An older adult diagnosed with dementia lives with family in a rural area. During the week, this adult attends a day care center while the family is at work. In the evenings, members of the family provide care. Which factor makes this adult most vulnerable to abuse?
Being part of a busy family
Multiple caregivers
Living in a rural area
Alzheimer's disease
The Correct Answer is D
A. A busy family may experience stress, but this alone is not the greatest risk factor for abuse.
B. Multiple caregivers can sometimes create inconsistency in care, but it is not the primary factor.
C. Rural living may limit access to resources, but dementia itself poses a greater risk.
D. Dementia (especially Alzheimer’s disease) significantly increases vulnerability to abuse because of impaired memory, communication, and judgment, which limit the ability to report or stop mistreatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Extreme anxiety with brief dazed periods describes depersonalization or dissociative episodes, but not a fugue, because identity and travel are not involved.
B. Feeling like the body is unreal or shrinking is indicative of depersonalization-derealization disorder, not dissociative fugue.
C. Unfamiliar clothes and blackouts without alcohol may suggest dissociative identity disorder, as multiple identities or personality states are involved.
D. Dissociative fugue involves sudden, unexpected travel away from one’s home or workplace, inability to recall the past, and confusion about personal identity or assumption of a new identity. The scenario describes disappearance, travel, and memory loss consistent with dissociative fugue.
Correct Answer is B
Explanation
A. While laboratory tests are important for assessing electrolyte imbalances and liver function, they are not the immediate priority in acute alcohol withdrawal.
B. Acute alcohol withdrawal can rapidly lead to seizures and delirium tremens, which are life-threatening. Patient safety and prevention of injury are the priority.
C. Neurological assessment is important, but first ensuring the client’s safety from potential seizures takes precedence.
D. IV access is necessary for fluid or medication administration, but it follows implementing immediate safety measures.
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