Which finding is typical for a client with presbycusis?

The typical finding for a client with presbycusis is indeed a gradual sensorineural loss due to nerve degeneration. Presbycusis primarily affects older adults and involves the gradual loss of hearing that usually occurs as a result of age-related changes in the auditory system. This condition often affects high-frequency sounds first, due to deterioration of the hair cells in the cochlea that are responsible for detecting these tones. As the nerve fibers responsible for hearing degenerate over time, individuals may experience more difficulties with understanding speech, particularly in noisy environments, rather than with hearing low-pitched sounds.

In the context of presbycusis, other options do not accurately reflect the nature of this condition. Difficulty hearing low-pitched tones would be more characteristic of other types of hearing loss, whereas unilateral conductive hearing loss is not typical in presbycusis, since this condition generally affects both ears and is related to sensorineural issues rather than conductive problems. Additionally, improved hearing ability during conversational speech would contradict the expected challenges that individuals with presbycusis face, as they usually struggle to hear conversational speech clearly due to their hearing loss.