Patient Data
Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.
Report findings to Adult Protective Services.
Perform a thorough physical assessment.
Confront the abuser about concerning actions.
Develop a safety plan.
Question the client in front of the suspected abuser.
Take photographs to document the abuse or neglect.
Throw away soiled clothing.
Complete a comprehensive history.
Correct Answer : A,B,D,F,H
A. Report findings to Adult Protective Services: Reporting to Adult Protective Services (APS) is essential when elder mistreatment is suspected. APS can investigate the situation further and take appropriate action to ensure the safety and well-being of the elder.
B. Perform a thorough physical assessment: Conducting a thorough physical assessment helps to identify any signs of abuse or neglect, such as pressure injuries, poor hygiene, or physical injuries. It provides necessary information to support the suspicion of mistreatment.
C. Confront the abuser about concerning actions: Confronting the abuser directly can be dangerous for the client and may interfere with the investigation. It is best to report concerns to appropriate authorities who can handle the situation professionally.
D. Develop a safety plan: Developing a safety plan is crucial to protect the client from immediate harm. This plan includes steps to ensure the client’s safety and well-being while further actions are being taken.
E. Question the client in front of the suspected abuser: Questioning the client in front of the suspected abuser could put the client at further risk of harm. It is important to ensure the client’s safety and privacy when gathering information.
F. Take photographs to document the abuse or neglect: Documenting findings through photographs can provide evidence of abuse or neglect, which is important for reporting and investigation purposes. This documentation should be done with caution and respect for privacy.
G. Throw away soiled clothing: Disposing of soiled clothing does not address the underlying issue of mistreatment and may destroy potential evidence. Soiled clothing should be documented and handled appropriately.
H. Complete a comprehensive history: Completing a comprehensive history helps to gather detailed information about the client’s living conditions, care needs, and any changes in their behavior or condition that might indicate mistreatment.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. While safe sex practices significantly reduce the risk of STIs, they do not completely eliminate it, and this response does not address the immediate issue of the client's current STI.
B. It is crucial to instruct the client to notify sexual partners to prevent the spread of trichomoniasis and allow for appropriate treatment and prevention.
C. Regular STI screening is important for overall health but is not the most immediate concern for someone who currently has an STI.
D. Reporting to local health departments is typically done for certain STIs, but the immediate concern should be notifying partners to prevent further transmission.
Correct Answer is B
Explanation
A. Ear pain and fever are not characteristic symptoms of mononucleosis.
B. Mononucleosis is often associated with a positive Epstein-Barr virus (EBV) test and symptoms of malaise, fatigue, and lymphadenopathy.
C. Increased BUN and serum creatinine indicate kidney function issues, which are not typically associated with mononucleosis.
D. While elevated WBC and sedimentation rate can occur, they are nonspecific and can be seen in many conditions; they are not defining symptoms of mononucleosis.
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