An older nursing home resident reports that her hearing loss is getting worse. What is the first action of the nurse?
a. Refer the resident for an evaluation for a hearing aid
b. Raise her voice when speaking to the res-ident
c. Examine the resident's ears for cerumen impaction
d. Teach the resident to read lips
ANS: C
When hearing loss is suspected or a person with existing hearing loss experiences increasing dif-ficulty, it is important to first check for cerumen impaction. Hearing aids are not the first inter-vention since the cause of the hearing loss has not been determined. Hearing aids do not help all type of hearing losses. Raising one's voice is not effective; it often makes hearing more difficult. Lip reading may be a useful skill for an individual with hearing loss, but it is critical to first as-certain what the cause of the hearing loss is.
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