CAREGIVER STRAIN, ELDER ABUSE
AND NEGLECT EXAM QUESTIONS AND
ANSWERS
What are restraints? - Answer--Devices or equipment or methods that inhibit physical
movements
Examples: hand mittens, vest restraints, etc
What are harmful effects of Physical Restraints? - Answer--cuts, bruises, strangling,
restricted breathing, bed sores, frustration, fear, agitation, crying, etc.
What are alternatives to restraints? - Answer--give our patient more attention
-increase their mobility from better diet and exercise
-having a safe environment, good lighting, dry floors, safe bed heights
When is a restraint NOT ALLOWED? - Answer--Punish or discipline a patient
-Make patient care easier or more convenient
-Substitute for other activities or treatment
-Permanently control the patient
What are Chemical restraints? - Answer--a drug that is used for discipline or
convenience, not a treatment to a disease process
What risks can they cause? - Answer--increased dependence
more functional decline
-loss of memory
-agitation
-withdrawal
-depression
-orthostatic hypotension
-confusion
-accidents and falls
*According to federal law, each patient has the right to be free from unnecessary
medication.
Evaluating Effectiveness of Nursing Interventions - Answer--Higher level of functional
independence
-Caregiver stress reduction
-Least restrictive legal interventions
-Protection of the older adult
, Families and Caregivers - Answer--Family caregivers provide > 20 hours per week
-More than 80% of care is provided by family
-Caregivers experience stress & depression (related to lack of preparedness for role,
caring for someone with dementia, poor quality relationships between caregiver and
care recipient)
-Even with residents in care facilities, families provide 4-9 hours a week of care
-Closer it comes to death, more time is spent
Caregivers Stress:
What can be done to decrease the stress of Caregiving? - Answer--accept help
-ask family and friends to come to your aid to help (like picking up groceries, spending
time with your loved one)
-respite care
-get connected, join a care giving support group to get advice from others
-dont let go of your existing social networks
-keep that support group of friends close to prevent isolation and anxiety, another way
to get out of the house for a break by being with friends
-seek counseling if its too much on the person
-don't over indulge on sweets or alcohol due to stress
-eat healthy and nutritious meals
-get enough sleep and exercise
Family, Caregivers Strain - Answer-Caregiver Strain Index (CSI) Consult Geri
CAREGIVER STRESS TEST: Alzheimer's Association®.
Do you regularly:
Feel like you have to do it all yourself, and that you should be doing more? o Yes o No
Withdraw from family, friends and activities that you used to enjoy? o Yes o No
Worry about the safety of the person you care for? o Yes o No
Feel anxious about money and health care decisions? o Yes o No
Deny the impact of the disease and its effects on your family? o Yes o No
Feel grief or sadness that your relationship with the person isn't what it used to be? o
Yes o No
Get frustrated and angry when the person continually repeats things and doesn't seem
to listen? o Yes o No
Have health problems that are taking a toll on you? o Yes o No
If you answered "yes" to any question, you may be experiencing caregiver stress.
Elder Abuse: World Health Organization - Answer-"is a violation of human rights and a
significant course of illness, injury, loss of productivity, isolation and despair."
A portrait of elder abuse - Answer-There's an elderly neighbor you've chatted
with at civic meetings and block parties for years.
When you see her coming to get her mail as you
AND NEGLECT EXAM QUESTIONS AND
ANSWERS
What are restraints? - Answer--Devices or equipment or methods that inhibit physical
movements
Examples: hand mittens, vest restraints, etc
What are harmful effects of Physical Restraints? - Answer--cuts, bruises, strangling,
restricted breathing, bed sores, frustration, fear, agitation, crying, etc.
What are alternatives to restraints? - Answer--give our patient more attention
-increase their mobility from better diet and exercise
-having a safe environment, good lighting, dry floors, safe bed heights
When is a restraint NOT ALLOWED? - Answer--Punish or discipline a patient
-Make patient care easier or more convenient
-Substitute for other activities or treatment
-Permanently control the patient
What are Chemical restraints? - Answer--a drug that is used for discipline or
convenience, not a treatment to a disease process
What risks can they cause? - Answer--increased dependence
more functional decline
-loss of memory
-agitation
-withdrawal
-depression
-orthostatic hypotension
-confusion
-accidents and falls
*According to federal law, each patient has the right to be free from unnecessary
medication.
Evaluating Effectiveness of Nursing Interventions - Answer--Higher level of functional
independence
-Caregiver stress reduction
-Least restrictive legal interventions
-Protection of the older adult
, Families and Caregivers - Answer--Family caregivers provide > 20 hours per week
-More than 80% of care is provided by family
-Caregivers experience stress & depression (related to lack of preparedness for role,
caring for someone with dementia, poor quality relationships between caregiver and
care recipient)
-Even with residents in care facilities, families provide 4-9 hours a week of care
-Closer it comes to death, more time is spent
Caregivers Stress:
What can be done to decrease the stress of Caregiving? - Answer--accept help
-ask family and friends to come to your aid to help (like picking up groceries, spending
time with your loved one)
-respite care
-get connected, join a care giving support group to get advice from others
-dont let go of your existing social networks
-keep that support group of friends close to prevent isolation and anxiety, another way
to get out of the house for a break by being with friends
-seek counseling if its too much on the person
-don't over indulge on sweets or alcohol due to stress
-eat healthy and nutritious meals
-get enough sleep and exercise
Family, Caregivers Strain - Answer-Caregiver Strain Index (CSI) Consult Geri
CAREGIVER STRESS TEST: Alzheimer's Association®.
Do you regularly:
Feel like you have to do it all yourself, and that you should be doing more? o Yes o No
Withdraw from family, friends and activities that you used to enjoy? o Yes o No
Worry about the safety of the person you care for? o Yes o No
Feel anxious about money and health care decisions? o Yes o No
Deny the impact of the disease and its effects on your family? o Yes o No
Feel grief or sadness that your relationship with the person isn't what it used to be? o
Yes o No
Get frustrated and angry when the person continually repeats things and doesn't seem
to listen? o Yes o No
Have health problems that are taking a toll on you? o Yes o No
If you answered "yes" to any question, you may be experiencing caregiver stress.
Elder Abuse: World Health Organization - Answer-"is a violation of human rights and a
significant course of illness, injury, loss of productivity, isolation and despair."
A portrait of elder abuse - Answer-There's an elderly neighbor you've chatted
with at civic meetings and block parties for years.
When you see her coming to get her mail as you
