The most detrimental illness or condition that an older adult with prelingual deafness can experience is which of the following?
a. Aphasia
b. Cataracts
c. Glaucoma
d. Osteoarthritis
B
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A Incorrect. The type of aphasia has the potential to affect the individual's life; however, with adequate vision, some means of communication remain viable.
B Correct. Cataracts can have a potentially devastating impact on the life of an in-dividual with prelingual deafness because sign language is the primary source for communication. Without the ability to read signing or lips accurately, the older adult who has a cloudy lens is unable to receive communication except by Braille.
C Incorrect. Glaucoma would not devastate the individual's ability to read sign language unless blindness occurred. Effective treatment should help to maintain the individual's baseline visual acuity.
D Incorrect. Osteoarthritis can make signing more difficult for an individual with prelingual deafness, but it is not nearly as devastating to the ability to commu-nicate as a cloudy lens from cataracts.
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