 34

If a client is diagnosed with a disorder, what does it NOT mean?

Answer 34

If a client is diagnosed with a disorder, it does NOT mean a client “has” the disorder. A client can only display the sxs of a disorder.

Question 35

What is a static assessment?

Answer 35

Static assessment may have a requirement to use a particular test, battery of tests, or adhere to a certain protocol.

Question 36

What is a dynamic assessment?

Answer 36

An investigative approach that requires rapid clinical decision making and greater skill in execution. Ongoing interaction with the client is essential.

Question 37

Define the “art” of an evaluation.

Answer 37

Being able to selectively choose what to respond to and how to respond in a way that furthers the mutual journey of clinical investigation and problem solving.