A 72-year-old client visits the clinic complaining of difficulty hearing conversations, especially in noisy en…

Question

A 72-year-old client visits the clinic complaining of difficulty hearing conversations, especially in noisy environments. Which assessment finding would the nurse expect to identify as most characteristic of presbycusis?

Accepted Answer

보기 4: High-frequency hearing loss with difficulty hearing consonants

Presbycusis typically presents as high-frequency hearing loss, making consonants difficult to hear, especially in noise. Other options describe conductive, sudden, or low-frequency losses not characteristic of age-related presbycusis.

Answer

보기 1: Conductive hearing loss with normal bone conduction

Answer

보기 2: Sudden onset of unilateral hearing loss with tinnitus

Answer

보기 3: Low-frequency hearing loss affecting speech recognition

Type of Hearing Loss	Presbycusis (Age-Related)	Conductive Hearing Loss	Meniere's Disease (Early)
Pathology Location	Inner ear (Cochlea) / Auditory nerve (Sensorineural)	Outer or Middle ear	Inner ear (Endolymphatic hydrops)
Onset	Gradual, progressive	Can be sudden or gradual	Episodic, with sudden attacks
Frequency Loss Pattern	High-frequency loss first	Often affects all frequencies	Often low-frequency loss initially
Key Associated Symptoms	Difficulty with speech discrimination	Ear fullness, possible ear pain	Vertigo, tinnitus, aural fullness

성장을 멈추지 마세요

A 72-year-old client visits the clinic complaining of difficulty hearing conversations, especially in noisy environments. Which assessment finding would the nurse expect to identify as most characteristic of presbycusis?

마이메르시로 국가고시 완벽 대비