A nurse is assessing a 65-year-old client who reports difficulty hearing conversations in noisy environments b…

Question

A nurse is assessing a 65-year-old client who reports difficulty hearing conversations in noisy environments but can hear pure tones during audiometry testing. Which assessment finding would be most indicative of central hearing loss?

Accepted Answer

보기 3: Normal audiogram with poor speech discrimination in noise

Central hearing loss involves dysfunction in auditory processing pathways, leading to poor speech discrimination in noise despite normal pure tone thresholds on audiometry. Other options represent peripheral hearing loss types (conductive or sensorineural) with different assessment findings.

Answer

보기 1: Bilateral conductive hearing loss on Weber test

Answer

보기 2: Sensorineural hearing loss with high-frequency deficit

Answer

보기 4: Unilateral hearing loss with positive Rinne test

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A nurse is assessing a 65-year-old client who reports difficulty hearing conversations in noisy environments but can hear pure tones during audiometry testing. Which assessment finding would be most indicative of central hearing loss?

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