Exam (elaborations)
Gerontological Nursing, 4e (Tabloski) Chapter 10 Violence and Elder Mistreatment
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Gerontological Nursing, 4e (Tabloski) Chapter 10 Violence and Elder Mistreatment
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Gerontological Nursing, 4e (Tabloski)Chapter 10 Violence and Elder Mistreatment
1) Duringrarhomervisitrofranrelderlyrmarriedrpatient,rthernurserobservesrlistlessness,rdryrandrcrack
edrskin,randrskinrirritationronrbothrinnerrthighs;rwhatrtyperofrneglectrshouldrthernurserberconcerne
drwith?
1. Self-neglect
2. Sexualrabuse
3. Caregiverrneglect
4. Financialrexploitationr
Answer:r 3
Explanation:r1.rSignsrandrSymptomsrofrself-
neglectrincluderdehydration,rmalnutrition,runattendedrorruntreatedrhealthrproblems,rlistlessness,rd
ecubitusrulcers,rurinerburns,randrhistoryrofrbeingrleftralone.rOften,rtherolderradultrisrsuspiciousrandr
refusesrtoracceptroffersrofroutsiderhelp.
2. SignsrandrSymptomsrofrsexualrabuserincludergenitalrbruising,rrectalrbleeding,randrun
explainedrsexuallyrtransmittedrdiseases.
3. Listlessness,rdry/crackedrskin,randrskinrirritationronrbothrinnerrthighsrcouldrindicaterurinerbur
ns,rwhichrisrarmanifestationrofrcaregiverrneglect.
4. Therunexplainedrinabilityrtorpayrbillsrorrpurchasernecessaryritemsrsuchrasrfood,rshelter,randrme
dicationrisrindicativerofrfinancialrexploitation.
PagerRef:r227
CognitiverLevel:r Analyzing
ClientrNeed:r PsychosocialrIntegrity
ClientrNeedrSub:rReductionrofrRiskrPotentialrNur
s/IntegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:r 3.rConductrclinicalrassessmentrforrscreeningrandrdetectionrofrelderrmi
streatment.
1
Copyrightr©r2019rPearsonrEducation,rInc.
,2) Anr85-year-
oldrclientrisradmittedrtortheremergencyrroomrwithrarfracturedrarmrandrbruisesronrtherchestrandrback.r
Thernursershouldrassess?rSelectrallrthatrapply
1. Hygiene
2. Maritalrstatus
3. Theirrcaretaker
4. Historyrofrfalls
5. Financialrstatusr
Answer:r 1,r2,r3,r4
Explanation:r 1.rCaregiversrfailurertorprovideranrolderradultrwithrlife'srnecessitiesrsuchrasrme
dication,rfood,randrshelterrisrneglect.
2. Two-thirdsrofrabusersrareradultrchildrenrorrspouses.
3. Caregiversrareroftenrabusersrofrelderlyrindividualsrasrwell.
4. Becausersomerfrailrolderrindividualsrarerpronertorunderlyingrconditionsrthatrgiverrisertortra
uma,rsuchrasrinstabilityrofrgaitrandrpoorrvisionrresultingrinrfalls,ritrmayrberdifficultrforrclinicia
nsrtordifferentiateraccidentalrfromrwillfulrinjuries.
5. Unexplainedrmonetaryrexpendituresrandrtherlackrofrmoneyrforrpersonalritemsrarerevidencerofrfin
ancialrexploitation,rbutrthererisrnorevidencerinrthisrscenario.
PagerRef:r227-
233rCognitiverLevel:r Appl
ying
Clientr Need:r Psychosocialr IntegrityrClientr
NeedrSub:r BasicrCarerandrComfort
Nurs/IntegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:r1.rDiscussrcurrentrtrendsrinrelderrmistreatment,rincludingrincidencerandrprevale
nce.
2
Copyrightr©r2019rPearsonrEducation,rInc.
, 3) Anrolderrpatientrisraccompaniedrbyranradultrdaughterrwhorisrtherpatient'srprimaryrcaregiverrforrarr
outinerclinicrvisit.rDuringrtherexamination,rwhatrwouldrindicatercaregiverrrolerstrainrinrtherdaughter
?
1. Sherexpressesrconcernsroverrmedicationrusage.
2. Sherisrreadingrarmagazinerduringrthervitalrsignrassessment.
3. Sherisronrtherphonerwithrherrhusbandrdiscussingreveningrplansrforrdinner.
4. Sherdoesrnotraskranyrquestionsrduringrtherphysicalrassessmentrdonerbyrthernurse.rAn
swer:r 4
Explanation:r 1.rCaregiversrofrolderradultsrshouldrberassessedratreachrprimaryrcarervisitrforrcar
egiverrstress.rIfrsherisrinvolvedrandraskingrquestions,rsherisrlikelyrmanagingrwell.
2. Caregiversrofrolderradultsrshouldrberassessedratreachrprimaryrcarervisitrforrcaregiverrstress.rIfrsher
isrreadingrarmagazinerduringrvitalrsigns,ritrmayrnotrberindicativerofrrolerstrain.
3. Caregiversrofrolderradultsrshouldrberassessedratreachrprimaryrcarervisitrforrcaregiverrstress.rIfrsher
isronrtherphonerarrangingrdinner,rsherisrlikelyrmanagingrwell.
4. Caregiversrofrolderradultsrshouldrberassessedratreachrprimaryrcarervisitrforrcaregiverrstress.rIfrsher
isrnotraskingranyrquestionsrandractingrdisinterestedrduringrtherassessment,rshermayrberexperiencing
rcaregiverrrolerstrain.
PagerRef:r236
CognitiverLevel:r Applying
Clientr Need:r Psychosocialr IntegrityrClientr
NeedrSub:r BasicrCarerandrComfort
Nurs/IntegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:r3.rConductrclinicalrassessmentrforrscreeningrandrdetectionrofrelderrmistreatment.
4) Whichrpatientsrseenrbyrarnurserworkingrinrtheremergencyrdepartmentridentifyrarsituationrthatrsug
gestsrarcaserofrelderrmistreatment?
1. Ar77-year-oldrpatientrwhorfellratrhome
2. Ar73-year-oldrpatientrfoundrtorberanemicrafterrvomitingrblood
3. Anr86-year-oldrpatientrwhorhasrthreerdime-sizerburnedrareasronrtherupperrinnerrthigh
4. Anr85-year-
oldrpatientrwhorhasrseveralrsmallrareasrofrbruisingronrtherbackrofrtherhandsrAnswer:r 3
Explanation:r 1.rArpatientrwithrarbrokenrbonerthatrisrconsistentrwithranrinjuryreventrandrseeksrmed
icalrattentionrpromptlyrisrnotrgenerallyrsuspectrforrelderrabuse.
2. Therpatientrwithractiverbleedingrwouldrberexpectedrtorhaveranemia.
3. Therpatientrwhorhasrskinrburnsrsuggestiverofrcigaretterburnsrinranrarearnormallyrcoveredrbyrclot
hingrisrsuggestiverofrabuse.
4. Bruisingrisrcommonrinrelderlyrpatients,respeciallyrthosertakingrmedicationrthatraffectsrtherblood
,rwhorhaverthinrskinrandrisrespeciallyrcommonrinrtherhands,rwhichrisranrarearthatrisreasilyrbumped.
PagerRef:r237
CognitiverLevel:r Analyzing
ClientrNeed:r PhysiologicalrIntegrity
ClientrNeedrSub:rReductionrofrRiskrPotentialrNur
s/IntegrConc.:r NursingrProcess:rAssessment
LearningrOutcome:r 3.rConductrclinicalrassessmentrforrscreeningrandrdetectionrofrelderrmi
streatment.
3
Copyrightr©r2019rPearsonrEducation,rInc.
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