Title: HIS 125 Quiz 5.2
Course: 14SP-HIS-125-GWA1-HEARING & AUDITORY DISORDERS > Section: Dropbox

Q: A patient/client has been wearing new hearing instruments for five months.  During a follow-up visit, the spouse indicates that the patient/client has had trouble understanding speech in a small group setting.   A listening check of the hearing instruments reveals that the hearing instrument is set to the lowest volume setting (1).  The computer settings indicate that the hearing instrument should be set to level 3 to meet speech mapping goals for this patient/client.  <br>What are the two most important issues to discuss with the patient/client to remind them that the fitting process is only the beginning of journey in adapting to hearing aids?
- review user manual and need to replace hearing aids often
- wearing schedule and review user manual
- ask for referrals and wearing schedule
- wearing schedule and ask for referrals
A: wearing schedule and review user manual

Q: Which benefit is provided by a patient's/client's use of a telecoil?
- provides access to an assistive listening loop
- can be an on/off switch for the hearing instrument
- provides an increase in high frequencies
- provides a decrease in hearing instrument output
A: provides access to an assistive listening loop

Q: Upon entering your office, the patient/client makes hand gestures at you when you start asking for medical history.  The hand waving might mean that the person ______:
- is excited.
- is upset.
- is trying to communicate using manual signals.
- has a speech problem.
- is malingering.
A: is trying to communicate using manual signals.

Q: A 62-year old male musician with a bilateral symmetrical flat loss, which appears sensorineural in nature, is currently wearing a single channel programmable ITE instrument on his left ear. He wants to upgrade but is highly critical of all hearing instruments due to his dissatisfaction with his current one.  In counseling with the patient/client you will likely discover that:<br>1. he has trouble understanding in noise.<br>2. he has good directional ability with current fitting.<br>3. music sounds dull to him.<br>4. re-programming his current instrument will probably lead to satisfaction.
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- 4 only is correct
- 1, 2, 3, and 4 are all correct.
A: 1 and 3 are correct

Q: A 50-year old insurance agent comes to your office asking for information on digital hearing instruments.  For the past 5 years, he has worn a monaural linear non-programmable hearing instrument in the right ear.  His experience with the current instrument has not been satisfactory.  He has trouble hearing in background noise, determining direction of sound and hearing at a distance. In your discussion with this patient/client about digital hearing instruments, you want to advise him that:
1. digital technology will solve his background noise problem.
2. binaural fitting should provide more benefit.
3. digital technology provides superior fittings.
4. directional microphones may improve signal-to-noise ratio.
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- 4 only is correct
- 1, 2, 3, and 4 are all correct.
A: 2 and 4 are correct

Q: Your next patient/client, an 84-year old, has been referred to you by her primary care physician.  She is temporarily residing in an extended care facility while recuperating from a fractured hip.  Her daughter-in-law alerted the physician to her hearing deficiency. Her otologic history is unremarkable and the otoscopic examination appears normal. After her hearing instrument fitting, her family should:
- not be present at follow-up visits.
- talk louder to emphasize importance of wearing a hearing instrument.
- learn how to care for instrument.
- anticipate limited results because of high speech discrimination scores.
- trust the care-giver knows how to care for the hearing instruments.
A: learn how to care for instrument.

Q: When counseling a patient/client, you SHOULD:<br>1. schedule follow-up appointments.<br>2. exclude her family.<br>3. discuss reasonable expectations.<br>4. counsel patient/client about mastectomy.
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- 4 only is correct
- 1, 2, 3, and 4 are all correct.
A: 1 and 3 are correct

Q: Post-fitting follow-up appointments should be scheduled:
- monthly.
- annually.
- semi-annually.
- at the time of the fitting.
- quarterly.
A: at the time of the fitting.

Q: With consent of the patient/client, a copy of the report should be sent to the:<br>1. insurance company.<br>2. patient’s speech therapist.<br>3. patient’s spouse.<br>4. referring physician.
- 1, 2, and 3 are correct
- 1 and 3 are correct
- 2 and 4 are correct
- 4 only is correct
- 1, 2, 3, and 4 are all correct.
A: 4 only is correct

Q: To protect valuable information stored in their computer, a specialist should:
- make frequent data backups and store off site
- use an uninterruptible power supply to prevent electrical damage
- use an automatic virus protection program daily
- turn off the power immediately upon hearing thunder
A: make frequent data backups and store off site