The Older Adult Exam Question 2024 Update Answers

The Older Adult Exam Question 2024 Update Answers 1. Victoria is an elderly resident in a long-term care facility. Recently, a new member of the staff begins to push Victoria roughly when she is helping the elder into a wheelchair. This staff member also twists Victoria's arm when the elder is incontinent. What category of abuse is this? a. neglect b. domestic abuse c. self-abuse d. institutional abuse - Answer -d. Rationale: Institutional abuse occurs when persons employed in homes for elders (such as long-term care facilities) commit abuse. Which of the following persons exhibits a sign of possible physical abuse? a. Mark, who is bald over the crown of his head. b. Nancy, who has a series of small, circular burns on her back. c. David, who has a fractured ankle due to a fall. d. Marian, who was in an automobile accident and has a black eye. - Answer -b. Rationale: Burns deliberately made by a lit cigarette produce small, circular burns. All of the following statements about failure to report abuse are true EXCEPT: a. Elders may be afraid to report the abuse. b. Elders sometimes blame themselves for the abuse. c. Elders may be embarrassed to report the abuse. d. Elders do not report abuse because they encourage it. - Answer -d. Rationale: Although elders sometimes believe that they are to blame for the abuse, and abusers sometimes believe that the elder is responsible for the abuse, the victim is NOT responsible for abuse. Which of the following persons is most likely to be abused? a. Mr. Montgomery, a 75 year old with significant hearing loss. b. Mrs. Martin, an 85 year old who needs significant help with her activities of daily living. c. Mr. Brent, a 60 year old who is unable to walk and uses a wheelchair for mobility. Mrs. King, a 75-year old who has trouble speaking. - Answer -b. Rationale: Most victims of elder abuse are women. The older the elder, the more likely is the occurrence of abuse. Factors that increase the risk include physical and/or mental impairment. Mrs. Martin is the eldest of these people and needs significant help with her activities of daily living. The elder abuser is most often the victim's a. spouse. b. neighbor. c. siblings. d. adult child. - Answer -d. Rationale: The abuser is the victim's adult child in about 47% of documented cases. Which of the following injuries can be a sign of physical abuse? a. pattern baldness b. general bruising of the c. upper arm d. spiral fractures - Answer -d. Rationale: Spiral fractures are often the result of deliberately twisting the limb. The majority of elder abuse cases involve a. a family member abusing the elder at home. b. a healthcare worker abusing residents in a long-term care facility. c. strangers attacking elders outside the home. d. a neighbor who commits financial abuse. - Answer -a. Rationale: The majority of documented elder abuse cases involve a family member abusing the elder at home. All of the following statements about the incidence of elder abuse are true EXCEPT: a. Every year, 1 to 2 million elders are abused in this country. b. Geriatric experts believe that most cases of elder abuse are reported and investigated. c. The rate of abuse increases as the age of the elderly population increases. d. Falls are the leading cause of accidental death in persons over 65 years of age. - Answer -b. Rationale: Geriatric experts believe that most cases of elder abuse are never reported.