Question 1

An older client reports to a nurse, "My daughter says there is something wrong with my hearing. I am not so sure. Yes, I have some problems hearing, but I am 78 years old. What does she expect? I noticed that at Christmas dinner, with all the racket around, I had some trouble. I think it is that my granddaughters mumble a lot, just like all young people. I guess it has been getting steadily worse; it seems to be both ears as well." Based on the client's description, the nurse suspects which of the following?

Accepted Answer

A)   Presbycusis
B)   Otosclerosis
C)   Tinnitus
D)   A perforated eardrumE) B) and D)
F) None of the above

Question 2

An older person reports hearing whistling in both ears when no external sounds are present and is diagnosed with tinnitus. Which of the following are causes of tinnitus? (Select all that apply.)

Accepted Answer

A)   Exposure to loud noises
B)   Use of a hearing aid
C)   Cerumen buildup
D)   Side effects of medications
E)   Age-related changes in the middle and inner earF) None of the above
G) A) and B)

Question 3

An older nursing home resident reports that her hearing loss is getting worse. What is the first action of the nurse?

Accepted Answer

A)   Refer the resident for an evaluation for a hearing aid
B)   Raise her voice when speaking to the resident
C)   Examine the resident's ears for cerumen impaction
D)   Teach the resident to read lipsE) B) and C)
F) A) and D) C

Question 4

A 74-year-old client who has experienced a progressive loss of hearing acuity in recent years obtains a new hearing aid. Which of the following should be included in the nurse's teaching plan?

Accepted Answer

A)   "Many people find that hearing aids only help with certain types of hearing loss that are caused by previous noise exposure."
B)   "With the right hearing aid, you can expect your hearing to be back to normal."
C)   "Hearing aids are covered by Medicare Part B."
D)   "Even though hearing aids will help you, they also bring challenges like distorted speech and amplified background noise."E) A) and B)
F) A) and C) D

Question 5

An older patient asks a nurse, "My doctor referred me to a hearing specialist who thinks that surgery for a cochlear implant may be beneficial for me. Can you tell me how one of those things works?" The nurse formulates a response based on the knowledge that:

Accepted Answer

A)   a cochlear implant is permanent, surgically-implanted hearing aid.
B)   a cochlear implant speeds up the conduction of sound to the auditory nerve.
C)   a cochlear implant functions as an artificial auditory nerve.
D)   a cochlear implant directly stimulates the auditory nerve.E) A) and B)
F) C) and D) D

Question 6

A nurse in an assisted living community notes that one of the residents who has hearing impairment and new bilateral hearing aids frequently does not wear the hearing aids. The nurse knows that which of the following factors contribute to low hearing aid use after purchase? (Select all that apply.)

Accepted Answer

A)   Difficulty placing hearing aid properly in the ear
B)   Stigma associated with wearing a hearing aid
C)   Difficulty changing the batteries in the hearing aid
D)   Ineffectiveness of hearing aids for individuals with age-related hearing loss
E)   Hearing annoying loud noisesF) A) and B)
G) C) and D)

Question 7

An older patient is diagnosed with sensorineural hearing loss. The nurse knows that causes of sensorineural hearing loss include: (Select all that apply.)

Accepted Answer

A)   tumors of the middle ear.
B)   cerumen impaction.
C)   infections of the external and middle ear.
D)   age-related hearing impairment.
E)   excessive and loud noise.F) None of the above
G) A) and D)

Exam 12: Hearing

Correct Answer
verified

An older person reports hearing whistling in both ears when no external sounds are present and is diagnosed with tinnitus. Which of the following are causes of tinnitus? (Select all that apply.)

Correct Answer
verified

An older nursing home resident reports that her hearing loss is getting worse. What is the first action of the nurse?

Correct Answer
verified
C

A 74-year-old client who has experienced a progressive loss of hearing acuity in recent years obtains a new hearing aid. Which of the following should be included in the nurse's teaching plan?

Correct Answer
verified
D

An older patient asks a nurse, "My doctor referred me to a hearing specialist who thinks that surgery for a cochlear implant may be beneficial for me. Can you tell me how one of those things works?" The nurse formulates a response based on the knowledge that:

Correct Answer
verified
D

A nurse in an assisted living community notes that one of the residents who has hearing impairment and new bilateral hearing aids frequently does not wear the hearing aids. The nurse knows that which of the following factors contribute to low hearing aid use after purchase? (Select all that apply.)

Correct Answer
verified

An older patient is diagnosed with sensorineural hearing loss. The nurse knows that causes of sensorineural hearing loss include: (Select all that apply.)

Correct Answer
verified

Exam 12: Hearing

Correct AnswerverifiedShow Answer

An older person reports hearing whistling in both ears when no external sounds are present and is diagnosed with tinnitus. Which of the following are causes of tinnitus? (Select all that apply.)

Correct AnswerverifiedShow Answer

An older nursing home resident reports that her hearing loss is getting worse. What is the first action of the nurse?

Correct AnswerverifiedC

A 74-year-old client who has experienced a progressive loss of hearing acuity in recent years obtains a new hearing aid. Which of the following should be included in the nurse's teaching plan?

Correct AnswerverifiedD

An older patient asks a nurse, "My doctor referred me to a hearing specialist who thinks that surgery for a cochlear implant may be beneficial for me. Can you tell me how one of those things works?" The nurse formulates a response based on the knowledge that:

Correct AnswerverifiedD

A nurse in an assisted living community notes that one of the residents who has hearing impairment and new bilateral hearing aids frequently does not wear the hearing aids. The nurse knows that which of the following factors contribute to low hearing aid use after purchase? (Select all that apply.)

Correct AnswerverifiedShow Answer

An older patient is diagnosed with sensorineural hearing loss. The nurse knows that causes of sensorineural hearing loss include: (Select all that apply.)

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified
D

Correct Answer
verified
D

Correct Answer
verified

Correct Answer
verified