Free Hearing Aid Dispenser Written Examination Practice Questions
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Sample Practice Questions
Try these 10 sample questions from the Hearing Aid Dispenser Written Examination practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.
1A dispenser is scheduling the annual calibration check for the clinic audiometer. What interval does California law require?
2A client reports new dizziness and one-sided tinnitus. What is the best case-history action?
- A. Document onset, course, laterality, and associated symptoms
- B. Record only the chief complaint
- C. Defer symptom questions until after fitting
- D. Ask only about prior hearing-aid brand
3An outer-ear abnormality is seen during inspection. What is the appropriate consequence for the assessment plan?
- A. Continue with routine air-conduction testing before documenting it
- B. Modify only the client response method and begin threshold testing
- C. Consider medical or audiologic referral before proceeding
- D. Perform real-ear verification before deciding whether referral is needed
4Which assessment result most directly supports recommending hearing-aid amplification?
- A. Documented hearing loss with communication needs
- B. Normal hearing without concerns
- C. A device color request alone
- D. An expired warranty
5What is the main purpose of an ear impression?
- A. Create a custom coupling model
- B. Measure speech recognition
- C. Calibrate an audiometer
- D. Set wireless pairing
6Before placing a new aid on a client, what should be verified?
- A. Advertising copy
- B. Function and order consistency
- C. Renewal date
- D. Insurance deductible
7Which setup is essential when comparing aided and unaided sound-field results?
- A. Air-conduction earphones for one condition only
- B. A bone oscillator at a changing placement between runs
- C. A probe tube substituted for the sound-field stimulus
- D. Consistent calibrated loudspeaker geometry
8Both aids pass listening and electroacoustic checks, but hearing worsened. What is assessed next?
- A. Whether wax or moisture blocks the sound outlet
- B. Whether depleted batteries caused intermittent output
- C. Whether wireless pairing caused the reported difficulty
- D. Whether the client's hearing has changed since prior testing
9Which immediate strategy best improves conversation in a noisy room?
- A. Move closer and reduce competing background noise
- B. Face the speaker in better light to improve visual cues
- C. Use an assistive listening device for a distant talker
- D. Ask the speaker to rephrase a message that was misunderstood
10During the daily equipment check, a known listener shows a 10 dB threshold deviation. What calibration response is indicated?
- A. Continue and recheck monthly
- B. Arrange acoustic calibration
- C. Replace only the earphones
- D. Perform exhaustive calibration immediately
Topics in this practice bank
These topics describe the available practice for Hearing Aid Dispenser Written Examination. Review the examination outline and its sources for scope and allocation details.
1. Equipment / Pre-visit
- K1 Knowledge of calibration requirements for audiometric equipment.
- K2 Knowledge of methods to perform a listening check of audiometric equipment.
- K3 Knowledge of function and procedures to operate audiometric equipment.
- K5 Knowledge of methods to sanitize equipment that will be used on client.
- K6 Knowledge of physical, medical, and environmental conditions that affect audiometric assessment procedures.
- T1 Verify function and calibration of test equipment.
- T2 Sanitize equipment (e.g., examination and audiometric equipment) before contact with client.
- T3 Maintain an environment that is conducive to audiometric assessment.
2. Case History
- K7 Knowledge of techniques to gather and assess client symptoms.
- K8 Knowledge of health, genetic, and medical conditions that may contribute to hearing loss.
- K9 Knowledge of the effect of hearing aid use history on assessment and treatment.
- K10 Knowledge of the effect of ear surgery history on assessment and treatment.
- K11 Knowledge of types of illnesses, medical treatments, and medications that may affect hearing.
- K12 Knowledge of health history questions to assess for conditions that may contribute to hearing loss.
- K13 Knowledge of effects of ear pathologies on hearing loss.
- K14 Knowledge of the effect of exposure to physical or acoustic trauma on hearing loss and treatment.
- K15 Knowledge of lifestyle activities that could impact hearing loss and treatment.
- K16 Knowledge of HIPAA laws and regulations.
- T4 Obtain client report of symptoms.
- T5 Obtain pertinent client health and family health history.
- T6 Obtain pertinent client social and environmental history.
- T7 Document and maintain protected client hearing and health information.
3. Assessment
- 3.1. Pre-Assessment (2%)
- 3.1 Pre-Assessment — K24 Knowledge of objective signs and subjective symptoms that require a medical referral.
- 3.1 Pre-Assessment — K25 Knowledge of laws and regulations pertaining to signs and symptoms that require a medical referral.
- 3.1 Pre-Assessment — K26 Knowledge of health, genetic, and medical conditions that may impact audiometric assessment.
- 3.1 Pre-Assessment — K28 Knowledge of logical order of assessment procedures.
- 3.1 Pre-Assessment — K29 Knowledge of issues that would require a modification to assessment procedures.
- 3.1 Pre-Assessment — K30 Knowledge of methods to perform sound field testing.
- 3.1 Pre-Assessment — K31 Knowledge of anatomical features that require a change in testing methodology.
- 3.1 Pre-Assessment — K32 Knowledge of methods and procedures to test clients with abnormal anatomy.
- 3.1 Pre-Assessment — T9 Determine need for referral to a physician by assessing client symptoms, objective signs, and medical history.
- 3.1 Pre-Assessment — T10 Develop audiometric assessment plan to accommodate client needs.
- 3.2. Assessment (16%)
- 3.2 Assessment — K33 Knowledge of methods to inform clients about audiometric assessment procedures.
- 3.2 Assessment — K35 Knowledge of techniques to describe audiometric assessment procedures to clients.
- 3.2 Assessment — K36 Knowledge of purposes and procedures of performing pure tone air conduction assessment.
- 3.2 Assessment — K37 Knowledge of purposes and procedures to perform pure tone bone conduction assessment.
- 3.2 Assessment — K40 Knowledge of methods to monitor and assess client subjective response to auditory stimuli.
- 3.2 Assessment — K41 Knowledge of purpose of performing masking.
- 3.2 Assessment — K42 Knowledge of concept and implications of under and overmasking.
- 3.2 Assessment — K43 Knowledge of procedures of masking during pure tone air conduction testing.
- 3.2 Assessment — K44 Knowledge of procedures of masking during pure tone bone conduction testing.
- 3.2 Assessment — K45 Knowledge of procedures of masking during speech testing.
- 3.2 Assessment — K47 Knowledge of purposes of measuring threshold of discomfort.
- 3.2 Assessment — K48 Knowledge of procedures to determine dynamic range of hearing.
- 3.2 Assessment — K49 Knowledge of principles and procedures to establish client threshold of discomfort for pure tones and speech discrimination.
- 3.2 Assessment — K51 Knowledge of purposes, principles, and procedures of establishing client most comfortable level (MCL) for speech.
- 3.2 Assessment — K52 Knowledge of principles and procedures of establishing speech reception threshold.
- 3.2 Assessment — K53 Knowledge of procedures to perform speech reception threshold testing.
- 3.2 Assessment — K54 Knowledge of principles and procedures to perform speech discrimination / word recognition assessment.
- 3.2 Assessment — K56 Knowledge of methods to chart and document assessment results.
- 3.2 Assessment — T11 Explain procedures to client before and during audiometric assessment.
- 3.2 Assessment — T12 Perform pure tone air and bone conduction assessments.
- 3.2 Assessment — T13 Perform masking during hearing assessment.
- 3.2 Assessment — T14 Measure client threshold of discomfort (i.e., TD, UCL, LDL), to determine loudness tolerance.
- 3.2 Assessment — T15 Perform most comfortable level assessment (MCL).
- 3.2 Assessment — T16 Perform speech reception threshold assessment.
- 3.2 Assessment — T17 Perform speech WRS/SD (word recognition score / speech discrimination) assessment.
- 3.2 Assessment — T18 Chart and document results of audiometric assessment.
- 3.3. Evaluation and Interpretation of Results (6%)
- 3.3 Evaluation and Interpretation of Results — K57 Knowledge of reliable assessment results based on client audiometric and behavioral indications.
- 3.3 Evaluation and Interpretation of Results — K58 Knowledge of relationship between audiometric results and speech assessment results.
- 3.3 Evaluation and Interpretation of Results — K59 Knowledge of conditions, error, or reliability issues that indicate retesting is necessary.
- 3.3 Evaluation and Interpretation of Results — K61 Knowledge of principles and criteria for determining significant air-bone gap.
- 3.3 Evaluation and Interpretation of Results — K62 Knowledge of criteria to identify asymmetrical hearing loss.
- 3.3 Evaluation and Interpretation of Results — K63 Knowledge of how to interpret audiometric assessment results.
- 3.3 Evaluation and Interpretation of Results — K65 Knowledge of audiometric test results that require medical referral.
- 3.3 Evaluation and Interpretation of Results — K66 Knowledge of type, degree, and configuration of hearing loss indicated by audiometric assessment results.
- 3.3 Evaluation and Interpretation of Results — K67 Knowledge of criteria to compare client audiometric test results with subjective symptoms.
- 3.3 Evaluation and Interpretation of Results — K68 Knowledge of criteria to identify changes in hearing.
- 3.3 Evaluation and Interpretation of Results — K69 Knowledge of symptoms associated with specific audiometric assessment results.
- 3.3 Evaluation and Interpretation of Results — K70 Knowledge of counseling techniques to help explain audiometric assessment results to clients.
- 3.3 Evaluation and Interpretation of Results — K71 Knowledge of methods to counsel clients and explain implications of hearing loss.
- 3.3 Evaluation and Interpretation of Results — K72 Knowledge of hearing difficulties related to the degree, type, and configuration of hearing loss.
- 3.3 Evaluation and Interpretation of Results — K73 Knowledge of consequences of untreated hearing loss.
- 3.3 Evaluation and Interpretation of Results — T19 Evaluate client audiometric assessment results to determine if retesting is necessary.
- 3.3 Evaluation and Interpretation of Results — T20 Evaluate client audiometric assessment results to determine degree, type, and configuration of hearing loss.
- 3.3 Evaluation and Interpretation of Results — T21 Explain and discuss client audiometric assessment results and evaluation of hearing loss with implications for communication.
4. Selection and Sales
- 4.1. Hearing Aid Candidacy, Recommendation, and Selection (10%)
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K74 Knowledge of how to use assessment results to determine amplification recommendations.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K75 Knowledge of anatomical variations that affect client candidacy for amplification.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K76 Knowledge of hearing amplification requirements for different hearing losses.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K77 Knowledge of indications for monaural, binaural, or CROS systems, and implantable devices.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K78 Knowledge of the advantages of different styles of hearing aids.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K79 Knowledge of audiometric assessment results that affect earmold/dome selection.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K80 Knowledge of physical considerations that affect manipulation of hearing aids.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K81 Knowledge of client needs that affect hearing aid selection and fitting.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K82 Knowledge of previous hearing aid use and how that impacts new hearing aid fitting.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K83 Knowledge of effects of previous hearing aid use on client motivation for hearing assistance.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K84 Knowledge of hearing aid features.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K85 Knowledge of criteria for selecting hearing aid parameters based on client needs.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K86 Knowledge of benefits of hearing aid amplification for various lifestyles.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K87 Knowledge of types of hearing aid options and accessories (e.g., Bluetooth, remote controls, TV, telecoil, and FM).
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K88 Knowledge of types of hearing aid controls.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K89 Knowledge of methods to explain hearing aid options to clients.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K90 Knowledge of dynamic range considerations for hearing aid selection.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K92 Knowledge of advantages of different styles of hearing aids.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K122 Knowledge of purposes and procedures to select user-controlled options of hearing aids.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K123 Knowledge of purposes and procedures of adjusting acoustic characteristics of hearing aids.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — K121 Knowledge of purposes and procedures of selecting options and styles of earmolds or domes.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — T22 Determine client candidacy for hearing aids.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — T23 Apply client historical information to hearing aid selection and settings.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — T24 Determine client lifestyle compatibility with hearing aid features.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — T25 Determine hearing aid options and accessories to recommend to clients.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — T38 Select user-controlled options of hearing aid.
- 4.1 Hearing Aid Candidacy, Recommendation, and Selection — T37 Select physical characteristics of earmold or domes to fit client needs.
- 4.2. Sale (3%)
- 4.2 Sale — K124 Knowledge of requirement to obtain medical clearance or waiver for clients.
- 4.2 Sale — K125 Knowledge of dispenser legal obligation to client to adjust, replace, and refund hearing aids.
- 4.2 Sale — K126 Knowledge of laws and regulations regarding the sale and fitting of hearing aids.
- 4.2 Sale — K127 Knowledge of FDA regulations regarding the sale of hearing aids.
- 4.2 Sale — K128 Knowledge of requirements of documenting hearing aid sales.
- 4.2 Sale — T39 Obtain signed medical clearance or medical waiver from client before selling hearing aids.
- 4.2 Sale — T40 Dispense hearing aid to client by adhering to state and federal guidelines and regulations.
5. Ear Impression
- K93 Knowledge of purpose and procedures to take an ear impression.
- K94 Knowledge of purpose and procedures of evaluating client ear canal before an ear impression.
- K95 Knowledge of expectations and sensations experienced during impression procedures.
- K97 Knowledge of procedures to take ear impressions on clients with abnormal anatomy (e.g., mastoid cavities).
- K98 Knowledge of methods to determine size and type of blocking material needed during an ear impression.
- K99 Knowledge of how to determine placement of blocking material.
- K100 Knowledge of purposes of using blocking material during an ear impression.
- T26 Evaluate client ear canal to determine whether an ear impression can safely be performed.
- T27 Inform client about ear impression procedures to make client aware of sensations.
- T28 Select type and size of blocking material (e.g., cotton dam) to use during ear impression process.
6. Pre-Fitting
- K129 Knowledge of the American National Standards Institute (ANSI) standards for hearing aid performance.
- K130 Knowledge of purposes and methods of evaluating physical characteristics of hearing aids.
- K131 Knowledge of methods to verify function of hearing aids.
- K132 Knowledge of manufacturer specifications (included features and settings) for hearing aids.
- K133 Knowledge of methods used to verify earmold received from manufacturer.
- K134 Knowledge of purposes and methods of evaluating physical characteristics of earmolds.
- K136 Knowledge of procedures of setting levels of maximum output for hearing aids.
- K137 Knowledge of how to program and adjust hearing aids.
- K138 Knowledge of methods to configure and verify program settings of hearing aids.
- K139 Knowledge of audiometric test results that affect selection of acoustic properties of hearing aids.
- T41 Check hearing aids to verify functionality and consistency with order before fitting.
- T42 Evaluate physical characteristics of custom products and earmolds before fitting (e.g., shell, canal, consistency with order, defects).
- T44 Pre-program or adjust hearing aid settings for client.
7. Fitting
- 7.1. First Fit (8%)
- 7.1 First Fit — K140 Knowledge of how to insert and remove different style hearing aids.
- 7.1 First Fit — K141 Knowledge of methods to determine whether hearing aid is a good fit for client.
- 7.1 First Fit — K143 Knowledge of hearing aid physical characteristics that need adjustment or to be remade.
- 7.1 First Fit — K144 Knowledge of modifications for custom products and earmolds.
- 7.1 First Fit — K145 Knowledge of common complaints and their indications for physical hearing aid fit.
- 7.1 First Fit — K146 Knowledge of physical characteristics that can be modified on earmolds to improve fit or address client complaints.
- 7.1 First Fit — K147 Knowledge of methods and tools to modify physical characteristics of hearing aids and earmolds.
- 7.1 First Fit — K148 Knowledge of questions to ask clients regarding hearing aid fit.
- 7.1 First Fit — K149 Knowledge of physical characteristics that can be modified on hearing aids to improve fit or address client complaints.
- 7.1 First Fit — K150 Knowledge of purpose and methods to set and adjust electroacoustic characteristics of hearing aids.
- 7.1 First Fit — K151 Knowledge of procedures to assess electroacoustic characteristics and performance of hearing aid.
- 7.1 First Fit — K152 Knowledge of common client complaints associated with electroacoustic characteristics of hearing aids.
- 7.1 First Fit — K153 Knowledge of procedures to help client adapt to sensory stimuli with hearing aid use.
- 7.1 First Fit — K154 Knowledge of relationship between adjustable acoustic characteristics of hearing aid and client perceptions of sound quality.
- 7.1 First Fit — K155 Knowledge of adjustments to reduce feedback.
- 7.1 First Fit — K156 Knowledge of adjustments that need to be made to hearing aid programming, including telecoil.
- 7.1 First Fit — K170 Knowledge of purposes and procedures of performing unaided and aided sound field testing.
- 7.1 First Fit — K171 Knowledge of purpose and procedures to perform real ear/probe measurement.
- 7.1 First Fit — K172 Knowledge of necessary adjustments to hearing aids based on performance.
- 7.1 First Fit — K173 Knowledge of methods to validate client hearing aid benefit.
- 7.1 First Fit — T45 Insert hearing aid into client ear to assess fit.
- 7.1 First Fit — T46 Modify hearing aid or earmold to fit client.
- 7.1 First Fit — T47 Adjust hearing aid electroacoustic characteristics (e.g., gain, frequency response, maximum power output) to meet client fitting needs.
- 7.1 First Fit — T52 Evaluate outcome of hearing aid fitting with verification measures (i.e., sound field testing, real ear).
- 7.2. Delivery (9%)
- 7.2 Delivery — K157 Knowledge of common issues associated with insertion and removal of hearing aids.
- 7.2 Delivery — K159 Knowledge of procedures to insert and remove client hearing aids.
- 7.2 Delivery — K160 Knowledge of information to provide client regarding use of hearing aids (e.g., controls, features).
- 7.2 Delivery — K162 Knowledge of information to provide to client regarding phone and app use with hearing aid.
- 7.2 Delivery — K163 Knowledge of questions to ask clients regarding hearing aid fit.
- 7.2 Delivery — K164 Knowledge of procedures to care for and dispose of hearing aid batteries.
- 7.2 Delivery — K165 Knowledge of procedures to use and maintain rechargeable hearing aids.
- 7.2 Delivery — K167 Knowledge of purposes, procedures, and information regarding care and maintenance of hearing aids.
- 7.2 Delivery — K168 Knowledge of methods to reinforce proper hearing aid use.
- 7.2 Delivery — K169 Knowledge of methods to reinforce proper hearing aid care.
- 7.2 Delivery — K175 Knowledge of techniques to assess client proficiency in using hearing aid options, features, and accessories.
- 7.2 Delivery — K176 Knowledge of use of hearing aid options, features, and accessories.
- 7.2 Delivery — K178 Knowledge of purposes and methods of evaluating client use of telecoil.
- 7.2 Delivery — T48 Demonstrate and explain techniques to insert, remove, and manipulate hearing aids.
- 7.2 Delivery — T49 Teach client to use hearing aid and assistive listening device controls.
- 7.2 Delivery — T50 Instruct client how to use, maintain, and dispose of hearing aid batteries.
- 7.2 Delivery — T51 Instruct client on hearing aid care and maintenance to optimize hearing aid function.
- 7.2 Delivery — T53 Instruct client on how to use hearing aid options, features, and accessories.
8. Follow-Up Care
- 8.1. Postfitting Care (8%)
- 8.1 Postfitting Care — K179 Knowledge of techniques to conduct ongoing client counseling on hearing aid use.
- 8.1 Postfitting Care — K180 Knowledge of methods to maintain hearing health.
- 8.1 Postfitting Care — K181 Knowledge of methods to compare previous and new audiometric test results.
- 8.1 Postfitting Care — K182 Knowledge of necessary adjustments based on client experience or adaptation level.
- 8.1 Postfitting Care — K183 Knowledge of necessary adjustments required to achieve real ear measure target.
- 8.1 Postfitting Care — K184 Knowledge of procedures used to modify earmolds for physical fit and acoustic performance.
- 8.1 Postfitting Care — K185 Knowledge of methods to select domes to modify acoustic performance.
- 8.1 Postfitting Care — K186 Knowledge of methods to use buffers and grinders.
- 8.1 Postfitting Care — K187 Knowledge of ear anatomy that affects hearing aid fitting.
- 8.1 Postfitting Care — K188 Knowledge of techniques to identify and eliminate acoustic feedback.
- 8.1 Postfitting Care — K189 Knowledge of purposes and methods of identifying circuit noise of hearing aids.
- 8.1 Postfitting Care — K190 Knowledge of procedures to identify causes of feedback in hearing aids.
- 8.1 Postfitting Care — K191 Knowledge of purposes and methods of evaluating frequency response of hearing aid.
- 8.1 Postfitting Care — K192 Knowledge of purposes and methods of evaluating gain of hearing aids.
- 8.1 Postfitting Care — T54 Provide client with follow-up care.
- 8.1 Postfitting Care — T55 Gradually adjust programming of hearing aid in follow-up visits to help client become accustomed to target settings.
- 8.1 Postfitting Care — T56 Modify physical characteristics of custom products and earmolds to fit client and troubleshoot client complaints.
- 8.1 Postfitting Care — T57 Identify electroacoustic adjustments to be performed on hearing aid based on client complaints.
- 8.2. Repairs (3%)
- 8.2 Repairs — K193 Knowledge of techniques to differentiate between external and internal feedback.
- 8.2 Repairs — K194 Knowledge of procedures to run an electroacoustic analysis on a hearing aid to determine if it is performing to manufacturer specifications.
- 8.2 Repairs — K195 Knowledge of evaluation techniques to determine whether to repair hearing aids or send to the manufacturer for repair.
- 8.2 Repairs — K196 Knowledge of purposes and methods of evaluating volume control of hearing aids.
- 8.2 Repairs — K197 Knowledge of techniques to differentiate changes in client hearing from malfunction of hearing aid.
- 8.2 Repairs — K198 Knowledge of client complaints that indicate hearing aid malfunction.
- 8.2 Repairs — K199 Knowledge of procedures to assess causes of hearing aid malfunction.
- 8.2 Repairs — K200 Knowledge of types of repairs for hearing aids.
- 8.2 Repairs — K201 Knowledge of how to service or repair hearing aids.
- 8.2 Repairs — K202 Knowledge of equipment and tools used to repair hearing aids.
- 8.2 Repairs — T58 Assess performance of hearing aids and client complaints to determine whether repairs need to be made.
- 8.2 Repairs — T59 Perform hearing aid maintenance and repair.
9. Counseling
- K204 Knowledge of indicators that a different hearing aid would be more effective to meet client needs.
- K205 Knowledge of how hearing may change over time.
- K207 Knowledge of realistic expectations regarding hearing amplification.
- K208 Knowledge of factors that affect successful hearing aid fitting.
- K209 Knowledge of adaptation process and implications for new hearing aid users.
- K210 Knowledge of purposes and methods of evaluating client expectations about amplification.
- K211 Knowledge of cognitive and physical factors that influence successful hearing aid use.
- K212 Knowledge of strategies for maximizing communication in different listening environments.
- T60 Determine when hearing aid is no longer adequate for client needs.
- T62 Establish realistic expectations about potential experiences while wearing hearing aids.
- T63 Educate client on practices to optimize communication while using hearing aids and accessories in different circumstances.
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