The Older Adult Exam Questions With
Correct Answers
1. Victoria is an elderly resident in a long-term care facility. Recently, a new member of the staff
begins to push Victoria roughly when she is helping the elder into a wheelchair. This staff
member also twists Victoria's arm when the elder is incontinent. What category of abuse is this?
a. neglect
b. domestic abuse
c. self-abuse
d. institutional abuse - answer✔✔d.
Rationale: Institutional abuse occurs when persons employed in homes for elders (such as long-
term care facilities) commit abuse.
Which of the following persons exhibits a sign of possible physical abuse?
a. Mark, who is bald over the crown of his head.
b. Nancy, who has a series of small, circular burns on her back.
c. David, who has a fractured ankle due to a fall.
d. Marian, who was in an automobile accident and has a black eye. - answer✔✔b.
Rationale: Burns deliberately made by a lit cigarette produce small, circular burns.
All of the following statements about failure to report abuse are true EXCEPT:
a. Elders may be afraid to report the abuse.
b. Elders sometimes blame themselves for the abuse.
d. Elders do not report abuse because they encourage it. - answer✔✔d.
Rationale: Although elders sometimes believe that they are to blame for the abuse, and abusers
sometimes believe that the elder is responsible for the abuse, the victim is NOT responsible for
abuse.
Which of the following persons is most likely to be abused?
a. Mr. Montgomery, a 75 year old with significant hearing loss.
b. Mrs. Martin, an 85 year old who needs significant help with her activities of daily living.
c. Mr. Brent, a 60 year old who is unable to walk and uses a wheelchair for mobility.
Mrs. King, a 75-year old who has trouble speaking. - answer✔✔b.
Rationale: Most victims of elder abuse are women. The older the elder, the more likely is the
occurrence of abuse. Factors that increase the risk include physical and/or mental impairment.
Mrs. Martin is the eldest of these people and needs significant help with her activities of daily
living.
The elder abuser is most often the victim's
a. spouse.
b. neighbor.
c. siblings.
d. adult child. - answer✔✔d.
Rationale: The abuser is the victim's adult child in about 47% of documented cases.
Which of the following injuries can be a sign of physical abuse?
a. pattern baldness
b. general bruising of the
c. upper arm
d. spiral fractures - answer✔✔d.
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