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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering PRN oral analgesics is within the scope of a PN’s responsibilities and does not require an RN’s expertise.
B. The RN is responsible for supervising other nurses, including newly hired graduate nurses, and ensuring that assessments are performed competently.
C. Transporting a client is typically a task for a UAP, as long as it does not require complex nursing interventions.
D. Focused assessments of clients with wrist restraints can be performed by both an RN and a PN, but this is generally within the scope of the PN’s duties.
Correct Answer is D
Explanation
A. Mononucleosis typically presents with fever, sore throat, and lymphadenopathy, but it is not associated with a rash on the palms and soles.
B. Toxic shock syndrome typically involves fever, hypotension, and multi-organ failure, with a rash that involves the palms and soles, but it is often linked to tampon use or wound infections.
C. Herpes simplex virus does not typically cause this type of rash and would not present with a sore throat and fever in this pattern.
D. The presence of fever, sore throat, and a rash on the hands, palms, and soles of the feet is characteristic of secondary syphilis, which can occur a few weeks to months after the initial infection.
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