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Concepts in Nursing Practice

Medical-Surgical Nursing, 10th Ed., Lewis, Dirksen, Heitkemper & Bucher

Section 1 Child and Elder Physical Abuse Assessment

Physical Abuse

Inconsistent Injuries

During your assessment of a patient with suspected abuse, which of the following is most likely to be seen?

Delay in Treatment

Various Stages of Healing

Child Abuse

Symmetrical Burns

During your assessment of a suspected child abuse patient, which of the following wounds would most likely be seen?

Sexually Transmitted Infection

During your assessment of a suspected child abuse patient, which of the following is most likely to be seen?

Bloody/Torn Undergarments

Shaken Baby Syndrome

Which of the following is most likely a commonly found condition associated with child abuse?

Elder Abuse

Poor Hygiene

During your assessment of a suspected elder abuse patient, which of the following is most likely to be seen?

Overmedication

Immobility

Assessment

Mobility Continuum

Which of the following most likely helps to determine plan of care and education for different patient mobilities?

Complications

Cardiovascular

Immobility causes a decrease in circulating fluid and a decrease in autonomic response, thereby primarily affecting the _______ system.

Respiratory

Immobility causes slower and more shallow respiratory rates, thereby primarily affecting the _______ system.

Musculoskeletal

Immobility causes muscle atrophy, thereby primarily affecting the _______ system.

Integumentary

Immobility causes a higher risk of skin breakdown and pressure ulcer formation, thereby primarily affecting the _______ system.

Gastrointestinal

Immobility causes constipation from a slowing of peristalsis, thereby primarily affecting the _______ system.

Urinary

Immobility causes an increased risk of UTIs, thereby primarily affecting the _______ system.

Considerations

Turn, Cough, Deep Breathe (TCDB)

Which of the following is most likely indicated in a patient with immobility?

Range of Motion (ROM)

Skin Care

Which of the following is an important aspect of caring for  a patient with immobility?

Fluids

Balanced Diet

Depression Assessment

Physical Changes

Anergia

Which of the following clinical findings best describes the physical changes typically seen in major depression?

Self Neglect

Decreased Libido

Vegetative Signs

Mood

Sad Affect

Which of the following clinical findings best describes the mood changes typically seen in major depression?

Worthlessness

Guilt

Anger and Irritability

Cognitive

Ineffective Problem Solving

Which of the following clinical findings best describes the cognitive changes typically seen in major depression?

Slowed Thinking

Use of Restraints

Use Guidelines

During Emergency

In which of the following situations should restraints most likely be used on a patient?

Protecting From Harm

Which of the following most likely describes the purpose of using restraints on a patient?

For Limited Time

Which of the following time periods most likely describes how long restraints should be used on a patient?

Last Resort

Which of the following is the most likely consideration associated with the use of restraints?

May Further Agitation

Frequent Observation

Obtain Order Within 1 Hour

What is the time frame for obtaining orders for restraints?

Quick-Release Tie

Which method should be used when applying restraints?

5 - Chronic Illness and Older Adults

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