Module 4: A woman on the inpatient unit has a diagnosis of traumatic brain injury to the temporal lobe with auditory agnosia. The woman’s daughter has complained to nursing staff that the certified nursing assistants (CNAs) are yelling at her mother when they provide her care. The CNAs report that the woman does not hear the instructions when they provide care. What advice should the OT give to the CNAs? Select the best 3 choices.
Make sure that the woman has her hearing aides in prior to providing care.
Try giving the woman instructions in writing.
Pair gestures and visual cues with auditory instructions.
Look directly at the woman when speaking to her.
Request training in use of the communication device provided by speech therapy.
Present tasks one at a time with simplified verbal instructions.
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Auditory agnosia is the inability to recognize and process sound in spite of intact hearing mechanisms. Presenting the woman with written instructions might help compensate for this deficit. If the woman cannot follow written instructions, pairing gestures and visual cues with the auditory instructions may also be effective. If speech therapy has introduced a communication device to compensate for the auditory agnosia, the CNAs responsible for the woman’s care should be trained in the use of the device. The other answers provide options that compensate for hearing impairment or cognitive limitations, not auditory agnosia.
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