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Aural Rehabilitation Approaches for Adults with Early Onset Hearing Loss and Long‑Term Deafness, in partnership with RIT/National Technical Institute for the Deaf

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1.  According to the ASHA Clinical Practice Guidelines on Aural Rehabilitation (AR) (2023), what are the four components of AR?
  1. Person-centered care, informational counseling, perceptual training, and cognitive training
  2. Sensory management, informational counseling, personal adjustment counseling, and perceptual training
  3. Sensory management, informational counseling, personal adjustment counseling, and audiological assessment
  4. Person-centered care, audiological assessment, perceptual training, and cognitive training
2.  Which of the following factors demonstrates quality adult AR service delivery from a clinician or audiologist?
  1. Creating a treatment plan based solely on quantitative assessment results
  2. Informing the client about their hearing history and its implications on success in AR services
  3. Starting with phoneme recognition activities for every client
  4. Creating goals solely from what a family member or spouse wants the client to work on
3.  What is one of the biggest differences between individuals who were D/deaf their whole lives versus those who experienced late-onset hearing loss?
  1. The former make up more of the AR population than the latter
  2. The former will have expressive and receptive goals while the latter will only have receptive goals
  3. The former do not experience benefit from speechreading instruction because they are already experts
  4. In services with the former, there likely is less social/emotional counseling than the latter
4.  A 27-year-old adult with long-term deafness primarily uses ASL and recently adopted hearing technology for environmental awareness at work. They express no interest in developing spoken language skills. Which AR approach demonstrates best clinical practice for this client?
  1. Prioritizing auditory-only speech training to maximize device benefit
  2. Reducing visual supports to encourage auditory reliance
  3. Integrating sound awareness goals while respecting established communication identity
  4. Focusing primarily on formal speech perception testing
5.  A 25-year-old professional bilateral hearing aid user with severe to profound hearing loss recently transitioned to a hybrid work model and reports new communication challenges during video meetings and phone calls. Which combination of tools or activities best supports flexible, client-centered AR programming?
  1. Video-call simulations, phone practice apps, and captioning
  2. Aided speech recognition testing
  3. Listening drills and isolated phoneme practice
  4. Hearing aid maintenance and troubleshooting