A Nurse Working in an Emergency Department Is Caring for an 89-Year-Old

question 1

Multiple Choice

A nurse working in an emergency department is caring for an 89-year-old woman who was brought to the hospital by her daughter for a fracture of the right arm. The woman is wheelchair dependent and lives with her widowed daughter who is the primary caregiver. The daughter states that her mother got up out of the wheelchair unassisted to go to the bathroom and fell. The patient cannot recall the circumstances of the fall. The patient is weeping and cradling her right arm. The patient's history reveals two previous wrist fractures over the course of the past year. The nurse notes several large ecchymotic areas on the right hand and left arm and on the left side of the body and the back. The ecchymoses are in various stages of healing. Upon assessment, the patient is non-weight-bearing (NWB) . The nurse suspects physical abuse based on which of the following findings? (Select all that apply.)

• A) Bruises are in various stages of healing.
• B) The fracture is inconsistent with the patient's functional ability.
• C) Caregiver suffering stress from caring for a functionally-dependent individual.
• D) Patient is crying.
• E) Patient has a history of previous wrist fractures.

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Definitions:

Conscious

The condition of recognizing and reflecting on one's own being, feelings, ideas, and environment.

Sex

A biological classification based on reproductive functions, typically categorized as male, female, or intersex, often influencing social roles and personal identity.

Aggression

Behaviors or actions, whether physical or verbal, intended to harm or intimidate another individual.

Self-actualization

The achievement or satisfaction of an individual's talents and capacities, seen as an innate desire or necessity in each person.