CSD 444: Exam 1 Questions With Complete Solutions
Medical/Health Care Settings
1. Acute Care Hospital - correct answerCritical or severe phase of illnessShort term (3-10 days)
SLP:
Primarily diagnosis & recommendations
Patient's first therapy experience (limited)
Large role in patient & family education
Medical/Health Care Settings
2. Acute Inpatient Rehab - correct answerPatient:
A. past acute phase of illness (they are medically stable)
B. has increased endurance for therapy
C. involved in rehabilitation / intensive therapy
D. seen by interdisciplinary team
E. given therapy daily for a total of 3-5 hours; all disciplines such as: PT, OT, SLP
F. length of stay ~2-6 weeks.
medical/ health care settings
3. Sub-acute rehab - correct answerPatient:
A. past acute phase of illness
B. has less intensive therapy program involving interdisciplinary team
C. seen by SLP 3-5 times per week
D. rehab takes place within a 'nursing home' setting
E. length of stay 1-5 months
*Some patients are long term residents if they cannot improve enough to go home.
medical/ health care settings
,CSD 444: Exam 1 Questions With Complete Solutions
4. Outpatient setting - correct answerPatient:
A. usually healthier than in acute care hospital or acute rehab
B. seen in office or outpatient department of the hospital or nursing home
C. seen 1-3 times per week
D. provides less intensive rehabilitation
E. length of treatment is variable
*living at home, just going somewhere for therapy
medical/ health care setting
5. Home health - correct answerA. medically stable
B. therapy in the home
C. seen 1-3 times per week; scheduling is variable
D. treatment is provided in a functional environment
functional communication problems/disorders - correct answerproblems for which no organic or
physical cause has been determined (ex: maturational lag or environmental influences)
EX: child says "tuperman it awtome"
organic communication problems/disorders - correct answerproblems—arise from physical
anomalies/problems affecting structure or function of the mechanisms of speech and or language
Damage may be to structures of
1. Oral mechanism
2. CNS
3. PNS
4. or any combination of the above
*also the laryngeal mechanism
,CSD 444: Exam 1 Questions With Complete Solutions
Organic disorders arise from problems with any or a combination of the following systems:
•respiration
•phonation
•articulation
•hearing
•Neurologic
Organic disorders as an umbrella term - correct answerThe umbrella term organic disorders should not
be interpreted as meaning a single disorder
Organic disorders include a number of types of disorders, each with its own specific causes, speech and
language characteristics, and associated problems
In this course we will study:
Stroke
Laryngeal cancer
Voice disorders
Stuttering
Dementia
TBI
Motor Speech Disorders
Right Hemisphere Disorder
Swallowing Disorders
Treatment of organic disorders v. functional disorders - correct answerORGANIC DISORDERS
Treatment tends to be with a multidisciplinary team
-Especially for TBI, cancer, and stroke
, CSD 444: Exam 1 Questions With Complete Solutions
FUNCTIONAL DISORDERS
The SLP may be the only professional involved
Prognosis of organic disorders v. functional disorders - correct answerThere may be major differences
between organic vs functional disorders in terms of prognosis
In organic disorders, prognosis has a direct relationship to the degree of physical damage to the PNS or
CNS
-depends on location of damage a lot
Success achieved is related to the degree of physical damage (severity)
Defining treatment outcomes (3) - correct answerSuccessful treatment outcomes may be defined
differently for functional and organic disorders
For organic disorders the SLP will focus on maximum communication potential rather than maximum
potential for speech.
•In "mild" cases: normal articulation may be the goal
•In "moderate" cases: intelligible speech may be the goal
•In "severe" disorders, such as degenerative neurological disease: prognosis for oral communication
may be poor-> may rely on AAC
Treatment planning for severe organic disorders - correct answerWorking with severely involved organic
disorders requires that the speech pathologist be knowledgeable enough to plan realistic goals.
recognize limits:
continually appraise progress:
manage effectively:
Neurogenic communication disorders - correct answerA type of organic communication disorder which
is a consequence of nervous system damage
Medical/Health Care Settings
1. Acute Care Hospital - correct answerCritical or severe phase of illnessShort term (3-10 days)
SLP:
Primarily diagnosis & recommendations
Patient's first therapy experience (limited)
Large role in patient & family education
Medical/Health Care Settings
2. Acute Inpatient Rehab - correct answerPatient:
A. past acute phase of illness (they are medically stable)
B. has increased endurance for therapy
C. involved in rehabilitation / intensive therapy
D. seen by interdisciplinary team
E. given therapy daily for a total of 3-5 hours; all disciplines such as: PT, OT, SLP
F. length of stay ~2-6 weeks.
medical/ health care settings
3. Sub-acute rehab - correct answerPatient:
A. past acute phase of illness
B. has less intensive therapy program involving interdisciplinary team
C. seen by SLP 3-5 times per week
D. rehab takes place within a 'nursing home' setting
E. length of stay 1-5 months
*Some patients are long term residents if they cannot improve enough to go home.
medical/ health care settings
,CSD 444: Exam 1 Questions With Complete Solutions
4. Outpatient setting - correct answerPatient:
A. usually healthier than in acute care hospital or acute rehab
B. seen in office or outpatient department of the hospital or nursing home
C. seen 1-3 times per week
D. provides less intensive rehabilitation
E. length of treatment is variable
*living at home, just going somewhere for therapy
medical/ health care setting
5. Home health - correct answerA. medically stable
B. therapy in the home
C. seen 1-3 times per week; scheduling is variable
D. treatment is provided in a functional environment
functional communication problems/disorders - correct answerproblems for which no organic or
physical cause has been determined (ex: maturational lag or environmental influences)
EX: child says "tuperman it awtome"
organic communication problems/disorders - correct answerproblems—arise from physical
anomalies/problems affecting structure or function of the mechanisms of speech and or language
Damage may be to structures of
1. Oral mechanism
2. CNS
3. PNS
4. or any combination of the above
*also the laryngeal mechanism
,CSD 444: Exam 1 Questions With Complete Solutions
Organic disorders arise from problems with any or a combination of the following systems:
•respiration
•phonation
•articulation
•hearing
•Neurologic
Organic disorders as an umbrella term - correct answerThe umbrella term organic disorders should not
be interpreted as meaning a single disorder
Organic disorders include a number of types of disorders, each with its own specific causes, speech and
language characteristics, and associated problems
In this course we will study:
Stroke
Laryngeal cancer
Voice disorders
Stuttering
Dementia
TBI
Motor Speech Disorders
Right Hemisphere Disorder
Swallowing Disorders
Treatment of organic disorders v. functional disorders - correct answerORGANIC DISORDERS
Treatment tends to be with a multidisciplinary team
-Especially for TBI, cancer, and stroke
, CSD 444: Exam 1 Questions With Complete Solutions
FUNCTIONAL DISORDERS
The SLP may be the only professional involved
Prognosis of organic disorders v. functional disorders - correct answerThere may be major differences
between organic vs functional disorders in terms of prognosis
In organic disorders, prognosis has a direct relationship to the degree of physical damage to the PNS or
CNS
-depends on location of damage a lot
Success achieved is related to the degree of physical damage (severity)
Defining treatment outcomes (3) - correct answerSuccessful treatment outcomes may be defined
differently for functional and organic disorders
For organic disorders the SLP will focus on maximum communication potential rather than maximum
potential for speech.
•In "mild" cases: normal articulation may be the goal
•In "moderate" cases: intelligible speech may be the goal
•In "severe" disorders, such as degenerative neurological disease: prognosis for oral communication
may be poor-> may rely on AAC
Treatment planning for severe organic disorders - correct answerWorking with severely involved organic
disorders requires that the speech pathologist be knowledgeable enough to plan realistic goals.
recognize limits:
continually appraise progress:
manage effectively:
Neurogenic communication disorders - correct answerA type of organic communication disorder which
is a consequence of nervous system damage
