A nurse is collecting data from an older adult client and finds visible bruises on their lower legs. Which of the following client statements should the nurse identify as a risk factor for elder abuse?

"My caregiver rearranged the furniture in the living room and I ran into the couch."

"I take a blood thinner and I bump into things sometimes."

"Please don't tell anyone you saw these; I do not want to go to a nursing home."

"I don't like having to use my walker for short trips when I am in my home."

Answer and Explanation

The Correct Answer is C

A. "My caregiver rearranged the furniture in the living room and I ran into the couch.":
This explanation is plausible and does not necessarily indicate abuse.

B. "I take a blood thinner and I bump into things sometimes.":
Clients on anticoagulants are at higher risk of bruising from minor trauma.

C. "Please don't tell anyone you saw these; I do not want to go to a nursing home.":
Fear of reporting, secrecy, and concern over consequences are common signs of potential abuse or neglect.

D. "I don't like having to use my walker for short trips when I am in my home.":
This statement reflects a personal preference, not a red flag for abuse.

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Correct Answer is B

Explanation

A. Sexual abuse is most often committed by a person who the child does not know.:
Most cases of sexual abuse are committed by someone the child knows and trusts, not strangers.

B. A child is at the highest risk for abuse from birth through 1 year of age.:
Infants are more vulnerable due to dependence and inability to verbalize or defend themselves.

C. Emotional abuse is the most common form of child maltreatment.:
Neglect, not emotional abuse, is the most common form of child maltreatment.

D. Physical neglect includes a failure to meet a child's needs for affection and attention.:
This describes emotional neglect, not physical neglect, which refers to food, shelter, hygiene, and medical care needs.

A. A list of primary prevention activities B. Contact information for a community mental health center C. A referral for respite care services D. Contact information for enrollment in a 12-step program

Correct Answer is B

Explanation

A. A list of primary prevention activities
Primary prevention is more appropriate for those at risk, not for someone already diagnosed.

B. Contact information for a community mental health center
Ensures continuity of care and access to psychiatric and support services.

C. A referral for respite care services
Respite care is for caregivers needing rest-less relevant for independent outpatient management.

D. Contact information for enrollment in a 12-step program
12-step programs are typically used for substance use disorders, not schizophrenia.

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A nurse is collecting data from an older adult client and finds visible bruises on their lower legs. Which of the following client statements should the nurse identify as a risk factor for elder abuse?

Nursing Test Bank

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