NUR 245 Exam 2 With Correct Answers Graded A+

NUR 245 Exam 2 With Correct Answers Graded A+ As a mandatory reporter of elder abuse, which of these must be present before a nurse notifies the authorities? - ANSWER suspicion of elder abuse and/or neglect During a home visit, the nurse notices that an elderly woman is caring for her bedridden husband. The woman states that this is her duty, she does the best she can, and her children come to help when they are in town. Her husband is unable to care for himself, and she appears thin, weak, and exhausted. The nurse notices that several of his prescription medication bottles are empty. This situation is best described by the term: - ANSWER unintentional physical neglect a nurse is aware that intimate partner violence (IPV) screening should occur with what situation? - ANSWER as a routine part of each healthcare encounter which statement is best for the nurse to use when preparing to administer the Abuse Assessment Screen? - ANSWER we need to ask these question s because domestic violence are so common in our society which term refers to a wound produced by tearing or splitting of body tissue, usually from blunt impact over a body surface? - ANSWER laceration during an examination, the nurse notices a patterned injury on a pts back. which of the following would cause such an injury? -blunt force -friction abrasion -stabbing from a kitchen knife -whipping from an extension cord - ANSWER whipping from an extension cord when documenting IPV and elder abuse, the nurse should include: - ANSWER photographic documentation of injuries a female pt denies any abuse when answering abuse assessment screen, but the nurse has noticed some other conditions that are associated with IPV. examples of such conditions include.... -asthma -confusion -depression -frequent colds - ANSWER depression the nurse is using the danger assessment (DA) tool to evaluate the risk of homicide. Which of these statements best describes its use? -the DA tool is to be administered by the law enforcement personnel -the DA tool should be used in every assessment of suspected abuse -the number of yes answers indicates the woman's understanding of her situation -the higher the number of yes answers, the more serious the danger of the womans situation - ANSWER D, the higher number of yes answers the more serious the danger of the woman's situation the nurse is assessing bruising on an injured patient. Which color indicates a new bruise that is less than 24 hours old? - ANSWER red the nurse suspects abuse when a 10 y/o child is taken to the ED for a leg injury. the best way to document the history and physical findings is to: - ANSWER use the words the child used to describe how the injury occurred during an interview, a woman has answered yes to two of the abuse assessment screen questions- what should the nurse say next? - ANSWER "tell me about the abuse in your relationship" The nurse is examining a 3 year old child who was brought to the emergency room after a fall. which bruise, if found, would be of most concern? -bruise on the knee -bruise on the elbow -bruise on the abdomen -bruise on the shin - ANSWER bruise on the abdomen- not a bony prominence therefore more likely to be a mark of abuse the nurse assesses an older woman and suspects physical abuse. which questions are appropriate for screening for abuse? select all that apply -has anyone made you afraid, touched you in ways you did not want, or hurt you physically? -are you being abused? -have you relied on people for any of the following: bathing, dressing, shopping, banking, meals? -have you ever been upset because someone talked to you in a way that made you feel shamed or threatened? - ANSWER all but B when examining the eye, the nurse notices that the patients eyelid margins approximate completely. the nurse recognizes this assessment finding: -is expected -may indicate a problem with extra-occular muscles