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Paul, age 76, turns the television volume up so that it is at an uncomfortable level for the rest of the family. When his son suggests that he may have a hearing problem, Paul says that he does not and that the volume is "just right." Paul's reaction to having a decline in his ability to hear it is:

A) fairly common in older adults.
B) out of the ordinary; most older adults clearly recognize that they don't hear well.
C) a sign of depression.
D) a sign of hostility toward his family.

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