Exam 7: Determining the Need for Intervention and Target Selection

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Discuss both sides of the argument for targeting nonstimulable and/ or later developing sounds.

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Answers will vary but should include discussion of "systemwide change" and the facilitative contexts that may result in generalization of skills to other sounds or sound classes as benefits. Possible answers against this argument are that children's motor or linguistic systems may not be ready to produce those sounds or that the sounds may develop on their own without treatment according to developmental norms.

A common organizational sequence for therapy is in the correct order):

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All parents are always good generalization partners.

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Children with multiple speech sound errors will have different treatment goals and generalization expectations compared to children with single speech sound errors.

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When a child generalizes speech sound production skills from the syllable level to the word level, that is called:

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Johnny used to exhibit the phonological pattern of stopping for all fricatives and affricates. Johnny's SLP has been working on /s/ in treatment. Johnny now produces /s/ for all fricatives. This is an example of:

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There are clearly delineated dismissal criteria for SLPs to use with all clients who have speech sound errors.

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Across word position generalization happens when a child can produce the /f/ sound in the initial position and then, without direct treatment, can produce the /f/ sound in the final position.

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Meaningfulness of materials, the degree to which information has been learned, distribution of therapy, and _____________ are four important factors that will affect the rate of retention.

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The horizontal approach is a goal attack strategy in which multiple phonemes are targeted within each treatment session.

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Teaching a feature in one sound may result in generalization of that feature to another sound.

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Working on one-two phonemes at a time until mastery is achieved is an example of which goal attack strategy:

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Generalization probes should include all words targeted in treatment.

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All children who are dismissed from speech sound intervention have achieved mastery and retention of the skills.

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Name three of four factors that contribute to a child progressing to the maintenance phase of therapy. .

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When a child generalizes the correct production of the /s/ sound with an auditory model to correct production of the /s/ sound with a picture cue, that is called:

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You are an SLP working with a first grade student named Molly. Molly cannot produce the /r/ or /s,z/ sounds. Molly's mom is very motivated to "fix" Molly's speech and so she has asked what kinds of activities she can do at home. You note that Molly's mom has a slight /r/ distortion in her speech and also has a hard time discriminating Molly's "good" /r/ productions. What kinds of carryover activities might you ask Molly's mom to do?

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When a child is receiving treatment for a speech sound disorder, any change observed must be the result of the that treatment only.

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Compare and contrast the common intervention styles. How would you decide which to use?

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Generalization is proof that important changes are happening in treatment.

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