1.  All employees at a nursing home are considered:

 

The answer is A:  mandated reporters.  Mandated reporters are nursing home employees, identified by law, who MUST make a report if they have reason to believe that the abuse, neglect or financial exploitation of a vulnerable adult has occurred.

 

2.  Mrs. Jones is supposed to have her blood sugars checked four times a day by the nurse, but often she is confused and resists when the nurse approaches.  The nurse has been busy and doesn't want to fight Mrs. Jones, so for three days she just avoids the confrontation and doesn't check her blood sugar.  Now Mrs. Jones blood sugar is critically high and she is very ill.  This is an event that illustrates:

 

The answer is C:  Neglect.  The nurse neglected to perform a physician-prescribed intervention that could have prevented the illness.

 

3.  Mr. Johnson is being difficult again and won't get dressed to go to the dining room for lunch.  The nursing assistant tells him that if he doesn't get dressed he will miss lunch and be hungry.  This method for dealing with Mr. Johnson's behavior is:

 

The answer is D:  verbal abuse, never acceptable.  Threatening an elderly person with punishment for not doing what you tell them to do is considered verbal abuse.

 

4.  A nurse has grown close to a resident and frequently talks about her family.  One day the nurse is telling Mr. Greene that she is worrying about the kids going back to school and the expense of all the school supplies.  The next day, Mr. Greene gives her $20.00 and tells her to use it for her children's school supplies.  What should the nurse do:

 

The answer is B:  do not accept the money, it is considered misappropriation.  Federal law mandates that health care workers cannot accept monetary gifts from residents or their families.  It is considered a misappropriation of their funds which is a form of abuse.

 

5.  Ms. Daisy has dementia and continues to forget that she cannot walk.  She has tried to get up in the middle of the night and walk out of her room multiple times.  For her safety, the nurse has tucked her in snugly to her bed and applied side rails to the bed to help her.  This method for dealing with Ms. Daisy's dementia is considered:

 

The answer is A:  physical abuse by involuntary restraint.  If a patient is able to move freely and is denied access to that movement or his/her own body then that is a form of abuse.