A nurse is conducting a class on stress.
Which of the following would the nurse include as an example of acute stress?

Choice A rationale
While the thickness of the tympanic membranes can indeed change with age, it typically increases rather than decreases. Thickening of the tympanic membranes can contribute to hearing loss by reducing the ability of the ear to transmit sound vibrations.
Choice B rationale
Tinnitus, or ringing in the ears, is not typically decreased in older adults. In fact, tinnitus is often more common in older individuals and can be a sign of age-related hearing loss.
Choice C rationale
A decreased ability to hear high-frequency sounds is a common physiological change associated with aging. This is often one of the first signs of age-related hearing loss.
Choice D rationale
Decreased ear wax is not typically associated with aging. In fact, some older adults may produce more ear wax, which can contribute to hearing problems if it becomes impacted.

Choice A rationale
Allowing extra time to communicate with the patient is a crucial action when caring for a patient with impaired speech. This approach respects the patient’s autonomy and ensures that they have the time they need to express themselves.
Choice B rationale
Finishing sentences for the patient can be seen as disrespectful and may lead to frustration. It’s important to allow the patient to communicate at their own pace.
Choice C rationale
While open-ended questions can be useful in some situations, they may be challenging for a patient with impaired speech. It might be more effective to ask yes/no questions or use other communication aids.
Choice D rationale
Visual aids can be very helpful for patients with speech impairments. They can supplement verbal communication and make it easier for the patient to understand and be understood.