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 D
Explanation
A: Identifying effective pain relief measures is important but comes after determining the pain's characteristics. Without knowing the pain's quality, choosing the best pain relief strategy is challenging.
B: Observing body language and movement is valuable, but it does not provide specific details about the type of pain the client is experiencing.
C: A numeric pain scale measures the intensity of pain but does not assess the quality, which is important in cancer-related pain management.
D: Asking the client to describe the pain provides essential information about the quality (sharp, dull, throbbing, burning) and nature of the pain, allowing the nurse to better tailor pain management strategies.
Correct Answer is A
Explanation
Red Bin: This is the correct bin for disposing of items contaminated with blood and other potentially infectious materials. The red bin is designated for biohazardous waste.
Black Bin: This bin is typically used for general waste, such as non-contaminated trash that poses no biological hazard. Placing biohazardous materials like blood-soaked dressings in the black bin is incorrect because it does not ensure proper handling and disposal of potentially infectious waste.
Yellow Bin: This bin is often used for clinical waste that needs to be incinerated, such as used gloves, gowns, and some medical instruments. While it is used for certain clinical waste, it is not specifically designated for biohazardous materials contaminated with blood.
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