Ebersole & Hess' Toward Healthy Aging 10th Edition by Theris
A. Touhy; Kathleen F Jett
A nurse suspects that her next-door neighbor, an older woman, is a victim of elder
abuse by her daughter. What is the appropriate action for the nurse to do in this
situation? - ANSWER: Complete a confidential report with the adult protective
services in the area.
The nurse is providing care to a client diagnosed with dementia. What option is an
example of the appropriate use of implied consent by the nurse? - ANSWER:
"Changing the client's dressing when the client asks, "Will you change this bandage
now?"
Which option is an example of elder exploitation? - ANSWER: A homebound client
can only get groceries by agreeing to pay for her neighbor's groceries, too.
A frail, elderly widow is admitted to the hospital after sustaining a fall. The client
lives alone and has no living relatives. After cognitive testing reveals mild cognitive
impairment, the interdisciplinary team on the Acute Care for the Elderly Unit
recommends long-term care placement and that a durable power of attorney for
health care (DPOA-HC) be established. When the client seems confused over what a
DPOA-HC's responsibilities are, the nurse responds that: - ANSWER: "A DPOA-HC is a
person you name to make health care decisions for you when you can't make them
for yourself."
Which of the following statements made by a family caregiver would a nurse
consider most indicative of elder abuse? - ANSWER: "My dad wanders at night and I
can't be bothered with him. I mix sleeping pills in his dinner so that he will fall
asleep."
An older woman tearfully tells a nurse, "I must buy my neighbor all of his groceries,
or he will not drive me to the store or the doctor." This is an example of which type
of elder mistreatment? - ANSWER: Financial exploitation
When a cognitively impaired, wealthy, white client is noted to have burns on her
upper back, her son states that the patient burned herself when attempting to
shower. Which statement by a member of the team reflects a need for further
education on elder abuse? (Select all that apply.) - ANSWER: -"She is wealthy; abuse
does not happen in people of financial means."
-"The client is white and race places an important role in who is likely to be abused."
A nurse is preparing education for a group of older adults and caregivers at a senior
center on elder abuse. The nurse is preparing to discuss seniors who are more likely
to be abused or neglected. The nurse includes which of the following? (Select all that
apply.) - ANSWER: -Individuals with cognitive impairment
, -Individuals who abused the caregiver earlier in life
-Individuals who live in an institutional setting
A nurse working in an emergency department is caring for an 89-year-old woman
who was brought to the hospital by her daughter for a fracture of the right arm. The
woman is wheelchair dependent and lives with her widowed daughter who is the
primary caregiver. The daughter states that her mother got up out of the wheelchair
unassisted to go to the bathroom and fell. The patient cannot recall the
circumstances of the fall. The patient is weeping and cradling her right arm. The
patient's history reveals two previous wrist fractures over the course of the past
year. The nurse notes several large ecchymotic areas on the right hand and left arm
and on the left side of the body and the back. The ecchymoses are in various stages
of healing. Upon assessment, the patient is non-weight-bearing (NWB). The nurse
suspects physical abuse based on which of the following findings? (Select all that
apply.) - ANSWER: -Bruises are in various stages of healing.
-The fracture is inconsistent with the patient's functional ability.
A nurse suspects elder mistreatment in which of the following patients seen in the
emergency department? (Select all that apply.) - ANSWER: -An 86-year-old female
nursing home resident admitted to the hospital with vaginal bleeding and three large
bruises on her inner thigh
-A 69-year-old man with a history of diabetes who is admitted for diabetic foot ulcers
wearing dirty clothing and smells like urine
An older adult who is within a normal weight range asks a nurse, "I have heard that it
is important to limit the amount of fats in my diet, but I don't know how much I
should be taking in daily. Can you help me?" The best response by the nurse is:
a.
"Someone of your age needs to limit fats."
b.
"Since you are at your ideal weight, you should limit your daily fat grams to half your
weight."
c.
"Fat intake will depend on the presence of any cardiac issues."
d.
"Read food labels well and focus your diet on low-fat foods." - ANSWER: B
A nursing student asks the instructor, "Our textbook discussed the obesity paradox
in older adults. I am not sure I understand; isn't obesity bad for everyone?" The best
response by the instructor is:
a.
"While there is evidence that obesity in younger people lessens life expectancy, it
remains unclear whether overweight and obesity are predictors of mortality in older
adults."
b.
"Obesity is usually not a concern in older adults, as most older people tend to weigh
less than they did when they were younger."
A. Touhy; Kathleen F Jett
A nurse suspects that her next-door neighbor, an older woman, is a victim of elder
abuse by her daughter. What is the appropriate action for the nurse to do in this
situation? - ANSWER: Complete a confidential report with the adult protective
services in the area.
The nurse is providing care to a client diagnosed with dementia. What option is an
example of the appropriate use of implied consent by the nurse? - ANSWER:
"Changing the client's dressing when the client asks, "Will you change this bandage
now?"
Which option is an example of elder exploitation? - ANSWER: A homebound client
can only get groceries by agreeing to pay for her neighbor's groceries, too.
A frail, elderly widow is admitted to the hospital after sustaining a fall. The client
lives alone and has no living relatives. After cognitive testing reveals mild cognitive
impairment, the interdisciplinary team on the Acute Care for the Elderly Unit
recommends long-term care placement and that a durable power of attorney for
health care (DPOA-HC) be established. When the client seems confused over what a
DPOA-HC's responsibilities are, the nurse responds that: - ANSWER: "A DPOA-HC is a
person you name to make health care decisions for you when you can't make them
for yourself."
Which of the following statements made by a family caregiver would a nurse
consider most indicative of elder abuse? - ANSWER: "My dad wanders at night and I
can't be bothered with him. I mix sleeping pills in his dinner so that he will fall
asleep."
An older woman tearfully tells a nurse, "I must buy my neighbor all of his groceries,
or he will not drive me to the store or the doctor." This is an example of which type
of elder mistreatment? - ANSWER: Financial exploitation
When a cognitively impaired, wealthy, white client is noted to have burns on her
upper back, her son states that the patient burned herself when attempting to
shower. Which statement by a member of the team reflects a need for further
education on elder abuse? (Select all that apply.) - ANSWER: -"She is wealthy; abuse
does not happen in people of financial means."
-"The client is white and race places an important role in who is likely to be abused."
A nurse is preparing education for a group of older adults and caregivers at a senior
center on elder abuse. The nurse is preparing to discuss seniors who are more likely
to be abused or neglected. The nurse includes which of the following? (Select all that
apply.) - ANSWER: -Individuals with cognitive impairment
, -Individuals who abused the caregiver earlier in life
-Individuals who live in an institutional setting
A nurse working in an emergency department is caring for an 89-year-old woman
who was brought to the hospital by her daughter for a fracture of the right arm. The
woman is wheelchair dependent and lives with her widowed daughter who is the
primary caregiver. The daughter states that her mother got up out of the wheelchair
unassisted to go to the bathroom and fell. The patient cannot recall the
circumstances of the fall. The patient is weeping and cradling her right arm. The
patient's history reveals two previous wrist fractures over the course of the past
year. The nurse notes several large ecchymotic areas on the right hand and left arm
and on the left side of the body and the back. The ecchymoses are in various stages
of healing. Upon assessment, the patient is non-weight-bearing (NWB). The nurse
suspects physical abuse based on which of the following findings? (Select all that
apply.) - ANSWER: -Bruises are in various stages of healing.
-The fracture is inconsistent with the patient's functional ability.
A nurse suspects elder mistreatment in which of the following patients seen in the
emergency department? (Select all that apply.) - ANSWER: -An 86-year-old female
nursing home resident admitted to the hospital with vaginal bleeding and three large
bruises on her inner thigh
-A 69-year-old man with a history of diabetes who is admitted for diabetic foot ulcers
wearing dirty clothing and smells like urine
An older adult who is within a normal weight range asks a nurse, "I have heard that it
is important to limit the amount of fats in my diet, but I don't know how much I
should be taking in daily. Can you help me?" The best response by the nurse is:
a.
"Someone of your age needs to limit fats."
b.
"Since you are at your ideal weight, you should limit your daily fat grams to half your
weight."
c.
"Fat intake will depend on the presence of any cardiac issues."
d.
"Read food labels well and focus your diet on low-fat foods." - ANSWER: B
A nursing student asks the instructor, "Our textbook discussed the obesity paradox
in older adults. I am not sure I understand; isn't obesity bad for everyone?" The best
response by the instructor is:
a.
"While there is evidence that obesity in younger people lessens life expectancy, it
remains unclear whether overweight and obesity are predictors of mortality in older
adults."
b.
"Obesity is usually not a concern in older adults, as most older people tend to weigh
less than they did when they were younger."
