NCLEX High Yield: Abuse and Neglect Nursing Review

Flashcards covering nursing assessments and legal responsibilities regarding child, spousal, and elderly abuse based on the NCLEX High Yield protocol.

What is an example of a story that does not make sense regarding infant development and clinical assessment?

A $2$-month-old infant rolling off a changing table (babies do not usually roll at $2$ months).

What does the acronym 'SHY' represent in identifying those more likely to commit abuse?

Substance Abusers, History of Abuse, and Young Parents.

Are nurses mandated reporters of suspected child abuse?

YES (every facility has a protocol/process in place).

How might a timid patient behave in the presence of an abuser?

The patient does not speak or give eye contact, and the abuser will do the talking for them.

What is the first step a nurse should take when assessing suspected spousal abuse?

Separate the abuser from the client.

What three questions should be asked to a client once they are separated from a suspected spouse-abuser?

1. Do you feel safe? 2. Do you have somewhere to go? 3. Do you have an escape plan?

Are nurses mandated reporters of suspected spousal abuse?

NO, unless the client is a caregiver; the nurse should offer resources, but ultimately it is the client's choice.

What medical indicators suggest potential elderly neglect?

A medical condition that was once under control but no longer is, such as hypertension or diabetes.

What are signs and symptoms of elderly abuse or neglect related to physical care?

Infection, poor hygiene, malnutrition, and bruising under the skin.

Are nurses mandated reporters of suspected elderly abuse?

YES.

What phrase is recommended for therapeutic communication to get patients to open up?

"Tell me…" (e.g., 'Tell me more about…').

In an elderly patient, why is weight loss over a period of $3$ months considered an indicator of neglect?

It could be a sign of malnutrition, indicating the patient is not receiving adequate nutrition.

In a routine assessment of an elderly patient, what does reluctance to speak in the presence of a caregiver potentially indicate?

Fear or discomfort, which can be a sign of emotional or physical abuse.