Ch 10 Nur

Front 1

The National Research Council defines elder mistreatment as?

Back 1

1. Intentional actions that cause harm or create a serious risk of harm whether or not intended to a vulnerable elder by a caregiver or other person who stands in a trust relationship to the elder.

2. Failure by a caregiver to satisfy the elder basic needs or to protect the elder from harm.

Front 2

What are the three basic categories of elder abuse?

Back 2

1. Domestic elder abuse

2. Institutional elder abuse

3. Self neglect or self abuse

Front 3

Awareness of elder abuse as a social problem began in the _______ and ______ as the writings of Geneva Mathiasen and Gertrude all introduced the concept of

Back 3

1950's and 1960's

Front 4

In 1978 ___________ used the term battered parent at a congressional hearing on domestic violence and the department of Health and Human Services awarded two grants for elder abuse research.

Back 4

Suzanne Steinmetz

Front 5

True or false

The older adult population has been increasing rapidly with the most vulnerable groups of older people (85 or older) increasing at the fastest rate.

Back 5

True

Front 6

True or false

Adult children increasingly are called upon to care for their elderly parents however some do not have the skill resources availability or physical proximity to undertake this responsibility successfully.

Back 6

True

Front 7

What are the characteristics of a perpetrator?

Back 7

This person may:

Alchohol abuse

mental illness

history of violence or hostility

dependence on the victim

stress

Front 8

What are the characteristics of a victim of abuse?

Back 8

This person maybe:

Socially isolated

Chronic illness or functional limitation

Cognitive impairment

Shared living arrangement with the perpetrator

Front 9

True or false

Korean Americans elders were found to be more tolerant of elder abuse in general and financial exploitation in particular than either white or African American elders.

Back 9

True

Front 10

True or false

Older African Americans were likely to emphasize physical abuse when giving examples of extremely abusive behavior.

Back 10

True

Front 11

True or false

Asian Indians were found to consider ignoring and not visiting the worst things that family members can do to elderly people.

Back 11

True

Front 12

True or false

Financial abuse was the most prevalent form of mistreatment among African Americans in rural North Carolina

Back 12

True

Front 13

True or false

In contrast to most problems affecting older adults on of the major risk factors for elder abuse is its invisibility.

Back 13

True

Front 14

True or false

Abused elders are vulnerable because of a combination of social personal situational and environmental factors.

Back 14

True

Front 15

True or false

Impaired cognitive function is one of the most common characteristics of abused older adults. Ex. Dementia

Back 15

True

Front 16

_________ intentional or unintentional refusal or failure to provide good or services that are necessary to avoid physical harm, mental anguish or mental illness

Back 16

Neglect

Front 17

__________ Deprivation of a basic need or actual or threatened inflection of physical pain injury or violence

Back 17

Physical abuse

Front 18

____________ Infliction of metal pain distress or anguish through verbal or nonverbal acts

Back 18

Emotional (psychological) abuse

Front 19

__________ (financial or property abuse): Illegal taking misuse or concealment of funds property or assets.

Back 19

Exploitation

Front 20

__________ non consensual sexual activity contact injury or violence.

Back 20

Sexual abuse

Front 21

_________ or _________ abuse are forms of elder abuse that differ form other types in that they have no perpetrator other than the older person themselves.

Back 21

Self neglect and self abuse

Front 22

The nursing assessment of physical abuse and neglect focuses on?

Back 22

Nutrition, hydration bruises and injuries degree of frailty and presence of pathological conditions.

Front 23

What are some examples of threats that nurses commonly assess in elder abuse situation?

Back 23

1. History of physical violence on the part of the caregiver, especially when the elder is unable to escape or otherwise be protected.

2. Untreated wounds or infections

3. Inability to administer insulin correctly

4. Progressive gangrene or ulcerated conditions'

5. Consistent wandering in unsafe neighborhoods or in very cold weather.

6. Misuse of certain medications such as insulin

7. Excessive use of drugs or alcohol either self or caregiver induced.

Front 24

What are the principals of Adult Protective Services?

Back 24

I. Freedom over safety: The client has the right to choose to live at risk of harm providing they are capable of making that choice.

II. Self determination: Client has a right to personal choices and decisions until such time that she or she delegates or the court grants the responsibility to someone else.

III. Participation in decision making: Pt has the right to receive information to make informed decisions and to participate in all decision making affection their circumstances.

IV. Least Restrictive alternative: Pt has the right to services alternatives that maximize choice and minimize lifestyle disruption.

V. Primacy of the Adult: The worker has a responsibility to serve the client not he community people concerned about appearances and the landlord concerned about the crime or the family concerned about finances.

VI. Confidentiality: The client has the right to privacy and secrecy.

VII. Benefit of Doubt: If there is evidence that the client is making a reasoned choice the w

Front 25

When do I report abuse?

Back 25

Report elder abuse when you believe that without intervention the situation will deteriorate or endanger the elder.

Front 26

What if my report places the elder in more danger or labels someone inaccurately? What if it causes the elder to shy away from me and my agency?

Back 26

Report elder abuse if you believe that the protective services system can reduce the risk better than the current interventions.

Front 27

How do I decide if the elder or the caregiver receives priority?

Back 27

With certain exception the elder should receive priority. These exception are limited to circumstances in which the elder has been judged to be incompetent by a court of low or is endangering other by his or her behavior.

Front 28

Is it more important to maintain standards of confidentiality than to comply with a reporting law?

Back 28

State law takes precedence over professional standards.