A nursing manager is assessing a nursing home over concerns regarding institutional mistreatment of older patients. Which situation would warrant further concern over this issue?
1. A client refuses to take her morning shower.
2. A client screams at a patient care technician.
3. A client denies taking his morning medication.
4. A client curses out another nursing home patient.
2. A client screams at a patient care technician.
Explanation: 1. Patients have a right to choose when they want to shower; this is not indicative of abuse.
2. Patient aggressiveness has been found to be a predictor of physical and psychological abuse by staff members.
3. Patients may not remember if they have taken their medications; this is not indicative of abuse.
4. Patients may not socialize and get along with all other patients; this is not indicative of abuse.
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