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Elder Abuse: Speak Out for Justice

doi: 10.1097/CNJ.0000000000000049
CE Connection
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Elder Abuse: Speak Out for Justice


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General Purpose: To provide information on identifying and intervening for victims of elder abuse.

Learning Objectives: After reading this article and taking this test, you should be able to:

  1. Recognize the prevalence, types, and potential causes of and risk factors for elder abuse.
  2. Identify tools and interventions for assessing and assisting victims of elder abuse.
  1. All of the following statements are true about elder abuse except :
    1. It may be perpetrated by a trusted person who is not a caregiver.
    2. It may result in psychological harm.
    3. It can affect anyone over the age of 62 years.
    4. It includes negligent treatment.
  2. What is the most prevalent type of elder abuse?
    1. emotional/psychological abuse
    2. sexual abuse
    3. financial exploitation
    4. physical abuse
  3. The least common form of elder abuse is
    1. financial exploitation.
    2. physical abuse.
    3. neglect.
    4. sexual abuse.
  4. What type of abuse may present as malnutrition or untreated health issues?
    1. sexual abuse
    2. neglect
    3. emotional/psychological abuse
    4. physical abuse
  5. As noted in the article, self-neglect occurs when an older adult with physical, emotional, or cognitive impairment
    1. no longer communicates with family members.
    2. does not engage in social activities.
    3. begins giving away personal possessions.
    4. fails to perform personal care.
  6. According to Halphen et (2009), what is a large risk factor that might make an older adult unable to report abuse?
    1. social isolation
    2. lack of telephone access
    3. dementia
    4. illiteracy
  7. In 90% of elder abuse cases, the abuser is a
    1. family “friend.”
    2. relative.
    3. healthcare worker.
    4. stranger.
  8. Where does the majority of elder abuse occur?
    1. private homes
    2. nursing homes
    3. adult day care centers
    4. hospitals
  9. “The probability of elder abuse perpetrated by a caregiver is proportional to the perceived burden of caregiving” is the definition of the
    1. Social learning theory.
    2. Situational theory.
    3. Risk-vulnerability model.
    4. Exchange theory.
  10. Fulmer and Caceres (2012) report a major component in the incidence of elder abuse is
    1. being 70 years of age or older.
    2. having only a high school education.
    3. being socially isolated.
    4. having an Hispanic ethnicity.
  11. Compared to an older adult not experiencing abuse, nursing home placement for an abused older adult is
    1. four times less.
    2. two times less.
    3. twice as great.
    4. four times greater.
  12. As noted in the article, healthcare workers can develop a trusting relationship with an older adult by
    1. getting to know the elder's family.
    2. actively listening to the elder.
    3. reassuring the elder that everything will be all right.
    4. conferring with the elder's caregiver.
  13. Which standardized assessment tool is recommended by the authors that may be included in a violence screen for older adults?
    1. Hwalek-Sengstock Elder Abuse Screening Test
    2. Suspected Abuse Tool
    3. Elder Abuse Suspicion Index
    4. Indicators of Abuse
  14. In an environmental assessment, findings that may indicate elder abuse include all of the following except
    1. long-term use of physical restraints.
    2. loss of assets or property.
    3. withdrawal from activity.
    4. forgery of signature.
  15. Which of the following is a barrier for physicians in identifying and reporting elder abuse according to a report by Halophen et (2009)?
    1. the fact that they are not mandated reporters
    2. patients request that reports not be filed
    3. lack of fee-for-service reimbursement for reporting
    4. unwillingness to report
  16. According to Cohen et (2007), it should be assumed an older adult at high risk of abuse
    1. is currently experiencing abuse.
    2. is safe until proven to be unsafe.
    3. will benefit from being placed in a long-term care facility.
    4. is from a lower socioeconomic background with limited education.
  17. What is the single most effective intervention for elder abuse according to Halphen et (2009)?
    1. reporting abuse
    2. establishing a safety plan
    3. reporting the abuser to law enforcement
    4. admitting the elder to the hospital
  18. As a mandated reporter by law, the nurse is responsible for
    1. determining why abuse occurred.
    2. reporting any case of suspected elder case.
    3. proving that abuse has occurred.
    4. establishing how abuse occurred.


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