SHS 496 MIDTERM EXAM GUIDED QUESTIONS AND ANSWERS
Aural Rehabilitation
What is its emphasis on? - AnswersAny intervention procedures that help a person with hearing loss and their communication partners achieve more success in activities of daily living which have been affected by hearing loss
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SHS 496 MIDTERM EXAM GUIDED
QUESTIONS AND ANSWERS
Aural Rehabilitation
What is its emphasis on? - Answers✓✓Any intervention procedures that help a person with
hearing loss and their communication partners achieve more success in activities of daily living
which have been affected by hearing loss
Emphasis: Address the needs of people with hearing loss and their family members and assisting
hard of hearing and deaf communiction partners to achieve maximum communication and social
success in every day environments
Conversational fluency - Answers✓✓relates to how well a conversation unfolds
What is the WHO and what did they develop? - Answers✓✓The world health organization
Developed ICF (International Classification of Functioning Disability and HEalth
What is WHO ICF - Answers✓✓A classification system that considers the consequence of a
health-related condition within the context o a patient's environment and circumstances
(emphasis on health and functioning)
What type of framework is WHO-ICF and what are the areas considered -
Answers✓✓Biopsychosocial framework
Areas considered: health condition, body functions, body structures, activity, participation,
environmental factors, and personal factors
What is the focus of WHO applied to hearing related diability? - Answers✓✓How hearing loss
affects the person in every day life and how a hearing related disability might be alleviated
Activity limitation - Answers✓✓Reduced ability to excute a certain function such as ability to
hear certain sounds (these change at the level of a person)
Participation restriction - Answers✓✓a lifestyle change (can be an affect of activity limitation)
such as not going to religious services or club meetings due too trouble understanding
How may the behaviors and attitudes of the frequent communication partner impact the PHL? -
Answers✓✓Third party disability can feel limiting.
Can help or hurt PHL (participation restriction)
What are the major components that may be included in a typical aural rehabilitation plan? -
Answers✓✓Diagnosis and quantification of hearing loss
Provision of listening devices
*communication strategies, training, and hearing loss related counseling
*assertiveness training, pyschosocial support and counseling/instruction for family and
colleagues
What is a biomedical orientation vs a person centered approach tto providing AR care? -
Answers✓✓PERSON CENTERED APPROACH (patient centered) treats each person with
dignity and respect, promoting control and independence
AR means more than arriving t a correct diagnosis
Plan considers: person/family's background, current status needs and wants. The design and
delivery of appropriate inteventions
- Services meet specific needs of individual and appropriate to perceptions of self and cultural
values
What are the three main settings where people spend time each day that need to be factored into
their AR plan? Why is this important to AR? - Answers✓✓Vocation, home, social
It's important to treat each patient according to specific needs
What is meant by patient journey and why is it important - Answers✓✓the sequence of
experiences and phases a patient passes through during a treatment regimen
6 stages: preawareness, awareness, movement, diagnosis, rehabilitation, resolution
Knowing where the patient is psychologically will help understand what emotions are being felt
and what actions should be taken with AR
Prelingual HL - Answers✓✓HL incurred before the acquisiton of spoken language
Postlingual HL - Answers✓✓HL incurred after the acquistion of spoken language
Congenital HL - Answers✓✓hearing loss presented at birth
Acquired HL - Answers✓✓HL acquired after birth
What are the variables that influence the design of a patient's aural rehabilitation plan? -
Answers✓✓Stage of life: confront professionally and socially
Life factor: self, home, work, community, recreation
Socioeconomic facotrs: financial status, education level, insurance/employment
Culture: Ethnic and racial backgrounds
Psychological adjustment
Why doesnt the audiogram alon always adequately reflect the magnitude of a patient's
comminication difficulties - Answers✓✓A patient may describe the loss as non-problematic
Need speech recognition measurements to see how hearing loss will affect the persons life
Signal to Noise ratio (SNR) - Answers✓✓the ratio compating level of signal power to a level of
noise power
What are the uses of adapted audiograms or familiar sounds audiograms and the speech banana?
- Answers✓✓The graph shows the average frequency of some of the sounds in English when
spoken at conversational levels. The graph also shows the average ptich and loudness of a range
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