Exhibits
Click to indicate if the listed manifestion of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.
Poor personal hygiene
Depression or withdrawn behavior
Untreated pressure injuries
Bruises in various stages of healing
Leaving an older adult in a public space
Oversedation
The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}
Manifestation of Abuse |
Physical abuse |
Abandonment |
Neglect |
Poor personal hygiene |
|
|
✔ |
Depression or withdrawn behavior |
|
|
✔ |
Untreated pressure injuries |
|
|
✔ |
Bruises in various stages of healing |
✔ |
|
|
Leaving an older adult in a public space |
|
✔ |
|
Oversedation |
✔ |
|
|
• Bruises in various stages of healing: Suggests repeated injury over time, which is a key indicator of physical abuse. These bruises often occur in hidden areas and are inconsistent with normal aging or known medical conditions.
• Oversedation: Reflects misuse of medication to control or silence the client, interfering with consciousness and autonomy. This constitutes physical abuse when done without clinical justification or consent.
• Leaving an older adult in a public space: Represents abandonment by a caregiver who fails to ensure the older adult's safety or access to basic care needs. It places the person at serious risk of harm or exploitation.
• Poor personal hygiene: Indicates neglect, as the caregiver is not assisting with or providing access to basic hygiene needs like bathing, grooming, and oral care, all of which are essential for health and dignity.
• Depression or withdrawn behavior: Often results from social isolation, lack of engagement, and emotional neglect. In this case, the client is restricted from activities and interactions that support mental well-being.
• Untreated pressure injuries: Reflect failure to provide adequate repositioning, incontinence care, and wound management. The presence of multiple open wounds and boggy heels signals clear neglect of nursing and hygiene care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cleanse the perineal area in circular motion after voiding: Cleaning should be done from front to back, not in a circular motion, to prevent introducing bacteria from the anal area to the urethra.
B. Drink large amounts of fluids before bedtime: Drinking large amounts before bed can lead to bladder distention and nighttime urgency, which may not effectively prevent infection and can disrupt sleep.
C. Empty the bladder before and after sexual intercourse: Voiding before and after intercourse helps flush out bacteria introduced into the urethra during sexual activity, significantly reducing the risk of UTI.
D. Hold urine for at least 10 minutes to dilute bacteria: Holding urine encourages bacterial growth by allowing urine to remain stagnant in the bladder longer, increasing the risk of infection rather than preventing it.
Correct Answer is D
Explanation
A. Attempt to comfort the client by agreeing with the delusions and ask open-ended questions: Agreeing with delusions reinforces false beliefs and can interfere with therapeutic communication and trust-building.
B. Disagree with the statement and set clear limits on talking about it: Directly challenging or confronting delusions can make the client defensive or agitated, damaging the therapeutic relationship.
C. Immediately inform the healthcare provider that the client is experiencing a delusional episode: While documentation and provider notification may be needed later, the immediate priority is to respond therapeutically to the client’s current perception.
D. Present a personal perception of reality in a nonconfrontational manner: Gently presenting an alternative view without challenging the client’s experience respects the client’s perspective while maintaining a grounded, therapeutic approach to reality orientation.
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