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Depression or withdrawn behavior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

Answer and Explanation

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Depression or withdrawn behavior			✔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• Depression or withdrawn behavior: Often results from social isolation, lack of engagement, and emotional neglect.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.

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Correct Answer is B

Explanation

Rationale:

A. Review his glycosylated hemoglobin level 3 months after the teaching session: HbA1c reflects long-term glucose control but is influenced by many factors beyond injection technique. It is not an immediate or specific indicator of how well the adolescent learned the injection procedure.

B. Observe him as he demonstrates the self-injection technique to another diabetic adolescent: Direct observation allows the nurse to assess the adolescent’s actual skill performance, technique accuracy, and confidence. This provides the most immediate and practical measure of teaching effectiveness.

C. Ask the adolescent to describe his level of comfort with injecting himself with insulin: Self-reported comfort is subjective and does not guarantee proper technique. The adolescent may feel comfortable but still make critical errors during injection.

D. Have the adolescent list the procedural steps for safe insulin administration: Listing steps tests knowledge recall but not motor skills or application. The adolescent may know the steps but struggle with actual injection, making demonstration a more effective evaluation method.

A. Position bedside table so the client can lean across it. B. Encourage rest until the analgesic becomes effective. C. Raise head of bed until to a 90 degree angle. D. Place bed in a reverse trendelenburg position.

Correct Answer is A

Explanation

A. Position bedside table so the client can lean across it: Leaning forward, or assuming a tripod position, can help relieve pressure on the inflamed pancreas and ease epigastric pain, so positioning a bedside table for support offers comfort and facilitates better breathing.

B. Encourage rest until the analgesic becomes effective: Although rest is beneficial, simply encouraging the client to wait disregards their active attempts to find a position that eases their pain, potentially worsening discomfort and anxiety.

C. Raise head of bed until to a 90 degree angle: Elevating the head of the bed may provide partial relief but does not offer the same effectiveness as allowing the client to lean forward, which specifically reduces intra-abdominal pressure.

D. Place bed in a reverse trendelenburg position: Reverse Trendelenburg reduces pressure on abdominal organs by elevating the head and torso, but it is less effective for relieving pancreatitis-related pain compared to leaning forward with upper body support.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus (DM) about self-injecting insulin. Which approach is best for the nurse to use to evaluate the effectiveness of the teaching?

Correct Answer is B

Explanation

A client with pancreatitis reports severe epigastric pain, so the nurse administers a prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement?

Correct Answer is A

Explanation

The nurse has received funding to design a health promotion project for African-American women who are at risk for developing breast cancer. Which resource is most important in designing this program?

While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's lips and nares are dry and cracked. Which intervention should the nurse implement?

Which instruction should the nurse provide to a client who is preparing to have a cystoscopy?

The nurse is providing a nutrition class to a group of postmenopausal clients. Which food should the nurse emphasize to this group?

A client admitted to the psychiatric unit diagnosed with major depression wants to sleep during the day, refuses to take a bath, and refuses to eat. Which nursing intervention should the nurse implement first?

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

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.