A 92-year-old patient who lives alone comes to an appointment ...

[Metfan725]

A 92-year-old patient who lives alone comes to an appointment with a new neighbor. She reports that she just bought the neighbor a new car so that the neighbor would be more comfortable bringing the patient to appointments.
 
  The nurse suspects financial abuse. What should the nurse do?
  1. Tell the neighbor that you are watching her.
  2. Tell the patient to stop relying on the neighbor.
  3. Tell the patient to move to a skilled nursing facility
  4. Tell the state's protective agency the nurse suspects financial abuse.

Question 2

During the winter, an 85-year-old patient is brought to the office wearing a light sweater and sandals. What question should the nurse ask to collect data to confirm a suspicion of abuse/neglect?
 
  1. Do you like your attendant?
  2. Does your attendant do any nice things for you?
  3. Did your attendant decide what clothing you should wear ?
  4. Does your attendant ever make you feel bad about yourself?

[ntsoane kedibone]

Answer to Question 1

Answer: 4
Explanation: The nurse has both an ethical and a legal obligation to ensure that older adults are safe from abuse and neglect and must follow the reporting procedures outlined by state regulations. Talking to the suspected abuser may expose the patient to more harm, since the nurse does not actually have the power to prevent further abuse. Telling the vulnerable patient to stop being dependent is unrealistic. The patient has not evidenced the need for skilled nursing care.

Answer to Question 2

Answer: 3
Explanation: Neglect involves not taking care of the older adults' needs for comfort and safety, such as warmth in the winter. A specific question about an observed behavior is most likely to give the most useful information about interactions that may constitute neglect. The patient may be afraid to express any negative feelings when asked more general questions about feelings or opinions.

[Metfan725]

Excellent

[emsimon14]

TYSM