A home health nurse has been caring for a client for the past three months. Which of the following findings suggest the client is experiencing potential exploitation? (Select All that Apply.)
The client states that their rings and necklaces are missing.
The client states they are suddenly unable to log into their online bank account
The client states that their bank account has unexplained withdrawals of money.
The client states that the mortgage payment is set on an automatic bank draft.
The client states that the money in their safety deposit box has decreased over the past few months.
They client states they received a disconnection notice for the light bill after a family member stated they would pay it.
Correct Answer : A,B,C,E,F
A. "The client states that their rings and necklaces are missing." is correct. Missing personal property, especially valuable items, is a common indicator of financial or physical exploitation among older adults.
B. "The client states they are suddenly unable to log into their online bank account." is correct. Sudden loss of access to financial accounts can indicate unauthorized use or manipulation by another person, which is a red flag for financial exploitation.
C. "The client states that their bank account has unexplained withdrawals of money." is correct. Unexplained financial activity is a hallmark sign of potential exploitation, especially when the client is not aware of these transactions.
D. "The client states that the mortgage payment is set on an automatic bank draft." is not necessarily a sign of exploitation. Automatic payments are a common and legitimate method of paying bills and do not alone indicate abuse.
E. "The client states that the money in their safety deposit box has decreased over the past few months." is correct. Missing funds from secure storage suggest someone may be taking advantage of the client, signaling financial exploitation.
F. "The client states they received a disconnection notice for the light bill after a family member stated they would pay it." is correct. This may indicate mismanagement or withholding of funds by a trusted person, which is another indicator of financial exploitation.
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Related Questions
Correct Answer is D
Explanation
A. Extrapyramidal symptoms (EPS) include acute movement disorders such as akathisia (restlessness), dystonia (sustained muscle contractions), and parkinsonism (tremor, rigidity). These typically occur shortly after starting or increasing doses of first-generation antipsychotics, not usually after years of stable use. While EPS and tardive dyskinesia are related, the chronicity in this scenario makes EPS less likely.
B. Neuroleptic malignant syndrome (NMS) is a rare, life-threatening reaction to antipsychotics characterized by hyperthermia, muscle rigidity, autonomic instability, and altered mental status. The client’s presentation of facial and tongue movements without fever, rigidity, or autonomic instability does not fit NMS.
C. Impaired ability to regulate body temperature is part of NMS or other severe autonomic dysregulation but is not the primary issue in this case. The client does not show signs of hyperthermia.
D. Tardive dyskinesia is correct. tardive dyskinesia is a late-onset, involuntary movement disorder caused by long-term use of first-generation (typical) antipsychotics. It often affects the face, tongue, lips, and extremities, presenting as repetitive jerking, grimacing, or tongue movements. Symptoms typically develop after months to years of chronic antipsychotic therapy, which matches the client’s history.
Correct Answer is C
Explanation
A. Antisocial personality disorder is part of Cluster B personality disorders, which are characterized by dramatic, emotional, or erratic behaviors. This cluster includes antisocial, borderline, histrionic, and narcissistic personality disorders. Therefore, this option is incorrect for Cluster C.
B. Borderline personality disorder is also part of Cluster B. It involves instability in relationships, self-image, and emotions, often with impulsive behaviors. It is not included in Cluster C.
C. Dependent personality disorder is correct. Cluster C personality disorders are characterized by anxious or fearful behaviors. This cluster includes avoidant, dependent, and obsessive-compulsive personality disorders. Individuals with dependent personality disorder exhibit excessive need to be taken care of, fear of separation, and submissive behavior.
D. Paranoid personality disorder is part of Cluster A, which is characterized by odd or eccentric behaviors. Cluster A includes paranoid, schizoid, and schizotypal personality disorders, not Cluster C.
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