CHAPTER
Speech and Language
isorders
TRUE OR FALSE 8. TF Itisa help to the client to finish
words for him.
Circle T for true, or circle F for false.
9. T F Use positive statements rather than
A. TF Most older people have apraxia. negative statements.
2. T EF Some people with aphasia cannot 10. T F Aphasia is seldom permanent.
understand the message.
3. T F Clients with expressive aphasia are MULTIPLE RESPONSE
not aware of their mistakes when
From the list below, choose all of the correct
speaking.
answers.
4. T F Dysarthria is caused by weakness in
11. What can cause speech and language
the muscles used for speech. challenges?
5. T F_ Relationships between family A. Genetic problems or conditions present
at birth
members are not affected when
B. Poor eating habits
someone has a speech disorder.
C. Brain injury, which may be caused by
6. TF Shopping and cooking are not accident, infection, drug abuse, stroke,
affected when someone has a and so on
communication problem. D. Disease
E. Hearing impairment
7. T F Because you do not need to spend EK Brain tumours
time on communication, you can G. Stress incontinence
take less time giving care to someone H. Problems involving the structures used
who cannot speak. for speech
“A
216 CHAPTER 35 Speech and Language Disorders
12. ‘The basic types of aphasia (and their ‘ 15. How do you provide compassionate care
meanings) include: to clients who have speech or language
A. Receptive aphasia: difficulty speaking or disorders?
writing A. Address questions and comments to the
B. Receptive aphasia: difficulty client, not to others who are present.
understanding written or spoken words B. Do not force a client to talk 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 language make the client upset and frustrated.
E. Limit the number of choices to help the
13. Which points describe dysarthria? client express preferences.
A. Clients have difficulty speaking clearly
because of weakness or paralysis in the 16. How can support workers show their respect
muscles used to speak. for clients with speech or language disorders?
B. Clients usually have slurred, slow, and A. By being encouraging and supportive
soft speech. B. By keeping private information
C. Clients often have problems forming confidential
words, spacing their words, and C. By learning to be comfortable with
breathing while speaking. silence
D. Clients cannot move the muscles used D. By taking extra time to explain
to speak. procedures and not explaining all the
steps at once
14. What are some of the emotions that clients E. By speaking slowly and clearly
with speech and language disorders may EF By being alert to signs the client has not
experience? understood you
A. Frustration
B. Depression
© vAnger
D. Low self-esteem
E. Excitement
FE Shame
G. Guilt
Copyright © 2022 Elsevier Inc. All rights reserved.
CHAPTER 35 Speech and Language Disorders 217
17. Some guidelines to effective communication 19. After asking Mrs. Ekove a question, the
with clients with speech or language support worker should:
disorders are: A. Allow time for her to process the
A. Minimize distractions by keeping the question
client 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
can see your face clearly and that you D. Ask if she is going to answer the
can see the client's. question
C. Give the client your full attention; sit
next to the client and speak into his ear. 20. To ensure that Mr. Ross understands what
D. Ask the client questions to which you you have said, you should:
know the answer; this helps you become A. Always have a witness when you speak
familiar with the client's speech. to him
E. Determine the subject being discussed; B. Ask questions to see if he understood
look for nonverbal clues. you
ia Follow the client’s lead; change your C. Ask him to take notes while you speak
communication method as needed. D. Not bother to speak; instead, write
Speak slowly, clearly, and in a normal things down and give him the note
tone of voice.
Give the client time to respond; do not 21. Mrs. Faubert cannot speak. To communicate
answer your own questions. with her, you should:
Pit
e. Use simple words and short sentences; A. Use body language
focus mainly on action words and B. Shout slowly and distinctly
words for people, places, and things. C. Use sign language
Be patient; repeat yourself as needed. D. Follow the care plan
Use positive statements.
Which of the following is true in regard to
migheUse appropriate questioning and 22.
electronic communication?
paraphrasing techniques; ask questions
A. These devices are not useful for assisting
that require only a short answer or shake
older people to communicate.
of the head, and summarize in your own
B. ‘They are not recommended for clients
words what the client has said.
with verbal-expression communication
M. Try to speak without the use of gestures
disorders.
or pointing.
C. A male or female voice can be generated
N. Try other communication methods;
from the electronic aid.
follow the care plan and use writing and
D. These are helpful only for clients with
communication boards as needed.
good eyesight.
MULTIPLE CHOICE
Circle the correct answer.
18. Mrs. Ekove can understand others but
cannot speak. Which type of aphasia is she
likely to have?
A. Expressive aphasia
B. Receptive aphasia
C. Expressive-receptive aphasia
D. Hemiplegia
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218 CHAPTER 35 _ Speech and Language Disorders
- ‘ Be
FILL IN THE BLANKS . 24. Dysarthria means
People with this disorder
23. Apraxia of speech means
People with this disorder
Copyright © 2022 Elsevier Inc. All rights reserved.