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: C

Rationale: The correct answer is C because maintaining good eye contact and a relaxed, smiling approach can help establish a sense of trust and connection with persons with dementia. This approach can help reduce feelings of confusion and anxiety in individuals with dementia, improving communication and fostering a positive interaction. A: Asking open-ended questions may overwhelm individuals with dementia and make it difficult for them to process information. B: Talking to persons with dementia as you would a child is inappropriate and disrespectful, as it disregards their dignity and autonomy. D: Reminding individuals with dementia not to forget something can be frustrating and may lead to feelings of failure or inadequacy.

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: 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.