cHATEN 39

Speech and Language

Disorders

TRUE OR FALSE 8. T F It is a help to the client to finish

words for him.
Circle Tfor true, or circle Ffor false.
1. T Most older adults have apraxia. 9. T F Use positive statements rather than
negative statements.
2. T F Some people with aphasia cannot 10. T F Aphasia is seldom permanent.
understand the message.
3. T F People with expressive aphasia are MULTIPLE RESPONSE
not aware of their mistakes when
From the list below, cboose all of the correct
speaking. answers.

4. TF Dysarchria is caused by weakness 11. What can cause speech and language
in the muscles used for speech.
challenges?
5. T F Relationships between family A. Genetic problems or conditions present
members are not affected when at birth
B Poor eating habits
someone has a speech disorder. C. Brain injury, which may be caused by
af accident, infection, drug abuse, stroke,
6. T F Shopping and cooking are not
com and so on
fected when someone has a
D. Disease
munication problem.
E. Hearing loss
Brain tumours
7. T F Because you do not need to spend
can G. Stress incontinence
time on communication, you
take less time giving care to some H. Problems involving the structures used
one who cannot speak. for speech

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240 CHAPTER 39 Speech and Language Disorders

12. The basic types of aphasia (and their mean 15. How do you provide compassionate care
ings) include: toclients who have speech or language
A. Receptive aphasia: difficulty speaking or disorders?
writing A. Address questions and comments to the
B. Receptive aphasia: difficulty under client, not to others who are present.
standing written or spoken words B. Do not force a client to tallk in front of
C. Expressive aphasia: difficulty speaking others.
or writing C. Never show impatience, frustration, or
D. Motor aphasia: difficulty moving limbs worry when a client is having problems
E. Expressive-receptive aphasia (also speaking or understanding.
known as global aphasia): difficulty D. Discourage communication. It will only
speaking and understanding make the client upset and frustrated.
language E. Limit the number of choices to help the
client express preferences.
13. Which points describe dysarthria?
A. Clients have difficulty speaking clearly 16. How can support workers show their respect
because of weakness or paralysis in the for clients with speech or language disorders?
muscles used to speak. A. By being encouraging and supportive
B. Clients usually have slurred, slow, and B. By keeping private information conf
soft speech. dential
C. Clients often have problems forming C. By learning to be comfortable with
words, spacing their words, and breath silence
ing while speaking. D. By taking extra time to explain proce
D. Clients cannot move the muscles used dures and not explaining allthe steps at
to speak. Once

E. By speaking slowly and clearly

14. What are some of the emotions people E By being alert to signs the client has not
with speech and language disorders may understood you
experience?
A. Frustration
B. Depression
C. Anger
D. Low self-esteem
E. Excitement
E. Shame
G. Guilt

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 241
CHAPTER 39 Speech and Language Disorders

17. Some guidelines to effective

communication 19. After asking Mrs. Ekove a question, the sup
with clients with speech or language disor port worker should:
ders are:
A A. Allow time for her to process the ques
Minimize distractions by
keeping the tion
dient alone as much as possible. B. Expect an answer in a short time
B. Adjust the lighting; make sure the client C. Repeat the question again immediately
the questíon
can see your face clearly and that you D. Ask if she is going to answer
can see the client's.
understands what
C. Give the client your full attention; sit 20. To ensure that Mr. Ross
next to the client and speak into his ear. you have said, you should:
D. Ask the client questions to which you A. Always have a witness when you speak
know the answer; this helps you become to him
familiar with the client's speech. B Ask questions to see if he understood
E. Determine the subject being discussed; you
look for nonverbal clues. C. Ask him totake notes while you speak
Follow the client's lead; change your D. Not bother to speak; instead, write
communication method as needed. things down and give him the note
G. Speak slowly, clearly, and in a normal
tone of voice. 21. Mrs. Faubert cannot speak. To communicate
H. Give the client time to respond; do not with her, you should:
A. Use body language
answer your own questions. Shout slowly and distinctly
Use simple words and short sentences; B.
focus mainly on action words and C. Use sign language
D. Follow the care plan
words for people, places, and things.
J. Be patient; repeat yourself as needed.
K. Use positive statements.
22. Which of the following is true in regard to
electronic communication?
L. Use appropriate questioning and para A These devices are not useful for assisting
phrasing techniques; ask questions that older adults to communicate.
require only a short answer or shake of B. They are not recommended for clients
the head, and summarize in your own with verbal-expression communication
words what the client has said.
disorders.
M. Try to speak without the use of gestures C. Amale or female voice can be generated
or pointing. from the electronic aid.
N. Try other communication methods; D. These are helpful only for clients with
follow the care plan and use writing and good eyesight.
communication boards as needed.

MULTIPLE CHOICE
Circle the correct answer.
but can
18. Mrs. Ekove can understand others
she likely
not speak. Which type of aphasia is
to have?
A. Expressive aphasia
B. Receptive aphasia
C Expressive-receptive aphasia
D. Hemiplegia
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Copyright © 2018 Elsevier Canada, a
 CHAPTER 39 Speech and Language Disorders 241

17. Some guidelines to effective

with clients with speech or communication 19. After asking Mrs. Ekove aquestion, the sup
ders are: language disor port worker should:
A. Minimize A. Allow time for her to process the ques
client alonedistractions by
as much as keeping the
tion

B. Adjust the lighting; makepossible. B. Expect an answer in a short time

sure the client
can see your face clearly and that C. Repeat the question again immediarely
you D. Ask if she is going to answer the question
can see the client's.
C. Give the client your full 20. To ensure that Mr. Ross understands what
attention; sit
next to the client and speak into his ear. you have said, you should:
D. Ask the client questions to A. Always have awitness when you speak
which you
know the answer; this helps you become to him
familiar with the client's speech. B Ask questions to see if he understood
E. Determine the subject being discussed; you
look for nonverbal clues. C. Ask him to take notes while you speak
E. Follow the client's lead; change your D. Not bother to speak; instead, write
communication method as needed. chings down and give him the note
G. Speak slowly, clearly, and in a normal
tone of voice. 21. Mrs. Faubert cannot speak. To communicate
H. Give the client time to respond; do not with her, you should:
answer your own questions. A. Use body language
I. Use simple words and short sentences; B Shout slowly and distinctly
focus mainly on action words and C. Use sign language
D. Follow the care plan
words for people, places, and things.
J. Be patient; repeat yourself as needed.
K. Use positive statements. 22. Which of the following is true in regard to
electroniccommunication?
L. Use appropriate questioning and para A. These devices are not useful for assisting
phrasing techniques; ask questions that older adults to communicate.
require only a short answer or shake of B. They are not recommended for clients
the head, and summarize in your own
words what the client has said. with verbal-expression communication
disorders.
M. Try to speak without the use of gestures C. A male or female voice can be generated
or pointing. from the electronic aid.
N. Try other communication methods; D. These are helpful only for clients with
follow the care plan and use writing and good eyesight.
communication boards as needed.

MULTIPLE CHOICE
Circle the correct answer.
can
18. Mrs. Ekove can understand others but
likely
not speak. Which type of aphasia is she
to have?
A. Expressive aphasia
B. Receptive aphasia
C. Expressive-receprive aphasia
D. Hemiplegia
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242 CHAPTER 39 Speech and Language Disorders

FILL IN THE BLANKS 24. Dysarthria means

People with this disorder
23. Apraxia of speech means
People with this disorder

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