An alert, oriented older adult client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which reason does the nurse identify is most likely why the client has not reported the abuse?

Laws do not provide protection against abuse when the suspect(s) is/are family members.

The client has no financial resources to hire legal representation against the client's children.

The client is emotionally close to the children and does not want to bring them harm.

The client cannot claim abuse if there is no evidence of physical harm.

Answer and Explanation

The Correct Answer is C

In cases of elder abuse by family members, the emotional bond and dependency on the abusers can create a significant barrier for the older adult to report the abuse. The client may fear damaging the relationship with their adult children or causing harm to the family dynamics. This emotional closeness and loyalty to the family may prevent the client from disclosing the abuse and seeking help.

Option A is not correct because laws do provide protection against elder abuse, including abuse by family members. Many jurisdictions have specific laws and protective services in place to address elder abuse.

Option B is not correct because financial resources, while important, are not the primary reason why the client has not reported the abuse. The emotional bond with the abusers is a more significant factor.

Option D is not correct because abuse does not need to involve physical harm to be considered abuse. Emotional, financial, and other forms of abuse can also be harmful and should be reported and addressed.

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Free Nursing Study Resources

Correct Answer is ["260"]

Explanation

Step 1: Convert ½ cup of juice to mL. 1 cup = 240 mL ½ cup = 240 mL ÷ 2 = 120 mL Result: 120 mL

Step 2: Convert 3 oz of gelatin to mL. 1 oz = 30 mL 3 oz = 3 × 30 mL = 90 mL Result: 90 mL

Step 3: Convert 1 oz of an ice pop to mL. 1 oz = 30 mL 1 oz = 1 × 30 mL = 30 mL Result: 30 mL

Step 4: Ginger ale is already in mL. Result: 20 mL

Step 5: Add all the mL values together. 120 mL + 90 mL + 30 mL + 20 mL = 260 mL Result: 260 mL

The nurse should record the child’s fluid intake as 260 mL.

A. Call security and ask them to detain the client from leaving. B. Contact the client's family to request they convince the client to stay. C. Allow the client to leave, with a referral to community resources for follow-up care. D. Contact the psychiatrist for initiation of commitment proceedings.

Correct Answer is D

Explanation

In this situation, the client's safety is of utmost importance. Expressing a desire to leave the facility and harm oneself with a gun raises serious concerns about the client's safety and the risk of harm to themselves. Initiating commitment proceedings, also known as involuntary hospitalization or psychiatric hold, allows the facility to legally detain the client temporarily for their protection and evaluation by mental health professionals. This allows for a thorough assessment of the client's mental health status and the formulation of a comprehensive treatment plan to ensure their safety.

Options A, B, and C are not appropriate in this situation:

A. Calling security to detain the client may escalate the situation and could potentially lead to increased risk of harm.

B. Contacting the client's family may not be enough to ensure the client's safety, and it is essential to involve mental health professionals in evaluating the client's risk.

C. Allowing the client to leave without addressing their expressed suicidal ideation is not safe, as the client may be at high risk for self-harm or suicide. Simply referring them to community resources without further evaluation and intervention is not sufficient to address the immediate safety concern.

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An alert, oriented older adult client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which reason does the nurse identify is most likely why the client has not reported the abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed ½ cup of juice, 3 oz gelatin. 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?

Correct Answer is ["260"]

Explanation

A client with depression is admitted for voluntary treatment. While in the hospital, the client makes several comments about leaving the facility and kiling themselves with their gun. Which is the most appropriate action by the nurse when the client requests to leave against medical advice?

Correct Answer is D

Explanation

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An alert, oriented older adult client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which reason does the nurse identify is most likely why the client has not reported the abuse?

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