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Fluency

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Voluntary stuttering can be useful in desensitization both to the actual stuttering behavior and to aversive listener reactions.

a)

true

b)

false

2.

The shaping of normally fluent speech would include all of the following EXCEPT:

a)

Establishing normal breath flow

b)

Light contact

c)

Slowing rate

d)

Using preparatory sets and pull-outs

3.

In the Lidcombe program, parents: 

a)

Reinforce fluent speech during structured and unstructured activities using verbal contigencies

b)

Use cancellations, pull-outs, and preparatory sets

c)

Use light articulatory contact, easy onsets, and continuous phonation

d)

Use more requests for correction than praise

4.

Those who emphasize "Fluency Shaping" would give very little attention to teaching the person who stutters to use ___________________ to achieve fluency:

a)

Cancellations

b)

Light articulatory contact

c)


Slow rate

d)

Easy onsets

5.

Before the client is ready to work on "preparatory sets" they must already have succeeded with pull-outs.

a)

true

b)

false

6.

Desensitization generally begins with situations that are most aversive and stressful, then gradually works backward to situations that are least aversive and stressful.

a)

true

b)

false

7.

Persons who stutter often experience more severe disfluency when they:

a)

sing

b)

are in a stressful situation

c)

use delayed auditory feedback

d)

all of the above

8.

Which of the following is arranged from least to most severe?

a)

repeating, blocking, fixating

b)

repeating, blocking, prolonging

c)

fixating, repeating, prolonging

d)

repeating, prolonging, blocking

e)

repeating, avoiding, struggling

9.

During cancellation, the client should immediately stop at the first sign of stuttering, then say the word as easily and fluently as possible.

a)

true

b)

false

10.

Modification techniques should be taught to the client in the following order:

a)

Pull-Out --> Preparatory Set --> Cancellation

b)

Cancellation --> Pull-Out --> Preparatory Set

c)

Preparatory Set --> Cancellation --> Pull Out

d)

Cancellation --> Preparatory Set --> Pull Out

e)

Pull-Out --> Cancellation --> Preparatory Set

11.

A major end-product of therapy for the adult Stage IV (advanced) stutterer is to achieve speech which is free of tension, struggle and avoidance.

a)

true

b)

false

12.

In the Identification Stage of stuttering modification therapy, identification is directed toward:

a)

core features

b)

associated feelings and attitudes

c)

secondary features

d)

all of the above

13.

An example of a secondary behavior is:

a)

Repeating a sound

b)

Getting stuck on a sound

c)

Attending a stuttering support group

d)

Avoiding answering the phone

14.

Which statement is true

a)

Blocks are typically an early stuttering behavior

b)

Mild stuttering is often accompanied by increased physical tension

c)


Escape and avoidance emerge in borderline stuttering

d)

Sound repetitions are also known as part-word repetitions

15.

Which child is at the greatest risk for persistent stuttering

a)

3 year old female, 6 months post onset, no family history

b)

4 year old female, 12 months post onset, mother stuttered as a child but doesn't anymore

c)

4 year old male, 14 months post onset, uncle stutters, phonological delay

d)

2.5 year old male, 6 months post onset, whole word repetitions, no family history

16.

In a child with typical disfluencies, we see:

a)

sound prolongations

b)

blocks

c)

increased physical tension

d)

part-word repetitions

e)

revisions

17.

In the following example, we see evidence of:

"I wa-wa-wa-want to go t-t-t-t-to the uh store now

a)

Part-word repetition, interjection

b)

revision

c)

sound and syllable repetition

d)

whole word repetition and revision

18.

A client reads a passage aloud and stutters on the same words each time. This is known as:

a)

anticipation

b)

consistency

c)

adaptation

d)

none of the above

19.

I want to pur-pur-pur...buy a new tablet

a)

starter

b)

postponement

c)

substitution

d)

circumlocution

20.

Which statement is false of fluency disorders

a)

Stuttering can start suddenly and come and go over a period of time

b)

The first core behavior to develop is typically part-word and whole word repetitions

c)

We target speaking with controlled fluency to lessen the severity of the stutter

d)

Stuttering arises from typical disfluencies