Mrs. Jones, 55 years old, is the primary caregiver for her ...

[rachel9]

Mrs. Jones, 55 years old, is the primary caregiver for her 78-year-old uncle. The uncle's cognition is intact, but he is frail and cannot perform activities of daily living without assistance.
 
  Mrs. Jones brings her uncle to the clinic for a routine examination, and the nurse notes that she quickly answers the interview questions for her uncle, stating, He's OK; everything's fine. When the nurse directs her questions to the client, he looks to his niece before saying, I'm OK, just old. Findings of the physical examination are unremarkable. Which of the following interventions should the nurse implement?
  A) Meet with the uncle privately to screen for elder abuse.
  B) Meet with Mrs. Jones privately to ask if she can manage her role as caregiver.
  C) Schedule a routine follow-up appointment; there are no signs of elder abuse.
  D) Ask Mrs. Jones if she thinks her uncle is becoming depressed.

Question 2

Nurses at an urban emergency department seek to develop a plan to help women involved in abusive relationships. Which of the following components is most critical to the success of the plan?
 
  A) The presence of a specialized intimate partner violence (IPV) counselor
  B) The creation of appropriate and efficient avenues for referral
  C) The implementation of a quality of life assessment tool
  D) The availability of written educational materials

[hanadaa]

Answer to Question 1

Ans: A
Feedback:
In all settings, nurses assess communication between caregivers and older adults. Agitation, fear, and reticence from elder clients are possible indicators of mistreatment. Suspicious caregiver behaviors include humiliating comments, frequent interruptions, use of an unfeeling voice, and a lack of caring (Miller, 2009).

Answer to Question 2

Ans: B
Feedback:
Nurses assume their appropriate role in the effort to screen and treat victims of IPV through simple screening and having readily available information and avenues for referral. Referrals are more important than simply having written materials available, however. A specialized counselor on-site may not be necessary, and a QOL assessment is not likely required.

[rachel9]

Thank you

[hanadaa]

Happy to help you