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Aural Rehabilitation for the Older Adult

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1.  Hearing loss in the elderly is
  1. Often best characterized as a flat audiogram configuration
  2. The number one chronic condition in this population
  3. Most commonly the result of a lifetime of noise exposure
  4. More common among men than women
2.  One older person is able to recite correctly 5 consecutive digits after hearing a talker speak 10 in a row whereas another person is able to recite 7. These two individuals differ in their
  1. Attention
  2. Auditory processing capabilities
  3. Processing Speed
  4. Working memory
3.  Which of the following statements is true about cochlear implants and older persons?
  1. Older persons are at higher risk for surgical complications that are younger persons
  2. Duration of deafness and speech recognition skills are good predictors of benefit
  3. Older cochlear implant recipients have been shown to have less motivation to engage in conversations than do younger cochlear implant recipients
  4. Age is a good predictor of benefit
4.  Which is a reason an older person may opt not to use an ALD?
  1. Vanity
  2. Belief that degree of hearing loss does not warrant use
  3. Secondary health issues
  4. All of the above
5.  Depending on a variety of factors, an older person with a cochlear implant may not demonstrate a plateau in listening skills until
  1. 5 years post activation
  2. 2 years post activation
  3. 1 year post activation
  4. 6 months post activation
6.  Mr. Pierce has arrived at your clinic for an assessment prior to engaging in some aural rehabilitation. Which of the following questions will help you to identify listening goals and priorities?
  1. Tell me about the types of activities you like to do?
  2. Tell me about the problems you experience when participating in these activities?
  3. Tell me about the activities you would like to do that you have stopped doing?
  4. B and C
7.  One challenge in providing an in-service to personnel in a nursing facility is that
  1. Nursing homes do not respond to the needs of persons who have hearing loss
  2. Varying work shifts make scheduling difficult
  3. Nursing home directors are not aware of aural rehabilitation
  4. The information will most likely be too difficult for nursing staff to understand
8.  An older adult is unable to understand the news broadcasts on television. She has normal thresholds bilaterally. This difficulty may be more indicative of
  1. An activity limitation
  2. A participation restriction
  3. An auditory processing deficit
  4. A working memory deficit
9.  Older Adults who are able to enroll in post sensory management aural rehabilitation sessions might benefit from
  1. Group sessions
  2. Group sessions with their frequent communication partners
  3. Counseling-based programs
  4. Any of the above
10.  The first stage of developing a post sensory management aural rehabilitation plan is to determine a patient's
  1. Auditory memory and processing
  2. Stage of dementia and any vision difficulties
  3. Activity limitations and participation restrictions
  4. Self-sufficiency and self-concept

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