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Primary prevention of elder mistreatment is a healthcare goal. One of the main risk factors for elder mistreatment is elder dependency, as dependence can lead to caregiver strain and then mistreatment.
A home care nurse found an elderly client with bruises and correctly reported the suspected abuse, as reporting is an ethical responsibility of nurses.
When abuse is suspected, the appropriate intervention is consulting with a physician about admitting the client to the hospital for a thorough assessment to remove them from the situation and formulate a care plan.
One of the main ethical dilemmas for nurses is when a competent elderly person decides to return to an abusive setting, as there is a high likelihood of repeated abuse.
The most
Primary prevention of elder mistreatment is a healthcare goal. One of the main risk factors for elder mistreatment is elder dependency, as dependence can lead to caregiver strain and then mistreatment.
A home care nurse found an elderly client with bruises and correctly reported the suspected abuse, as reporting is an ethical responsibility of nurses.
When abuse is suspected, the appropriate intervention is consulting with a physician about admitting the client to the hospital for a thorough assessment to remove them from the situation and formulate a care plan.
One of the main ethical dilemmas for nurses is when a competent elderly person decides to return to an abusive setting, as there is a high likelihood of repeated abuse.
The most
Primary prevention of elder mistreatment is a healthcare goal. One of the main risk factors for elder mistreatment is elder dependency, as dependence can lead to caregiver strain and then mistreatment.
A home care nurse found an elderly client with bruises and correctly reported the suspected abuse, as reporting is an ethical responsibility of nurses.
When abuse is suspected, the appropriate intervention is consulting with a physician about admitting the client to the hospital for a thorough assessment to remove them from the situation and formulate a care plan.
One of the main ethical dilemmas for nurses is when a competent elderly person decides to return to an abusive setting, as there is a high likelihood of repeated abuse.
The most
the risk factors often present in elder mistreatment situations is:
Caregiver independence.
Home care dependency.
Elder abandonment.
Elder dependency.
A home care nurse found an elderly client with multiple bruises on both arms and the trunk. After the client denied the spouse was responsible, the rationale the nurse used for reporting the suspicion of abuse was:
The nurse wanted to be identified as the one who was the case finder.
Reporting suspected abuse is an ethical responsibility of the nurse.
The nurse was concerned about being sued.
The client was too afraid to report the spouse.
When a nurse determines with a high degree of confidence that an elderly homebound client has been mistreated, an appropriate intervention would be:
Waiting until a social services agency completes an investigation before developing a plan.
Consulting with the physician about admission to the hospital for a thorough assessment of the client.
Arranging for police surveillance of the home.
Suggesting that the family hire a new caregiver.
Which of the following situations could be the source of an ethical
dilemma for the nurse with respect to elder mistreatment?
The elderly person decides to return to the abusive setting.
The elderly person was seriously injured due to physical abuse.
The family sues the nurse for reporting abuse.
The elderly person is not competent to make decisions.
An elderly person reports all of the following experiences to the nurse. Which of the reported experiences is the most likely indicator of exploitation of the elderly person?
The client is forced to attend family events the individual doesnt want to attend.
Family members rarely visit.
There isnt any money available to make a weekly donation at church.
The client is being threatened with admission to a nursing home.
The nurse suspects that a home health aide who comes into the home every day to provide basic hygiene care is abusing an elderly client. What is the best way to gather more information about the situation to confirm suspicions of abuse?
Interview the client in private.
Confront the caregiver about suspicions.
Request a social services agency do an investigation.
Ask the family what they think.
What data would help support a nursing diagnosis of elder mistreatment in the domestic setting?
Caregiver will bathe the client only once a week.
Client has a flat affect.
An adult daughter, who is the primary caregiver, says that it is difficult to care for her elderly parent.
Client states unhappiness with living arrangements and lack of privacy in a small home with young children present.
Mistreatment that occurs in nursing homes and is directed toward the elderly often is due to:
Inability to use restraints with physically challenging residents.
Low wages and heavy workloads of the nursing assistants.
Staffs lack of interest in the elderly as individuals.
Nurses who feel their talent is not being used appropriately in a nursing home setting.
A nurse who plans to do research on caregiver strain in spouses of homebound elderly with cognitive impairment due to dementia is most likely to choose which theory of elder mistreatment to guide the study?
Social isolation theory
Exploitation theory
Situational theory
Transgenerational violence theory
Which of the following observations is indicative of physical mistreatment?
Downcast eyes
Agitation
Withdrawing from soft touch
Dislocated shoulder
Primary prevention of elder mistreatment is a healthcare goal. The nurse recognizes that one of the risk factors often present in elder mistreatment situations is: Your Answer: Elder depende ncy.
Rationale: One of the primary characteristics in elders who have been mistreated is dependency on others for performance of activities of daily living. Dependence can lead to caregiver strain and then mistreatment. Home care is not a risk factor for mistreatment. Caregiver independence is not related to mistreatment of the elderly. Elders who have minimal family support can feel abandoned. Nursing Process: Analysis Cognitive Level: Comprehension NCLEX-RN Test Plan: Psychosocial Integrity
2.
A home care nurse found an elderly client with multiple bruises on both arms and the trunk. After the client denied the spouse was responsible, the rationale the nurse used for reporting the suspicion of abuse was: Your Answer: The nurse wanted to be identified as the one who was the case finder.
Correct Answer: Reportin g suspecte d abuse is an ethical responsi bility of the nurse.
Rationale: The nurse has an ethical and legal responsibility to report suspected abuse to designated authorities for investigation. Because the nurse has this responsibility, legal liability is not an issue, nor are the denials by the client grounds for not reporting the suspicion of abuse. Nursing Process: Analysis Cognitive Level: Application NCLEX-RN Test Plan: Safe, Effective Care Environment
3.
When a nurse determines with a high degree of confidence that an elderly homebound client has been mistreated, an appropriate intervention would be: Your Answer: Waiting until a social services agency complete s an investiga tion before developi ng a plan.
Correct Answer: Consulti ng with the physicia n about admissio n to the hospital for a thorough assessm ent of the client.
Rationale: It is appropriate to admit a client to the hospital for a thorough assessment in a safe environment, and it serves as an immediate way to remove the client from the situation. Social Services will conduct an investigation, but the nurse has a responsibility to formulate a plan of care for the client. The caregiver might not be responsible for the abuse, so it would not be appropriate to suggest a new caregiver. Police surveillance is not done for suspected mistreatment. Nursing Process: Implementation Cognitive Level: Analysis NCLEX-RN Test Plan: Safe, Effective Care Environment
4.
Which of the following situations could be the source of an ethical dilemma for the nurse with respect to elder mistreatment? Your Answer: The elderly person is not compet ent to make decision s.
Correct Answer: The elderly person decides to return to the
abusive setting.
Rationale: The nurse recognizes an ethical dilemma is posed when a competent adult chooses to return to the setting in which abuse occurred, because there is a high likelihood of abuse being repeated. The elderly person who is not competent will not be allowed to make decisions about the living situation. Injury is not a source of an ethical dilemma, nor is legal action taken against a nurse. Nursing Process: Assessment Cognitive Level: Application NCLEX-RN Test Plan: Safe, Effective Care Environment
5.
An elderly person reports all of the following experiences to the nurse. Which of the reported experiences is the most likely indicator of exploitation of the elderly person? Your Answer: The client is forced to attend family events the individ ual doesnt want to attend.
Correct Answer: There isnt any
money availabl e to make a weekly donatio n at church.
Rationale: When the elderly are exploited, others take advantage of them, almost always with respect to money matters. The exploiters might not be family members. Failure of family to visit and forced attendance of family events are not exploitation. Threats can be attempts at coercion but are not exploitation. Nursing Process: Analysis Cognitive Level: Analysis NCLEX-RN Test Plan: Psychosocial Integrity
6.
The nurse suspects that a home health aide who comes into the home every day to provide basic hygiene care is abusing an elderly client. What is the best way to gather more information about the situation to confirm suspicions of abuse? Your Answer: Request a social services agency do an investiga tion.
Correct Answer: Interview the client in private.
Rationale: The best method of getting information is to interview the client in a private setting. Depending on the responses of the client, the nurse can develop a plan for how to proceed. The nurse then can consult the family or involve a social services agency. Nursing Process: Assessment Cognitive Level: Application NCLEX-RN Test Plan: Health Promotion and Maintenance
7.
What data would help support a nursing diagnosis of elder mistreatment in the domestic setting? Your Answer: An adult daught er, who is the primary caregiv er, says that it is difficult to care for her elderly parent.
Correct Answer: Caregiv er will bathe the client only once a week.
Rationale: For the elderly, some hygiene measures might not be needed or desirable in the same frequency as for younger adults. However, bathing only once weekly is not likely to be sufficient. Unhappiness with living arrangements and a flat affect are not evidence of mistreatment. Recognition of challenges with care giving does not mean mistreatment has occurred. Nursing Process: Assessment Cognitive Level: Analysis NCLEX-RN Test Plan: Safe, Effective Care Environment
8.
Mistreatment that occurs in nursing homes and is directed toward the elderly often is due to: Your Answer: Inability to use restraint s with physical ly challeng ing resident s.
Correct Answer: Low wages and heavy workloa ds of the nursing assistan ts.
Rationale: Individuals who have few skills and inadequate education in the complex care needs of the elderly, along with accompanying low wages and heavy workloads, might mistreat the elderly out of simple frustration. Nursing Process: Evaluation Cognitive Level: Analysis NCLEX-RN Test Plan: Safe, Effective Care Environment
9.
A nurse who plans to do research on caregiver strain in spouses of homebound elderly with cognitive impairment due to dementia is most likely to choose which theory of elder mistreatment to guide the study? Your Answer: Social isolatio
n theory Correct Answer: Situatio nal theory
Rationale: Situational theory examines the burdens of caregiving and the ability of the caregiver to meet the needs and demands of the elderly individual. Mistreatment can result when the situation becomes overwhelming for the caregiver. The other theories do not relate to caregiver strain. Nursing Process: Planning Cognitive Level: Application NCLEX-RN Test Plan: Health Promotion and Maintenance
10.
Which of the following observations is indicative of physical mistreatment? Your Answer: Downca st eyes
Correct Answer: Dislocat ed shoulde r
Rationale: This is the only listed physical sign. A dislocated shoulder can occur with a violent jerk on the arm. Nursing Process: Assessment Cognitive Level: Analysis NCLEX-RN Test Plan: Psychosocial Integrity
MORTALITY: TEN (10) LEADING CAUSES NUMBER AND RATE/100,000 POPULATION Philippines 5-Year Average (2004-2008) & 2009 CAUSES 5-Year Average (2004-2008) 2009* Number Rate Number Rate 1. Diseases of the Heart 82,290 94.5 100,908 109.4 2. Diseases of the Vascular System 55,999 64.3 65,489 71.0 3. Malignant Neoplasms 43,185 49.6 47,732 51.8 4. Pneumonia 35,756 41.1 42,642 46.2 5. Accidents** 34,704 39.9 35,990 39.0 6. Tuberculosis, all forms 25,376 29.2 25,470 27.6 7. Chronic lower respiratory diseases 20,830 24.0 22,755 24.7 8. Diabetes Mellitus 19,805 22.7 22,345 24.2 9.Nephritis, nephrotic syndrome and nephrosis 11,612 13.4 13,799 15.0 10. Certain conditions originating in the perinatal period 12,590 14.5 11,514 12.5 Note: Excludes ill-defined and unknown causes of mortality * reference year ** External causes of Mortality