quiz 2

Question 1

define cultural competence

Answer 1

having the neccessessary level of knowledge and skills to provide care to a client form a different cultural group

Question 2

explain the process of developing cultural competence

Answer 2

ongoing process so continual self evaluation is required, and an expanding understanding about another culture

Question 3

list the acronym to gain cultural competnece

Answer 3

A- awareness S- skill
K-knowledge E-encounters
D-desire

Question 4

Define A-Awareness

Answer 4

are you aware of your own biases and personally held isms

Question 5

define S-skill

Answer 5

do you have the skills necessary to conduct a speech language assessment in a culturally sensitive manner

Question 6

K-knowledge

Answer 6

do you know about the biological, cultural, and linguistic diversity that exist in our society, and do you know the worldview of different cultures

Question 7

define E-encounters

Answer 7

do you have meaningful and transforming encountrs with people and cultures different from your own

Question 8

d-desire

Answer 8

do you have a desire to become culturally and linguistically competent

Question 9

List the knowledge needed for a pre-assessment

Answer 9

clients culture, normal communicative development associated with that culture, clients personal history

Question 10

what happens without having the proper knowledge before the preassessment

Answer 10

assessment procedures may be inappropriate coming from a linguistically/culturally diverse group and diagnostic conclusion may be incorrect

Question 11

List a few names of different terms needed to understand culturally and linguistically diverse populations

Answer 11

AAE, CLD, ELL, ESL

Question 12

CLD

Answer 12

culturally and linguistically diverse group

Question 13

ELL

Answer 13

English language learner

Question 14

ESL

Answer 14

English as a second language

Question 15

list 4 different social customs and beliefs

Answer 15

1. cultural groups have different views of disability and intervention
2. cultural groups hold diverse views of a woman’s role in society
3. cultural groups hold different views of familial authority
4. names and titles appropriate to use during communicative exchanges may vary among different cultures

Question 16

list the steps to planning and administering an evaluation to CLD

Answer 16

1. use culturally appropriate assessment materials
2. test in the clients dominant language and in English
3. collect multiple speech language samples and use narrative assessment
4. focus on the clients ability to learn rather than what they already know
5. be prepared to modify the assessment approach as more is revealed about the clients abilities
6. consult with other professionals
7. consult with an interpreter
8. be sensitive when meeting clients or caregivers in interview situation

Question 17

How would one distinguish between a difference and disorder in a CLD client

Answer 17

CLD clients may demonstrate communicative difficulties that appear to be disorders but are actually a result from language differences between the native and second language. Typically, if the difficulties are present only while using one language, they are considered language differences.

Question 18

what is the primary source of preassessment information

Answer 18

a written case history

Question 19

When gathering information from other professionals, list 4 things it would be helpful to identify about the clients case history and preassessment information

Answer 19

1. the history or etiology of the disorder
2. associated social, educational, and familial problems
3. existing speech language diagnosis and goals
4. treatment histories including the effect of the treatment

Question 20

What are the disadvates associated with receiving client preassessment information from other professionals

Answer 20

It may lead to a biased view of the clients condition. It is

Question 21

It is important to maintain an objective position throughout the assessment. List the 2 ways in which the clinician can do this

Answer 21

1. Making clinical judgements primarly based on direct observation and evaluation results
2. follow the HIPPA privacy rule when obtaining or providing information

Question 22

what are the 2 methods for reporting assessment findings, conclusions and recommendations

Answer 22

information giving meetings and written report

Question 23

explain information giving sessions

Answer 23

conducted with clients and or clients caregivers, typically shorter and less formal than intake interviews

Question 24

What are the three components of the information giving meeting

Answer 24

introduction, discussion, and conclusion

Question 25

explain the introduction, discussion and conclusion of the information giving meeting

Answer 25

introduction- stating the purpose and structure Discussion- providing a written report, discussing major findings, and using jargon free language (may use illustrations and charts) Conclusions- showing appreciation and providing a sumamry

Question 26

List the requirements of a writtens assessment report (format style and degree of detail needed vary across clinics, facilities, and universities)

Answer 26

Indentifying information- name DOB, email Overview/background- referral source, initial status, presenting concern/complaint histories- speech and language development medical, hearing, familial, etc

Question 27

List 4 things that generally, most assessment/diagnostic reports include

Answer 27

1. assessment and phonological processes 2. phonemes (speech sounds) 3. intelligibility 4. language (receptive vs. expressive)

Question 28

In general, what three components do most assessment/diagnostic reports include

Answer 28

a summary- concise statement of mot significant findings including diagnosis and prognosis Recommendations- suggestion to clients and caregivers (to treat or not to treat) (referral to other professionals) Speech-language pathologist name (with credentials)

Question 29

IFSP

Answer 29

individualized family service plan

Question 30

List the steps important to writing IFSP and IEP

Answer 30

written documents specific to children from birth through high school outline the disabilities and needs of the child describe services to be provided emphasize the importance of family participation in the child well being

Question 31

what is the age range or IEP and IFSP

Answer 31

IFSP- infant to toddlers should later be transferred to IEP

Question 32

what is clinical correspondance

Answer 32

common clinical practice to send letters to other professionals.

Question 33

What is neccessary before forwarding or sending any clinical information

Answer 33

clients written consent to forwarding or sending any confidential information

Question 34

what are soap notes

Answer 34

Subjective, objective, assessment, plan notes used in a medical setting to report client information and facilitate communication among professional. Used on an ongoing basis during evaluation and treatment. required to be written immediately after working with the client

Question 35

explain the acronym SOAP

Answer 35

S- subjective (contains non measurable and historic information and summarizes problem from client/caregiver point of view) O- objective (contains measurable findings. document examination results for diagnostic session and document objective performance for treatment session) A-assessment (a synthesis of subjective and objective section. for diagnostic session, write conclusion and recommendations. for treatment session, record the clients current status in relation to goals. P-plan (record plan of action. how will these sessions be implemented)

Question 36

What are the potential issues a client or caregiver may have with completing a case history form

Answer 36

aome clients wilth limited English proficiency may not understand the questions or time may have passed between the onset of symptoms and now

Question 37

define raw score

Answer 37

initial score obtained based on the number of correct or incorrect repsponses

Question 38

define standard score

Answer 38

performance compared to the average and normal distribution

Question 39

define standard variation

Answer 39

the variation within the normal distribution

Question 40

what is the most common standard score

Answer 40

average of 100 with a standard deviation of 15

Question 41

what standard deviation is considered below average

Answer 41

-1.5 to -2

Question 42

define scaled score

Answer 42

Performance compared to the normative sample. not necessarily following a normal distribution. Allowing comparisons between the client and appropriate normative sample

Question 43

define z score

Answer 43

an example of a standard score. revealing how many standard deviation the converted raw score is from the mean

Question 44

define percentile rank

Answer 44

revealing the percentage of people scoring at or below a given score

Question 45

define stanine (or standard nine)

Answer 45

an additional method of ranking based on 9 unit scale

Question 46

explain confidence interval

Answer 46

The degree of certainty on the part of the test developer that the scores obtained are true.

Question 47

list how HIPPA has improved the healthcare system

Answer 47

-Allowing consumers to continue and transfer health insurance coverage after a job change or loss -reducing healthcare fraud -mandating industry-wide standards for electronic transmission of health care information and billing -protecting the privacy and confidentiality of health information

Question 48

All SLPs have an obligation to (3 things)

Answer 48

1. provide services with professional integrity 2. achieve the highest possible level of clinical competence 3. serve the needs of the public/population

Question 49

what is the purpose of an orofacial examination

Answer 49

to identify or rule out structural factor that relate to a communicative disorder

Question 50

what is the DDDk syllable rate

Answer 50

Measurement of the clients' ability to make rapid alternate speech functions... provides information about a clients motor and speech planning ability

Question 51

what are the primary sources of preassessment information

Answer 51

1. written case history 2. interview with the client, parents, spouse or caregivers 3. information from other professionals

Question 52

what is case history

Answer 52

starting point for understanding clients and their communicative problem allowing clinicians to identify areas requiring further clarification, anticipate the areas requiring assessment, etc