Which is not a risk factor for pressure injuries?

Choice A reason: Taking retirement checks and limiting access to funds is financial abuse, exploiting the patient’s resources. This violates elder rights, requiring reporting and social service intervention. Accurate identification ensures protection, critical for restoring financial autonomy and preventing further exploitation, enhancing safety and well-being in vulnerable elderly patients.

Choice B reason: Emotional abuse involves psychological harm like humiliation, not directly indicated by taking retirement funds, which is financial abuse. Assuming emotional risks misclassification, delaying financial protection measures, critical for addressing exploitation and ensuring the patient’s economic security, essential for elder abuse prevention and support.

Choice C reason: Neglect involves failure to provide care, like food or medical needs, not specifically taking funds, which is financial abuse. Misidentifying as neglect risks overlooking financial exploitation, delaying interventions like legal guardianship, critical for protecting the patient’s assets and ensuring safety in elder care settings.

Choice D reason: Physical abuse involves bodily harm, not indicated by financial exploitation like taking retirement checks. Assuming physical risks missing financial abuse, delaying reporting or social services, critical for stopping exploitation, restoring financial control, and ensuring the patient’s safety and dignity in elder abuse scenarios.

Choice A reason: Urinary retention, the inability to void, is caused by bladder or prostate issues, not dietary fiber intake. Fiber affects gastrointestinal motility, not urinary function. High-fiber diets promote bowel regularity but have no direct impact on bladder emptying, making this choice incorrect.

Choice B reason: High-fiber diets prevent constipation by adding bulk to stool and promoting peristalsis, facilitating regular bowel movements. Fiber absorbs water, softening stool and reducing straining, which is critical for patients with poor nutrition, like Mr. Green, making this the correct choice for dietary intervention.

Choice C reason: Stress incontinence, urine leakage during physical stress, results from weakened pelvic muscles or sphincter dysfunction, not dietary factors. Fiber influences bowel health, not bladder control, so this choice is unrelated to the preventive benefits of a high-fiber diet in gastrointestinal function.

Choice D reason: Hiatal hernia, where the stomach protrudes through the diaphragm, is linked to anatomical or pressure factors, not fiber intake. Fiber supports bowel regularity but does not address esophageal or diaphragmatic issues, making this choice irrelevant to the benefits of high-fiber diets.