A practical nurse (PN) is providing morning care for an older adult client and notices multiple unexplained bruises in various stages of healing on the client's torso. The client appears fearful, avoids eye contact, and flinches when approached. What is the priority action for the PN to take?
- Report the observations immediately to the supervising registered nurse and designated authorities.Answer
- BMonitor the client closely for a few days to gather concrete proof before reporting the suspicion.
- CTell the client, 'Everything will be fine, I promise no one will ever hurt you again.'
- DTake a picture of the bruises using a personal smartphone to show the healthcare provider later.
Answer
Report the observations immediately to the supervising registered nurse and designated authorities.
The correct answer emphasizes the primary duty of the practical nurse as a mandated reporter. When encountering signs of potential elder abuse—such as unexplained bruises in various stages of healing and fearful behavior—the nurse is legally and ethically obligated to report the suspicion immediately to the chain of command and designated authorities. The nurse's role is to ensure client safety, not to investigate or prove the abuse.
Step-by-Step Solution
Key Concept
Mandated Reporting of Suspected Abuse