Which of the following statements, made by a caregiver of an older client, should alert the nurse to assess for evidence of elder abuse?
She has not been having incontinence problems since we have been taking her to the toilet every 2 to 3 hours when she is awake.
Mom is always into something and can't seem to stay still, so I've been giving her half of my Valium to get her to relax so I can get some rest.
We have to feed Mom baby food now because she has trouble chewing and swallowing regular food.
Mom wanted to stay at her home, but we were scared for her safety, so we moved some of her personal things into our home and brought her to live with us.
The Correct Answer is B
Choice A rationale
Regular toileting prevents incontinence-related complications and reflects appropriate caregiving without any indications of elder abuse or misuse of caregiver authority.
Choice B rationale
Administering Valium without a prescription constitutes medication misuse, which is a form of elder abuse that can endanger the client’s health and violates ethical caregiving practices.
Choice C rationale
Feeding baby food due to swallowing difficulties may indicate proper adaptation to the client's needs, assuming there are no signs of neglect or harm in the caregiving approach.
Choice D rationale
Transitioning an elderly person into a safer home environment demonstrates responsible caregiving and does not inherently suggest any evidence of elder abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Prejudice contributes to health disparities but is not the root cause of vulnerability, as it lacks direct linkage to tangible resource availability essential for health maintenance and access.
Choice B rationale
Resource insufficiency directly hinders access to healthcare, education, and basic needs, creating a systemic barrier to health, particularly in socioeconomically disadvantaged populations.
Choice C rationale
Family support is crucial for emotional and logistical support but its breakdown is often secondary to broader systemic resource deficits exacerbating vulnerability.
Choice D rationale
Social isolation impacts health through emotional and social deprivation but is frequently a consequence rather than the primary cause of systemic vulnerability.
Correct Answer is D
Explanation
Choice A rationale
Taking breaks is a form of self-care promoting stress relief but does not involve professional assessment or intervention aimed at limiting stress, thus not qualifying as secondary prevention.
Choice B rationale
Delegating activities to others can reduce workload but lacks systematic assessment or professional guidance to address stress, making it unsuitable as a secondary prevention measure.
Choice C rationale
Support groups provide emotional support and coping strategies, which are tertiary prevention approaches focused on managing existing stress rather than early detection or intervention.
Choice D rationale
Secondary prevention involves systematic assessment to detect issues early, including identifying caregiver stress levels and intervening promptly to mitigate potential negative impacts.
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