SUBSCRIBE NR 110 Final Exam 1. To report elder abuse what information MUST you have? Answer Suspicion of the abuse or neglect (you do not have to have proof of the abuse before calling authorities 2. The AMA (American Medical Association) defines elder physical abuse as? Answer Violent acts that result or could result in injury, pain, impairment or disease 3. The AMA defines elder physical neglect as? Answer failure of family or caregiver to provide basic goods and services such as food, shelter, health care and medications 4. The AMA defines elder psychological abuse as? Answer behaviors that result in mental anguish 5. The AMA defines elder psychological neglect as? Answer failure to provide basic social stimulation 6. The AMA defines elder financial abuse as? Answer intentional misuse of elderly person's financial and material resources 7. The AMA defines elder financial neglect as? Answer failure to use elderly person's assets to proved needed services 8. What questions are asked when screening for elder abuse? SUBSCRIBE Answer Has anyone done the following Answer ever touched you inappropriately? made you do things you didn't want to do? taken things that were yours without asking? physically hurt, scolded, or threatened you? failed to help you take care of yourself? Have you signed documents you didn't understand? Are you afraid of anyone at home? Are you alone a lot? 9. What is child neglect Answer failure to provide for a child's basic physical, educational, medical, and emotional needs 10. What is child physical abuse? Answer physical injury due to punching, beating, kick- ing, biting, burning, shaking, or otherwise harming a child; even if parent or caretaker did not intend harm, such acts are considered abuse when done purposefully 11. What is child sexual abuse? Answer includes fondling child's genitals, incest, pene - tration, rape, sodomy, indecent exposure, and exploitation through prostitution or production of pornographic materials 12. What is child emotional abuse? Answer any pattern of behavior that harms child's emotional development or sense of self-worth; includes frequent belittling, rejection, threats, and withholding of love and support 13. How do you assess child abuse and neglect? Answer SUBSCRIBE Past medical history (previous hospitalizations, injuries, chronic medical conditions) Does the child take medications that may cause bruising? If child is verbal the history should be obtained away from caretakers through open -
ended questions or statements 14. How do you assess adolescent abuse? Answer Observe for risk factors and be aware that it occurs in both genders Answer ETOH/Drug abuse Early onset of sexual activity or risk behaviors Signs of mental illness or poor performance at school Ask questions relative to assessing risk Have you felt unsafe in relationships? Is a partner from a previous relationship making you feel unsafe now? Have been physically assaulted or otherwise hurt by your partner when they have been angry? Have you been hurt by a dating partner to the point where it left a mark or bruise? 15. How do you properly document Intimate Partner Violence (IPV), child abuse and elder abuse? Answer *Detailed, nonbiased progress notes * Use of injury maps * Photographic documentation in health record * Other aspects of abuse history, including reports of past abusive incidents, can be paraphrased with use of partial direct quotations * Written documentation of histories of IPV and elder abuse needs to be verbatim but within reason * Critical to document exceptionally poignant statements made by victim that identify perpetrator and severe threats of harm made by perpetrator 16. How do you prevent IPV? Answer
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