JCCC NURS 200 Unit 3: Questions With Solutions (A+)
What is the most common type of elder abuse? Right Ans - Neglect
Who perpetrates the most elder abuse? Right Ans - Known, trusted
individuals (family members)
Contributing factors to elder abuse Right Ans - -Family history of violence,
mental illness or drug and alcohol abuse.
-Financial dependency on the older person
-Diminished cognitive and physical function
-Disruptive or abusive behavior on the part of the older person can lead to
caregiver strain and emotional exhaustion.
-Older persons with disabilities are at increased risk for abuse.
Physical abuse indicators Right Ans - -Frequent, unexplained injuries
accompanied by a habit of seeking medical treatment from various locations
-Reluctance to seek medical treatment/denial of injuries
-Disorientation/grogginess indicating medication misuse
-Fear/edginess of family/caregiver
Psychosocial abuse indicators Right Ans - -Change in mood or behavior
-Isolated from previous friends/family
-Sudden lack of contact of people outside of the elder's home
-Helplessness
-Hesitance to talk openly
-Anger/agitation for no reason
-Withdrawal or depression
Material abuse indicators Right Ans - -Unpaid bills
-Standard of living below means
-Sudden sale or disposal of possessions/property
-Unusual bank account activity
-Signatures that are not the same as the elders
-Recent changes in will/POA when elder is not capable of making changes
-Missing valuable belongings
-Lack of easily affordable items (clothes, tv,)
-Unusual concern about cost of elders care, when it is not the caregivers place
to be worried
,Neglect indicators Right Ans - -Poor hygiene
-Lack of needed medications/therapy
-Health hazards in home (urine smells, tripping hazards)
-Rashes/sores/lice
-Untreated medical condition
-Malnourishment/dehydration
Indicators of self neglect Right Ans - -Inability to manage personal finance
-InInability to manage ADLs
-Wandering, refusing medical care, substance abuse
-Failure to keep medical appointments
-Confusion, memory loss, unresponsiveness
-lack of toilet facilities/bug or animal infestations
-Malnutrition/dehydration, rashes/sores
-Unpaid bills
-lack of amenities that the person can afford
Warning indicators from caregiver Right Ans - -Speaks for elder
-Attitude of indifference/anger toward elder
-Blaming the elder
-Defensiveness
-Conflicting accounts of elder's abilities/problems
-Current or previous history of substance abuse
-Complaining of difficulty caring for elder
S/S of elder abuse Right Ans - -bruises, pressure marks, broken bones,
abrasions, burns
-unexplained withdrawal from activities
-sudden changes in financial status
-bed sores, poor hygiene, unattended medical needs
-aggressive behavior by spouse/family member
-strained relationships/frequent arguments
-lack of hearing aids, glasses, dentures
How can you prevent elder abuse? Right Ans - -Education
-take care of one's health
-seek professional help
-support groups
,-stay active in the community
-know your rights
What circumstances do you report? Right Ans - Any reasonable cause to
believe that an adult (resident) is being or has been abused, neglected or
exploited or in in need of protective services
fixed false beliefs unchanged by logic Right Ans - Delusion
series of words that are unrelated; jumbled together with little meaning
Right Ans - Word salad
a state of psychologically-induced immobilization interrupted by agitation
Right Ans - Catatonic
a speech pattern characterized by rhyming Right Ans - Clang association
patient's thoughts are heard by others Right Ans - thought broadcasting
lack of motivation in goal directed activities (ie. like hygiene) Right Ans -
avolition
body rigidity; excessive maintenance of a position Right Ans - waxy
flexibility
false sensory perceptions from one or more of the 5 senses Right Ans -
Hallucinations
misconstrues trivial events and attaches personal significance to them
Right Ans - ideas of reference
a type of thinking that assumes a literal, superficial, meaning Right Ans -
concreteness
invented words with private, unshared meaning Right Ans - neologism
false belief that part of self has ceased to exist Right Ans - nihilistic
sensory misperception of environmental stimuli Right Ans - ilusion
, responding in a robot-like manner Right Ans - Automatic obedience
others are putting thoughts in one's head Right Ans - thought insertion
repetition of another person's words Right Ans - echolalia
loss of reality; person's mental capacity is unable to recognize reality Right
Ans - psychosis
What is the most common thought disorder? Right Ans - schizophrenia
Serious and often persistent mental illnesses characterized by disturbances
in.. Right Ans - -Reality orientation
-Thinking
-Social involvement
-The most common thought disorder is schizophrenia.
-Can affect all persons regardless of ethnicity, race or gender
-Age of onset for men: 18-25; women: 25-35
-Defined as having two or more positive or negative symptoms during a 1-
month period
-Schizophrenia is also a type of psychotic disorder
Schizoaffective disorder Right Ans - Psychotic disorder featuring
symptoms of both schizophrenia and major mood disorder.
brief psychotic disorder Right Ans - Psychotic disturbance involving
delusions, hallucinations, or disorganized speech or behavior but lasting less
than 1 month; often occurs in reaction to a stressor.
psychotic disorder Right Ans - -a psychological disorder in which a person
loses contact with reality, experiencing irrational ideas and distorted
perceptions
-can be substance or
Psychosis is Right Ans - a symptom, not an illness
Risk factors for psychosis Right Ans - -Everyone is at risk
-Impaired physical & mental health
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