When assessing an older adult client, the nurse recognizes the client

QUESTION

When assessing an older adult client, the nurse recognizes the client has a significant hearing loss. The most appropriate intervention by the nurse is to

a. introduce herself first.
b. shout into the client’s good ear.
c. repeat words the client doesn’t understand.
d. check the hearing aid batteries.

ANSWER:

ANS: D
Adaptive strategies for hearing loss include helping older adults adjust hearing aids. Older adults lack fine-motor dexterity and may not be able to insert aids correctly to amplify hearing. The nurse should make sure hearing aids are turned on. If difficulties persist, the nurse should check the batteries. Adaptive strategies for hearing loss also include addressing the person by name before beginning to speak (it focuses attention) and speaking slowly and distinctly. If the nurse’s voice is high pitched, the nurse should lower it and rephrase rather than repeat words if the older adult doesn’t understand certain words.