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A New Generational Approach: Integrating Psychology and Audiology Care

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1.  Which statement most accurately describes the impact of maternal sensitivity on language development in children with CIs? Age of implantation is a stronger predictor of language outcomes than maternal sensitivity. Maternal sensitivity is a stronger predictor of language outcomes than age of implantation. Both are similarly strong predictors of language outcomes. Maternal sensitivity has no impact on language outcomes.

2.  When counseling a family who just received a new diagnosis of hearing loss, which of the following communication strategies can be helpful? Use reflective language, such as "it seems" and "If I am understanding you correctly". Ask specific, targeted questions. Ask closed ended questions, that pull for "or". Tell the family about your previous professional experiences.

3.  A model for psychology integration into audiology clinics can include which of the following: Developmental assessments of children prior to cochlear implantation. Screening for anxiety and depressive symptoms in most patients. Warm-handoffs to introduce psychology to families with a new diagnosis of hearing loss. All of the above

4.  For children undergoing cochlear implantation, which of the following are the most critical psychosocial factors to assess? Barriers to follow-up care and family understanding of the CI process. Relationship with the surgeon and family understanding of the CI process. Barriers to follow-up care and relationship with the surgeon. Device accessories and family understanding of the CI process.

5.  For audiologists who do not have access to integrated psychology care, what should be done to assess psychosocial issues? Have information available about typical experiences of children with hearing loss, screen for anxiety and depression and have a resource bank of community referrals. Refer later on down the road. Ignore concerns. Do not assess psychosocial issues.

6.  When dealing with a caregiver requesting device fitting strategies that are not best practice, what can be helpful? Explain to the caregiver why their request is inappropriate. Ask questions to gather additional information regarding the reason for the caregiver's request. Do not argue with the caregiver, provide them what they would like. Disregard caregiver concerns.

7.  An effective communicative technique to utilize with challenging caregivers when providing medical advice is to: Review your training background. Inform the caregiver on the number of patients you have worked with. Ask for permission to provide additional information. There is no point in telling a challenging caregiver what to do.

8.  What percentage of children with hearing loss have medical/psychological comorbidities? 0-10% 10-20% 40-50% 70-80%

9.  Adults with hearing loss often experience which of the following? Social withdrawal ADHD symptoms Autism symptoms No changes in psychosocial functioning

10.  Which of these are included as a CORE skill? Open questions Agression Doubt Negativity