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Fluency items on the Praxis 5331 test your ability to differentiate typical disfluency from stuttering, choose age-appropriate intervention (Lidcombe for preschool, stuttering modification for school-age/adults), and counsel on affective/cognitive components.
Try answering before revealing the rationale — mark misses to retry later.
Q1.Which intervention has the strongest evidence for preschool children who stutter?
Correct: C. The Lidcombe Program is the most-researched, evidence-based intervention for preschool children who stutter. It uses parent-delivered contingent verbal feedback in daily 10-15 min sessions.
Q2.A 30-year-old adult client wants to stutter more easily rather than eliminate stuttering. The MOST appropriate approach is:
Correct: B. Stuttering modification (Van Riper) helps the client stutter more easily and openly — matching this client's goal. Fluency shaping targets replacing stuttering with fluent speech patterns.
Q3.Which disfluency type is MOST characteristic of stuttering vs typical disfluency?
Correct: C. Blocks and prolongations are stuttering-like disfluencies. Whole-word repetitions, revisions, and interjections are typical disfluencies and do not distinguish stuttering.
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Is stuttering ever the fault of parents?
No — modern evidence points to neurobiological etiology. Praxis will never endorse blaming the family.
When is Lidcombe not appropriate?
For school-age and older clients who need stuttering modification or a hybrid approach — Lidcombe is preschool-specific.
What is OASES?
The Overall Assessment of the Speaker's Experience of Stuttering — measures affective and cognitive impact, not just observable disfluency.