Abuse & Neglect

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Abuse & Neglect

Mental Health "Psychiatric Care"

Elder

Elder neglect is a form of abuse that happens when the caregiver fails to provide for the needs of the elderly client
either emotionally, physically, or socially.

Key signs Caregiver Role Strain (CRS) HESI Question


Poor eye contact NCLEX TIP
Assess stressors & A 79-year old … weighs 93 lbs,
“Client breaks eye contact when NCLEX TIP and is wearing old, dirty clothes …
talking with a caregiver” Unmet needs
diagnosed with pneumonia.
Broken assistive devices Ask about the nature & requirements Which comment by this patient
Glasses, hearing aids of providing daily care suggests a significant risk for
Expired medication abuse?
Physical KEY WORD
Our family is poor, so my daughter
Weight loss, dehydration & malnutrition What is the nature & requirements
gets my monthly retirement and
Pressure ulcers
of providing daily care? Social Security checks
Poor Hygiene: orally, soiled clothing

Intimate Partner Violence


Intimate partner violence is domestic violence or abusive behavior inflicted by one partner against the other
- be it physically, emotionally, verbally, sexually, or financially.
HESI Question
HESI Question The clinic nurse notes bruises in various
Abusive partner: extreme jealousy & ... expect the abuse to worsen?
stages of healing... What questions must the
nurse include?
possessiveness NCLEX TIP When the victim moves toward Select all that apply.
Is anyone hurting you?
Abuse gets more intense during pregnancy independence from the abuser
When you and your spouse disagree, what
happens to you?
Victim stays: Financial, Fear of harm, Has your spouse ever threatened you
Please,
Child custody, Religion, etc., i need help!
verbally or with violence?

ATI Question
Interventions Which of the following ... should the nurse
implement … client in a domestic violence
Priority Action: situation?
Select all that apply.
Have partner leave the room to speak with Assure the victim that they are not alone
Preserve any physical evidence, if applicable
& examine client in private
Convey an attitude of concern and respect
for the client

Treatment HESI Question


Victim … injuries associated with intimate partner violence.
The patient plans to return home. Which of the
Affirm that the patient did not HESI nurse’s actions should be prioritized? Local shelter

deserve or cause the abuse Provide the patient with contact information
for the local shelter.
Developing a plan to assure safety: Local shelter
ATI Question
Psychotherapy (Talk Therapy)
… coping strategies … clients who are
Identity triggers experiencing intimate partner violence...under-
standing of the teaching?
Recognize destructive patterns of behavior &
“I should try to identify issues that increased my
learn alternative responses partner’s stress level.”

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