Mindful Continuing Education

Understanding and Responding to Abuse of the Elderly

General Description of the Problem

1. Emotional abuse, also known as psychological abuse, is defined as 'the infliction of anguish, pain or distress through verbal or nonverbal acts,' and usually includes any of the following EXCEPT:

A. Harassment B. Actions that cause impairment C. Making threats D. Intimidation

2. It is commonly estimated that between one and two million individuals are victims of elder abuse in the United States each year, and as the number of elderly persons living in the United States continues to grow, these numbers are likely to increase.

A. True B. False

3. In both domestic and institutional settings, females are more likely than males to experience elder abuse, and both males and females most frequently abuse elderly females.

A. True B. False

Harms Caused by Elder Physical and Emotional Abuse

4. Which of the following is NOT one of the consequences of elder abuse highlighted by the authors?

A. Fear of future victimization is a frequent response, which may keep victims from reporting the abuse to authorities B. Victims often fall into depression as a result of either emotional or physical abuse which may place older victims at a high risk for subsequent victimization C. Health problems may occur as a result of physical or emotional abuse, with older women reporting sleep disturbances, loss of appetite, and chronic pain as the most common ailments D. Victims lose trust in their caregivers, the institutions providing care to them, and/or the system they believe failed them, and may lose trust in individuals whom they once trusted

Vulnerable Targets

5. Two commonly cited risk factors for victimization are the presence Alzheimer's/dementia and:

A. Increased dependence on relatives B. Increased age and frailty C. Mental illness or substance abuse issues D. A history of victimization

Offender Motivations

6. Factors that increase offenders' likelihood that they will be physically or emotionally abusive toward older persons include mental illness, substance abuse, histories of violence, physical and financial burden and rationalizations.

A. True B. False

Community and Cultural Factors

7. Residents providing care to Alzheimer's patients in affluent areas are less likely to accept formal service, probably because they believe they are in control of the situation or do not want their secrets known, which may place them at higher risk for maltreatment.

A. True B. False

Understanding Your Local Problem-Stakeholders

8. In addition to criminal justice officials, many agencies, programs, and individuals have a responsibility to gather information about elder abuse including:

A. Adult protective services officials who receive complaints about various types of elder abuse, investigate those complaints, and refer victims to available services B. Area agency on aging representatives who assist in identifying available programs and generating understanding about the needs of older persons in the community C. Domestic violence programs who can assist in responding to cases of elder abuse that involve intimate partners D. All of the above

9. Senior centers may be particularly important, as they provide access to older persons who might be willing and able to participate in community based, collaborative responses to elder abuse, and their staff are in position to identify cases of elder abuse.

A. True B. False

Locations/Times

10. When analyzing elder physical and emotional abuse, location/time information is especially important such as where do the abuse incidents occur, how many cases occur in domestic settings versus long-term-care-facilities, and are certain long-term-care settings more prone to have complaints/reports about elder abuse.

A. True B. False

Current Responses

11. When evaluating the effectiveness of responses to elder physical and emotional abuse, process measures relate to the impact that your responses have on the problem and outcome measures relate to the implementation of responses to the problem.

A. True B. False

Responses to the Problem of Physical and Emotional Abuse of the Elderly

12. With more recent awareness of the problem of elderly abuse, police officers are now being extensively trained to improve service delivery for older adults.

A. True B. False

General Considerations for an Effective Response Strategy

13. In order to be best served, victims of elder abuse require multiple interventions from criminal justice and:

A. Health care professionals B. Community partners C. Social service professionals D. None of the above

14. Elderly abuse rates will likely be reduced when community-level risk factors are addressed, such as high unemployment rates, isolation of older persons, and:

A. Inadequate help for caregivers B. Lack of services for older mentally ill individuals C. Cultural issues that contribute to lack of awareness and response D. Poor education and information about the seriousness of elder abuse

Undertaking Community Outreach

15. Raising public awareness about elder abuse risk factors can reduce the isolation of older adults, both by informing elderly people how to protect themselves and by informing others how to protect this population.

A. True B. False

16. Communities across the United States are developing elder abuse centers to respond to cases of abuse, with the two primary types of centers being elder forensic centers and elder justice centers.

A. True B. False

Responses with Limited Effectiveness

17. Although elder abuse laws and policies in isolation from other effective practices and strategies are often ineffective, penalty enhancement status and mandatory reporting laws are generally effective in enforcing longer sentences for crimes that involve elderly abuse.

A. True B. False

18. Each of the following is an accurate statement about punishing older offenders with Alzheimer's disease EXCEPT:

A. These individuals should not be treated as violent criminals B. The goals should be to protect the victim from further harm and to treat the offender medically C. Cases of this sort should automatically be referred to Adult Protective Services, as APS officials can assist the caregiver and care recipient to understand available service D. In situations involving nursing home residents whose dementia results in repeated abuses of other residents, the emphasis should be on finding appropriate alternative care for the individual


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