INSTRUCTIONS FOR EARNING CONTINUING EDUCATION CREDIT FROM ASHA
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Allow 4-6 weeks for LWW to process your enrollment fees, grade your tests, and send verification of test scores to you. If you must complete CEUs by a licensing renewal deadline you should submit your tests to LWW 4-6 weeks in advance of your deadline.
IMPORTANT: We must receive your test for Volume 27, Issue 4, by May 30, 2010. LWW prepares and submits a report to ASHA (quarterly) concerning all participant activity in the volume.
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The following questions make up the test items for participants for this activity. They are based on the articles presented in this issue of TLD. The answer sheet is at the end of the issue. Please read the important note on the course evaluation form.
Purpose: To provide the speech-language pathologist with information about the Life Participation Approach to Aphasia (LPAA) therapy and use of it in providing therapy to individuals with aphasia.
The Importance of Aphasia Group Treatment for Rebuilding Community and Health
1. Recent interest in aphasia group treatment has been motivated by
A. a medical model of healthcare.
B. insurance company reform.
C. the possible psychosocial benefit to participants.
D. a lack of personnel.
2. An increase in the number of independent Aphasia Centers occurred
A. during World War II.
B. in the 1960s.
C. in the 1980s.
D. in the 1990s.
3. The medical model of healthcare views the individual as a
A. "patient."
B. "consumer."
C. "team member."
D. "collaborator."
4. Which statement is true about the Life Participation Approach to Aphasia (LPAA)?
A. It was the first to propose a social framework for aphasia research and services.
B. It considers the person with aphasia as the primary focus of treatment.
C. It measures success via documented changes in life enhancement.
D. It is consistent with a medical model of healthcare.
5. What did Elman and Bernstein-Ellis (1999a, b) learn about the efficacy of group communication treatment?
A. Deferred treatment group participants did not change significantly with social contact alone.
B. Deferred treatment group participants had significantly higher scores on linguistic tests than immediate treatment group participants.
C. Treatment gains continued through 2 months of treatment and then leveled off.
D. Group communication treatment was efficacious only for participants in the immediate treatment group.
Beginning With the End: Outcomes-Driven Assessment and Intervention With Life Participation in Mind
6. The idea of "beginning with the end" refers to
A. designing treatment based on standardized, accepted outcomes for aphasia.
B. selecting outcome measures that are relevant to the client's long-term life participation and life quality goals.
C. selection of goals and outcomes measures that target family and significant others for treatment.
D. the need to decide a specific termination time at the onset of intervention.
7. Living with Aphasia: Framework for Outcome Measurement (A-FROM) is a user-friendly adaptation and expansion of
A. the World Health Organization's International Classification of Functioning, Disability, and Health (WHO ICF).
B. the American Speech-Language-Hearing Association guidelines for speech-language pathologists' role in aphasia assessment.
C. the International Diagnostics Manual definition of language assessment.
D. the intervention model of the Ontarians with Disabilities Act.
8. Living with Aphasia: Framework for Outcome Measurement (A-FROM) is a
A. test battery used to measure outcomes in aphasia.
B. framework that defines types of aphasic impairments.
C. conceptual guide to organizing intervention and outcome assessment in aphasia.
D. tool for measuring linguistic change in aphasia.
9. All of the following are true about using the A-FROM frameworkexcept
A. a linear, unidirectional process focused on particular areas at different points is used.
B. the family is considered part of the environment for the person with aphasia.
C. all those affected by aphasia are entitled to services.
D. achievement of life participation goals requires focus on severity of aphasia and other personal factors.
10. During what stage of the healthcare continuum can A-FROM first be applied?
A. emergency and acute inpatient care
B. acute rehabilitation
C. long-term care
D. community living
Integrating Life Participation Approaches to Aphasia Treatment with Adult Learning Theory: A Synergistic Approach
11. Clinical success may be enhanced by recognizing that at the core of every adult client with aphasia is someone who is
A. an adult learner.
B. struggling to communicate.
C. in need of counseling.
D. neurologically impaired.
12. Scientific advances of the last few years have improved our understanding of the
A. distributed networks for language.
B. neural mechanisms of brain reorganization.
C. LPAA model of intervention.
D. pediatric oriented treatment models.
13. Pedagogical models of treatment place the responsibility for clinical decision making on the
A. client.
B. family.
C. clinician.
D. collaborative client/family/clinician team.
14. Androgogy refers to
A. the art and science of helping adults learn.
B. patterns of word retrieval deficits found in aphasia.
C. transformative learning.
D. the motivation for learning.
15. Which of the following defines the central principle of LPAA?
A. It is consumer driven.
B. It is an informal approach to treatment.
C. The clinician's primary role is that of teacher.
D. It requires counseling to support treatment.
The Role of Narratives in the Life Participation Approach to Aphasia
16. Which statement is true about narratives?
A. Narratives do not accurately reflect the individual's regaining participation.
B. Narratives support life participation by targeting societal validation of the teller.
C. Sharing narratives is an internal process, free from external influences.
D. Stories are chosen by the teller to shape a personal myth.
17. Aphasia impacts narrative by
A. enhancing internal communication but not social communication.
B. imposing limitations on its use as a tool.
C. reordering story grammar sequences.
D. changing comprehension of what others say.
18. Each statement about health and illness narratives is trueexcept that they
A. are required for individuals to regain a sense of self.
B. use the physical body of the narrator as the setting of the narrative.
C. help stroke patients make sense of their suffering.
D. should not be used in traditional healthcare settings where they contradict the medical narrative.
19. Narrative competence is defined as the ability to
A. sequentially organize information in order to convey cause and effect.
B. acknowledge, absorb, interpret, and act on stories and plights of other.
C. comprehend and convey information in story form.
D. arrange details of an account into settings and episodes.
20. Within LPAA, speech-language pathologists (SLPs) can use narrative to
A. be the agent of change for clients.
B. help the aphasic individual focus stories on the self, not on societal issues.
C. form the basis for reminiscence therapy.
D. allow for ongoing construction and reconstruction of identity.
Counseling/Coaching in Chronic Aphasia: Getting on With Life
21. Which of the following statements about coaching is true?
A. The SLP is the sole expert.
B. Coaching is focused on problem solving.
C. Coaching is typically passive and not activity oriented.
D. Coaching is most appropriate early in the course of aphasia therapy.
22. Which is the most important attribute of competent coach/counselors for individuals with aphasia?
A. a broad expertise in the general subject of aphasia and its treatment
B. the ability to listen sensitively and actively
C. a mastery of current information about services available in the community
D. the ability to think and communicate as a surrogate for individuals with aphasia
23. The goals of coaching aphasic patients include
A. helping patients overcome their inclination to grieve.
B. helping families recognize that everyone will be negatively affected by aphasia.
C. having patients fully prepared for "life with aphasia" by hospital discharge.
D. helping patients stay focused on regaining prestroke language abilities.
24. According to tenets of positive psychology, living a full life depends on
A. achieving a comfortable balance between experiencing positive emotions, building positive character, and involvement in positive institutions.
B. striving hard to overcome perceived weaknesses in relationship to one's professional life, personal life, and interpersonal relations.
C. being judged as worthy by others, especially one's family and peers.
D. living a healthy lifestyle and coping successfully with effects of illness.
25. Kagan showed that supported communication can involve
A. coaching the aphasic person to use videotapes to assist in communication.
B. teaching others to use techniques such as accompa- nying speech with writing to scaffold the communi- cation skills of persons with aphasia.
C. using your own speech as a model for families to follow.
D. encouraging speech as the most critical aspect of communication for persons with aphasia.
Educating Clinicians for Meaningful, Relevant, and Purposeful Aphasia Group Therapy
26. When using LPAA, SLPs may assume the role of all of the followingexcept
A. case manager.
B. educator.
C. advocate.
D. colleague.
27. In the Aphasia Communication Enhancement (ACE) program, individuals with aphasia (IwA) participate in activities or conversation groups based on
A. assignments from SLPs.
B. IwA diagnosis and severity.
C. brainstormed ideas from the IwA.
D. established clinician topics.
28. Which statement about the Aphasia Communication Enhancement (ACE) program is true?
A. Participants must have been aphasic for less than 6 months.
B. It is designed to include family members.
C. Participants must be referred by their healthcare provider.
D. The program consists exclusively of group sessions.
29. One environmental modification outcome resulting from the IwA participation in the "One Book" community project was
A. requesting alternative format criteria inclusion into the public library.
B. adding literature about IwA.
C. using text-to-speech conversion software.
D. forming a collection of caregiver resources.
30. Which of the following is identified as a disadvantage of the program presented in this article?
A. involvement in complex interactions between the healthcare provider and the IwA and his family
B. the holistic viewpoint of the LPAA and the SLP role
C. dissimilarities between on-campus practice and off-campus clinical experiences
D. emphasis on relationship-centered care