The nurse should most suspect which of the following when presented with an older, mentally impaired woman who is depressed and underweight and has poor personal hygiene?
Neglect
Emotional abuse
Physical abuse
Exploitation
The Correct Answer is A
A. Neglect: Neglect is characterized by the failure to meet the basic needs of an individual, including food, shelter, clothing, and medical care. The signs of depression, underweight, and poor personal hygiene are consistent with neglect.
B. Emotional abuse: Emotional abuse involves behaviors that harm an individual’s self-worth or emotional well-being, such as name-calling, shaming, or isolating. While emotional abuse could be present, the physical signs of underweight and poor hygiene point more towards neglect.
C. Physical abuse: Physical abuse involves causing physical harm through actions such as hitting, slapping, or burning. There are no direct signs of physical trauma mentioned in the scenario, making physical abuse less likely.
D. Exploitation: Exploitation involves taking advantage of an individual for personal gain, often financially. The scenario does not provide information about financial or other forms of exploitation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ignore the incident since it is an attention-seeking behavior: Ignoring the incident is not appropriate because the client may be in distress or at risk of harm.
B. Stay with the group and ask another client to go and check on the situation: Asking another client to check on the situation is not appropriate, as it is the nurse's responsibility to ensure the safety of all clients.
C. Follow the client to determine the cause of the behavior: Following the client allows the nurse to assess and intervene appropriately to ensure the client's safety and address the cause of the behavior.
D. Ask the group what they think about the client's behavior: Discussing the behavior with the group is not appropriate in an emergency situation and does not address the immediate needs of the distressed client.
Correct Answer is B
Explanation
A. Adjustment disorder: Adjustment disorder involves emotional or behavioral symptoms in response to a stressor, but not typically to the extent of physical aggression.
B. Intermittent explosive disorder: Intermittent explosive disorder is characterized by sudden episodes of unwarranted anger and impulsive, aggressive behavior that are grossly out of proportion to the provocation or stressor present is consistent with the described actions.
C. Conduct disorder: Conduct disorder typically involves a pattern of behavior that violates societal norms and the rights of others, more commonly diagnosed in children and adolescents.
D. Oppositional defiant disorder: Oppositional defiant disorder involves a pattern of angry, defiant behavior towards authority, but does not typically include physical aggression towards non-family members.
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