The nurse is caring for a patient who has been the victim of elder abuse by her son. According to the situational violence theory of elder mistreatment, which situation would have occurred?
1. The son is unemployed.
2. The care of the patient has overwhelmed the son.
3. The patient sent the son to live at boarding school.
4. The son witnessed several young boys being beat up in the neighborhood.
Question 2A client experiencing pain related to cancer reports that the pain is becoming an increasing problem and voices an interest in advancing to stronger medications. The client has a history of renal problems.
When considering options that the physician may employ, the nurse should consider which of the following factors?
A) Meperidine is the most versatile opioid available.
B) Fentanyl is often the first opioid tried because of the low incidence of side effects.
C) Propoxyphene is a viable option for this client.
D) Oral morphine may be a starting point to be considered for this client.
Question 3An emergency room nurse is caring for an older patient brought in by a neighbor. The neighbor states that the patient lives with a son who drinks a lot.
What does the nurse assess that suggests elder neglect?
Standard Text: Select all that apply.
1. Thick, yellow fingernails
2. Pressure ulcer on the sacrum
3. Dry, cracked lips and tongue
4. Small skin tears to the right elbow
5. Cracked, dry skin on the lower legs bilaterally
Question 4The nurse is providing care to a terminally ill client. The client reports constant unrelieved pain. The physician prescribes an increased morphine dosage. The nurse is concerned the dosage may hasten the client's death.
Which of the following statements is most correct?
A) Managing the client's comfort cannot take priority over maintaining the client's respiratory status.
B) The nurse can be charged with a crime for administering the medication.
C) The nurse should contact the facility's attorney to review the rights of the institution.
D) The ultimate goal must be control of pain for the client.
Question 5The home care nurse asks an older patient's caregiver to complete a questionnaire regarding caregiver strain. The caregiver states, You are here to see my mom.
Why do you need information about me? Which is the most appropriate response by the nurse? 1. We fill out this paperwork for all caregivers.
2. We need to make sure you don't abuse your mother.
3. It's just something that the insurance companies make us fill out.
4. We need information about how you are dealing with caring for your mother. We don't want you to become overwhelmed.
Question 6The nurse is assigned to care for a client with dementia. A review of the medical record reveals a long history of osteoarthritis. The nurse voices concern about determining the presence of pain in the client.
Which of the following behaviors noted in the client may indicate the presence of pain and require additional action? Select all that apply.
A) Frowning
B) Sleeping more than normal
C) Increased confusion
D) Irritable with other unit residents
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