During an Assessment of a Newly Admitted 92-Year-Old Woman,the Nurse

question 13

Multiple Choice

During an assessment of a newly admitted 92-year-old woman,the nurse notes that her son does not want to leave the room.In addition,the woman has signs of old bruises and healed cuts that happened "last week," according to the son.Which action by the nurse is appropriate?

• A)Ask the son for details about the nature of the patient's injuries.
• B)Recognize that older people are often unsteady on their feet and that falls do occur.
• C)Notify the authorities of a potential abusive situation.
• D)Recognize that these findings do not necessarily indicate that abuse has occurred but are signs that further assessment is needed.

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Definitions:

Heteroplasy

The occurrence of similar traits or features in species that aren't closely related, due to convergent evolution or other processes, rather than common ancestry.

Bilateral Animals

Organisms with a symmetrical body plan, dividing the body into two equal halves, characteristic of most animals.

Proboscis

An elongated appendage from the head of an animal, especially an insect, used for feeding or sensing.

Deuterostomes

A major group within the animal kingdom that includes organisms developing an anus from the first opening in the embryo, with subsequent formation of the mouth.