The RN is caring for James, an elderly man, in his home. The client’s son, Brad, is visiting and he plans to take James to the bank so that he can sign a Power of Attorney (POA) for his finances over to Brad. James tells the nurse that he is not ready for his son to take over as POA, but he doesn’t want to make him angry.
What should the nurse do next?

Assure the patient that his son has his best interest in mind.

The nurse has no accountability for this situation since it is not a clinical issue.

Notify the primary care physician that the patient can no longer care for himself.

Contact the department of aging to report suspected financial abuse.

Answer and Explanation

The Correct Answer is D

The nurse has a duty to protect the patient’s rights and well-being, and to report any signs of abuse or neglect. Financial abuse is defined as someone illegally or improperly using an elder’s money or belongings for their own personal use. It is a common form of elder abuse and can have serious consequences for the victim’s physical and mental health.

The nurse should not assume that the son has the patient’s best interest in mind (choice A), as this may not be the case.

The nurse should not ignore the situation or dismiss it as a non-clinical issue (choice B), as this would violate the nurse’s ethical and legal obligations. The nurse should not notify the primary care physician that the patient can no longer care for himself (choice C), as this may not be true and may infringe on the patient’s autonomy and dignity.

The nurse should respect the patient’s wishes and help him to exercise his rights and choices.

The nurse should also provide support and resources to the patient, such as counselling, legal aid, or social services.

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Correct Answer is ["A","B","C"]

Explanation

These actions ensure the safety of the client by reducing the risk of falls, confusion and injury.

Keeping a call bell within the client’s reach allows them to ask for help when needed.

Keeping a dim light on at night helps them orient themselves and see their surroundings.

Keeping unnecessary furniture out of the way prevents tripping and cluttering. Choice D is wrong because keeping all side rails up at all times can be considered a form of physical restraint, which is associated with many professional, legal and ethical challenges. Physical restraint should only be used as a last resort when other alternatives have failed or are not feasible. Keeping all side rails up can also increase the risk of injury if the client tries to climb over them.

Choice E is wrong because keeping all lights off at night can increase the risk of falls and confusion for the client.

Older adults may have impaired vision and cognition, and they may need to use the bathroom frequently at night. Keeping all lights off can make it difficult for them to find their way and increase their anxiety.

A. “Reporting is voluntary for health care workers.” B. “If suspicion of abuse exists then reporting is mandatory.” C. “Civil liability can result if the abuse can’t be proven.” D. “Evidence of abuse must be collected prior to reporting.”.

Correct Answer is B

Explanation

According to the National Institute on Aging, health care providers play an important role in recognizing and reporting elder abuse. They have a legal and ethical obligation to report any suspected cases of abuse to the appropriate authorities. Reporting is not voluntary for health care workers.

Choice A is wrong because reporting is not voluntary for health care workers. Choice C is wrong because civil liability cannot result if the abuse can’t be proven. Health care providers are protected by immunity laws when they report suspected abuse in good faith.

Choice D is wrong because evidence of abuse does not need to be collected prior to reporting. Health care providers should report any signs or symptoms of abuse, even if they are not conclusive.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An elderly client is hospitalized for the first time. Which of the following actions ensures the safety of the client? (Select all that apply).

Correct Answer is ["A","B","C"]

Explanation

A nurse is discussing the reporting of elder abuse with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is B

Explanation

A client sees his primary care physician for complaints of fatigue. Bloodwork shows the client is anemic. Upon physical assessment, what signs would the provider expect to see? (Select all that apply)

The nurse knows that the first-line treatment for localized inflammation (for example, on a patient’s ankle) is RICE. This acronym means:

The RN learns that the father of a teenage client was killed in a car accident when he was a baby, and his mother has raised him on her own. How should the nurse interpret this family’s functionality?

A nurse is caring for a client with chronic fatigue syndrome. Which of the following criteria were used to assist in making this diagnosis? Select all that apply.

A person with anemia is prescribed erythropoietin subcutaneously. The nurse knows that erythropoietin:

Your patient was outdoors and developed hypothermia. You know that independent nursing interventions would include:

A charge nurse is providing an in-service to a group of nurses on the different levels of illness prevention. The nurse should include which of the following as an example of secondary prevention?

The nurse is performing a cultural assessment with a client; the nurse should include which of the following? (Select All That Apply).