Which statements by a client alert the nurse that the client may have some psychosocial issues with impaired hearing? (Select all that apply.)
a. "I get so angry when I cannot hear what my daughter says."
b. "When I use my hearing aids, I hear the choir so clearly."
c. "I don't mind sitting in my chair all day long and not playing bingo."
d. "My family never seems to visit anymore because their voices all seem so distant."
e. "No one asks my opinion because I cannot hear their question."
f. "My grandchildren do not think that I am funny anymore because I cannot hear their jokes."
A, C, D, E, F
The client may become angry, frustrated, and depressed by an inability to hear and may respond appropriately. The inability to hear often isolates the client from the world, as depicted by sitting in a chair all day long, the perception of the family being distant, and no one asking for an opi-nion or joking around. The nurse must be sensitive to the depression resulting from the sensory isolation of hearing loss. If hearing aids are working so that the client can clearly hear a choir, psychosocial issues may be less of a problem.
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