Clients Your Caseload Question & Answer Guide (With Explanation)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to clients your caseload and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves clients your caseload. A strong answer should include explanation, application, and examples.
Original Question
You get 2 clients on your caseload at an outpatient rehabilitation center. They both have had a left MCA CVA in the last 6 months, but in different areas of the brain. They received speech/language therapy for a month in the hospital following their stroke but haven’t received any further services since. They both express to you that they would like more help with their communication skills. During your assessment, you get a narrative language sample from each talking about the “birthday party” picture. Here are the transcripts of their language sample, which are typed without punctuation. The number of dots indicates the relative durations of pauses. *Ms. Li’s Transcript (105 words per minute) And..oh, okay…what do you call it…well I guess the cat got into it and the..uh..he’s hiding under the sitter and the mother is gonna…trying to get him out of there…and he cleaned up the rug with a..hm..well ….those ones there…children…boys and girls…are arriving and it’s …um not too good a deal I’d say. *Mr. Martin’s Transcript (40 words per minute) Um…um…uh….cake…and…um…and…and dog….dog ate cake..and..and…trouble…..mom is mad….and..and..um..um..kid is crying…and..and…neighbors…..neighbors is coming. More specifically, which evidence-based treatment(s) would you select for Mr. Martin and why? (Ensure the rationale is also true). A. Verb network strengthening treatment (VNeST) because it is a restorative approach that targets repetition of action words and writing skills. B. Response Elaboration Training (RET) because it is a restorative approach that activates the preserved right hemisphere by turning functional words into automatic speech. C. Verb network strengthening treatment (VNeST) because it is a compensatory approach that restores neural networks by allowing the patient to self-cue using gestures. D. Promoting Aphasics Communication Effectiveness (PACE) as this compensatory approach targets effective exchanges of information using multi-modal communication. Additionally, Script Training may be used as a restorative approach for Mr. Martin to verbally convey information in socially meaningful environments. Select a short-term goal for Mr. Martin that includes all the components of a SMART treatment goal: A. In three months, Mr. Martin will describe a picture using humming and tapping cues/strategies with 80% accuracy over 3 sessions. B. Mr. Martin will increase production of canonical sentence structure with 80% accuracy and 8/10 sentence prompts across 4 consecutive sessions with moderate cueing. C. Mr. Martin will improve structured sentences production using subject-verb-object mapping skills when given picture supports in 8/10 opportunities across 3 consecutive sessions. D. To increase participation in social conversations, Mr. Martin will use multimodal communication to successfully convey information with the clinician or communication partner in 8/10 opportunities with moderate visual cues.
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