Nursing Questions and Answers.

A nurse caring for a 62-year old suspected of elderly abuse. The patient would display which signs. Select all that apply:*

1. The patient would show signs of poor hygiene and/or dirty clothing.
2. Malnutrition and dehydration
3. Fearful, frequent injuries, and cowed behavior
4. Very talkative and friendly

2.  A 74-year old female present to the ED with a history of emotional and physical abuse. She has been living with her 26-year old son for 3 years. She has had frequent visits to the ER with various bruises. What would the nurse NOT suspect is elderly abuse:*

1. The patient is very clumsy and falls a lot.
2. The patient is exhibiting a controlled response pattern.
3. The woman is a victim of incest.
4. The woman is victim of physical abuse.

3.  A client presents to the ER after being violently raped. Which nursing intervention is appropriate:*

1. Tell patient not to discuss the rape. Just forget it happen and she will feel better.
2. Remain nonjudgmental while listening to client.
3. Address client’s intimate self-care needs while asking questions
4. Call the SANE nurse to assist with rape details.

4.  Intentional abuse is defined as:*

1. A nurse deliberately mistreats or harms another person
2. Give the patient prescribed medication to calm her down.
3. The patient accidently falls while the nurse is transporting him/her from the wheelchair to the bed.
4. None of the above

5.  Mr. Blake is a 75 year old admitted. While the nurse is conducting her initial assessment. She asked the patient does he have family here. He says.”No, I live alone and do not have friends. I don’t like people in my house”. The patient exhibiting signs of? Select any that apply:*

1. Patient is socially withdrawn.
2. Self-neglect
3. Abuse
4. None of the above

6.  65-year old man has been admitted for urinary incontinence due to a urinary tract infection. When the nurse asks the patient how often is he going to the restroom? He states, “my daughter gets very  angry when I urinate on myself.” He has bruises on his arm.  Which assessment question will assist the nurse to identify whether the patient is being abused. Select all that apply:*

1. Sir, how did you get the bruises on your arms?
2. What happens when your daughter gets to upset with you?
3. Are you able to hold your urine?
4. Are you afraid of your daughter when she get upset with you?

7.  An elderly patient is admitted to your unit with multiple pressure injuries on her back and buttock areas. Upon assessment the nurse asks patient if she is able to ambulate on her own. She states, “No I get very weak when I stand”. The nurse learns the aide does not turn the patient and does not get her up to use the restroom. The patient has sat in soiled linens for hours at a time. What type of abuse should the nurse suspect:*

1. Physical abuse
2. Neglect
3. Abandonment
4. Emotional abuse
5. None of the above

8.  A 80 year patient was admitted to your unit with  generalized anxiety disorder. The patient rings the call bell the minute you leave the room. The patient appears to be scared to be left alone. The patient states, ” My daughter leaves me alone for weeks. I have no way to perform my hygiene, get groceries, or water. What type of abuse does the nurse suspect:*

1. Physical abuse
2. Emotional abuse
3. Financial abuse
4. Abandonment
5. None of the above

9.  Which is NOT an element of misappropriation:*

1. Stealing
2. Using another persons property for their own personal gain
3. Unauthorized use of organization funds
4. Donation to a charity

10.  The law requires that intellectual property consisting of trade secrets not be publicly disclosed if obtained illegally:*

1. True
2. False
3. None of the above

11.  The definition of misappropriation of funds means:*

1. Illegal use of someone else’s money or property
2. Sale of one’s own property
3. Donating a loved ones clothing and items after their death
4. None of the above

12.  Misappropriation is handled in which court system:*

1. State level court
2. Federal court
3. Local court
4. Supreme court

13.  Financial abuse is defined as:*

1. When resources are stolen or misused from an elderly or infirmed person
2. When the caregiver has power of attorney over the patient’s finances
3. The patient gives money to the nurse caring for them as a “Thank you” and the nurse accepts
4. None of the above

14.  The nurse has developed a relationship with the 66 yr. old female patient admitted and learned of vaginal and rectal tears, bleeding, and bruising. The nurse suspects the patient has been a victim of:  *

1. Severe episodes of consitpation
2. Sexual abuse
3. Emotional abuse
4. None of the above

15.  Mr. Johnson an 70 yr. old male is admitted due to a fall and fracturing his left arm. He tells you he is afraid of spiders. He is diagnosed with arachnophobia. The patient says his son thinks it’s funny to tell him spiders are crawling on him. This is a form of what type of abuse:*

1. Emotional abuse
2. Eating disorders
3. Physical abuse
4. Panic attacks

16. Which is considered a crime?*

1. Murder
2. Abuse
3. Robbery
4. Negligence

17.  Informed consent is defined as;*

1. A patient fully understands all aspects of care being performed
2. When a patient is admitted to a unit
3. The patient signs a DNR
4. None of the above

18.  Which statement about Domestic Violence is true:*

1. It involves physical harm always
2. It always involves violence
3. One person has control over the other person that is causing harm
4. None of the above

19.  You are the CNA taking care of the patient admitted to your unit. You suspect the patient is being abused. Who should you notify immediately:*

1. The doctor
2. The family
3. A fellow CNA assisting with your unit
4. Nurse Manager and Abuse Coordinator

20.  The nurse deprives the patient of food and water because the patient is always ringing the call bell. The nurse is guilty of:  *

1. Physical abuse
2. Emotional abuse
3. Neglect
4. Tough love to teach patient not to bother the nurse

21.  Which is NOT a sign of elderly abuse:*

1. The patient complains of stiff joints and sore muscles
2. Old and new bruises
3. Pacing and restlessness
4. Poor hygiene
5. Frequent injuries

22.  Patient has blood stains in his underwear. Patient says his neighbor comes over and forces him to spend time with him. He also states, he hurts me. The nurse suspects what type of abuse:*

1. Emotional
2. Sexual abuse
3. Neglect
4. He has a very friendly neighbor

23.  Misappropriation of funds consists of?  Select all that apply:*

1. Illegal and/or improper use of the elderly’s property, funds, or assets
2. Donation’s to goodwill
3. Taking funds from the patient’s family for care
4. None of the above

24.  A 65 year old female brought into the ER is under the influence of amphetamines. Which symptoms are indicative of this type of drug abuse use:*

1. Diaphoresis, shallow breathing, tremors, and dilated pupils
2. Hallucinations
3. Hypotension, excessive hunger
4. Diarrhea

25.  You are the day shift nurse taking care of Mr. Jones, an 85 year old paraplegic on your unit. During your assessment you note he was incorrectly positioned all night. This could be considered a form of:*

1. Emotional abuse
2. Physical abuse
3. Neglect
4. Abandonment