Use, Cognitive Assessment & Suicide Risk | Q&A | Grade A | 100% Correct
(Verified Answers) – Champion Nursing Program
Subject: Advanced Health Assessment – Elder/Child Abuse, Substance Use Assessment, Cognitive Testing,
Suicide Risk, Partner Violence, Cultural Considerations
Source: NR 509 Week 6 Quiz Study Guide / Clinical Practice Guidelines (2026/2027 Update)
Format: Q&A Guide with Clinical Rationales | Grade A Guaranteed
1. What must a healthcare provider do when there is suspicion of elder abuse?
Correct Answer: Must be reported to authorities
1. Elder abuse is a mandatory reporting requirement in all 50 states. Providers are legally
obligated to report suspected abuse to adult protective services or law enforcement.
2. Failure to report can result in civil and criminal penalties, including fines and license
revocation.
2. What clinical signs suggest possible cocaine use?
Correct Answer: Dilated pupils, pacing, psychomotor agitation
1. Cocaine is a stimulant that causes sympathetic nervous system activation, leading to pupillary
dilation (mydriasis), restlessness, and agitation.
2. Other signs include tachycardia, hypertension, euphoria, and increased energy. Chronic use
may cause nasal septal perforation.
3. How should a provider document an injury to a child when abuse is suspected?
Correct Answer: Use the child's words of how the injury occurred
1. Documenting the child's exact words in quotations preserves the child's statement as direct
evidence and avoids misinterpretation.
2. This practice is critical for legal proceedings and protects both the child and the provider's
documentation accuracy.
4. What disease increases the bioavailability of alcohol (ETOH)?
Correct Answer: Kidney and liver disease
1. Liver disease reduces first-pass metabolism of alcohol, increasing systemic bioavailability and
susceptibility to alcohol effects.
2. Kidney disease affects fluid balance and excretion of alcohol metabolites, prolonging alcohol's
effects and toxicity.