Which of the following cases seen by a nurse working in the ED identifies a situation that suggests a case of elder mistreatment?

Correct Answer: B

Rationale: Step-by-step rationale: 1. Choice B is the correct answer because dime-sized burned areas on the upper inner thigh can be indicative of elder mistreatment, such as neglect or abuse. 2. Burns in unusual areas like the inner thigh raise suspicion as they are not commonly accidental. 3. Elderly individuals may be unable to defend themselves or report abuse, making it crucial for healthcare providers to recognize potential signs. 4. Choices A, C, and D do not directly suggest elder mistreatment but may indicate other health issues or accidents. Summary: Choice B is correct as it presents a specific sign of potential elder mistreatment, while the other choices do not exhibit clear indicators of abuse or neglect.

Correct Answer: A

Rationale: The correct answer is A: Primarily in the last 30 years. This is because advancements in research methodologies, technology, and increased awareness of aging population's health needs have led to a significant increase in research rigor and scope in the past few decades. Choice B is too broad and vague. Choice C is incorrect as research on older adults' health outcomes predates the establishment of Medicare. Choice D is too limited in scope, as research on older adults' health outcomes has been ongoing for more than just the last decade.

Correct Answer: A

Rationale: The correct answer is A because storytelling allows older clients to recall and share past experiences, promoting reminiscence. Storytelling evokes memories and encourages clients to reflect on their lives. Playing cards, painting, and watching movies do not necessarily prompt reminiscence as effectively as storytelling does. Playing cards and painting are activities that may not directly stimulate reminiscence, and watching movies may not engage clients in personal reflection as much as storytelling does.

Correct Answer: B

Rationale: The correct answer is B. Fewer than 50% of older adults utilize available preventive services. This is important for a community health initiative as it highlights a gap in healthcare utilization among seniors. By recognizing this statistic, the nurse can tailor the initiative to target the barriers preventing seniors from accessing preventive services. Rationale: 1. Option A is incorrect because stating that approximately 60% of older adults actively participate in preventive health services is misleading. The actual utilization rate is lower. 2. Option C is incorrect as it focuses on preference for alternative medicine rather than actual utilization of preventive health services. 3. Option D is incorrect as it states preventive health services are equally utilized by older and younger adults, which is not supported by data regarding senior healthcare utilization.

Correct Answer: D

Rationale: The correct answer is D because allowing the client to choose activities promotes autonomy by giving him control over his daily routine and decision-making. This empowers the client to maintain a sense of independence and self-determination, which is crucial in long-term care settings. Planning meals (A) and scheduling appointments (B) are important tasks but do not directly contribute to the client's autonomy. Decorating his room (C) is a thoughtful gesture but does not actively involve the client in decision-making or daily choices.

Correct Answer: B

Rationale: Step 1: Conducting regular reviews allows nurses to assess the necessity and appropriateness of each medication, addressing potential drug interactions, duplications, and side effects in elderly patients. Step 2: This proactive approach helps prevent polypharmacy-related complications and ensures optimal medication management. Step 3: Ensuring medications are taken exactly as directed (A) may not address the root cause of polypharmacy. Recommending over-the-counter medications (C) without proper evaluation can worsen the issue. Administering medications only during hospital stays (D) is not a comprehensive solution outside of the hospital setting.

Correct Answer: C

Rationale: The correct answer is C: Regular review and adjustment of medications by healthcare providers. This approach is the best because it involves healthcare professionals regularly assessing the appropriateness of each medication, adjusting dosages, and eliminating unnecessary drugs to minimize potential adverse effects and drug interactions in older adults. This proactive management strategy ensures that the patient's medication regimen is optimized for their specific health needs, reducing the risks associated with polypharmacy. Choice A (Regular use of over-the-counter medications) is incorrect as it does not address the issue of polypharmacy and may actually contribute to it. Choice B (Reducing the number of medications based on patient preferences) is not the best approach as patient preferences alone may not always align with the most effective and safe medication regimen. Choice D (Relying solely on herbal supplements) is also incorrect as herbal supplements can interact with prescribed medications, leading to potential complications.

Correct Answer: B

Rationale: The correct answer is B. Decreased hearing in older individuals can lead to increased danger as they may not be able to hear important warning sounds like smoke or security alarms. This can compromise their safety and well-being. A is incorrect because decreased hearing may lead to increased stressful interactions due to difficulties in communication. C is incorrect because decreased hearing can actually increase danger when driving or walking in traffic as the individual may not be able to hear car horns or other traffic sounds, leading to potential accidents. D is incorrect because decreased hearing can contribute to an increased risk of falls due to decreased awareness of environmental sounds and hazards.

Correct Answer: A

Rationale: The correct answer is A because suggesting appropriate resources like respite care and a senior citizens' center shows the nurse's understanding of the client's needs for social interaction and support. This approach addresses the client's isolation and the daughter's need for assistance in caring for her father. Choice B is incorrect because simply telling the daughter to allow her father to participate does not address the underlying issues of the client feeling in the way and the daughter's need for support. Choice C is incorrect as it ignores the client's need for social interaction and the daughter's need for assistance, prioritizing peace over the client's well-being. Choice D is incorrect as offering to stay with the client while he is isolated does not address the broader issue of the client's need for social engagement and the daughter's need for support.