The incidence of hearing loss in a long-term care facility is ...

[Charlie]

The incidence of hearing loss in a long-term care facility is high, especially among white men. What strategy should care providers adopt when communicating with older adults who have hearing loss?
 
  A) Use less complex concepts when communicating with hearing-impaired older adults.
  B) Use a high, consistent tone and pitch when speaking to adults with hearing loss.
  C) Speak at a high volume directly into the less affected ear when talking to an older adult with a hearing deficit.
  D) Make eye contact before and during a conversation with hearing-impaired adults.

Question 2

As part of a comprehensive physical assessment of an older adult client, a nurse is performing an otoscopic examination. Which of the following assessment findings most clearly warrants further assessment and possible intervention?
 
  A) There is a small amount of cerumen visible in the ear canal.
  B) The epithelial lining is bright red.
  C) The tympanic membrane is intact.
  D) The tympanic membrane is a pearl-gray color.

[BAOCHAU2803]

Answer to Question 1

Ans: D
Eye contact helps facilitate communication with individuals who have hearing loss. It is unnecessary, and likely inappropriate, to simplify the content of conversations, and a low tone is more beneficial than a high tone. It is not normally necessary to speak directly into the ear of the older adult.

Answer to Question 2

Ans: B
Bright red epithelial lining in the ear is an abnormal finding; the lining should be pinkish white. A small amount of cerumen and an intact, pearl-gray tympanic membrane are expected findings.

[Charlie]

TY

[BAOCHAU2803]

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