A confrontation naming score below norms can indicate naming difficulty, but what cannot be determined from this score alone?

• A. It confirms a precise aphasia subtype.
• B. It rules out aphasia.
• C. It indicates a memory impairment.
• D. What therapeutic approach is needed.

Answer: (D)

A single confrontation naming score shows whether someone has trouble retrieving words when naming pictures, but it doesn’t tell you what therapy to use. Treatment decisions depend on a full language profile—how the person performs across naming, comprehension, repetition, fluency, and other cognitive skills; the cause and severity of the impairment; daily communication goals; and overall prognosis. So while the score flags a naming problem, it cannot specify a therapeutic approach. The score also cannot by itself pinpoint an aphasia subtype, cannot rule in or out aphasia on its own, and cannot determine memory issues; those require broader evaluation.