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Your new 90-year-old patient is admitted with a broken wrist and multiple bruises. The caregiver reports the patient falls when she wanders. Which of the following would lead you to suspect elder abuse?
- A. Inconsistent explanations about the details of the falls.
- B. The patient tells you she doesnt like the caregiver.
- C. The patient begins crying when her daughter arrives.
- D. The patient has a UTI.
Correct Answer: A
Rationale: Inconsistent explanations of injuries are a common indicator of abuse. All of the other responses would not be indicators on their own, but with other factors may lead you to suspect abuse.
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A family of a terminally ill patient asks the nurse, What can we say when our family member mentions death is coming soon? Which response could the nurse suggest?
- A. We think you will be around for a long time.
- B. We don't want you to give up trying to get well.
- C. We don't think were ready to talk about this yet.
- D. We feel so sad when we think of life without you.
Correct Answer: D
Rationale: This response is emotionally honest. It will allow the family opportunities to express emotions and further resolve issues in the relationship and explore end-of-life developmental opportunities. The incorrect options are evasive.
is the basis of community development projects.
- A. Self-evaluation
- B. Self-help
- C. Participation
- D. Collaboration
Correct Answer: C
Rationale: Self-help empowers communities to address their own needs, forming the basis of sustainable development projects.
Anna, who is 72 years old, is of the age when she may have experienced many losses coming close together. What is this called?
- A. Bereavement overload
- B. Normal mourning
- C. Isolation
- D. Cultural relativity
Correct Answer: A
Rationale: At 72 years old, Anna is at an age where multiple losses (e.g., death of loved ones, pets, or health declines) may occur closely together, which is referred to as bereavement overload, aligning with option a.
Which of the following was NOT one of Bieztek's original seven principles in the Helping Relationship?
- A. Cultural competence
- B. Self-determination
- C. Purposeful expression of feelings
- D. Controlled emotional involvement
Correct Answer: A
Rationale: Biestek's original principles focused on core relational dynamics like self-determination, not cultural competence, which emerged later.
he Montessori approach believes that children learn best through
- A. Instruction
- B. Exploration
- C. Repetition
- D. Competition
Correct Answer: B
Rationale: Montessori prioritizes exploration as the core learning method.