The home health nurse is meeting with a new older adult client whose primary caregiver has requested additional assistance due to other family obligations. Which finding on the assessment should raise a red flag to the nurse for the potential of elder abuse in this household?
The client mentions she has difficulty sleeping.
Young children are playing with the client.
The client shares her favorite television program.
The caregiver appears impatient with the session.
The Correct Answer is D
Rationale:
A. The client mentions she has difficulty sleeping is incorrect because difficulty sleeping is a common issue among older adults and may result from many benign causes such as age-related changes, stress, or medical conditions. It is not, by itself, a clear indicator of abuse.
B. Young children are playing with the client is incorrect because interactions with children are normal in multigenerational households and do not indicate elder abuse.
C. The client shares her favorite television program is incorrect because this reflects normal social engagement and interest in personal activities, which are positive signs of well-being.
D. The caregiver appears impatient with the session is correct because caregiver impatience, frustration, or hostility can be an early warning sign of potential elder abuse or neglect. Caregiver stress is a known risk factor for mistreatment, and such behaviors during interactions should prompt the nurse to assess further and monitor the safety and well-being of the older adult.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. 6 months is incorrect because while some assessments consider shorter periods of abstinence, this does not meet the standard timeframe for defining sustained abstinence in clinical or diagnostic contexts.
B. 3 months is incorrect because a three-month period is too brief to be considered reliable long-term abstinence, especially in terms of assessing recovery or risk of relapse.
C. 12 months is correct because in most clinical and diagnostic frameworks, current abstinence typically refers to continuous abstinence from alcohol or illicit substances for at least 12 months. This timeframe is used to evaluate remission status, treatment success, and reduced risk for relapse.
D. 9 months is incorrect because although nine months shows progress, it does not meet the standard one-year period commonly used to define sustained abstinence in substance use disorder evaluations.
Correct Answer is B
Explanation
Rationale:
A. Contracting a gastrointestinal illness does not alter a person’s DNA. Immunity develops through the adaptive immune system, not genetic changes.
B. After recovery, the immune system produces antibodies and memory cells specific to the pathogen, providing adaptive immunity. This reduces the risk or severity of reinfection if exposed again, which is a hallmark of the immune response following an epidemic infection.
C. This is generally not true for all pathogens. While some individuals may become asymptomatic carriers (e.g., typhoid), most people who recover from a gastrointestinal illness clear the infection and do not continue to transmit the pathogen.
D. Symbiosis implies a mutually beneficial relationship, which does not apply to pathogens causing gastrointestinal illness. The pathogen is parasitic, not symbiotic, and is eventually cleared by the host’s immune system.
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