NUR 2488 Mental Health Nursing

Mental Health Final Exam - Module 10

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Module 10 – Abuse & End-of-Life

T/F: Elder victims often minimize the abuse or deny the abuse occurred if the perpetrator is a

family member.

- TRUE.

[Mod 10 Lesson Content]

Why do elders deny abuse?

- ▪ They may fear retaliation, be embarrassed about the abuse in the family, feel

protective of the family member or unwilling to institute legal action.

- ▪ They may also be isolated or feel totally dependent on the abuser.

- ▪ They may also be afraid of being placed in another, even worse environment.

[Mod 10 Lesson Content]

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Factors that contribute to Elder Abuse

- ▪ This is the fastest growing segment of population.

- ▪ They are often physically dependent on others.

- ▪ They are also financially dependent.

- ▪ Stress of the caregiver is a factor in most elder abuse cases.

- ▪ There may be unresolved family conflicts or retaliation for previous maltreatment.

- ▪ Substance abuse may play a part in the abuse.

- ▪ There may be economic stress on the family.

[Mod 10 Lesson Content]

Name this type of abuse:

▪ Symptoms associated with depression, withdrawal, increased agitation, insomnia and anxiety

- Psychological abuse

[Mod 10 Lesson Content]

Name this type of abuse:

▪ bruises, welts, lacerations, burns, evidence of hair pulling, skeletal dislocation and fractures

- Physical abuse

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[Mod 10 Lesson Content]

Name this type of abuse:

▪ hunger, poor hygiene, inappropriate dress, unattended physical or medical needs, sedation, and

abandonment

- Neglect

[Mod 10 Lesson Content]

Name this type of abuse:

▪ pain or itching in the genital area, bruising or bleeding in external genitalia or vaginal area and

unexplained sexually transmitted diseases.

- Sexual abuse

[Mod 10 Lesson Content]

Name this type of abuse:

▪ disparity between assets and living conditions, and lack of funds for living expenses

▪ failure to provide for the needs of a vulnerable person when adequate funds are available

- Financial abuse

[Mod 10 Lesson Content]

[ATI Ch 32]

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Art of presence

- To be present with the client and family. There are two necessary skills, listening

and observing.

[Mod 10 Lesson Content]

Loss

- The experience of separation from something of personal importance.

[Mod 10 Lesson Content]

Grief

- The deep mental and emotional anguish that is a response to the experience of loss

of something of personal importance.

the inner emotional response to loss

[Mod 10 Lesson Content]

[ATI Ch 27]

Mourning

- The psychological process through which the individual passes in order to

successfully adapt to the loss of something of personal importance.

the outward display of loss

[Mod 10 Lesson Content]

[ATI Ch 27]

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Name this stage of grief:

▪ the individual has difficulty believing the loss has occurred. This stage may provide protection

from the pain of reality.

- Stage I: Denial

[Mod 10 Lesson Content]

Name this stage of grief:

▪ reality sets in and the feelings associated with this stage are sadness, guilt, helplessness and

hopelessness.

- Stage II: Anger

[Mod 10 Lesson Content]

Name this stage of grief:

▪ the individual may attempt to bargain with God for a second chance or more time.

- Stage III: Bargaining

[Mod 10 Lesson Content]

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