An older patient lives alone and has not bathed or changed ...

[michelleunicorn]

An older patient lives alone and has not bathed or changed clothing for several days. An investigator for adult protective services visits and determines this patient is experiencing which type of elder mistreatment?
 
  1. Self-neglect
  2. Physical abuse
  3. Psychological abuse
  4. Financial exploitation

Question 2

A 75-year-old client arrives in the emergency department complaining of abdominal pain. The pain started last night and is rated 5 out of 10 on the pain scale.
 
  At the same time a 32-year-old-female client arrives stating that she has severe pain in the left lower quadrant of the abdomen that started this morning. This client rates her pain 10 out of 10 on the pain scale. In assessing the severity of pain in these clients, the nurse may consider which factor regarding the reported intensity of pain?
  A) Visceral pain is more severe in the older client, but they are less likely to complain.
  B) Visceral pain is less severe in the older client and may be reported as mild.
  C) The younger client tends to be more dramatic when complaining of pain.
  D) Visceral pain is less severe in younger clients, but this may be reported high in intensity when it is the client's first experience with pain.

[vish98]

Answer to Question 1

1
Rationale: Self-neglect occurs when mentally competent patients engage in behaviors that threaten their own safety and well-being. Failure to maintain proper hygiene practices falls into this category of elder mistreatment.

Answer to Question 2

B