Author Question: A wound care nurse is assessing a 76-year-old client. The client has intimated to the nurse that her ... (Read 25 times)

SGallaher96 · **on:** Jul 11, 2018

A wound care nurse is assessing a 76-year-old client. The client has intimated to the nurse that her son sometimes flies off the handle and gets rough with me. Which response made by the nurse is the best response?

A) When you say 'gets rough,' what does that look like?
B) What do you think usually provokes this to happens?
C) I'm going to have to phone adult protective services right now.
D) Why do you think that there is that response with anger or frustration?

Question 2

A nurse who provides care in a clinic comes into contact with numerous older adults, many of whom have bruises of various sizes and stages on their body. What pattern of bruising is most suggestive of possible abuse?

A) Significant bruising on the shin region of a client's leg
B) Bruising on both ears and both sides of the neck
C) Bruising on the back of a client's hands
D) Bruising on both of a client's elbows

nekcihc358 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: A
Safety is the first priority in cases of elder abuse and prompt action is often necessary. However, gathering additional information, detail, and context is appropriate when a threat is not immediate. Speculating about a perpetrator's motives is unnecessary and inappropriate.

Answer to Question 2

Ans: B
Bruising on the neck and ears is not typically accidental. Conversely, bruising on the backs of the hands, elbows, and shins is more common and less likely to raise the suspicion of abuse.