Exam 10: Violence and Elder Mistreatment

The home care nurse is preparing to visit an older female patient who lives in her son's home. The medical record indicates that the client has a high socioeconomic status. It also indicates that the son is Hispanic and is slightly cognitively impaired. Which risk factors for elder abuse would be most concerning?

The nurse is caring for a patient who has been the victim of elder abuse by her son. Which assessment finding would support the situational violence theory of elder mistreatment?

The home care nurse asks an older patient's caregiver to complete a questionnaire regarding caregiver strain. The caregiver states, "You are here to see my mom. Why do you need information about me?" Which is the most appropriate response by the nurse?

A visitor to a long-term care institution witnesses an attendant psychologically abusing a client with dementia. What actions are suggestive of this type of abuse?

The nurse suspects that an older patient has been physically abused. What must be included in the medical workup for this patient?

The nurse is concerned that an older client who lives with her son is at risk for psychopathology abuse. What assessment findings are consistent with this theory?

An older patient is being abused by family members in the home and asks about adult protective services. What should the nurse explain about these services?

An older patient comes to the emergency room with a black eye and is diagnosed with a broken right arm. What nursing assessment findings are indicative of potential physical abuse?

Which older patient is at greatest risk for mistreatment in the home?

The nurse is caring for an older patient who has been the victim of elder abuse by his adult son. Which assessment finding would support the transgenerational violence theory of elder mistreatment?

The daughter of an older patient who is a resident of a nursing home suspects the patient is a victim of abuse. What should the nurse suggest that the daughter do about this situation? Select all that apply.

The home healthcare nurse is preparing an educational program for other healthcare providers regarding elder abuse. What information should the nurse include? Select all that apply.

An older patient is accompanied by an adult daughter who is the patient's primary caregiver for a routine clinic visit. During the examination, what would indicate caregiver role strain in the daughter?

An older patient has been brought into the emergency department with injuries caused by suspected physical abuse. Which tools would the nurse use to assess this patient's injuries? Select all that apply.

A nursing manager is assessing a nursing home over concerns regarding institutional mistreatment of older patients. Which situation would warrant further concern over this issue?

Which patients seen by a nurse working in the emergency department identify a situation that suggests a case of elder mistreatment?

When documenting suspected abuse of an older patient, it is important that the nurse document:

During a home visit of an elderly married patient, the nurse observes listlessness, dry and cracked skin, and skin irritation on both inner thighs; what type of neglect should the nurse be concerned with?

The daughter of an older patient is researching viable skilled facilities to have the patient admitted. Institutional abuse information on facilities is difficult to find. What are some reasons for this? Select all that apply.

The nurse is concerned that specific families in a community are at increased risk for transgenerational violence. Which family situation exemplifies the transgenerational theory of violence?