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NCLEX-PN Exam - Topic 2 Question 20 Discussion

Posted by Fausto on May 27, 2026 at 11:26 AM

An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?

Suggested Answer: D

Barriers to reporting elder abuse include victim shame, fear of reprisals, fear of loss of caregiver, and lack of

knowledge of agencies that provide services. Many elders fear that reporting abuse results in their placement in

long-term care because the current caregiver is the abuser. Choices 1 and 3 are incorrect. Choice 2 might be true

but is not the best choice.Psychosocial Integrity


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19 comments · newest first
JA
Jacqueline 12 days ago
It’s sad, but true.
CH
Cherelle 17 days ago
I agree, they might think no one will believe them.
ER
Erin 23 days ago
Definitely, fear can silence many victims.
SU
Suzan 28 days ago
Not necessarily, some might not be aware of the statistics.
LA
Layla 1 month ago
But I feel like most would know abuse is rare, right?
KE
Keena 1 month ago
Lack of appropriate screening tools can make it hard to identify.
MI
Mila 1 month ago
True, they might feel guilty or ashamed.
RU
Rutha 2 months ago
Personal belief that abuse is deserved could also play a role.
VI
Vicki 2 months ago
Yeah, they might worry about retaliation.
NO
Novella 2 months ago
I think fear of reprisal is a big factor.
HO
Horace 2 months ago
C) is a big issue, we need better tools for screening!
BE
Bernadine 2 months ago
Really? I thought most elders would speak up about abuse.
DE
Detra 2 months ago
D) is so true, fear can really silence victims.
CH
Christoper 3 months ago
I agree with B), some feel they deserve it.
SH
Sharen 3 months ago
A) is definitely a factor, many think it’s uncommon.
GO
Goldie 3 months ago
I’m torn between A and D. I know some clients might underestimate the prevalence of abuse, but fear seems like a stronger barrier overall.
MA
Margarita 3 months ago
I practiced a similar question about barriers to reporting abuse, and I think D was highlighted as a common issue. It makes sense here too.
TA
Tamesha 3 months ago
I’m not sure, but I feel like B could also be a factor. Some people might think they deserve the treatment they get.
AL
Alpha 4 months ago
I remember discussing how fear can really impact a victim's willingness to speak up. I think D might be the right answer.
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