Study Points

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How are the child and elder abuse models similar?
- Both models disallow third parties from intervening.
- Both models emerged in 1974 as part of the Social Security Act.
- Neither model has specific channels through which abuse should be reported.
- Both models have mandatory reporting statutes that outline who is required to report.
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According to studies on elder abuse in Korean families, the most common forms of elder abuse were
- sexual abuse and neglect.
- physical and sexual abuse.
- psychological abuse and neglect.
- financial/economic and emotional abuse.
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Why is neglect generally perceived as less serious than abuse?
- Neglect is an act of commission.
- Neglect is only perpetrated by family and not in institutional settings.
- Neglect generally connotes an act where the perpetrator's intent is not deliberate.
- The term "neglect" is associated with the belief that the perpetrator acted in self-defense.
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Mrs. J, 83 years of age, is an African American woman with dementia who is cared for by her daughter, Mrs. D, who is 60 years of age. Mrs. D has been diagnosed with depression. As a result of her depression, she frequently forgets to give Mrs. J her medication. On several occasions, when Mrs. J had accidents, her daughter would slap and punch her. Mrs. J is often scared to let her daughter know about accidents, and as a result, she has developed a skin infection from not changing her diaper. What type of abuse does this describe?
- Sexual abuse
- Physical abuse
- Abandonment
- Financial abuse
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Which of the following is NOT a risk factor for elder abuse?
- Female sex
- High income
- Unmarried status
- Short-term memory problems
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Mr. R has been charged with physically abusing elderly nursing home residents. He has been described as being a man who has no tolerance or compassion for the elderly. He likes the idea of wielding power over his elderly victims. Which classification would he fall under?
- Bullying offender
- Impaired offender
- Narcissistic offender
- Overwhelmed offender
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With regard to feminist theory and elder abuse, all of the following are true, EXCEPT:
- Spousal abuse or domestic violence is nonexistent as age increases.
- Feminist theories argue that abuse is caused by patriarchal social structures that reinforce power imbalances between men and women.
- We typically do not think of elderly women being spousal abuse victims because of the general profile of elder abuse victims being frail elders who are abused by caretakers.
- The dichotomous mentality we have of elder abuse and domestic violence has impacted the types of interventions received by elders who are victims of spousal abuse.
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All of the following factors contribute to the heterogeneity within ethnic minority groups, EXCEPT:
- Acculturation
- Educational level
- Socioeconomic status
- Level of political affiliation
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Which of the following characteristics best describes African American families?
- There is an emphasis on single, nuclear family structures.
- African American families generally demonstrate a rigid quality.
- Group effort for the common interest is not highly valued.
- Extended family networks are common and highly valued.
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Which of the following characteristics does NOT describe traditional Asian American family structure and organization?
- Traditional Asian American families are best described as matriarchal.
- In general, sons are highly valued because they symbolically carry on the family line.
- Private family matters are generally confined within the boundaries of the family.
- Traditional Asian families emphasize hierarchy, meaning that authority and family position are defined by age and gender.
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How is the composition or structure of Native American families different from White American families?
- Extended family members are less valued in Native American families.
- There are no major differences because the structure is primarily a nuclear family unit.
- Native American family structure can generally be described as individualist rather than collectivist.
- The primary relationship in the family is the "grandparents," who encompass not only grandparents as we know them, but also aunts, uncles, and other extended family members.
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A Korean immigrant couple, Mr. and Mrs. K, both 76 years of age, have recently moved in with their son and daughter-in-law. They had been looking forward to spending more time with them, but instead Mr. and Mrs. K find themselves cooking, cleaning, and babysitting for their son's young children. They often eat alone after their son and daughter-in-law get home. The young couple constantly berates and criticizes Mr. and Mrs. K for eating too much. They rarely go out because they lack transportation and have become socially isolated. Examining this situation in an Asian cultural context, it might be considered abuse because it
- is an act of commission.
- is a case of physical abuse.
- is viewed as deviation from filial piety.
- illustrates an example of caregiver stress.
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African American elders are more reluctant to seek help from mainstream, formal services. Where are they more likely to seek help?
- Physicians
- Social workers
- Spiritual leaders
- Family therapists
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Health care "shopping," whereby the elder goes from physician to physician or from hospital to hospital, should alert practitioners because
- it is a sign of financial difficulty and might signal financial abuse.
- it may be a sign that there is physical abuse that the perpetrator is hoping will not be detected.
- it may be an indicator that the elder's social support networks are weak and he/she needs concrete services.
- it may be an indicator that the elder is having difficulty getting transportation for his/her medical needs and social services needs to be called.
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When should the Elder Abuse Suspicion Index (EASI) be used?
- The instrument can be used to help practitioners screen for elder abuse.
- The score from instrument should be used when reporting a case of elder abuse.
- The instrument should be used with elders who have limited English proficiency because the questions are simple.
- The tool was designed for African American elders and should be used by practitioners to promote cultural competence.
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Mrs. Y, a frail White woman, 69 years of age, comes to the medical clinic with her son, who is in his 30s. The son is constantly hovering over Mrs. Y, looking anxious. Mrs. Y is unkempt and looks extremely tired and frail. Ms. S, an intern, asks to see Mrs. Y alone, but her son refuses to leave his mother's side. Ms. S is finally able to convince the son to wait outside. Ms. S decides to ask Mrs. Y some questions to assess whether Mrs. Y has been abused; however, she decides to ask her supervisor for some advice. If you were her supervisor, what would you advise Ms. S regarding screening for elder abuse?
- Advise Ms. S to ask the son back in so that he can be present during the assessment.
- Advise Ms. S to get to the point and ask Mrs. Y directly whether she has ever been abused.
- Advise Ms. S to ask close-ended questions so that the screening can be brief since Ms. S has a lot of clients to see.
- Advise Ms. S to let Mrs. Y know that they routinely ask these screening questions, then ask specific and behaviorally oriented questions.
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Which of the following dimensions of elder abuse statutes is universal from state to state?
- Voluntary reporting
- Targeted elder population to be served
- The agency designated to investigate reports of elder abuse
- Authority granted to elder abuse workers to investigate cases
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Which statement best describes the mandatory reporting laws for elder abuse?
- There are state-to-state variations about who is a mandated reporter of elder abuse cases.
- Many of the elder abuse statutes do not define what elder abuse is; therefore, practitioners should refer to their agency's policies.
- They are modeled after child abuse laws; therefore, practitioners can use their state's child abuse statutes to guide them in elder abuse cases.
- Adult Protective Services (APS) has been designated in all states to investigate all forms of family violence, including child abuse, domestic violence, and elder abuse.
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Which of the following is NOT an indicator that there might be a potential problem when hiring prospective caregivers?
- Unsigned employment application
- Lack of awareness for cultural competence
- References primarily friends and family members and not past employers
- Inadequate explanations for gaps in employment and for leaving other employment
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It appears that an elderly patient is experiencing financial abuse. Which expert on an inter-professional team could assist in identifying patterns of irregularities in financial records?
- Attorney
- Judicial clerk
- Forensic accountant
- Law enforcement officer
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Back to Course Home
Participation Instructions
- Review the course material online or in print.
- Complete the course evaluation.
- Review your Transcript to view and print your Certificate of Completion. Your date of completion will be the date (Pacific Time) the course was electronically submitted for credit, with no exceptions. Partial credit is not available.

Complete Your CE

Elder Abuse: Cultural Contexts and Implications

Study Points

How are the child and elder abuse models similar?

According to studies on elder abuse in Korean families, the most common forms of elder abuse were

Why is neglect generally perceived as less serious than abuse?

Which of the following is NOT a risk factor for elder abuse?

Mr. R has been charged with physically abusing elderly nursing home residents. He has been described as being a man who has no tolerance or compassion for the elderly. He likes the idea of wielding power over his elderly victims. Which classification would he fall under?

With regard to feminist theory and elder abuse, all of the following are true, EXCEPT:

All of the following factors contribute to the heterogeneity within ethnic minority groups, EXCEPT:

Which of the following characteristics best describes African American families?

Which of the following characteristics does NOT describe traditional Asian American family structure and organization?

How is the composition or structure of Native American families different from White American families?

African American elders are more reluctant to seek help from mainstream, formal services. Where are they more likely to seek help?

Health care "shopping," whereby the elder goes from physician to physician or from hospital to hospital, should alert practitioners because

When should the Elder Abuse Suspicion Index (EASI) be used?

Which of the following dimensions of elder abuse statutes is universal from state to state?

Which statement best describes the mandatory reporting laws for elder abuse?

Which of the following is NOT an indicator that there might be a potential problem when hiring prospective caregivers?

It appears that an elderly patient is experiencing financial abuse. Which expert on an inter-professional team could assist in identifying patterns of irregularities in financial records?