Quiz #23 Elder Abuse

Question 1

elder abuse can be due to what?

Answer 1

caregiver role strain
care giver tired not able to sleep has other family responsibilities

Question 2

there is an increase chance in elder abuse if the pt is ?

Answer 2

aggressive or competitive towards the caregiver .

*elderly with dementia have catastrophic behavior/hostile behavior.

Question 3

There is also an increase chance of elderly abuse if the caregiver ?

Answer 3

a.caregiver suffers from low self esteem
b.preseves that he or she is not receiving adequate help from others
c. the caregiver experiences emotional and mental burnout anxiety or severe depression.

Question 4

There are indications that an older person is at risk for abuse?

Answer 4

a. alcohol abuse
b. financial dependence
c. declined metal ability

Question 5

classifications of abuse ?
(7 types of abuse)

Answer 5

MVPSNIF:
a. mental
b. verbal
c. physical
d. sexual
e.neglect
f. involuntary seclusion or isolation
g. financial or misappropriation of property
psychological/ emotional

Question 6

elder abuse ?

Answer 6

an intentional act

Question 7

financial abuse?

Answer 7

a. taking money
b. forging signature
c. cashing their checks

Question 8

malnutrition

Answer 8

-sign of abuse
-malnutrition can be manifested by weight loss.
-weight loss is a sign of neglect and malnutrition over a short period of time.

Question 9

neglect is ?

Answer 9

the number one type of abuse.

Question 10

After meal what do we do with the percentage of the meal being consumed by the pt?

Answer 10

document

Question 11

The pt eats 40% of the food being served . If this goes on the patient will lose weight which is a sign of neglect. After you document what do you do next

Answer 11

state regulation below 75% you have to give supplemental.
*give fortified milk , sandwich .

Question 12

Over a short period of time what is significant weight loss for pt?

Answer 12

5% of the base weight over one week
7.5 % over one month
10% over 3 months
*if patient weighs 100 pounds and then 5% 95
over one month 92.5
this is significant weight loss
90 pounds in 3 months

Question 13

mental emotional/ psychological abuse

Answer 13

verbal assaults
threats
intimidation
harassment
emotional

Question 14

An alert elderly pt refuses an injection, nurse gives it anyways what type of abuse is this considered?

Answer 14

nurse can be charged with civil battery

Question 15

assault is ?

Answer 15

Threat to harm person and cause fear.

Question 16

civil battery is?

Answer 16

The action of hitting someone.

Question 17

physical restraints ? chemical restraints ?

Answer 17

Older ppl are frequently restrained because there are likely to be confused.
chemical is giving more medication then suppose to that is a chemical restraint.

Question 18

Physical abuse signs and symptoms ?

Answer 18

a. unexplained bruises
b. pressure marks
c. black eyes
d. laceration
e. cuts or bruises
*sudden change in behavior

Question 19

force feeding?

Answer 19

physical abuse

Question 20

fractures ,pains, sprains, or dislocations ?

Answer 20

nurse needs to call ombudsman

Question 21

sexual abuse

Answer 21

nonconsensual
sexual contact of any kind with an older adult including those ppl unable to give consent.

Question 22

Best nursing intervention for suspected abuse ?

Answer 22

report abuse
a. ombudsman
b. police
c. adult protective services

Question 23

If an older client complains about a male caregiver touching her in a way that makes her feel uncomfortable?

Answer 23

nurse is required to report beacuse it is considered sexsual assult.

Question 24

the nurse is assisting a client undress for shower,the client holds on to her clothing shaking and scared . what is the best action of the nurse ?

Answer 24

stop undressing client and cover her and ask why is she afraid ?

Question 25

sexual abuse

Answer 25

nonconsensual sexual contact can be physical or verbal .

Question 25

Infection in genital area

Answer 25

Sexual abuse , discomfort/bleeding.

Question 25

signs and symptoms of medical abuse ?

Answer 25

a. untreated or improperly attended medical conditions
b.untreated or unattended health problems
c. untreated bed sores
d. refusal to take pt to physician or medical facility

Question 26

if there is withholding of water and food ?

Answer 26

dehydration is a sign of neglect
malnutrition is a sign of neglect
personal hygiene

Question 27

signs In Neglect

Answer 27

a. failure to assist with client with personal hygiene
b. withhold of emotional support
c. prolonged deprivation of food and water
d. unsanitary and unclean living conditions
e. person is dressed inadequately unkept appearance

Question 28

malnutrition

Answer 28

causes excessive weight loss in a short period of time

Question 29

bed sores

Answer 29

sign of neglect because we are suppose to turn pt

Question 30

self neglect

Answer 30

*characterized by behavior of an elderly that threatens his or her own health & safety.
*its a blanket term
a. unsanitary living quarters
b. grossly inadequate housing or homelessness
c. lack of necessary medical aids

Question 31

victims of telemarketing. what should we suggest?

Answer 31

Advise not to buy anything over the phone.

Question 32

how many hours to report abuse?

Answer 32

immediately / 24hrs

Question 33

Reasons why abuse is becoming more common towards elderly

Answer 33

a. caregiver role strain caregiver frustration
b. alcoholism
c. turbulent lifestyle
d.lack of financial resources

Question 34

national center of elder abuse identifies has 2 most important indicators of abuse

Answer 34

frequent/unexplained crying, fear/suspicion of person

Question 35

physical assessment

Answer 35

examine alone
* trusting relationship/confidentiality

Question 36

prevention of abuse

Answer 36

recognition of high risk families
support group of caregiver
public education