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Exhibits

Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.

Report findings to Adult Protective Services.

Perform a thorough physical assessment.

Confront the abuser about concerning actions.

Develop a safety plan.

Question the client in front of the suspected abuser.

Take photographs to document the abuse or neglect.

Throw away soiled clothing.

Complete a comprehensive history.

Answer and Explanation

Correct Answer : A,B,D,F,H

A. Report findings to Adult Protective Services: Reporting to Adult Protective Services (APS) is essential when elder mistreatment is suspected. APS can investigate the situation further and take appropriate action to ensure the safety and well-being of the elder.
B. Perform a thorough physical assessment: Conducting a thorough physical assessment helps to identify any signs of abuse or neglect, such as pressure injuries, poor hygiene, or physical injuries. It provides necessary information to support the suspicion of mistreatment.
C. Confront the abuser about concerning actions: Confronting the abuser directly can be dangerous for the client and may interfere with the investigation. It is best to report concerns to appropriate authorities who can handle the situation professionally.
D. Develop a safety plan: Developing a safety plan is crucial to protect the client from immediate harm. This plan includes steps to ensure the client’s safety and well-being while further actions are being taken.
E. Question the client in front of the suspected abuser: Questioning the client in front of the suspected abuser could put the client at further risk of harm. It is important to ensure the client’s safety and privacy when gathering information.
F. Take photographs to document the abuse or neglect: Documenting findings through photographs can provide evidence of abuse or neglect, which is important for reporting and investigation purposes. This documentation should be done with caution and respect for privacy.
G. Throw away soiled clothing: Disposing of soiled clothing does not address the underlying issue of mistreatment and may destroy potential evidence. Soiled clothing should be documented and handled appropriately.
H. Complete a comprehensive history: Completing a comprehensive history helps to gather detailed information about the client’s living conditions, care needs, and any changes in their behavior or condition that might indicate mistreatment.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. A client who is one day postoperative for a laparoscopic cholecystectomy is typically stable and requires less complex care, which is appropriate for a practical nurse to manage under the supervision of the RN.

B. A client with alcoholism, cirrhosis, and hepatic encephalopathy requires more complex care and assessment, which should be handled by the RN.

C. A client scheduled for a foot amputation due to diabetes complications likely requires ongoing assessment and care coordination that is better suited for an RN.

D. A client who is one day postoperative with a colostomy for colon cancer may have more complicated care needs related to the colostomy, making this more appropriate for the RN.

A. Tinnitus. B. Tachycardia. C. Fever. D. Paresthesia. E. Tremors.

Correct Answer is ["B","C"]

Explanation

A. Tinnitus can occur with MS but is not an emergency.
B. Tachycardia may indicate autonomic dysfunction or infection, which could require urgent intervention.
C. Fever is concerning because infections can exacerbate MS symptoms and trigger relapses.
D. Paresthesia is a common MS symptom and does not require immediate reporting unless it significantly worsens.
E. Tremors are an expected MS symptom and are not urgent.

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Exhibits Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

The nurse is completing the admission assessment of a client with multiple sclerosis (MS). Which finding(s) should be reported to the healthcare provider immediately? Select all that apply.

Correct Answer is ["B","C"]

Explanation

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Exhibits

Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.