Chapter 39: Speech and Language Disorders
MULTIPLE CHOICE
1. The term dysarthria means which of the following?
a. Inability to correctly move the muscles used to speak
b. Difficulty speaking clearly
c. Hearing loss
d. Speech and hearing impairment.
2. Which of the following is true of a person with apraxia of speech?
a. Does not understand language
b. Cannot use speech muscles to correctly say desired sounds and words
c. Does not know what to say
d. Has hearing loss and aphasia
3. What does expressive aphasia relate to?
a. Difficulty articulating thoughts
b. Problems with thinking and reasoning
c. Difficulty understanding language
d. Difficulty using the muscles needed for speech
4. Receptive aphasia relates to which of the following?
a. Difficulty articulating thoughts
b. Problems with thinking and reasoning
c. Difficulty understanding language
d. Difficulty using the muscles needed for speech
[Link] is a partial or complete loss of which of the following?
a. Speech only
b. Language skills only
c. Hearing
d. Speech and language skills
6. Which of the following is true of speech and language disorders?
a. They can occur only in childhood
b. They usually begin with hearing loss
c. They can occur at any age
d. They may be caused by vision loss
7. Which of the following is true of aphasia?
a. Cerebral vascular accident (CVA) is the most common cause.
b. It never happens to people with dementia.
c. It always involves complete loss of speech.
d. It always involves complete loss of language skills.
8. Common causes of dysarthria include which of the following?
a. Weakness in muscles used for hearing
b. Weakness in muscles used for speech
c. Heart attack
d. Hearing loss
9. Treatment for speech disorders includes which of the following?
a. Muscle-strengthening exercises
b. Learning how to breathe faster
c. Learning how to use Braille
d. Speaking louder
10. Which is correct about communication boards?
a. They require the client to touch the screen
b. They are large computers
c. They show pictures or words for activities of daily living
d. They contain speakers that state the message
11. Cyrus has difficulty in understanding language. He may have which of the following speech
or language disorders?
a. Apraxia
b. Expressive aphasia
c. Dysarthria.
d. Receptive aphasia
12. Being unable to communicate may cause the client to do which of the following?
a. Experience increased self-esteem
b. Spend more time with the family
c. Avoid social situations
d. Experience less stress
13. Distractions can affect a client’s concentration. Which of the following would not assist your
client to communicate?
a. Making sure your client is in a proper sitting position
b. Closing any nearby doors and windows
c. Turning down the volume of the TV
d. Turning down the volume of the radio
14. If a client becomes frustrated while trying to answer questions, what should the support
worker do?
a. Take a deep breath and ask the question again.
b. Bring up the subject later.
c. Ask the client what is wrong.
d. Ask the question more slowly and in a louder voice.
15. Which of the following is the best sentence to use when speaking to a client with a speech and
language disorder?
a. “It’s time to get dressed, so let’s get going and start with your blouse.”
b. “Since you want to get dressed, here is your blouse.”
c. “Here is your blouse; I know you like blue, so I pulled this one out.”
d. “Here is your blouse.”
16. Which of the following is a comment that a client with aphasia might say related to his
situation?
a. “It will be all right.”
b. “I feel calm and quiet.”
c. “I felt … imprisoned in a tomb.”
d. “I don’t always want to speak.”
17. A client has slurred, slow, and soft speech. The support worker knows this could be symptoms
of which of the following?
a. Dysarthria
b. Apraxia of speech
c. Expressive–receptive aphasia
d. Expressive aphasia.
18. People with this disorder cannot control lip, jaw, or tongue movements.
a. Expressive–receptive aphasia
b. Dysarthria
c. Apraxia of speech
d. Expressive aphasia
19. Your client has difficulty speaking and understanding language. This is an example of which
speech language disorder?
a. Dysarthria
b. Receptive aphasia
c. Global aphasia
d. Expressive aphasia
20. Which of the following are not acceptable when working with clients with speech and
language disorders?
a. Showing respect, warmth, and compassion
b. Limiting the number of choices to help the client express preferences
c. Sharing a client’s information only with your closest family
d. Always supporting and encouraging clients with speech and language disorders
21. People with expressive–receptive aphasia have problems with which of the following?
a. Speaking and understanding language
b. Understanding what is said
c. Hearing
d. Walking
22. Mrs. White has a speech and language disorder, and the support worker is having difficulty
understanding her. What should the support worker do?
a. Speak in a louder voice.
b. Pretend she can understand what the client is saying in order to not frustrate her
further.
c. Call a nurse to see if she can communicate with the client.
d. Use body language and symbols.
23. Which of the following is not a type of aphasia?
a. Receptive aphasia
b. Expressive aphasia
c. Universal aphasia
d. Global aphasia
24. People with speech and language disorders often experience which of the following?
a. Relief
b. Frustration, depression, and anger
c. An improved relationship with family
d. High self-esteem.