The nurse notes that the health care provider has documented a diagnosis of presbycusis on a client's chart. The nurse understands that which describes this condition?

a) "Cochlear implants cannot enable you to discriminate speech." Cochlear implants improve the ability to hear and discriminate speech, especially in individuals with severe to profound hearing loss. The statement is inaccurate.
b) "Complications of cochlear implant are often disabling." While cochlear implants may have risks such as infection or device failure, these complications are typically not disabling and can often be addressed with medical intervention.
c) "Results vary from minimal to excellent improvement in hearing." The effectiveness of cochlear implants varies from patient to patient. Some individuals experience significant improvement in hearing and speech discrimination, while others may have minimal benefits, depending on factors such as age, duration of deafness, and overall health.
d) "This procedure restores perfect hearing in 99% of patients." Cochlear implants do not restore perfect hearing. While they can significantly improve hearing in many cases, the degree of improvement varies, and not all patients achieve perfect hearing.

a) Move his or her finger slowly toward the patient's nose: This is an appropriate action for testing accommodation, as it assesses the ability of the eyes to converge and maintain focus on the object as it moves closer.
b) Checking for a nystagmus: This is not directly related to accommodation, though nystagmus can be observed in other assessments for visual and neurological conditions.
c) Assess for convergence: Convergence is part of the accommodation process. It involves the eyes turning inward to focus on a near object.
d) Observe for pupillary constriction: Pupillary constriction is a key part of the accommodation response when focusing on a near object.
e) Note blinking: This is not necessary for assessing accommodation. Blinking can occur for various reasons but is not a direct sign of accommodation.
f) Hold his or her finger approximately 20 inches in front of the patient's eyes: For accommodation testing, the object should be moved closer, typically within 6-8 inches from the eyes.