An older adult client reports noticing an increased difficulty hearing over the past year. The client explains that words often sound garbled and the end of sentences are often missed. Which follow up question is best for the nurse to ask?
"Have you ever considered being evaluated for a hearing aid?"
"Do you have a history of ear infections?"
"Is this hearing loss accompanied by any loss of balance?"
"How is this hearing loss interfering with your daily activities of living?"
The Correct Answer is D
Rationale:
A. "Have you ever considered being evaluated for a hearing aid?": Suggesting a hearing aid too early may feel dismissive and presumes a diagnosis without a full assessment. First, the nurse needs to understand the impact and specifics of the hearing loss before recommending interventions like hearing aids.
B. "Do you have a history of ear infections?": A history of ear infections is relevant because recurrent infections can lead to conductive hearing loss. However, the pattern described—garbled words and missed sentence endings—suggests possible sensorineural hearing loss (presbycusis), making a broader functional assessment more appropriate first.
C. "Is this hearing loss accompanied by any loss of balance?": Hearing loss combined with balance issues could suggest vestibular involvement. However, in the absence of the client mentioning dizziness or falls, the more pressing need is to assess how hearing difficulties are impacting daily functioning and quality of life.
D. "How is this hearing loss interfering with your daily activities of living?": Understanding how the hearing loss affects activities of daily living helps the nurse assess the severity and functional impact. This client-centered approach guides both the urgency of intervention and the planning of supportive resources to enhance the client’s quality of life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. "Have you ever considered being evaluated for a hearing aid?": Suggesting a hearing aid too early may feel dismissive and presumes a diagnosis without a full assessment. First, the nurse needs to understand the impact and specifics of the hearing loss before recommending interventions like hearing aids.
B. "Do you have a history of ear infections?": A history of ear infections is relevant because recurrent infections can lead to conductive hearing loss. However, the pattern described—garbled words and missed sentence endings—suggests possible sensorineural hearing loss (presbycusis), making a broader functional assessment more appropriate first.
C. "Is this hearing loss accompanied by any loss of balance?": Hearing loss combined with balance issues could suggest vestibular involvement. However, in the absence of the client mentioning dizziness or falls, the more pressing need is to assess how hearing difficulties are impacting daily functioning and quality of life.
D. "How is this hearing loss interfering with your daily activities of living?": Understanding how the hearing loss affects activities of daily living helps the nurse assess the severity and functional impact. This client-centered approach guides both the urgency of intervention and the planning of supportive resources to enhance the client’s quality of life.
Correct Answer is D
Explanation
Rationale:
A. Excess vellus hair: Vellus hair is fine, short, unpigmented hair that covers most of the body. It is not related to hair dye use and would not be a typical finding when assessing the scalp hair of someone who frequently dyes their hair.
B. Receding front hairline: A receding hairline is usually related to hormonal changes, aging, or genetic predisposition rather than the direct effects of frequent hair dyeing. Hair dye may damage hair texture, but it does not typically cause patterned hair loss at the hairline.
C. Fine, thin, limp texture: Fine and limp hair is often linked to factors like genetics, aging, or nutritional deficiencies. While hair dye can weaken hair, the more expected result from repeated chemical exposure is a coarse, dry, and brittle texture rather than a limp appearance.
D. Coarse, dry, brittle texture: Frequent chemical dyeing damages the hair cuticle, leading to dryness, roughness, and increased fragility. Palpating the client's scalp would likely reveal hair that feels coarse and brittle, consistent with the effects of long-term chemical processing.
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