Which of the following statements, made by a caregiver of an older client, should alert the nurse to assess for evidence of elder abuse?
She has not been having incontinence problems since we have been taking her to the toilet every 2 to 3 hours when she is awake.
Mom is always into something and can't seem to stay still, so I've been giving her half of my Valium to get her to relax so I can get some rest.
We have to feed Mom baby food now because she has trouble chewing and swallowing regular food.
Mom wanted to stay at her home, but we were scared for her safety, so we moved some of her personal things into our home and brought her to live with us.
The Correct Answer is B
Choice A rationale
Regular toileting prevents incontinence-related complications and reflects appropriate caregiving without any indications of elder abuse or misuse of caregiver authority.
Choice B rationale
Administering Valium without a prescription constitutes medication misuse, which is a form of elder abuse that can endanger the client’s health and violates ethical caregiving practices.
Choice C rationale
Feeding baby food due to swallowing difficulties may indicate proper adaptation to the client's needs, assuming there are no signs of neglect or harm in the caregiving approach.
Choice D rationale
Transitioning an elderly person into a safer home environment demonstrates responsible caregiving and does not inherently suggest any evidence of elder abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Referring to a supervisor doesn’t fulfill the nurse’s legal obligation to clarify mandatory reporting requirements. It may also escalate parental frustration due to perceived evasion.
Choice B rationale
Delegating responsibility to a supervisor undermines the nurse’s accountability in adhering to legal reporting protocols. This response is insufficient to address parental concerns effectively.
Choice C rationale
Mandatory reporting laws require healthcare professionals to report suspected abuse, regardless of evidence certainty. Nurses must communicate this obligation clearly to justify their actions.
Choice D rationale
While involving the provider may aid communication, it doesn’t address the nurse’s personal accountability in fulfilling legal reporting duties or informing the parent. .
Correct Answer is C
Explanation
Choice A rationale
Discussing birth control with a son who acknowledges readiness for responsibilities reduces the risk of unintended pregnancy through informed decision-making, promoting a strong foundation for adolescent reproductive health.
Choice B rationale
Open communication with a daughter about sexuality and willingness to support contraceptive access empower responsible reproductive choices, which align with preventing teen pregnancy and promoting sexual health.
Choice C rationale
Assuming intelligence deters risky behavior ignores emotional and social influences on decisions, potentially increasing vulnerability to unprotected sexual activity and the risk of unintended pregnancy due to lack of preparedness.
Choice D rationale
Acknowledging uncertainty and planning proactive discussions with a son enhances communication and supports informed choices regarding sexual behavior, helping to mitigate risks associated with teen pregnancy.
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