As a mandatory reporter of elder abuse, which of these must be present before a nurse notifies the authorities? suspicion of elder abuse and/or neglect
During a home visit, the nurse notices that an elderly woman is caring for her bedridden husband. The woman states that this is her duty, she does...
NUR 245 Exam 2 Practice Questions and
Solutions
As a mandatory reporter of elder abuse, which of these must be present before a nurse
notifies the authorities? ✅suspicion of elder abuse and/or neglect
During a home visit, the nurse notices that an elderly woman is caring for her bedridden
husband. The woman states that this is her duty, she does the best she can, and her
children come to help when they are in town. Her husband is unable to care for himself,
and she appears thin, weak, and exhausted. The nurse notices that several of his
prescription medication bottles are empty. This situation is best described by the term:
✅unintentional physical neglect
a nurse is aware that intimate partner violence (IPV) screening should occur with what
situation? ✅as a routine part of each healthcare encounter
which statement is best for the nurse to use when preparing to administer the Abuse
Assessment Screen? ✅we need to ask these questions because domestic violence
are so common in our society
which term refers to a wound produced by tearing or splitting of body tissue, usually
from blunt impact over a body surface? ✅laceration
during an examination, the nurse notices a patterned injury on a pts back. which of the
following would cause such an injury?
-blunt force
-friction abrasion
-stabbing from a kitchen knife
-whipping from an extension cord ✅whipping from an extension cord
when documenting IPV and elder abuse, the nurse should include: ✅photographic
documentation of injuries
a female pt denies any abuse when answering abuse assessment screen, but the nurse
has noticed some other conditions that are associated with IPV. examples of such
conditions include....
-asthma
-confusion
-depression
-frequent colds ✅depression
, the nurse is using the danger assessment (DA) tool to evaluate the risk of homicide.
Which of these statements best describes its use?
-the DA tool is to be administered by the law enforcement personnel
-the DA tool should be used in every assessment of suspected abuse
-the number of yes answers indicates the woman's understanding of her situation
-the higher the number of yes answers, the more serious the danger of the womans
situation ✅D, the higher number of yes answers the more serious the danger of the
woman's situation
the nurse is assessing bruising on an injured patient. Which color indicates a new bruise
that is less than 24 hours old? ✅red
the nurse suspects abuse when a 10 y/o child is taken to the ED for a leg injury. the
best way to document the history and physical findings is to: ✅use the words the child
used to describe how the injury occurred
during an interview, a woman has answered yes to two of the abuse assessment screen
questions- what should the nurse say next? ✅"tell me about the abuse in your
relationship"
The nurse is examining a 3 year old child who was brought to the emergency room after
a fall. which bruise, if found, would be of most concern?
-bruise on the knee
-bruise on the elbow
-bruise on the abdomen
-bruise on the shin ✅bruise on the abdomen- not a bony prominence therefore more
likely to be a mark of abuse
the nurse assesses an older woman and suspects physical abuse. which questions are
appropriate for screening for abuse? select all that apply
-has anyone made you afraid, touched you in ways you did not want, or hurt you
physically?
-are you being abused?
-have you relied on people for any of the following: bathing, dressing, shopping,
banking, meals?
-have you ever been upset because someone talked to you in a way that made you feel
shamed or threatened? ✅all but B
when examining the eye, the nurse notices that the patients eyelid margins approximate
completely. the nurse recognizes this assessment finding:
-is expected
-may indicate a problem with extra-occular muscles
-may result in problems with tearing
-indicates increased intraocular pressure ✅is expected
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