An older adult client is being admitted to an assisted living residence facility. Which nursing intervention best initially assesses the client's hearing?
a. The client's reaction when the telephone rings is documented by the nurse
b. The nurse asks the client to, "Adjust the television volume to a comfortable level."
c. The nurse asks, "Do you think you have a hearing problem?"
d. The client is asked whether they wear glasses or a hearing aide
ANS: C
An appropriate intervention and one considered an essential part of primary care for older adults, is to simply ask the question: Do you feel you have a hearing loss? This question has been shown to have reasonable sensitivity and specificity for hearing impairment. The vol-ume of the television and the response to a ringing telephone can be affected by variables other than hearing loss. The question regarding glasses and a hearing aide can be perceived as insensitive.
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