©THEBRIGHTSTARS 2024
Toward Healthy Aging: 9, 10, 14, 19, 31
Exam Questions With Correct Answers.
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."
, ©THEBRIGHTSTARS 2024
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
Toward Healthy Aging: 9, 10, 14, 19, 31
Exam Questions With Correct Answers.
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."
, ©THEBRIGHTSTARS 2024
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
