A nurse is caring for an older adult client who reports their caregiver has been writing checks in their name without their consent. Which of the following types of abuse is the client experiencing?
Neglect
Emotional
Physical
Economic
The Correct Answer is D
A. Neglect. Neglect involves failing to provide essential care, such as food, medication, or hygiene, leading to harm or risk of harm. In this case, the issue is financial exploitation rather than neglect.
B. Emotional. Emotional abuse includes verbal threats, humiliation, intimidation, or psychological manipulation. While financial exploitation can cause emotional distress, the primary concern in this scenario is unauthorized financial activity.
C. Physical. Physical abuse involves the infliction of bodily harm, such as hitting, pushing, or restraining. There is no indication that the client has suffered physical injury or assault.
D. Economic. Economic (or financial) abuse occurs when a caregiver misuses or exploits an older adult’s financial resources without consent. Writing checks in the client’s name without permission is a clear example of financial exploitation.
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Related Questions
Correct Answer is D
Explanation
A. Systematic desensitization. This therapeutic approach is primarily used for anxiety disorders and phobias, not specifically for functional neurological symptom disorder. It may not directly address the complexities of the symptoms associated with this disorder.
B. Daily benzodiazepines to prevent new symptoms. Benzodiazepines are generally not the first-line treatment for functional neurological symptom disorder. While they may provide short-term relief for anxiety, they do not address the underlying issues related to functional symptoms and can lead to dependency.
C. Daily physical therapy. While physical therapy can be a component of treatment for functional neurological symptom disorder, focusing solely on physical therapy may not address the psychological factors that contribute to the disorder.
D. A combination of medication and psychotherapy. This approach is recognized as the most effective treatment for functional neurological symptom disorder. Psychotherapy, particularly cognitive-behavioral therapy (CBT), can help address the psychological aspects of the disorder, while medication may be used to manage comorbid conditions such as anxiety or depression. This combination provides a comprehensive treatment strategy.
Correct Answer is D
Explanation
A. Shuffling walk. A shuffling walk is typically associated with parkinsonism or other movement disorders, which may occur with antipsychotic medications, but the specific symptom of restlessness more directly relates to other conditions.
B. Suicidal ideation. While monitoring for suicidal ideation is important in any client with psychosis, it is not specifically associated with the restlessness that the client reports in relation to chlorpromazine use.
C. Abnormal movements of the tongue and face. Abnormal movements of the tongue and face are more characteristic of tardive dyskinesia, which develops over a longer period of treatment. The acute restlessness the client is experiencing is more closely aligned with akathisia, a side effect of antipsychotic medications.
D. Oculogyric crisis. This condition involves involuntary upward eye movement and can occur as an acute dystonic reaction to antipsychotic medications like chlorpromazine. Given the client's report of restlessness, the nurse should monitor for this adverse effect, as it is more likely to manifest in the context of acute medication side effects.
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