The nurse working in the emergency department sees each of the following clients. As a mandated reporter, the nurse knows which client is at the highest risk for elder abuse?
The nurse working in the emergency department sees each of the following clients. As a mandated reporter, the nurse knows which client is at the highest risk for elder abuse?
A. A 70-year-old female with orthostatic hypotension.
[1%]
B. An 86-year-old female with glaucoma.
[6%]
C. A 92-year-old male with late-stage Alzheimer’s disease.
[91%]
D. A 75-year-old male with leukemia.
[1%]
Statistics
Subject/Lesson
Subject
Mental Health
Lesson
Abuse/Neglect
Client Need
Test Plan
Psychosocial Integrity
Related Topic
Abuse/Neglect
Item Type
Item Type
Analysis
Explanation
Choice C is correct. A 92-year-old male with late-stage Alzheimer's disease is at very high risk for elder abuse. Late-stage Alzheimer's disease poses significant vulnerability to elder abuse due to cognitive impairment, dependence on caregivers for basic needs, and diminished ability to report mistreatment or protect oneself. Individuals with advanced Alzheimer's may be unable to communicate instances of abuse, neglect, or exploitation, making them particularly susceptible to mistreatment. Caregiver stress, lack of supervision, and inadequate training can further increase the risk of abuse in this population. Therefore, the nurse should be especially vigilant and proactive in evaluating for signs of elder abuse in clients with advanced Alzheimer's disease.
Choice A is incorrect. While orthostatic hypotension may indicate certain health risks, such as falls or cardiovascular issues, it does not inherently increase the risk of elder abuse. This client's condition primarily presents a medical concern rather than an indication of abuse.
Choice B is incorrect. Glaucoma, a condition affecting the eyes, does not directly increase the risk of elder abuse. Although visual impairment may impact the individual's ability to detect certain forms of abuse, such as financial exploitation through document signing, it is not a significant risk factor compared to other conditions.
Choice D is incorrect. Leukemia, a type of cancer, does not directly increase the risk of elder abuse. While the client may face health challenges associated with their condition, such as compromised immune function or fatigue, leukemia itself does not elevate the risk of mistreatment compared to other conditions like advanced Alzheimer's disease.
Additional Info
✓ According to the World Health Organization (WHO), approximately 1 in 6 older adults worldwide experienced some form of elder abuse in the past year.
✓ Financial exploitation is one of the most common forms of elder abuse, with studies estimating that up to 1 in 20 older adults have experienced financial mistreatment.
✓ Conduct thorough assessment for signs of elder abuse, including physical injuries, unexplained bruises, behavioral changes, financial exploitation, neglect, or emotional abuse. Be vigilant in recognizing subtle indicators and listen to the concerns of both the older adult and their caregivers.
✓ Practice self-care strategies to prevent burnout and compassion fatigue when caring for older adults who may be experiencing abuse or neglect. Seek support from colleagues, supervisors, and mental health professionals as needed to cope with the emotional challenges of this work.
