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A nurse observes a student using the whisper test to screen a patient with hearing loss. Which behavior by the student requires a corrective comment from the nurse?

a. Instructing the patient to cover the ear not being tested
b. Standing beside the patient on the side of the ear being tested
c. Shielding the mouth to prevent the patient from reading lips
d. Whispering one or two syllable words and ask the patient to repeat what is heard

User Nuno Costa
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1 Answer

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Final answer:

The corrective comment is needed for standing beside the patient, which allows visual cues. The correct practice is to stand behind or at an angle to prevent lip reading during a whisper test.

Step-by-step explanation:

The behavior by the student that requires a corrective comment from the nurse is standing beside the patient on the side of the ear being tested. During a whisper test, a commonly accepted practice is for the examiner to stand behind the patient or at an angle where the patient cannot use visual cues or lip reading to aid in hearing. The test is designed to assess the auditory function without visual assistance.

Essential steps in conducting the test include instructing the patient to cover the ear not being tested, to prevent sound from being heard in that ear, and shielding the mouth to stop the patient from lip reading, which would invalidate the test's intention to evaluate hearing ability. Additionally, the student should whisper one or two syllable words at varying volumes and ask the patient to repeat them, ensuring the patient's response is based solely on their auditory capability.

User Trey Copeland
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