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Aural Rehab 3

Final Exam

QuestionAnswer
What are communication strategies? actions to facilitate or improve communication/understanding
What are the rules of conversation? pay attention, take turns and share in conversation, introduce and develop topics, make relevant comments, provide enough information
What is conversational fluency? the flow of conversation with communication partners sharing topics, turns, and information
What are the effects of hearing loss on conversation? more disrupted turn taking, more clarification requests, modification of speaking and listening styles by both speakers, reduced story imagery and details, inappropriate topic changes
What is a speechreader? the person with hearing loss
What are some adaptive strategies to help those with hearing loss? use relaxation/mindfulness techniques and prepare for communication in advance
What can a talker do to help a speech reader? use clear speech, use meta-communication skills, and use message-tailoring strategies
What are the three principles of clear speech? slowed speaking rate with pauses, enunciated words, key words stressed
What are ways to improve the environment for a speechreader? use good lighting to see the speaker's face, close distance, reduce background noise and reverberation, avoid visual distractions
What is communication breakdown? when one communication partner does not understand a message
What is a repair strategy? an action taken to fix a communication breakdown, either partner in a conversation can use them
What is an expressive repair strategy? the talker realizes the listener has not understood the message and takes an action to repair this?
What are some examples of an expressive repair strategy? repeat message using clear speech, use shorter sentences, use gestures, write down critical information
What is a receptive repair strategy? the listener realizes they misheard or did not understand the message and takes an action
What is an example of a receptive repair strategy? ask for repeat of part of all of a message, ask for rephrase, ask for topic, confirm message to speaker, ask for elaboration, limit overuse of "what," ask that information be written down
When are communication breakdowns less likely to happen? when partners stay on one topic
What is a passive conversational style? bluffs, avoids interactions or withdraws, "I did not understand a word of what was said, but that's okay"
What is an aggressive conversational style? acts demanding, hostile, and intimidating, "You can't expect someone to understand when you talk that fast"
What is a passive-aggressive conversational style? Expresses aggression in an indirect way "Her party was so noisy I could not hear, so I'm going to have a party of my own but not invite her!"
What is an assertive conversational style? takes responsibility for difficulties, direct in communicating needs and concerns "Could you turn down the music a little so that I can hearing you better?
What is self-efficacy? belief that one can successfully do a specific task
What is MOVE? a method found to foster self-efficacy
What does Mastery experiences in MOVE mean? practice use of strategies in a safe environment
What does Observing experiences in MOVE mean? observing others succeeding at the task
What does Verbal persuasion in MOVE mean? encouragement to complete the task
What does Emotional readiness in MOVE mean? use of relaxation and positive thinking to support completion of the tasks
What are the qualities of a good communication strategy program? information sharing, guided practice in the program, real-world practice, homework, and a program tailored to accommodate the person with a hearing loss
What does communication strategy training include? a review of difficulties associated with hearing loss, learning how to use facilitative strategies, repair strategies, and implement assertive vs. nonassertive behaviors
What percent of people are dissatisfied with their hearing aids? 40-60
What impacts speech recognition most? distance and noise
What is impaired frequency selectivity? when a person requires a greater difference in tone frequencies in order to recognize a difference
What is impaired temporal resolution? when a person requires a longer silent gap between two sounds to recognize the gap
What happens when people with a hearing loss expend more perceptual effort when listening to speech? they have a lower cognitive ability to convert the speech to memory
Who are the prime candidates of auditory training? those who have recently received cochlear implants/hearing aids, those who have experiences hearing loss due to trauma or drug use, and long time users of hearing aids/cochlear implants
What is brain plasticity? the brain's ability to change as a result of experience, behavior, environment, and sensory deprivation or stimulation
Why is brain plasticity relevant for aural rehabilitation? hearing aids/cochlear implants can lead to secondary brain plasticity, acquired hearing loss can cause functional damage in the central auditory system (CAS), neuronal changes may occur in the CAS as a result of auditory training
What is auditory training? learning to make distinctions between sounds, listening practice
What is top-down training? synthetic, comprehending
What is bottom-up training? analytic, taking each individual part in at a time
What are the features of modern auditory training? adaptive, active participation, immediate feedback, bottom up and top down testing, uses everyday words and phrases, challengning, and data logging
What are the four typical types of training? phoneme, word, sentence, and cognitive skill based
What types of improvement come with auditory training? active learning, consonants and vowels, sentence testing, and quality of life
What is speechreading? the ability to understand a speaker's thoughts by watching the movements of the face and body using information provided by the situation and language
What is lip-reading? the ability to recognize speech sounds based on observed movements of lips, tongue, and haw. Can be learned
What are the characteristics of a good lipreader? cognitive skills, age, and type of hearing loss, amount of experience, duration and degree of hearing loss, language comprehension, emotional factors, and visual factors
What factors can make lip-reading more difficult? visibility of sounds, rapidity speech, coarticulation and stress effects, visemes and homophones, and talker effects
How do the visibility of speech sounds impact lip-reading? 60% of sounds are not easily visibly, vowels are not distinctive
How does the rapidity of speech impact lip-reading? talkers can speak 150-250 words a minute, human eyes can only register 10 phonemes/sec when talkers produce 15/sec
What are visemes? groups of sounds that appear similar on the face
What are examples of visemes? k/g, w/r, /p/b/m, /n/d/t/s/z
What is the talker effects? the same sound can look different when spoken by two or more different people
What does speech reading involve? the integration of what a person hears with what that person sees. The brain combines the sounds heard with facial movements that are recognized
What is the importance of residual hearing? it can assist in speech recognition when combined with visual cues, shows why people with profound HL are so dependent on hearing aids
WHat are factors that affect the speechreading process? the talker, message, environment and communication situation, the speechreader
What are the parts of brain training? material ahs theme or subject, completing sentences based on context, does not focus on individual sounds, common of most modern programs
What is eye and brain training? a new approach to speechreading that combines analytic and synthetic training
Created by: hrshook0104
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