Which of the following is NOT included in the scope of practice for speech-language pathologists?

The correct response is that reading comprehension is not typically included in the scope of practice for speech-language pathologists in the same way that speech sound disorders, fluency, and cognition are.

Speech-language pathologists (SLPs) are primarily focused on assessing and treating communication and swallowing disorders. This includes a range of elements: speech sound disorders involve the correct production of sounds and managing articulation; fluency pertains to the flow of speech, including stuttering and other disruptions; and cognition encompasses the cognitive aspects of communication, such as memory, attention, and problem-solving skills relevant to communication.

While reading comprehension is certainly linked to communication and may overlap with the work of educational professionals or literacy specialists, the direct assessment and treatment of reading abilities fall more squarely within the realm of educators or specialized reading interventionists. SLPs can address aspects of language that contribute to literacy skills, such as phonological awareness, which is foundational for reading; however, the broad assessment and targeted intervention of reading comprehension itself is not a primary responsibility under the practice of SLPs. Therefore, the focus on direct communication and swallowing disorders clarifies why reading comprehension is viewed as outside the main scope of practice for speech-language pathologists.