Praxis SLP Licensure Exam

In treating early-stage vocal fold nodules, which approach is considered appropriate?

1. Confident voice usage

2. Laryngeal massage

3. Pushing/pulling exercises

4. Surgical intervention

The correct answer is: Confident voice usage

In the treatment of early-stage vocal fold nodules, promoting confident voice usage is considered an appropriate approach. This strategy involves encouraging individuals to use their voice effectively without strain or overexertion, thereby reducing the likelihood of further irritation to the vocal folds. Building confidence in voice use can also assist in fostering healthy vocal habits and ensuring that the person feels secure in expressing themselves vocally. Confident voice usage aids in establishing a sense of control over vocal output, which can be particularly beneficial for individuals who may have developed maladaptive speaking patterns due to voice disorders. By reinforcing positive vocal behaviors, individuals can gradually improve their vocal quality while allowing the nodules to heal naturally. Other approaches, such as laryngeal massage, pushing/pulling exercises, and surgical intervention, may be used in different contexts or stages, particularly if the nodules progress or do not respond to less invasive treatments. However, for early-stage nodules, focusing on confidence in voice usage is typically the first step in treatment to promote recovery and establish sustainable vocal practices.