NCLEX CRUSADE ACADEMY TEST - 8 ABUSE AND NEGLECT

1. In the clinical context, abuse is best defined as: Failure to provide basic necessities. An intentional act causing physical, sexual, or emotional harm. Lack of caregiver supervision. Self-neglect by a competent patient.

2. Neglect is primarily categorized as: A criminal act only. Failure to provide essential needs or care. Intentional injury. Financial manipulation.

3. Which population has the highest vulnerability to abuse?. Middle aged adults. Teenagers. Infants and elderly individuals. Athletes.

4. A key risk factor for abuse across the lifespan is: Financial independence. Dependence on caregivers. Advanced education. Living alone.

5. Elder abuse occurring in the home is typically referred to as: Institutional abuse. Domestic elder abuse. Self-neglect. Medical abuse.

6. Institutional elder abuse occurs primarily in: Schools. Hospitals or nursing homes. Public transportation. Private businesses.

7. Self-neglect in elderly patients refers to: Intentional harm by a caregiver. A patients failure to maintain personal health and safety. Financial fraud. Emotional manipulation.

8. Which sign may indicate physical elder abuse?. Improved mobility. Unexplained bruises or fractures. Increased appetite. Regular family visits.

9. Emotional abuse may present clinically as: Increased socialization. Sudden confusion or withdrawal. Elevated blood pressure only. Increased independence.

10. Which finding suggests neglect in elderly patients?. Clean clothing. Malnutrition and dehydration. Stable weight. Frequent checkups.

11. Financial abuse may be suspected when: A patient manages finances independently. Unexplained loss of money occurs. Family members visit regularly. The patient receives social benefits.

12. Which is a pediatric abuse indicator?. Bald spots from hair pulling. Healthy growth patterns. Increased appetite. Balanced social development.

13. Shaken baby syndrome can result in: Improved neurological function. Subdural hemorrhage and cerebral edema. Increased appetite. Temporary rash.

14. Which behavior may signal child abuse?. Confidence with strangers. Fear of parents. Consistent school attendance. Positive social interaction.

15. Learned helplessness in abused children refers to: Excessive independence. Loss of crying response. Hyperactivity. Athletic performance.

16. Adult outcomes of childhood trauma may include: Increased immunity. PTSD and substance abuse. Improved memory. Higher productivity.

17. Sexual assault is defined as: Any consensual sexual activity. Non-consensual sexual contact. Financial exploitation. Emotional manipulation.

18. Statutory rape refers to: Assault within marriage. Sexual activity with a minor. Emotional abuse. Financial manipulation.

19. Before conducting a sexual assault examination, the nurse must: Administer antibiotics. Obtain explicit written consent. Notify media. Discharge the patient.

20. During evidence preservation, the nurse should first: Allow the patient to shower. Collect forensic evidence. Encourage bathing. Send the patient home.

21. Which statement reflects proper abuse assessment approach?. Interrogate the patient. Maintain a nonjudgmental demeanor. Express shock. Confront the suspected abuser.

22. The first priority when treating abuse victims is: Reporting to police. Stabilizing physical injuries. Financial assessment. Scheduling follow-up visits.

23. Healthcare providers are required to report suspected abuse because: It is optional. Mandatory reporting laws exist. Patients demand it. Hospitals require publicity.

24. Proper documentation should include: Personal opinions. Exact patient quotes and objective findings. Emotional descriptions. Family statements only.

25. A key psychological message to victims is: You are responsible. You are not to blame. You should remain silent. You must reconcile.