Nursing for the Older Adult Quiz 3

Nursing for the Older Adult Quiz 3 An 80-year-old man is seen in the emergency department for a fall. He has bruises on his upper arms and appears depressed. He is accompanied by his grandson, who is unkempt, glassy-eyed, and has alcohol on his breath. Which of the following should be a priority with the nurse? A) Assess whether the older adult is safe in his environment. B) Determine whether legal interventions are appropriate. C) Assess the patient's degree of frailty and chronic health problems. D) Determine the mental capacity of the older adult. - a Which of the following is true about cognitive impairment and abuse of the older adult? A) Older adults who live alone are always willing to acknowledge their impairments. B) Cognitively impaired older adults are usually able to meet minimum standards of care. C) When the older adult denies cognitive impairment, the risk for abuse declines. D) Older adults become more vulnerable to abuse because of cognitive impairment. - d Matilda's neighbor notices Matilda getting water from someone's outside faucet. The neighbor notices Matilda's ankles are very swollen and that she has an untreated wound on her left leg. Matilda says, "I stopped taking my fluid pill because my water has been turned off by the water company. My daughter forgot to pay the water bill, and she does not have time to take me to the doctor for my sore." The neighbor calls adult protective services. Which of the following interventions is needed first? A) The competency of the older adult in making decisions needs to be determined. B) The daughter needs to be picked up by the police on a neglect charge. C) The older adult needs to be involuntarily committed to a long-term facility. D) An involuntary legal intervention needs to be initiated immediately. - a Which of the following statements is true about the laws of mandatory abuse reporting? A) Government agencies, not individual nurses, are responsible for reporting abuse. B) Mandatory reporting laws require reporters to know whether abuse or neglect has occurred, rather than just suspecting it has occurred. C) The use of an abuse reporting protocol replaces individual responsibility for reporting. D) A registered nurse is mandated to report abuse or neglect if it is suspected in the home environment. - d A 30-year-old granddaughter lives with and provides care for her 75-year-old grandmother. The grandmother has congestive heart failure, hypothyroidism, and chronic pain from an old compression fracture. The granddaughter supervises her grandmother's medications. The home health nurse notices that the grandmother has extra fluid pills and that her pain medication for the month is gone. The pain medication prescription is not eligible to be refilled for 2 more weeks. The older adult tells the nurse the pain pill is not working and that her back is always hurting. The nurse notices the woman's ankles are very swollen. Which of the following things should the nurse do first? A) Call adult protective services and ask for an immediate evaluation. B) Assess the granddaughter's understanding of her grandmother's needs. C) Take the grandmother to the emergency department immediately.D) Tell the older adult that her granddaughter is probably taking her pain medications. - b A nurse who works with the older population is aware that elder abuse takes many forms. Which of the following examples most clearly constitutes elder abuse? A) A woman cleans and assists with shopping for her elderly neighbor in exchange for money. B) A man has agreed to assist with childcare in exchange for room and board at his son's house. C) A man has taken control of his mother's finances after the woman granted him power of attorney. D) A woman will not change her mother's incontinence brief if she deems her mother has been uncooperative. - d A nurse who provides care in an outpatient clinic comes into contact with numerous older adults, many of whom have bruises of various sizes and stages on their body. What pattern of bruising is most suggestive of possible abuse? A) Significant bruising on the shin region of a client's leg B) Symmetrical bruising on a client's ears and neck C) Bruising on the back of a client's hands D) Bruising on both of a client's elbows - b Mr. Ames, age 81, has been living for the past 2 years in a long-term care facility. However, financial pressures have required that he move in with his son and daughter-in-law. Which of the daughter-in-law's following statements should signal a potential risk for elder abuse? A) "I sure hope that we'll qualify for some home care because this seems pretty overwhelming." B) "This won't be easy for anyone. I think I might even end up having to juggle my work schedule." C) "He's used to being waited on here, but at our place he's going to have to fend for himself." D) "I'm probably going to even have to get some friends or neighbors to help out from time to time." - c