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 B
Explanation
A. Confidentiality does not end when a client dies; healthcare professionals are still required to protect the privacy of medical records and disclosures.
B. This reflects the "duty to warn" principle (Tarasoff ruling), which legally obligates providers to take reasonable steps to protect identifiable individuals if a client poses a threat of harm. This is a recognized exception to confidentiality.
C. Healthcare workers must comply with court orders or subpoenas requesting medical information. Refusing is not legally permissible.
D. Attorneys do not automatically have access to client information; a legal order is required. Confidentiality is not broken based on an attorney’s request alone.
Correct Answer is C
Explanation
A. Social support is important for overall risk formulation and safety planning, but it is not the immediate priority when assessing imminent danger.
B. Financial and educational status may contribute to chronic stress and long-term risk, but they do not determine immediate lethality or imminence.
C. The availability of means and the lethality of the chosen method are the most urgent factors to assess because they directly influence the likelihood that an attempt will result in death. Removing or restricting access to lethal means is a high-priority, evidence-based safety intervention.
D. Insight into motivation helps guide treatment and psychotherapy, but it does not supersede immediate safety concerns about access to lethal methods.
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