Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which of the following is a non-aging-related cause of hearing loss?

1. Cerumen impaction

2. Infection

3. Otosclerosis

4. Presbycusis

The correct answer is: Presbycusis

The correct answer highlights that presbycusis, which is age-related hearing loss, is caused by the natural aging process of the auditory system. This condition typically manifests as a gradual decline in hearing ability, particularly affecting the ability to hear high-frequency sounds, and is not linked to external factors or diseases. In contrast, cerumen impaction is a reversible condition where earwax builds up to obstruct the ear canal, leading to hearing loss. This condition can occur at any age and is not inherently linked to the aging process. Infection, such as otitis media, can cause temporary hearing loss due to inflammation and fluid buildup in the middle ear. This is also not related to aging and can happen at any age, especially in children. Otosclerosis is a condition characterized by abnormal bone growth in the middle ear, typically affecting the stapes bone, leading to hearing loss. While it can occur in young adults, it is not a direct result of aging but rather a specific pathological process. Understanding these distinctions is important in identifying the causes of hearing loss, especially in a clinical setting focused on gerontology, where differentiating between age-related and other factors is crucial for effective management and treatment planning.