Abuse, Neglect, and Misappropriation
1. A nurse caring for a 62-year-old suspected of elderly abuse. The patient would display which
signs. Select all that apply:*
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical
nursing: Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
• The patient would show signs of poor hygiene and/or dirty clothing.
• Malnutrition and dehydration
• Fearful, frequent injuries, and cowed behavior
• Very talkative and friendly
2. A 74-year old female present to the ED with a history of emotional and physical abuse. She has
been living with her 26-year old son for 3 years. She has had frequent visits to the ER with
various bruises. What would the nurse NOT suspect is elderly abuse:*
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing :
Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
• The patient is very clumsy and falls a lot.
• The patient is exhibiting a controlled response pattern.
• The woman is a victim of incest.
• The woman is victim of physical abuse.
3. A client presents to the ER after being violently raped. Which nursing intervention is appropriate:*
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing :
Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
• Tell patient not to discuss the rape. Just forget it happen and she will feel better.
• Remain nonjudgmental while listening to client.
, • Address client's intimate self-care needs while asking questions Call the SANE nurse to assist
with rape details.
4. Intentional abuse is defined as:*
WILLIAMS, P. A. T. R. I. C. I. A. A. (2022). Basic geriatric nursing. MOSBY. Hipaa training handbook for
him staff: Privacy, security, and patients' Rights Under Hipaa. (n.d.).
• A nurse deliberately mistreats or harms another person Give the patient prescribed
medication to calm her down.
• The patient accidently falls while the nurse is transporting him/her from the wheelchair to the
bed.
• None of the above
5. Mr. Blake is a 75-year-old admitted. While the nurse is conducting her initial assessment. She asked
the patient does he have family here. He says."No, I live alone and do not have friends. I don't like
people in my house". The patient exhibiting signs of? Select any that apply:*
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing :
Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
• Patient is socially withdrawn.
• Self-neglect
• Abuse
• None of the above
6. 65-year-old man has been admitted for urinary incontinence due to a urinary tract infection. When
the nurse asks the patient how often is he going to the restroom? He states, "my daughter gets very
angry when I urinate on myself." He has bruises on his arm. Which assessment question will assist
the nurse to identify whether the patient is being abused. Select all that apply:*
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing :
Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
• Sir, how did you get the bruises on your arms?
• What happens when your daughter gets to upset with you?
, • Are you able to hold your urine?
• Are you afraid of your daughter when she get upset with you?
7. An elderly patient is admitted to your unit with multiple pressure injuries on her back and buttock
areas. Upon assessment the nurse asks patient if she is able to ambulate on her own. She states,
"No I get very weak when I stand". The nurse learns the aide does not turn the patient and does not
get her up to use the restroom. The patient has sat in soiled linens for hours at a time. What type of
abuse should the nurse suspect:*
WILLIAMS, P. A. T. R. I. C. I. A. A. (2022). Basic geriatric nursing. MOSBY. Hipaa training handbook for
him staff: Privacy, security, and patients' Rights Under Hipaa. (n.d.).
• Physical abuse
• Neglect
• Abandonment
• Emotional abuse
• None of the above
8. A 80 year patient was admitted to your unit with generalized anxiety disorder. The patient rings the
call bell the minute you leave the room. The patient appears to be scared to be left alone. The
patient states, " My daughter leaves me alone for weeks. I have no way to do my own hygiene, get
groceries, or water. What type of abuse does the nurse suspect:*
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing :
Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
• Physical abuse
• Emotional abuse
• Financial abuse
• Abandonment
• None of the above
9. Which is NOT an element of misappropriation: *
1. A nurse caring for a 62-year-old suspected of elderly abuse. The patient would display which
signs. Select all that apply:*
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical
nursing: Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
• The patient would show signs of poor hygiene and/or dirty clothing.
• Malnutrition and dehydration
• Fearful, frequent injuries, and cowed behavior
• Very talkative and friendly
2. A 74-year old female present to the ED with a history of emotional and physical abuse. She has
been living with her 26-year old son for 3 years. She has had frequent visits to the ER with
various bruises. What would the nurse NOT suspect is elderly abuse:*
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing :
Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
• The patient is very clumsy and falls a lot.
• The patient is exhibiting a controlled response pattern.
• The woman is a victim of incest.
• The woman is victim of physical abuse.
3. A client presents to the ER after being violently raped. Which nursing intervention is appropriate:*
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing :
Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
• Tell patient not to discuss the rape. Just forget it happen and she will feel better.
• Remain nonjudgmental while listening to client.
, • Address client's intimate self-care needs while asking questions Call the SANE nurse to assist
with rape details.
4. Intentional abuse is defined as:*
WILLIAMS, P. A. T. R. I. C. I. A. A. (2022). Basic geriatric nursing. MOSBY. Hipaa training handbook for
him staff: Privacy, security, and patients' Rights Under Hipaa. (n.d.).
• A nurse deliberately mistreats or harms another person Give the patient prescribed
medication to calm her down.
• The patient accidently falls while the nurse is transporting him/her from the wheelchair to the
bed.
• None of the above
5. Mr. Blake is a 75-year-old admitted. While the nurse is conducting her initial assessment. She asked
the patient does he have family here. He says."No, I live alone and do not have friends. I don't like
people in my house". The patient exhibiting signs of? Select any that apply:*
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing :
Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
• Patient is socially withdrawn.
• Self-neglect
• Abuse
• None of the above
6. 65-year-old man has been admitted for urinary incontinence due to a urinary tract infection. When
the nurse asks the patient how often is he going to the restroom? He states, "my daughter gets very
angry when I urinate on myself." He has bruises on his arm. Which assessment question will assist
the nurse to identify whether the patient is being abused. Select all that apply:*
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing :
Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
• Sir, how did you get the bruises on your arms?
• What happens when your daughter gets to upset with you?
, • Are you able to hold your urine?
• Are you afraid of your daughter when she get upset with you?
7. An elderly patient is admitted to your unit with multiple pressure injuries on her back and buttock
areas. Upon assessment the nurse asks patient if she is able to ambulate on her own. She states,
"No I get very weak when I stand". The nurse learns the aide does not turn the patient and does not
get her up to use the restroom. The patient has sat in soiled linens for hours at a time. What type of
abuse should the nurse suspect:*
WILLIAMS, P. A. T. R. I. C. I. A. A. (2022). Basic geriatric nursing. MOSBY. Hipaa training handbook for
him staff: Privacy, security, and patients' Rights Under Hipaa. (n.d.).
• Physical abuse
• Neglect
• Abandonment
• Emotional abuse
• None of the above
8. A 80 year patient was admitted to your unit with generalized anxiety disorder. The patient rings the
call bell the minute you leave the room. The patient appears to be scared to be left alone. The
patient states, " My daughter leaves me alone for weeks. I have no way to do my own hygiene, get
groceries, or water. What type of abuse does the nurse suspect:*
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing :
Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
• Physical abuse
• Emotional abuse
• Financial abuse
• Abandonment
• None of the above
9. Which is NOT an element of misappropriation: *
