A nurse is caring for a client diagnosed with presbycusis. Which assessment finding indicates the client is compensating for this sensory deficit?

Presbycusis is age-related sensorineural hearing loss caused by degeneration of cochlear hair cells and auditory nerve pathways, leading to progressive difficulty hearing high-frequency sounds, impaired speech discrimination, and increased reliance on environmental and positional adaptations for improved auditory input. Rationale: A. Directional hearing compensation such as turning one ear toward the speaker enhances sound capture and speech discrimination by maximizing residual hearing function. This is a common adaptive behavior in presbycusis. Therefore compensatory auditory positioning indicates effective adaptation. B. Eye hygiene practices relate to visual or ocular conditions and have no connection to auditory compensation strategies. Presbycusis affects hearing, not vision. Thus ocular care behavior is unrelated to auditory deficit adaptation. C. Spice modification in food reflects changes in gustatory perception or dietary preference rather than hearing compensation. It does not improve auditory processing or communication. Therefore taste-related adaptation is not associated with presbycusis management. D. Social isolation is a maladaptive response to hearing loss rather than a compensatory strategy. It often results from frustration and communication difficulties. Thus withdrawal behavior indicates ineffective coping, not sensory compensation.