True or False
Usually, the time between abusive events gradually shortens.
More men than women are abused by spouses.
People who are abused often deny the abuse.
T
F
T
The three phases in the cycle of abuse are:
A. Tension-building B. Trust-building C. Abuse
D. Denial E. Bargaining F. Honeymoon
A, C, F
If you suspect a client is being abused, you should:
A. Call the police
B. Talk to the family
C. Report it to the nurse in charge
D. Talk to the client being abused
C
A. Neglect B. Sexual abuse
C. Emotional abuse D. Financial abuse
E. Physical abuse
_______The person has physical injuries (e.g., burns, bumps, cuts, bruises, etc.).
_______The person’s behaviour changes when the caregiver (i.e., the potential abuser) leaves or enters the room.
_______Medications are not purchased.
E
C
A
Abuse
Physical or mental harm caused by someone in a position of trust
Slapping a child is not considered abuse.
Emotional and physical abuse are the most common types of abuse of older adults.
Ageism is another cause of abuse.
F
F
T
A person is more likely to be abusive if he or she:
A. Holds a responsible job
B. Has problems with alcohol or drugs
C. Lives alone
D. Has a mental health disorder or severe personality flaws
E. Was abused as a child
F. Is going through a period of high stress
B, D, E, F
If you are dealing with an agitated or aggressive client, which of these measures would be most helpful?
A. Talking to the client in a calm manner
B. Placing your hand on the client’s arm to prevent injury
C. Closing the door so that other people are not upset
D. Promising the client you will not tell anyone else about her behaviour
You have been supporting Mrs. Yil for several weeks. During that time, you have noticed that she is very quiet whenever her daughter comes to visit her. You suspect abuse but cannot prove it. What should you do?
A. Ignore it. They could just be having a bad day.
B. Ask Mrs. Yil’s daughter if she has noticed how quiet her mother is
C. Telephone the police and make a complaint
D. Discuss this situation with your supervisor
A
D
A. Neglect B. Sexual abuse
C. Emotional abuse D. Financial abuse
E. Physical abuse
___________The caregiver insists on being present or within hearing distance of all conversations.
___________New injuries appear while older ones are still healing.
________The person has an intense fear of bathing or perineal care.
_______ Personal hygiene is poor (e.g., ingrown nails, untreated sores,
matted hair).
C
E
B
A
Failure to thrive
A term used to describe infants, or children who are below the norms for body weight, growth or cognitive development
Failing to provide privacy is not a form of abuse.
Changes in mental function can cause someone to become sexually abusive.
The best way to handle a client who is masturbating in public is to tell the client to stop.
F
T
F
Certain situations increase the risk of child abuse. They are:
A. Family crisis
B. Nonbiological or temporary caregivers in the home
C. Isolation
D. Caring for children with special needs
E. Extremely high or low intelligence
A, B, C, D
During the “honeymoon phase” of the cycle of abuse:
A. The abuser begins to get moodier and stressed
B. The abuse can escalate easily even if unprovoked
C. The abuser often blames the victim for the abuse
D. The abuser is very apologetic for what happened
2. Miss Keys scratches and punches when it is time for her shower. What should you do?
A. Stay calm and protect yourself
B. Refuse to bathe Miss Keys
C. Use silence and ignore her behaviour
D. Hold her hands until she calms down.
D
A
A. Sexual abuse
B. Physical abuse
C. Emotional abuse
D. Financial abuse
E. Neglect
_______ The person’s living conditions are unsafe, unclean, or inadequate.
_______ The person has irritation or injury of the thighs, perineum, or breasts.
_______The person has many unpaid bills.
E
A
D
Marginalized
Prevented from having power or control over one's life or because of language, life circumstances, or role in society; resulting in being shunned from mainstream society
You are legally responsible to report child abuse and (in some jurisdictions) abuse within facilities.
Sexual harassment is not considered sexual abuse.
Abuse is usually triggered by an event related to the victim.
T
F
F
Why do abused older adults choose not to complain about the abuse?
A. They do not know they are being abused.
B. They would rather find a lawyer and sue the abuser in court.
C. They may fear the abuser.
D. They may not know where or how to get help.
E. They may fear being forced to move into a facility if the abuser is the primary caregiver.
F. They may have physical or mental health disabilities that prevent them from reporting.
A, C, D, E, F
Mrs. Jones is not allowed to go to the bank. Her son insists on handling all of her finances. This is an example of:
A. Neglect
B. Physical abuse
C. Financial abuse
D. Sexual abuse
31. Mrs. Jones’s son insists on changing his mother’s incontinence briefs. This might be a sign of: A. Neglect
B. Physical abuse
C. Financial abuse
D. Sexual abuse
C
D
Sexual abuse
B. Physical abuse
C. Emotional abuse
D. Financial abuse
E. Neglect
The person has signs of poor nutrition and fluid intake (e.g., weight loss, sunken eyes, dry skin).
The person may ask for permission to write cheques or spend money.
The caregiver often complains about the client.
E
D
C
Work place bullying
Acts or verbal comments that could mentally hurt or isolate a person in the workplace
People who were abused as children are not likely to abuse their own children because they know what it was like.
In most provinces, you do not have to report abuse of older adults to a public authority if it occurs in home care settings.
If you suspect abuse, you should document your findings privately, without making assumptions. Keep all of your notes for future reference.
For suspected child abuse, do not rely on your supervisor to report your observations to child protection authorities.
F
F
T
T
Examples of how workers might abuse clients in a facility or home are:
A. Using restraints inappropriately
B. Handling the client roughly
C. Isolating the client
D. Stealing from the client
E. Not reviewing the care plan regularly
F. Not responding to a call for help
G. Not checking on the client for long
periods of time
H. Leaving the client in soiled linen or
clothes
2. What are some examples of abuse that a support worker may encounter from clients?
A. Swearing, name-calling, and using racial or cultural slurs
B. Threats
C. Denial of meal breaks, drinking water, bathroom use, or handwashing facilities
D. Hitting, pushing, kicking, spitting, biting, pinching, or other physical attacks
E. Taking too long to eat meals
F. Inappropriate touching, sexual assault or harassment
A, B, C, D, E, F, G, H
A, B, D, F
Mrs. Verbrugghe cannot speak English. Her son refuses to translate things for her, especially legal documents, such as the deed to her house. This might be a sign of:
A. Neglect
B. Physical abuse
C. Financial abuse
D. Sexual abuse
2. You are meeting your home care client, Mrs. Yil, for the first time in her home. While talking to her, you notice that she is very groggy, slurring her words, and smells of alcohol. What should you do first?
A. Offer her coffee
B. Notify your supervisor and ask what to do
C. Inform the client that the nurse will come to her house to assess her
D. Ask her if you should come back another time when she is more awake
C
B
A. Sexual abuse
B. Physical abuse
C. Emotional abuse
D. Financial abuse
E. Neglect
________Failure to meet basic needs
_______ Misuse of a client’s money
_______ Force or violence that causes injury
_______ Unwanted sexual activity
_______ Words or actions that inflict mental harm
E
D
B
A
C
Fundamental freedoms
This section includes the rights to freedom of conscience and religion; freedom of thought, belief, opinion, and expression, including freedom of the press and other media of communication; freedom of peaceful assembly and association.