Toward Healthy Aging: 9, 10, 14, 19, 31.
A nurse suspects that her next-door neighbor, an older woman, is a victim of elder abuse by her daughter. What is the appropriate action for the nurse to do in this situation?
Complete a confidential report with the adult protective services in the area....
Toward Healthy Aging: 9, 10, 14, 19,
31.
A nurse suspects that her next-door neighbor, an older woman, is a victim of elder abuse by her
daughter. What is the appropriate action for the nurse to do in this situation?
Complete a confidential report with the adult protective services in the area.
The nurse is providing care to a client diagnosed with dementia. What option is an example of the
appropriate use of implied consent by the nurse?
"Changing the client's dressing when the client asks, "Will you change this bandage now?"
Which option is an example of elder exploitation?
A homebound client can only get groceries by agreeing to pay for her neighbor's groceries, too.
A frail, elderly widow is admitted to the hospital after sustaining a fall. The client lives alone and has
no living relatives. After cognitive testing reveals mild cognitive impairment, the interdisciplinary
team on the Acute Care for the Elderly Unit recommends long-term care placement and that a
durable power of attorney for health care (DPOA-HC) be established. When the client seems
confused over what a DPOA-HC's responsibilities are, the nurse responds that:
"A DPOA-HC is a person you name to make health care decisions for you when you can't make them
for yourself."
Which of the following statements made by a family caregiver would a nurse consider most
indicative of elder abuse?
"My dad wanders at night and I can't be bothered with him. I mix sleeping pills in his dinner so that
he will fall asleep."
An older woman tearfully tells a nurse, "I must buy my neighbor all of his groceries, or he will not
drive me to the store or the doctor." This is an example of which type of elder mistreatment?
Financial exploitation
When a cognitively impaired, wealthy, white client is noted to have burns on her upper back, her son
states that the patient burned herself when attempting to shower. Which statement by a member of
the team reflects a need for further education on elder abuse? (Select all that apply.)
-"She is wealthy; abuse does not happen in people of financial means."
-"The client is white and race places an important role in who is likely to be abused."
A nurse is preparing education for a group of older adults and caregivers at a senior center on elder
abuse. The nurse is preparing to discuss seniors who are more likely to be abused or neglected. The
nurse includes which of the following? (Select all that apply.)
-Individuals with cognitive impairment
-Individuals who abused the caregiver earlier in life
-Individuals who live in an institutional setting
, A nurse working in an emergency department is caring for an 89-year-old woman who was brought
to the hospital by her daughter for a fracture of the right arm. The woman is wheelchair dependent
and lives with her widowed daughter who is the primary caregiver. The daughter states that her
mother got up out of the wheelchair unassisted to go to the bathroom and fell. The patient cannot
recall the circumstances of the fall. The patient is weeping and cradling her right arm. The patient's
history reveals two previous wrist fractures over the course of the past year. The nurse notes several
large ecchymotic areas on the right hand and left arm and on the left side of the body and the back.
The ecchymoses are in various stages of healing. Upon assessment, the patient is non-weight-
bearing (NWB). The nurse suspects physical abuse based on which of the following findings? (Select
all that apply.)
-Bruises are in various stages of healing.
-The fracture is inconsistent with the patient's functional ability.
A nurse suspects elder mistreatment in which of the following patients seen in the emergency
department? (Select all that apply.)
-An 86-year-old female nursing home resident admitted to the hospital with vaginal bleeding and
three large bruises on her inner thigh
-A 69-year-old man with a history of diabetes who is admitted for diabetic foot ulcers wearing dirty
clothing and smells like urine
An older adult who is within a normal weight range asks a nurse, "I have heard that it is important to
limit the amount of fats in my diet, but I don't know how much I should be taking in daily. Can you
help me?" The best response by the nurse is:
a.
"Someone of your age needs to limit fats."
b.
"Since you are at your ideal weight, you should limit your daily fat grams to half your weight."
c.
"Fat intake will depend on the presence of any cardiac issues."
d.
"Read food labels well and focus your diet on low-fat foods."
B
A nursing student asks the instructor, "Our textbook discussed the obesity paradox in older adults. I
am not sure I understand; isn't obesity bad for everyone?" The best response by the instructor is:
a.
"While there is evidence that obesity in younger people lessens life expectancy, it remains unclear
whether overweight and obesity are predictors of mortality in older adults."
b.
"Obesity is usually not a concern in older adults, as most older people tend to weigh less than they
did when they were younger."
c.
"Obesity is a concern in all age groups; however, over the past decade obesity in older adults has
decreased."
d.
"Obesity in older adults is less of a concern than we once thought; individuals over age 65 with a
higher BMI have a lower mortality rate."
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