WorksheetsCOMD 700 – Quiz 3 Study Guide: Key Approaches
Total questions: 30
Worksheet time: 15mins
In the Traditional (Van Riper) Articulation Approach, what is the correct hierarchical sequence of practice levels used to build accuracy?
Isolation → Word → Syllable → Phrase → Sentence → Conversation
Isolation → Syllable → Word → Phrase → Sentence → Conversation
Syllable → Isolation → Word → Sentence → Phrase → Conversation
Word → Syllable → Isolation → Phrase → Sentence → Conversation
Which client profile is the Traditional Articulation Approach most often used for?
Children with inconsistent speech errors across words and contexts
Clients with few, consistent errors that benefit from modeling and motor practice
Adults with acquired apraxia of speech requiring low feedback frequency
Clients who need immediate generalization across varied targets from the outset
According to Principles of Motor Learning (PML), which practice structure best supports generalization of a newly learned speech target?
Blocked practice with the same target repeated
Random practice with varied targets
Massed practice without feedback
Constant practice with identical stimuli only
Within PML, what is the main advantage of high-frequency, immediate feedback during early training?
It improves early performance but can hinder carryover
It maximizes long-term retention and transfer
It primarily supports generalization across contexts
It reduces the number of trials needed per session
Which feedback schedule is most associated with promoting retention of a speech motor skill?
Continuous, immediate feedback after every attempt
Knowledge of performance with detailed cues on each trial
Reduced and delayed feedback over time
Concurrent feedback delivered during production
A clinician sets a session goal for optimal progress based on PML intensity guidelines. What is the recommended range of trials per session?
10–30 trials per session
30–60 trials per session
60–120 trials per session
120–200 trials per session
Which statement best differentiates blocked from random practice under PML?
Blocked practice varies targets to build generalization; random repeats the same target to aid acquisition
Blocked practice repeats the same target to aid acquisition; random practice varies targets to aid generalization
Blocked practice prevents acquisition; random practice prevents generalization
Blocked practice and random practice are equivalent for all learning outcomes
In the Traditional Approach, why might diphthongs and /ɚ/ present increased difficulty?
They require reduced feedback schedules
They are harder due to coarticulatory demands and vowel complexity
They conflict with blocked practice principles
They rely solely on knowledge of results feedback
Which characteristic defines the Core Vocabulary Approach target population?
Children with inconsistent speech errors
Clients with a single phoneme error only
Adults with motor speech disorders requiring random practice exclusively
Children demonstrating perfect word production needing carryover
What is the primary goal of the Core Vocabulary Approach?
Eliminate all errors and achieve perfect articulation
Achieve consistent word production rather than perfection
Maximize immediate performance with high-frequency feedback
Generalize accuracy across untrained targets from the first session
Which statement best characterizes the Minimal Pairs approach in phonological therapy?
Targets contrasts that differ by one feature to build phonological awareness of sound use
Targets pairs that differ maximally across multiple features to drive generalization
Uses one substituted sound contrasted with several targets to address system collapse
Prioritizes nonstimulable, later-developing, complex sounds to promote generalization
In Maximal Oppositions therapy, which target selection strategy is emphasized?
Pairs that differ minimally by a single feature
Pairs that differ maximally in features such as place, manner, or voicing
Sequences organized by sonority from peaks to troughs
Auditory discrimination before production
Multiple Oppositions is most appropriate when:
A single sound is substituted for several other sounds, indicating system collapse
Only one feature contrast is missing for a few sounds
Targets must be nonstimulable and later-developing to induce change
The goal is primarily motor placement accuracy
According to the Complexity Approach (Storkel, 2017), what types of sounds should be prioritized to promote generalization?
Early-developing and highly stimulable sounds
Nonstimulable, later-developing, and complex sounds
Only sounds with minimal feature contrasts
Sounds selected solely by frequency of occurrence in the child’s lexicon
Which concept is central to predicting target selection in the Complexity Approach?
Place-manner-voicing chart
Sonority hierarchy
Phonotactic probability alone
Diadochokinetic rate
Treatment intensity in speech therapy is defined by which three parameters?
Accuracy, complexity, generalization
Dose, frequency, and duration
Place, manner, and voicing
Baseline, progress, and dismissal
What is the general relationship between treatment intensity and outcomes, assuming appropriate engagement?
Higher intensity typically yields greater positive outcomes
Higher intensity typically reduces generalization
Lower intensity produces faster dismissal
Intensity has no relationship to outcomes
Dismissal from phonological therapy is considered when phonological processes are what level of productive?
Greater than 50% productive
30% productive or less
Between 40–60% productive
No longer productive but still above 30%
Which additional criterion supports dismissal from phonological therapy?
Intelligibility is below age norms
The child shows some self-correction
Motor speech tasks are consistently weak
Prosody remains inappropriate
Which CAS core feature reflects disrupted coordination between sounds?
Consistent voicing errors only
Lengthened or disrupted coarticulatory transitions
Hypernasality on vowels
Monotone speech due to weakness
Which CAS assessment procedure specifically examines rate and sequencing of alternating movements?
Phonotactic probability testing
Dynamic motor speech tasks and diadochokinetic rate testing
Minimal pairs discrimination tasks
Maximal oppositions contrast probes
When a child cannot complete diagnostic tasks but CAS is suspected, what documentation is recommended?
Diagnose dysarthria and start strengthening
Use the label "suspected CAS (sCAS)" and recommend diagnostic therapy (about 6 months)
Delay therapy until full testing is possible
Label as phonological disorder and proceed with minimal pairs
Which description accurately differentiates CAS from dysarthria?
CAS is a motor execution deficit with consistent weakness; dysarthria is programming
CAS is a motor planning/programming deficit with inconsistent, groping, and disrupted transitions; dysarthria is a motor execution deficit with consistent weakness and slurred or monotone speech
CAS is purely linguistic; dysarthria is purely cognitive
CAS is defined by prosody only; dysarthria by resonance only
Approximately what proportion of children with CAS may show comorbidity with Developmental Coordination Disorder (DCD)?
About 10%
About 25%
About 50%
About 75%
What is the primary aim of input-focused interventions in speech sound disorders?
Increase articulatory strength through drilling
Strengthen perceptual and cognitive representations of speech sounds
Maximize sonority differences between targets
Reduce prosody variation
Which activity is typically included in input-focused interventions before production practice?
Diadochokinetic rate testing
Multiple oppositions production contrasts
Discrimination tasks and auditory awareness
Maximal oppositions placement drills
For articulation (motor-based) objectives, which outcome is most directly targeted?
Rule-based error reduction
Target sound accuracy and placement (motor performance)
Prosodic control only
Auditory discrimination without production
Phonological (cognitive-linguistic) documentation should emphasize which areas?
Motor programming and consistency
Rule-based errors, intelligibility, and process reduction
Diadochokinetic rate and strength
Prosody exclusively
For apraxia-focused documentation, which dimensions are prioritized?
Articulatory strength and endurance
Motor programming, consistency, and prosody
Phonotactic probability and vocabulary size
Resonance and airflow control
Which therapy approach is explicitly described as promoting system-wide change through contrasting multiple targets against a single error substitution?
Minimal pairs
Maximal oppositions
Multiple oppositions
Complexity approach
