IHS Patient Counseling and Rehabilitation 3

Question 1

Which of the following is an example of a 'repair strategy' used in communication rehabilitation?

Accepted Answer

Asking a speaker to slow down or rephrase after a misunderstanding

Answer

Repair strategies are reactive—they are used after a communication breakdown has already occurred to restore understanding.

Question 2

A patient in their first week of hearing aid use reports that background noise sounds 'overwhelming.' The counselor's BEST response is to:

Accepted Answer

Explain that the brain requires an acclimatization period to relearn how to process amplified sounds

Answer

Auditory acclimatization typically takes weeks to months; normalizing this experience reduces patient anxiety and improves adherence.

Question 3

The COSI (Client Oriented Scale of Improvement) is used in rehabilitation to:

Accepted Answer

Identify patient-specific listening goals and track outcomes over time

Answer

The COSI is a patient-centered outcome measure where individuals nominate their own goals and rate improvement after intervention.

Question 4

When discussing realistic expectations with a new hearing aid user, the clinician should emphasize that hearing aids:

Accepted Answer

Improve hearing but cannot fully replicate normal auditory function

Answer

Setting realistic expectations reduces disappointment and improves long-term satisfaction and adherence to hearing aid use.

Question 5

A spouse accompanies a hearing-impaired patient to a counseling session and frequently answers questions directed at the patient. The clinician should:

Accepted Answer

Gently redirect questions to the patient to preserve their autonomy

Answer

Preserving patient autonomy is a core ethical principle; the clinician should facilitate direct communication while acknowledging the spouse's supportive role.

IHS - International Hearing Society Practice Test

IHS - International Hearing Society Practice Test

IHS Patient Counseling and Rehabilitation 3