Exhibits
The nurse suspects elder mistreatment.
Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.
Bruises in various stages of healing
Over-sedation
Depression or withdrawn behavior
Leaving an older adult in a public space
Untreated pressure injuries
Poor personal hygiene
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"}}
Bruises in various stages of healing: This often indicates physical abuse, as it suggests trauma or injury from external force.
Over-sedation: This could be indicative of physical abuse if it is intentional or misuse of medications.
Depression or withdrawn behavior: These can be signs of neglect, as they may result from a lack of emotional support or social interaction.
Leaving an older adult in a public space: This is a clear indicator of abandonment, as it shows neglect of the individual's safety and well-being.
Untreated pressure injuries: These are signs of neglect, reflecting a failure to provide adequate care and prevent injuries.
Poor personal hygiene: Often a result of neglect, indicating a lack of attention to the individual's basic needs and self-care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Speak to the healthcare provider about instituting physical therapy: Physical therapy is not necessary in the immediate period before surgery for hypertrophic pyloric stenosis.
B. Ensure placement of the nasogastric tube with an abdominal x-ray: While confirming tube placement is important, it is not a key action for maintaining growth and development.
C. Use sterile water for gastric lavage: This is not relevant to the care of a child with hypertrophic pyloric stenosis in the pre-surgical period.
D. Offer a pacifier for nonnutritive sucking: Non-nutritive sucking provides comfort and can promote normal development in infants, even in the absence of feeding.
Correct Answer is B
Explanation
A. The fall at home is part of the background information, but the immediate concern is the client’s changing mental status.
B. The sudden onset of increasing confusion and agitation could indicate a serious complication, such as delirium, infection, or a neurological issue. This is the priority to report to the healthcare provider.
C. While medication history is important, it is not as urgent as addressing the client’s current confusion.
D. The healthcare power of attorney is relevant for decision-making but not the first information needed in this urgent situation.
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