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CNA-NIC F25 CH 2.8
Recognize Signs and Symptoms of Abuse and Neglect
| Question | Answer |
|---|---|
| all care team members must observe for and report | signs and symptoms of abuse and neglect |
| Signs could Indicate Abuse : #1 | Cuts, Abrasions, Wounds, Blisters, or Bumps |
| Signs could Indicate Abuse : #2 | Broken Bones |
| Signs could Indicate Abuse : #3 | Bruising , Contusions, Welts or Hematomas |
| Signs could Indicate Abuse : #4 | Similar Injuries that Occur Repeatedly, such as injuries shaped like a belt buckle |
| Signs could Indicate Abuse : #5 | Burns of unusual shape and in unusual locations or cigarette burns |
| Signs could Indicate Abuse : #6 | Bite marks or scratches |
| Signs could Indicate Abuse : #7 | Unexplained weight loss, malnutrition |
| Signs could Indicate Abuse : #8 | Dehydration |
| Signs could Indicate Abuse : #9 | Dry , Cracked, Torn or Bleeding Skin |
| Signs could Indicate Abuse : #10 | Missing Hair |
| Signs could Indicate Abuse : #11 | Broken or Missing Teeth |
| Signs could Indicate Abuse : #12 | Blood in Underwear |
| Signs could Indicate Abuse : #13 | Bruising , Bleeding , or Discharge from the genital area |
| Signs could Indicate Abuse : #14 | Mood Swings |
| Signs could Indicate Abuse : #15 | Fear, Anxiety and agitation , especially when a particular caregiver is present |
| Signs could Indicate Abuse : #16 | Fear of being left alone |
| Signs could Indicate Abuse : #17 | Depression or withdrawal |
| what is an important change to report | withdrawing from others |
| Signs could Indicate Neglect : #1 | Pressure Injuries |
| Signs could Indicate Neglect : #2 | Weight loss or poor appetite, malnutrition |
| Signs could Indicate Neglect : #3 | Dehydration |
| Signs could Indicate Neglect : #4 | Frequent complaints of hunger or thirst |
| Signs could Indicate Neglect : #5 | Strong smell of urine |
| Signs could Indicate Neglect : #6 | Unclean body |
| Signs could Indicate Neglect : #7 | Dirty, matted or un-styled hair |
| Signs could Indicate Neglect : #8 | Ragged or Dirty Fingernails |
| Signs could Indicate Neglect : #9 | Soiled clothes or bed linens or incontinence briefs not being changed |
| Signs could Indicate Neglect : #10 | Ripped or torn clothing |
| Signs could Indicate Neglect : #11 | Damaged or poorly fitting hearing aids, eyeglasses or dentures |
| Signs could Indicate Neglect : #12 | Unanswered call lights |
| Other Signs of Abuse: #1 | Missing Doctors appointments |
| Other Signs of Abuse: #2 | Changing doctors frequently |
| Other Signs of Abuse: #3 | Wearing makeup or sunglasses to hide injuries |
| Other Signs of Abuse: #4 | Family concern that abuse is occurring |
| Other Signs of Abuse: #5 | Resident not taking his medication |
| Other Signs of Abuse: #6 | Private conversations not allowed, or the caregiver/family member is present during all conversations |
| NAs are considered | mandated reporters |
| what does being a mandated reporter mean for a nursing assistant | legally required to report abuse or suspected abuse |
| MANDATED REPORTERS | people who are required to report suspected or observed abuse or neglect because they have regular contact with vulnerable populations (such as elderly in long term care facilities) |
| what should the NA do if abuse is suspected or observed | give the nurse as much information as possible. |
| how should NAs assist if a resident wants to make a complaint of abuse | must assist them in every way; this includes telling them of the process and their rights. |
| what must NAs never do in response to a resident who made a complaint about abuse | retaliate against (punish) residents |
| what should an NA do if they see someone being cruel or abusive to a resident who made a complaint | must report it |
| how should care team members respond to resident complaints and reports of abuse | should take it seriously |
| what are all care team members responsible for | residents safety |
| what organizations have more information about elder abuse | the National Center on Elder Abuse (ncea.acl.gov) the National Institute on Aging (nia.nih.gov) |
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