Author Question: A nurse assesses an 85-year-old client and finds bruises on the arms and shins and a skin tear on ... (Read 40 times)

tth · **on:** Jul 11, 2018

A nurse assesses an 85-year-old client and finds bruises on the arms and shins and a skin tear on the right hand. Which action is the priority for further nursing assessment?

A) Consider the family as a reliable source of information.
B) Determine if the person is depressed.
C) Follow the protocol for reporting elder abuse.
D) Review the client's medications and medical diagnoses.

Question 2

A nurse prepares a presentation regarding elder abuse and neglect. Which of the following types of abuse should the nurse include? (Select all that apply.)

A) Alcohol (substance)
B) Financial
C) Mandatory
D) Physical
E) Psychological
F) Sexual

Cheesycrackers · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: D
The nurse has not yet gathered enough data to determine whether elder abuse is a potential factor. The client/family may not know the source of the bruises, and in fact may provide inaccurate information if they contribute to an abusive situation. It is important to consider adverse medication effects and some medical conditions as potential causes of bruising.

Answer to Question 2

Ans: B, D, E, F
The National Center on Elder Abuse (2013a) recognizes seven major types of abuse: physical, sexual, emotional or psychological, neglect, abandonment, financial or material exploitation, and self-neglect.