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A statement or action expressing disapproval of or objection to something.

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An otolaryngologist refers a 4 year old child to an SLP six months after a tonsilectomy and adenoidectomy. Following surgery, the child's speech became hypernasal. The SLPs evaluation confirms mild to moderate hypernasailty. If the child has no other speech or language problems, which of the following is the most appropriate course of action for the SLP to take?A. Use behavioral strategies to increase velopharyngeal closure for speechB. Counsel the parents that the hypernasality is likely to resolve in a few weeksC. Counsel the child's preschool teacher about instructional exercises to use to improve speech production in the classroomD. Counsel the parents on ways to reduce hypernasality at home rather than providing any direct treatment.E. refer the child and family to a cleft palate/craniofacial team for further evaluation

A 70 year old female has dysphagia characterized by poor posterior oral containment of the bolus during the oral preparatory stage, causing aspiration before the swallow. Cognition and the pharyngeal stage of the swallow are intact. Which of the following is the most appropriate treatment approach for the client?A. providing a puree diet with thickened liquidsB. Having the client flex her head forward (perform the chin-down posture) during oral preparation and transit stages of the swallow C. Having the client turn (rotate) her head to the right when swallowingD. Having the client eat more slowly to prevent aspirationE. Providing a diet that consists of thin liquids

An 8 year old child with a repaired palatal cleft has received speech intervention for two years in order to reduce moderately severe hypernasality and nasal emission. Cognitive and linguistic skills are normal. All clinical data support a conclusion that abnormal speech characteristics are primarily the result of an inadequate velopharyngeal mechanism. There have been small improvements, but none in the past six to nine months. Which of the following is the most appropriate course of action for the SLP to take with the child at this point?A. terminating speech intervention and reassessing at three month intervals the potential for benefiting from renewed speech interventionB. Instituting an additional three months of articulation interventionC. Instituting a program of blowing, sucking, and swallowing exercises for a six-month trial periodD. Referring the child to a cleft palate team for consideration of sur

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