A nurse is collecting data from an older adult client and finds visible bruises on their lower legs. Which of the following client statements should the nurse identify as a risk factor for elder abuse?
"My caregiver rearranged the furniture in the living room and I ran into the couch."
"I take a blood thinner and I bump into things sometimes."
"Please don't tell anyone you saw these; I do not want to go to a nursing home."
"I don't like having to use my walker for short trips when I am in my home."
The Correct Answer is C
A. "My caregiver rearranged the furniture in the living room and I ran into the couch.":
This explanation is plausible and does not necessarily indicate abuse.
B. "I take a blood thinner and I bump into things sometimes.":
Clients on anticoagulants are at higher risk of bruising from minor trauma.
C. "Please don't tell anyone you saw these; I do not want to go to a nursing home.":
Fear of reporting, secrecy, and concern over consequences are common signs of potential abuse or neglect.
D. "I don't like having to use my walker for short trips when I am in my home.":
This statement reflects a personal preference, not a red flag for abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tenderness in the lower extremities
Could indicate deep vein thrombosis (DVT)-a serious side effect of estrogen-containing contraceptives.
B. Breakthrough uterine bleeding
A common side effect; not urgent unless heavy or prolonged.
C. Increased appetite
Common, but not dangerous.
D. Weight gain
Expected with hormonal contraceptives, not an emergency.
Correct Answer is B
Explanation
A. Check for prescription for restraints.
Restraints are a last resort; nurse should attempt de-escalation first.
B. Speak to the client in a low, calm voice.
De-escalation and calm communication are first-line responses to agitation.
C. Ask security personnel to escort the client.
Escalates tension and should not be first-line.
D. Stand directly in front of the client and instruct them to sit.
Standing in front of an agitated person can be confrontational and may provoke aggression.
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