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National Council Licensure Examination(NCLEX-PN) Questions 276–280 (page: 57)

Updated On: 9-Feb-2026

The nurse is assessing an elder who the nurse suspects is being physically abused.

The most important for nurse to ask is ______________.

  1. “How much money do you keep around the house?”
  2. “Who provides your physical care?”
  3. “How close does your nearest relative live?”
  4. “What form of transportation do you use?”

Answer(s): B

Explanation:

The most common abuser is a caregiver living with the client.
Research reveals that the spouse is currently the most common abuser, followed by an adult child.



A nurse notes that an elderly client suddenly does not keep appointments and is not wearing appropriate clothing.

Which statement by the client raises the suspicion of financial abuse?

  1. “I am having difficulty paying for this new antibiotic the physician prescribed.”
  2. “I am a little short on cash since my daughter moved in to help me.”
  3. “I have not felt like shopping since the weather has gotten worse.”
  4. “People do not realize how difficult it is to make ends meet on a fixed income.”

Answer(s): B

Explanation:

Elderly clients on fixed incomes have difficulty meeting new expenses, such as medicine.
Signs of financial abuse include unexplained illnesses that are left untreated, an inability to pay rent or purchase clothes and food, and inaccurate knowledge about finances.
Financial abuse is a form of elder abuse and requires investigation.



After the client discusses her relationship with her father, the nurse says, “Tell me whether I am understanding your relationship with your father. You feel dominated and controlled by him?”

This is an example of ______________.

  1. verbalizing the implied
  2. seeking consensual validation
  3. encouraging evaluation
  4. suggesting collaboration

Answer(s): B

Explanation:

Consensual validation is a technique used to check one’s understanding of what the client has said. Consensual validation is the process by which people come to agreement about the meaning and significance of specific symbols. Through this experience, individuals develop the ability to relate effectively.



The best definition of communication is ______________.

  1. the sending and receiving of messages
  2. the effect of sending verbal messages
  3. an ongoing, interactive form of transmitting transactions
  4. the use of message variables to send information

Answer(s): C

Explanation:

Communication is a personal, interactive system – a series of ever-changing, ongoing transactions in the environment. Transmissions are simultaneously received (decoded), sent (encoded), and influenced by the total of experiences and perceptions of the receivers and senders.
Through communication and interaction with others, an individual develops a sense of identity and being. Communication is the basis of a person’s self-concept and the relationship of this self to another individual, to a group of people, and to the world.



The nurse supporting a family who has just experienced a sudden and unexpected death needs to know
______________.

  1. that survivors have greater emotional turmoil and shock than when death is expected.
  2. that survivors have less emotional turmoil and shock than when death is expected.
  3. that survivors have the same emotional turmoil and shock as when death is expected.
  4. that survivors have little emotional turmoil and shock because they were not there.

Answer(s): A

Explanation:

Sudden death produces greater emotional turmoil and shock in survivors than does a gradual, expected death. Survivors do not have time to engage in anticipatory grief. The most disturbing and unbalancing feature of sudden death is its unexpectedness.



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