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Quantum Units Education®

Sexual Violence in Later Life

Introduction and Definitions

1. The National Committee for the Prevention of Elder Abuse defines older adult abuse as “any form of mistreatment that results in harm or loss to an older person,” and includes which of the following?

A. Intimate parter violence

B. Financial abuse

C. Neglect

D. All of the above

2. All sexually violent acts are illegal.

A. True

B. False

Problem Statement

3. Characteristics of family members that may raise suspicion for sexual abuse include all of the following, except for:

A. The presence of mental illness

B. Substance abuse

C. Low educational attainment

D. Domineering personality traits

4. Which of the following keep many older adults from reporting their abuse?

A. Dependency on the care provider

B. Not wanting to leave their home

C. Denial about the loved one responsible for the abuse

D. All of the above

Case Scenarios

5. Even without a disclosure of strangulation, unexplained injury to the neck should prompt direct questions about possible strangulation from health care staff, particularly when there are accompanying stroke symptoms.

A. True

B. False

Practice Recommendations

6. When caring for older adults who may have experienced sexual violence, it is important to recognize and consider the possibility of significant cumulative trauma.

A. True

B. False

Gathering the Patient History

7. The patient’s history should be gathered separate from other individuals for all of the following reasons, except for:

A. Coercion

B. Privacy

C. Confidentiality

D. Safety

8. Existing screening tools inadequately address the specific issue of:

A. Physical violence

B. Sexual violence

C. Psychological violence

D. Neglect

Examination and Evidence Collection

9. A detailed anogenital assessment is always necessary when sexual violence is suspected against an older adult.

A. True

B. False

Documentation

10. All injuries should be recorded using appropriate body maps/diagrams indicating all of the following, except for:

A. The type of injury

B. The age of injury

C. The location of injury

D. The size and color of injury

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