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Social Isolation in the Older Adult

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1.  Where does age-related hearing loss fall in the progression of adult body change?
  1. The last thing to go
  2. The first thing to go
  3. Later in the progression
  4. Typically becomes clinically significant about the same time as vision changes
2.  Normalization/Passive Acceptance:
  1. Is the same thing as denial
  2. Reflects a total lack of awareness to the presence of hearing changes
  3. Is simple to manage, compared to denial
  4. Reflects a lack of motivation about what the patient is missing
3.  The concept of healthy aging or successful aging includes factors such as:
  1. Free from disease
  2. Maintaining effective social contacts
  3. Free from cognitive decline
  4. All of the above
4.  In reference to Friends compared to Family:
  1. Maintaining friendships for the older adult takes effort
  2. The dynamics of relationships are identical between the two groups
  3. Older adults collect more friends as they get older
  4. The typical depth of relationships gets more shallow
5.  Once hearing loss is suspected:
  1. It takes an average of seven years to act
  2. The distribution of time-to-take-action is bi-modal
  3. Time-to-take-action likely reflects different mindsets in different people
  4. A significant portion of patients will take action within the first two years
  5. All of the above
6.  Isolation in the older adult with untreated hearing loss:
  1. Is always a conscious decision by the patient
  2. May be inter-related with other life factors beyond the hearing loss
  3. Helps the person become more self-reliant, and thus more healthy
  4. All of the above
7.  Motivational Interviewing:
  1. Has no relevance in the fields of hearing aids ... it is only useful for substance abuse situations
  2. Prepares the clinician to tell the patient what is best for him/her.
  3. Emphasizes having the patient make a positive, constructive decision based on goals and options
  4. Is the same thing as "twelve step"
8.  The noisiness of a sound environment:
  1. Completely predicts the patient's perception of successful versus unsuccessful communication
  2. Is totally determined by overall level
  3. Is only considered noisy if there is non-speech sources of competition
  4. Is affected by whether or not the patient wants to communicate in that environment
9.  Lifestyle charts or checklists:
  1. Are a precise guide to the selection of appropriate technology
  2. Do not account for the value of specific situations to the patient
  3. Lead to increase use of the most sophisticated solutions
  4. Accurately reflect the true nature of specific complex environments
10.  In reference to the COSI:
  1. It is recommended by the presenter to include a "who" component into the listed goals
  2. Will lead the fitting process astray
  3. Should not be used because it is not standardized
  4. Provides no real insight into what the patient truly wants

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