NR 601 Final Exam Study Guide
Types of Elder Abuse - answer> emotional abuse
> sexual abuse
> neglect
> exploitation
> abandonment
> self-neglect
Risk Factors for Elder Abuse - answer> age
> gender
> ethnicity
> cultural beliefs
> living arrangements
> social isolation
> loneliness
Provider Responsibility in Cases of Suspected Abuse - answer> always keep abuse as
a differential
> any patient who present with unexplained STDs
> listen to your patients' responses to your social history questions or any reports of not
having access to their funds
> perform a physical exam and order any necessary tests
> include a cognitive screen
> You may need to interview your patient and caregiver separately to see if the stories
are the same
If your patient is living independently but not able to provide for his or her needs, this is
an example of what type of abuse? - answerself-neglect
Exploitation definition - answer> refers to taking the assets of the elder, either their
funds or their property, when this is without the consent of the elder and not for the
benefit of the elder
> E.g. when a family member moves into grandma's house and uses her home and
social security check or their income to provide for themselves, and they don't provide
for grandma's needs.
Neglect definition - answer> failing to provide food, shelter, healthcare or protection to a
vulnerable elder
Abandonment definition - answer> leaving the elder after assuming responsibility for the
care of the elder
, Emotional abuse definition - answer> includes verbal and nonverbal actions, can cause
anguish distress or pain to the elder
Sexual abuse definition - answerany form of sexual contact without the consent of the
elder
Who is most likely to be abusers? - answer> People between 60 and 70 y.o.
> living with spouses or children
Additional Risk Factors for abuse - answer> Studies report that women are more at risk
for physical and sexual abuse
> There is a concern that abuse towards men may be under-reported
> Culture and ethnicity also play a factor in abuse and abuse reporting
> Consider the cultural beliefs about abuse which may include tolerance for abuse
Signs of neglect - answer> A lack of hygiene
> Failure to meet the patient's needs (ex: missed medical appointments)
> Does the patient have needed assistance like a cane or eyeglasses?
> Is the patient losing weight?
> Ask what he or she eats, is someone providing meals?
> Does the patient have decubiti?
Prediabetes Physiology - answerImpaired glucose tolerance
Type 1 DM Physiology - answerAutoimmune destruction of pancreatic beta cells leading
to ketoacidosis & lack of insulin
Type 2 DM Physiology - answerInsulin resistance & impaired insulin secretion by islet
cells of the pancreas & decline of beta cell function
Diabetes Assessment - answer> Height/ weight
> BP
> CV Assessment
> Thyroid
> Ophthalmic
> Peripheral
> Feet/ skin
> Neuro
> Oral
Diabetes Diagnosis - answer* HgA1C >6.5%
Types of Elder Abuse - answer> emotional abuse
> sexual abuse
> neglect
> exploitation
> abandonment
> self-neglect
Risk Factors for Elder Abuse - answer> age
> gender
> ethnicity
> cultural beliefs
> living arrangements
> social isolation
> loneliness
Provider Responsibility in Cases of Suspected Abuse - answer> always keep abuse as
a differential
> any patient who present with unexplained STDs
> listen to your patients' responses to your social history questions or any reports of not
having access to their funds
> perform a physical exam and order any necessary tests
> include a cognitive screen
> You may need to interview your patient and caregiver separately to see if the stories
are the same
If your patient is living independently but not able to provide for his or her needs, this is
an example of what type of abuse? - answerself-neglect
Exploitation definition - answer> refers to taking the assets of the elder, either their
funds or their property, when this is without the consent of the elder and not for the
benefit of the elder
> E.g. when a family member moves into grandma's house and uses her home and
social security check or their income to provide for themselves, and they don't provide
for grandma's needs.
Neglect definition - answer> failing to provide food, shelter, healthcare or protection to a
vulnerable elder
Abandonment definition - answer> leaving the elder after assuming responsibility for the
care of the elder
, Emotional abuse definition - answer> includes verbal and nonverbal actions, can cause
anguish distress or pain to the elder
Sexual abuse definition - answerany form of sexual contact without the consent of the
elder
Who is most likely to be abusers? - answer> People between 60 and 70 y.o.
> living with spouses or children
Additional Risk Factors for abuse - answer> Studies report that women are more at risk
for physical and sexual abuse
> There is a concern that abuse towards men may be under-reported
> Culture and ethnicity also play a factor in abuse and abuse reporting
> Consider the cultural beliefs about abuse which may include tolerance for abuse
Signs of neglect - answer> A lack of hygiene
> Failure to meet the patient's needs (ex: missed medical appointments)
> Does the patient have needed assistance like a cane or eyeglasses?
> Is the patient losing weight?
> Ask what he or she eats, is someone providing meals?
> Does the patient have decubiti?
Prediabetes Physiology - answerImpaired glucose tolerance
Type 1 DM Physiology - answerAutoimmune destruction of pancreatic beta cells leading
to ketoacidosis & lack of insulin
Type 2 DM Physiology - answerInsulin resistance & impaired insulin secretion by islet
cells of the pancreas & decline of beta cell function
Diabetes Assessment - answer> Height/ weight
> BP
> CV Assessment
> Thyroid
> Ophthalmic
> Peripheral
> Feet/ skin
> Neuro
> Oral
Diabetes Diagnosis - answer* HgA1C >6.5%
