The home care nurse is planning a visit to an older patient whose daughter died 6 months ago and the spouse died last month. For which potential health problem should the nurse assess the patient during the visit?
1. Normal grief
2. Complicated grief
3. Anticipatory grief
4. Uncompleted grief
Question 2Statistically, which of the following elderly clients is at greatest risk for mistreatment in the domestic setting?
A) an active 70-year-old woman with well-controlled diabetes who lives alone
B) a healthy 75-year-old man who is a retired businessman and lives with his son
C) an 82-year-old woman with severe osteoarthritis and macular degeneration who lives with her single daughter who has an adult son with cerebral palsy
D) a 77-year-old man who has a history of coronary bypass surgery, is active, and lives with his wife
Question 3An older patient with terminal cancer asks the nurse to explain palliative care. How should the nurse respond to this patient? Standard Text: Select all that apply.
1. It is the same as hospice care.
2. It is always provided in the home.
3. It can be provided along with life-prolonging care.
4. It is helpful for chronic health problems for which there is no cure.
5. It improves the quality of life while facing a life-threatening illness.
Question 4Institutional mistreatment of the elderly is most likely to occur if
A) the long-term care facility is adequately staffed with caregivers.
B) the long-term care facility provides educational inservice training for the staff.
C) clients are aggressive toward staff members.
D) caregiving staff are not required to work overtime and are screened for burnout.
Question 5The hospice nurse has provided a presentation to long-term care nurses on barriers to excellent end-of-life care. Which statement made by a participating nurse indicates that additional teaching is needed?
1. Most patients have good pain control when they die.
2. Referrals to hospice or palliative care often aren't made.
3. When a client is dying, there can be disagreements about the goal of care.
4. In general, healthcare professionals have difficulty in being honest with patients when discussing a poor prognosis.
Question 6An elderly woman tearfully tells a nurse that she must buy her neighbor's groceries or the neighbor will not take her to the store. This is an example of which type of elder mistreatment?
A) abandonment
B) abuse
C) neglect
D) exploitation
Question 7An older patient who is terminally ill is receiving hospice care at home. What suggestion should the hospice nurse make in preparation for the patient's death?
1. Discuss being admitted to a hospital.
2. Suggest transferring to a long-term care facility.
3. Recommend admission to an inpatient hospice setting.
4. Find out what the patient needs to be comfortable at home.
Question 8Which of the following cases is an example of transgenerational violence as a theory of the etiology of elder abuse?
A) a daughter who abuses alcohol
B) a daughter who is working two jobs with significant debts and cares for her father, who is becoming more confused and dependent
C) a son who, as a teenager and young adult, had serious arguments with his parents, who were emotionally abusive to him
D) a daughter who has severe arthritis and finds it increasingly difficult to deal with her forgetful, frail mother
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