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P E D S F I N A L E X A M 1 9

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Quiz on P E D S F I N A L E X A M 1 9, created by Dan McCarthy on 26/11/2019.
Dan McCarthy
Quiz by Dan McCarthy, updated more than 1 year ago
Dan McCarthy
Created by Dan McCarthy over 4 years ago
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Question 1

Question
According to Batshaw, 2013, the prevalence of psychiatric disorders among children with developmental disabilities is higher than typically developing peers by how much?
Answer
  • A) 1-3 times higher
  • B) 2-4 times higher
  • C) 4-5 times higher
  • D) 5-7 times higher

Question 2

Question
Certain maladaptive behavior disorders are found principally among individuals with severe to profound levels of intellectual disability. Maladaptive behavior(s) may include:
Answer
  • A) Stereotypic movement disorder
  • B) Self-injurious behavior (SIB)
  • C) Pica
  • D) All of the above

Question 3

Question
Demonstration of callous and unemotional behaviors that continue for at least 12 months with four main problem areas including: aggression toward people and animals, destruction of property, deceitfulness or theft and serious violation of rules is a description of which psychiatric disorder in children?
Answer
  • A) Oppositional Defiant Disorder (ODD)
  • B) Conduct Disorder (CD)
  • C) Impulse Control Disorder
  • D) Anxiety Disorder
  • E) Mood Disorder

Question 4

Question
A child who exhibits angry/irritable moods, deviant/headstrong behavior and vindictiveness for at least 6 months and which cause impairments in social, educational or vocational activities in one or multiple settings would be diagnosed as:
Answer
  • A) Oppositional Defiant Disorder (ODD)
  • B) Conduct Disorder (CD)
  • C) Impulse Control Disorder
  • D) Anxiety Disorder
  • E) Mood Disorder

Question 5

Question
The type of eating disorder which involves repeatedly regurgitating food by rechewing, reswallowing or spitting out food sufficiently frequently and severely is one of the common eating disorders in children with developmental disabilities and is called:
Answer
  • A) Rumination
  • B) Binge eating
  • C) Pica
  • D) None of the above
  • E) All of the above

Question 6

Question
Treatment of psychiatric illness in children and adolescents with developmental disabilities may involve which of the following modalities or intervention options?
Answer
  • A) Educational interventions
  • B) Rehabilitation therapy
  • C) Psychotherapy
  • D) Pharmacotherapy
  • E) All of the above

Question 7

Question
Which disorder includes intermittent explosive disorder and hair pulling disorder and is diagnosed after several discrete episodes of failure to resist aggressive impulses, with resultant assaults or destruction of property? The severity of the assault must be out of proportion to the precipitating psychosocial stressor.
Answer
  • A) Oppositional Defiant Disorder (ODD)
  • B) Conduct Disorder (CD)
  • C) Impulse Control Disorder
  • D) Anxiety Disorder
  • E) Mood Disorder

Question 8

Question
A child with recurrent thoughts, images, or impulses that are intrusive and inappropriate and/or repetitive behaviors or mental acts done to neutralize or reduce stress are behaviors exhibited when a child is diagnosed with which one of these disorders?
Answer
  • A) Oppositional Defiant Disorder (ODD)
  • B) Conduct Disorder (CD)
  • C) Impulse Control Disorder
  • D) Anxiety Disorder
  • E) Mood Disorder

Question 9

Question
The most useful type of assessment(s) for children with severe behavioral abnormalities for which specific family or behavior therapies are being considered include:
Answer
  • A) Standardized rating scales
  • B) Functional behavior analysis
  • C) Developmental assessment tools
  • D) a and b
  • E) b and c

Question 10

Question
The presence of a developmental disorder, especially intellectual impairment/disability, often alters the presentation of psychiatric disorders and makes accurate diagnosis of psychiatric disorders more difficult in children who have an intellectual impairment.
Answer
  • True
  • False

Question 11

Question
A behavior strategy described in Case-Smith, chapter 13, which helps children who are resistant to participating with a task they do not enjoy, has been established as a powerful behavior change technique and involves the contingent presentation of a consequence that increases the probability of a behavior occurring again is:
Answer
  • Meeting sensory needs
  • Positive reinforcement
  • Alternating preferred with non preferred activities
  • Token economies
  • Share control

Question 12

Question
Anthony is a fourth-grader in a typical classroom who demonstrates frequent oppositional behaviors. He does not yet have a diagnosis or receive special services. His teacher has noted that he does not do his work whenever verbal instructions are given to the class. When she approaches to offer assistance, he throws his work off his desk and yells at her to leave him alone. What is a possible external factor as described in Case-Smith chapter 13, which may be influencing his behavior?
Answer
  • Desire for control
  • Fatigue
  • Illness
  • Tasks demands greater than skill level

Question 13

Question
According to Case-Smith, chapter 13, preventing challenging behavior is:
Answer
  • A proactive approach to behavior management
  • A set of strategies that should only be used when problem behavior already exists
  • Dependent on the type of challenging behavior exhibited by the child
  • Very unlikely; it is better to use a punishment when a negative behavior occurs

Question 14

Question
Case-Smith, chapter 13, describes positive behavioral support (PBS) as interventions that:
Answer
  • Includes systems-wide approaches
  • Is prescribed according to a rigid protocol
  • Involves frequent use of punishment
  • Is implemented by only one adult

Question 15

Question
Which of the following is often intensive, used up to 40 hours per week and helps children perform socially significant behaviors through a reinforcement training technique? (Case-Smith, chapter 11)
Answer
  • Applied behavior analysis
  • Privacy circles
  • Emotions charades
  • Mind reading

Question 16

Question
Positive behavior during transitions can be supported through
Answer
  • Use of physical objects that represent the next activity
  • Verbal information offered to the entire classroom
  • Token economies
  • Building the child's expressive communication
  • Sharing control

Question 17

Question
Which of the following can be a useful tool for measuring social skills progress because of its ability to identify and measure progress toward very individualized goals, which may not be included in standard assessments? (Case-Smith chapter 11)
Answer
  • Child behavior checklist
  • Social communication questionnaire
  • Goal attainment scaling (GAS)
  • Social skills improvement system

Question 18

Question
The following are recommended in Case-Smith, chapter 13, as first steps in reducing the likelihood that problem behaviors will occur:
Answer
  • Creating a calm atmosphere
  • Praise for appropriate behavior
  • use "do" statement instead of "don't"
  • All of the above
  • None of the above

Question 19

Question
The majority of research on social skills and social skill interventions addresses children with which of the following diagnoses? (Case-Smith, chapter 11)
Answer
  • Autism spectrum disorder
  • Fetal alcohol spectrum disorder
  • Attention-deficit/hyperactivity disorder
  • Anxiety disorders

Question 20

Question
Which of the following is a method that can be used in social skills groups to promote self-regulation for children who have difficulty organizing sensation from their own bodies and from the environment? (Case-Smith, chapter 11)
Answer
  • Peer-mediated intervention
  • Self-determination
  • Sensory integration
  • Social cognitive

Question 21

Question
Children with mental health or behavioral disorders often exhibit limited social participation (Case-Smith, chapter 11).
Answer
  • True
  • False

Question 22

Question
Which of the following purposes; identified in Case-Smith, chapter 13, have been established by research to be four primary purposes for challenging behavior?
Answer
  • Avoid a situation or escaping from an undesired event
  • Cause pain to someone
  • Obtaining a desired object
  • Destroy something
  • a and c

Question 23

Question
Which of the following interventions for social skill development has the most evidence to support the effectiveness of its use for children with ASD? (Case-Smith, chapter 11
Answer
  • Video-modeling
  • Social scripts
  • Power cards
  • Social stories

Question 24

Question
Which statement is true regarding the functional behavioral assessment? (Case-Smith, chapter 13)
Answer
  • It should be conducted immediately when a challenging behavior first occurs.
  • It is loosely structured and allows each team member to focus on whatever he or she wants.
  • It can be conducted quickly by a single service provider who then shares the results with any other service providers working with the child.
  • It is a five step process to aid in developing an effective positive behavior support plan

Question 25

Question
Complete the following sentence. According to Case-Smith, chapter 13, all challenging behavior:
Answer
  • Is disruptive and annoying to others
  • Is a willful act of the child
  • Should be completely eliminated
  • Serves a purpose
  • Should be punished

Question 26

Question
Which of the following is used to help children identify which topics or activities are appropriate to discuss or to do with different people and in various settings?
Answer
  • A) Applied behavior analysis
  • B) Privacy circles
  • C) Emotions charades
  • D) Mind reading

Question 27

Question
Taking turns in conversation is an example of which type of social goal?
Answer
  • A) Demonstration of a specific social behavior
  • B) Awareness of social rules
  • C) Awareness of others
  • D) Executive function skills

Question 28

Question
Which of the following is a parent-based, cognitive-developmental approach to improve the child's mental development in social interactions?
Answer
  • A) Comic strip conversations
  • B) Incredible 5-point scale
  • C) Stress thermometer
  • D) Relationship development intervention

Question 29

Question
Which of the following focuses on the lack of self-organizing elements required in general learning?
Answer
  • A) Theory of mind
  • B) Central coherence
  • C) Joint attention
  • D) Executive dysfunction

Question 30

Question
Which of the following is often used up to 40 hours per week and helps children perform socially significant behaviors through a reinforcement training technique?
Answer
  • A) Applied behavior analysis
  • B) Privacy circles
  • C) Emotions charades
  • D) Mind reading

Question 31

Question
In a children's social skills group, strategies that allow the participants to make as many choices as possible to satisfy their needs for autonomy, competence, and relatedness are used. This group is most likely based on which of the following?
Answer
  • A) Peer-mediated intervention
  • B) Self-determination
  • C) Sensory integration
  • D) Social cognitive

Question 32

Question
Which of the following has the most evidence to support the effectiveness of its use for children with ASD?
Answer
  • A) Video-modeling
  • B) Social scripts
  • C) Power cards
  • D) Social stories

Question 33

Question
A strategy that involves the therapist and student identifying the problem, discussing the possible solutions and the consequences of those solutions, and then practicing the plan of action that the student chooses is called
Answer
  • A) Social autopsies
  • B) Coaching
  • C) SOCCSS
  • D) Alert program

Question 34

Question
In a children's social skills group, which of the following supports the idea that children learn by observing the behavior of others, which includes two phases: acquisition and performance?
Answer
  • A) Peer-mediated intervention
  • B) Self-determination
  • C) Sensory integration
  • D) Social cognitive

Question 35

Question
The preponderance of research on social skills and social skill interventions addresses children with which of the following diagnoses?
Answer
  • A) Autism spectrum disorder
  • B) Fetal alcohol spectrum disorder
  • C) Attention-deficit/hyperactivity disorder
  • D) Anxiety disorders

Question 36

Question
Which of the following is not an important characteristic of a successful social skills group?
Answer
  • A) Predictable schedule
  • B) Takes place at school
  • C) Parent involvement
  • D) Activities are graded to meet each child's needs.

Question 37

Question
One strategy for developing appropriate social skills focuses on a child's special interest or favorite character. This is
Answer
  • A) Video-modeling
  • B) Social scripts
  • C) Power cards
  • D) Social stories

Question 38

Question
Working on strategies to calm one's self is an example of which type of social goal?
Answer
  • A) Demonstrate specific social behavior
  • B) Awareness of social rules
  • C) Awareness of others
  • D) Executive function skills

Question 39

Question
Which of the following can be a useful tool for measuring social skills progress because of its ability to identify and measure progress toward very individualized goals, which may not be included in standard assessments?
Answer
  • A) Child behavior checklist
  • B) Social communication questionnaire
  • C) Goal attainment scaling (GAS)
  • D) Social skills improvement system

Question 40

Question
Which of the following is a method that can be used in social skills groups to promote self-regulation for children who have difficulty organizing sensation from their own bodies and from the environment?
Answer
  • A) Peer-mediated intervention
  • B) Self-determination
  • C) Sensory integration
  • D) Social cognitive

Question 41

Question
The most common etiological factor of ADHD is which of the following?
Answer
  • A) Genetics
  • B) Structural differences in the brain
  • C) Prenatal exposures to cigarette smoking
  • D) Low birth weight

Question 42

Question
Bailey is a 10-year-old fifth grade student who has a specific learning disability (SLD). In addition to her SLD, Bailey has difficulty utilizing self-regulatory strategies when she becomes frustrated in class. She also demonstrates difficulty with problem-solving and attending to tasks. Which associated impairment does Bailey experience?
Answer
  • A) Memory Impairment
  • B) Attention-Deficit/Hyperactivity Disorder
  • C) Executive Function Impairment
  • D) Emotional and Behavioral Disorders
  • E) Social Cognition Impairment

Question 43

Question
Zachary, a tenth grade high school student, frequently becomes unorganized at school, as he continuously loses track of his books when he is switching from one class to another. What accommodation would be beneficial for Zachary?
Answer
  • A) Keeping an extra set of books at home
  • B) Putting a checklist in Zachary's locker
  • C) Allowing Zachary to leave his books in the classroom (i.e. science book in science class, math book in math class)
  • D) Using audio books

Question 44

Question
The overall dropout rate of students with specific learning disabilities is two times the rate when compared to the general population. Which of the following statements best explains why this is?
Answer
  • A) Students with a SLD become frustrated and anxious when they attempt to meet task demands in school leading to poor self-image and withdrawal from school tasks.
  • B) Students find school boring and would rather work.
  • C) Students with a SLD have lower IQ scores, which impacts their ability to complete school tasks.
  • D) All of the above

Question 45

Question
When a learning disability is suspected, a psychoeducational evaluation identifying a student's strengths and areas of difficulty occurs.
Answer
  • True
  • False

Question 46

Question
Which approach has been a favorable method for identifying students with specific learning disabilities (SLD)?
Answer
  • A) Response to intervention (RTI)
  • B) Earlier identification and intervention
  • C) Focusing on student outcomes
  • D) Using an at-risk model for identifying students with a SLD

Question 47

Question
A child with a specific learning disability can also experience impairments that are associated with the learning disability. Which impairments can be associated with a learning disability?
Answer
  • A) Memory Impairment
  • B) Attention-Deficit/Hyperactivity Disorder
  • C) Executive Function Impairment
  • D) Emotional and Behavioral Disorders
  • E) All of the above

Question 48

Question
Early presentation of a specific math disability includes which of the following?
Answer
  • A) Difficulty with recalling and computing basic math facts
  • B) Difficulty reading a number line
  • C) Misuse of signs
  • D) Reading problems from left to right

Question 49

Question
Tommy is a 12-year-old seventh grade student who has difficulty with written expression during his classes. Which remedial and instructional technique would be helpful to Tommy?
Answer
  • A) Modified writing systems (using symbols)
  • B) Providing Tommy with a pencil grip
  • C) Allowing Tommy unlimited time for written expression tasks
  • D) Providing Tommy with verbal cues during written expression tasks

Question 50

Question
Tommy is a 12-year-old seventh grade student who has difficulty with written expression during his classes. Which remedial and instructional technique would be helpful to Tommy?
Answer
  • Handwriting Without Tears writing program
  • Providing Tommy with a pencil grip
  • Raised lined, or highlighted lined paper
  • Providing Tommy with verbal cues during written expression tasks

Question 51

Question
Johnny is a 7 year old boy who is in second grade. He has recently been diagnosed with the most commonly diagnosed form of ADHD. Throughout a school day, he experiences social impairment, increased internalizing (anxiety), and externalizing disorders (defiance). Lastly, Johnny has demonstrated academic underachievement. What form of ADHD was Johnny recently diagnosed with?
Answer
  • A) ADHD predominately inattentive type (ADHD-I)
  • B) ADHD combined type (ADHD-C)
  • C) ADHD predominately hyperactive/impulsive type (ADHD-HI)
  • D) ADHD not otherwise specified (ADHD-NOS)

Question 52

Question
Children who are taking medication to manage symptoms of ADHD can experience which of the following adverse effects?
Answer
  • A) Decreased appetite
  • B) Headaches
  • C) Stomachaches
  • D) Sleep problems
  • E) All of the above

Question 53

Question
A school age child with ADHD may have difficulty with which of the following skills utilized in school?
Answer
  • A) Verbal memory
  • B) Listening comprehension
  • C) Organization of verbal and written output
  • D) All of the above

Question 54

Question
Grace, an 8-year-old girl in third grade, often interrupts or intrudes on others during group work and recess. Also, when she is playing a game with others, she has difficulty waiting for her turn. Grace's behavior is can be considered which of the following?
Answer
  • A) Inattention/distractibility
  • B) Hyperactivity
  • C) Poor social skills
  • D) Impulsivity

Question 55

Question
Chloe is a 9-year-old girl who is in fourth grade who has ADHD. Chloe often fidgets with her hands and feet during class. She also frequently squirms in her seat. Chloe talks excessively in the classroom, at lunch, and at recess. Chloe's behavior can be described as which of the following?
Answer
  • A) Inattention/Distractibility
  • B) Sensory-seeker
  • C) Hyperactivity
  • D) Impulsivity

Question 56

Question
Which of the following forms of a learning disability is the most common?
Answer
  • A) Dyscalculia
  • B) Dysgraphia
  • C) Specific Reading Disability (SRD)/Dyslexia
  • D) Dyspraxia

Question 57

Question
Individuals with a SLD often have poor long-term outcomes.
Answer
  • True
  • False

Question 58

Question
Two thirds of children with ADHD will have a coexisting disorder.
Answer
  • True
  • False

Question 59

Question
According to Batshaw, 2013, how many children with ADHD will have a coexisting disorder?
Answer
  • More than half
  • one third
  • twenty five percent
  • one hundred percent

Question 60

Question
Maintaining self-esteem and social cognition is not important in preventing poor mental health outcomes in children with a SLD.
Answer
  • True
  • False

Question 61

Question
Johnny's mother has set up a meeting with the special education director to see if Johnny's diagnosis of ADHD would qualify him for an IEP. Will Johnny be eligible for an IEP?
Answer
  • A) Yes, his diagnosis of ADHD qualifies him
  • B) Yes, because Johnny has difficulty functioning throughout the school day
  • C) No, because ADHD is not one of the disabilities specifically included under IDEA
  • D) No, because Johnny was not diagnosed with ADHD predominately hyperactive/impulsive type (ADHD-HI)

Question 62

Question
Johnny’s mother has set up a meeting with the special education director to see if Johnny’s diagnosis of ADHD would qualify him for an IEP. According to the DESE (formerly DOE) categories of disabilities, which disability category would ADHD be included under?
Answer
  • Specific learning disability
  • Autism
  • Health
  • Developmental delay

Question 63

Question
Young adults with ADHD have fewer friendships and more social problems.
Answer
  • True
  • False

Question 64

Question
Types of AAC for individuals with a communication disorder include which of the following?
Answer
  • A) Sign language
  • B) Picture communication boards
  • C) Object symbols
  • D) Speech generating devices
  • E) All of the above

Question 65

Question
One strategy to improve the mealtime environment for children who have difficulty during mealtime is to
Answer
  • A) Have the child eat with a group of individuals because the child will see others eating.
  • B) Allow the child to watch T.V. during mealtime.
  • C) Have the child eat in a 1:1 environment to decrease distractions.
  • D) Provide the child with little to no attention during mealtime.

Question 66

Question
Grace is a 10-year-old girl who displays oral defensiveness. What is a common feeding issue for children who are sensitive to particular foods?
Answer
  • A) Aspiration
  • B) Food Pocketing
  • C) Increased oral losses
  • D) Gastroesophageal Reflux (GER)

Question 67

Question
Lucy is an 8-year-old girl who has breathing difficulties such as severe wheezing. She has been referred for an OT evaluation to increase her endurance for classroom related tasks and for weak fine motor skills. As part of your data collection for the evaluation, you decide to observe Lucy during lunchtime. Given Lucy's breathing difficulties, what might you observe during lunchtime?
Answer
  • A) Lucy may have difficulty grasping her utensils as a result of weak fine motor skills
  • B) Lucy may start to drool when eating due to her increased respiratory rate.
  • C) Lucy may refuse to eat her lunch because she is sensitive to certain foods.
  • D) Lucy may not have the oral motor abilities to chew her food.

Question 68

Question
Which phase of swallowing is most effected by growth and development as a result of increased acquisition of oral motor skills?
Answer
  • A) Pharyngeal Transfer Phase
  • B) Oral Transport Phase
  • C) Oral Preparatory Phase
  • D) Mastication Phase

Question 69

Question
Around what age does an infant produce his or her first words?
Answer
  • A) 12 months
  • B) 18 months
  • C) 9 months
  • D) 7 months

Question 70

Question
Danny is a 3-year-old boy who receives 1:1 OT services in order to increase his oral motor skills for feeding and to address his oral defensiveness during feeding. The OT is planning a feeding session with Danny. How should the OT properly position the child for the feeding session?
Answer
  • A) The child should be firmly supported through the trunk and hips (90-90) and the head and neck should be slightly extended.
  • B) The child's trunk and hips should be slightly flexed with the head and neck slightly extended.
  • C) The child should be firmly supported through the trunk and hips (90-90) and the head and neck should be slightly flexed.
  • D) The child should be firmly supported through the trunk and hips (90-90) and the head and neck should be aligned in neutral.

Question 71

Question
Tony has spastic CP and has weak oral pharyngeal musculature as a result of his abnormal tone. When Tony is eating, he tends to be a "messy-eater" because he frequently loses food from his mouth. What might this be due to?
Answer
  • A) Poor lip closure or jaw instability
  • B) Frequent coughing and gagging
  • C) Food refusal
  • D) Oral defensiveness

Question 72

Question
Andy is a 6-year-old student who has Autism. Andy has difficulty requesting his interests, selecting choices for food, and telling stories. Which AAC system would Andy benefit from the most?
Answer
  • A) Picture communication board
  • B) Sign language
  • C) Speech generating device
  • D) Adapted books

Question 73

Question
Thickening of liquids can allow a child more time to organize and initiate a swallow and can be beneficial in slowing down a child's overall swallowing flow.
Answer
  • True
  • False

Question 74

Question
After Angela has finished breaking up her food and forming a bolus, her tongue will transport the bolus to the back of her throat. What is this next swallowing phase that will occur?
Answer
  • A) Pharyngeal Transfer Phase
  • B) Oral Transport Phase
  • C) Oral Preparatory Phase
  • D) Mastication Phase

Question 75

Question
Angela is having grapes for a snack at school. During which phase is Angela breaking up food and forming a bolus with her tongue?
Answer
  • A) Pharyngeal Transfer Phase
  • B) Oral Transport Phase
  • C) Oral Preparatory Phase
  • D) Mastication Phase

Question 76

Question
For a child to become a candidate for an AAC system, the child must have the met pre-requisites such as cognitive milestones and strengths in receptive language abilities.
Answer
  • True
  • False

Question 77

Question
Jezenia is a 7-year-old kindergarten student who has a communication disorder. Specifically, she has articulation difficulties. What type of communication disorder does Jezenia have?
Answer
  • A) Language Disorder
  • B) Fluency Disorder
  • C) Speech Disorder
  • D) Hearing Disorder

Question 78

Question
Mark is beginning to utilize rotatory jaw movements when eating. At what age does rotatory jaw movements emerge?
Answer
  • A) 9 months
  • B) 6 months
  • C) 12 months
  • D) 18 months

Question 79

Question
What is the first step in evaluating a child's feeding problems?
Answer
  • Observe the parent feeding the child crackers and juice.
  • Interpret the results of a modified barium swallow study.
  • Ask parents and caregivers questions about feeding, eating, and swallowing.
  • Observe the symmetry, size, and range of motion of the jaw and gums.

Question 80

Question
Which pattern of behaviors reflects oral hypersensitivity?
Answer
  • Gags frequently, limited variety of foods, refuses tooth-brushing
  • Coughing when swallowing, eats a large variety of foods, enjoys self-feeding
  • Difficulty chewing textured foods, decreased jaw strength, poor tongue mobility
  • Mouths objects, history of pica, drooling

Question 81

Question
Which sequence best describes the progression of food texture from easiest to most difficult?
Answer
  • Various table foods, puréed, soft foods, raw vegetables, and meat
  • Puréed, various table foods, soft foods, raw vegetables, and meat
  • Soft foods, various table foods, raw vegetables, puréed, and meat
  • Puréed, soft foods, various table foods, raw vegetables, and meat

Question 82

Question
Which sequence represents the correct phases of swallowing?
Answer
  • Oral, oral preparatory, pharyngeal, esophageal
  • Oral preparatory, oral, esophageal, pharyngeal
  • Oral, esophageal, oral preparatory, pharyngeal
  • Oral preparatory, oral, pharyngeal, esophageal

Question 83

Question
Which intervention activity would be recommended for a child with poor oral sensory awareness?
Answer
  • Provide foods with lumpy textures and sweet flavors
  • Provide foods with strong flavors and cold temperatures
  • Provide puréed foods only at cold temperatures
  • Provide bland foods at warm temperatures
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