Title: HIS 240 Quiz 5.3
Course: 14SU-HIS-240-GH101-COMP & DIGITAL FEATURES OF HI > Section: Dropbox

Q: During a one-week follow-up, a patient/client complains of difficulty hearing speech in background noise.<br>Which adjustments should the hearing healthcare professional make to the kneepoints of the hearing instruments?
- 55dB for low frequency and 70dB for high frequency
- 55dB for low frequency and 55dB for high frequency
- 70dB for low frequency and 55dB for high frequency
- 70dB for low frequency and 70dB for high frequency
A: 55dB for low frequency and 70dB for high frequency

Q: Which two tools should be used by hearing instrument users to facilitate feedback-free telephone conversations?
- directional microphone
- telecoil
- amplified telephone----ADD DISTRACTOR--A/D converter
- hearing-aid-compatible telephone
A: telecoil
If right: D
If wrong: D

Q: A patient/client should be able to understand speech most clearly in which environment?
- an open, outdoor area
- a carpeted room with drapes and upholstered furniture
- a kitchen with indoor/outdoor carpeting and curtains on the windows
- an auditorium, in front of wall-mounted speakers
A: a carpeted room with drapes and upholstered furniture

Q: A patient/client is wearing new CIC hearing instruments and reports that sounds are often metallic or tinny. The hearing healthcare professional reduces the high frequency gain, but the problem persists. How should the hearing healthcare professional proceed?
- lower crossover
- increase low frequency gain
- counsel patient/client about coping strategies
- filter the vent with lamb's wool
A: lower crossover

Q: A patient/client is having trouble hearing when using a work telephone. What should a hearing healthcare professional recommend to this patient/client?
- an in-line amplifier for the telephone
- a foam pad for the telephone
- a digital telephone
- an analog telephone
A: an in-line amplifier for the telephone

Q: A hearing healthcare professional completes a patient's/client's CIC fitting and is counseling the patient/client and family members regarding additional listening strategies.<br>What should the hearing healthcare professional explain about ALDs?
- The patient/client can use an FM system to facilitate understanding during one-on-one conversations.
- ALDs should be used with hearing instruments as part of a total solution.
- The patient/client can use a loop system to facilitate understanding in large crowds.
- ALDs should be used as a substitute for hearing instruments when watching television.
A: ALDs should be used with hearing instruments as part of a total solution.

Q: A patient/client with word recognition scores of 20% binaurally is being fitted with new hearing instruments.  The patient/client requests help with understanding during meetings and face-to-face conversations. To which professional should the hearing healthcare professional refer the patient/client?
- otolaryngologist
- audiologist
- speech-language pathologist
- American Sign Language interpreter
A: speech-language pathologist

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: The patient/client is a 34-year old male who presents at the clinic with "serious hearing loss".  He states that he is HIV positive and is being treated with the "cocktail".  It has caused severe hearing loss, bilaterally.  Audiometric data indicate a severe-to-profound mid-to-high frequency sensorineural loss. His binaural word discrimination scores are worse than his best monaural score.  In addition, his SRT is poorer than his speech frequency averages by about 10 dB. The hearing instrument specialist should:<br>1. Wash the hands before and after working with the patient's ears.<br>2. Wear latex gloves for the protection of the patient/client and others.<br>3. Clean headphone cushions, immittance probe tips, specula and earlight tips with viricide after use.<br>4. Inform the factory (at the time of order) to use Infection Control Procedures when working with the impression.
- 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, 2, 3, and 4 are all correct.

Q: The nursing home director gradually lost hearing over a number of years and decided it was time to get hearing instruments.  She had observed many of the nursing home residents having difficulties with their hearing instruments “whistling”.  She knew that was due to poor fitting instruments because she had been told by someone that “hearing instruments “whistle” if they don’t fit correctly”.  She told her dispenser that if her hearing aids “whistled” she wouldn’t use them (see audiogram 1510).  The dispenser should NEXT:
- fit CIC instruments.
- explain that there are many ways to control feedback so she shouldn’t worry about it.
- fit BTE instruments with IROS earmolds to best accommodate the high frequency loss.
- explain that feedback is normal and a problem with all hearing instruments.
- explain the potential for feedback with different types of fittings.
A: explain the potential for feedback with different types of fittings.

Q: The patient/client, a 52-year-old computer executive comes in with a newspaper advertisement promising a hearing instrument that will let him hear perfectly, understand the small voice of his grandchild in noise, and handle the background noise at meetings.  These claims:
- require clarification and explanation.
- are reasonable expectations.
- are unreasonable expectations.
- are reasonable for mild hearing loss.
- are true for sensorineural hearing loss.
A: are unreasonable expectations.

Q: Selective amplification procedures assume that differences:<br>1. in hearing aids exist.<br>2. in amplification for patients exist.<br>3. can be measured.<br>4. are often negligible.
- 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, 2, and 3 are correct

Q: Your client, a 40-year old professional who is very sensitive about wearing hearing instruments, wants the smallest instruments possible. Your BEST option should be to:
- have the family demonstrate insertion.
- demonstrate battery insertion.
- include instruction on potentiometer adjustments.
- demonstrate how to replace tubing.
- set volume to FOG.
A: demonstrate battery insertion.

Q: There are several pieces of information that must be discussed with the patient/client when recommending amplification.  These include:<br>1. The limits of the hearing instrument.<br>2. The making of the hearing instrument.<br>3. Reasonable expectations for the hearing instrument. <br>4. The shape of the hearing instrument.
- 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: Your patient/client has Alzheimer's disease.  During the delivery of a new hearing instrument, you SHOULD:<br>1. repeat everything to her.<br>2. have the care-giver present.<br>3. have her repeat and write your instructions.<br>4. teach family members about hearing instrument use and care.
- 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: When counseling patients and their significant others concerning realistic expectations about hearing instruments, which of the following is NOT correct?
- The hearing instrument will permit them to hear normally.
- The hearing instrument will help to improve their ability to communicate with their family.
- The hearing instrument may help them to understand what they hear.
- The hearing instrument will help the patient/client to understand in noise.
- The hearing instrument will make sounds louder.
A: The hearing instrument will permit them to hear normally.

Q: How do you hear the alarm when the hearing aid is removed?
- use a bed vibrator.
- use a strobe light  for door or phone.
- use an amplified telephone.
- use a TTY.
- All of the above.
A: All of the above.

Q: The fitting process is a step that needs to be repeatedly revisited over time.  It allows the professional to:
- reinforce the instructions.
- demonstrate with an Video Otoscope or magnifying glass the controls and battery insertion of the aid.
- demonstrate the difficulties caused by cerumen with total or partial impaction.
- All of the above
- None of the above
A: All of the above

Q: Of all the parts of the protocol, perhaps the more important are a discussion of the:
- audiogram.
- salient event.
- partner's concerns.
- All of the above
- None of the above
A: All of the above

Q: Educating the patient entails more than fitting the device on the patient.  It means teaching the patient how to:
- help you help them.
- be a sophisticated listener.
- practice with their aids.
- critique their aids' performance.
- All of the above
A: All of the above

Q: When counseling a patient/client, you SHOULD:
1. schedule follow-up appointments.
2. exclude her family.
3. discuss reasonable expectations.
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: When a patient/client is referred to you for evaluation by another professional, the appropriate response from you includes:<br>1. Write a referral consultation letter.<br>2. Send a copy of the test results obtained by you.<br>3. Send a recommendation for follow-up.<br>4. Send a copy of the patient's bill for information.
- 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, 2, and 3 are correct

Q: Patient records are:
- confidential but not subject to the requirements of the federal Freedom of Information Act.
- confidential and subject to FDA inspections.
- required to be kept ONLY for hearing instrument purchases.
- confidential and must be kept for the life of the patient/client.
- protected from inspection by federal or state agencies because of their confidentiality.
A: confidential and subject to FDA inspections.

Q: A patient's records:
- can be released upon request.
- are the property of the patient/client and must be released on demand.
- are confidential and should only be released with permission of patient/client.
- are confidential and require a written release from patient/client.
A: are confidential and require a written release from patient/client.