An older adult client is admitted to a medical-surgical unit. During morning hygiene care, the practical nurse observes several bruises in various stages of healing on the client's torso. The client immediately avoids eye contact, stops speaking, and trembles when their family caregiver enters the room. Based on these findings, what is the priority action for the practical nurse?
- ATell the client, 'Do not worry, I promise that no one will hurt you while you are in this facility.'
- BDiscuss the suspicious bruising with the client's neighbor who happens to be visiting another room on the unit.
- Notify the facility supervisor immediately to initiate the mandated reporting process for suspected elder abuse.Cevap
- DObserve the interactions between the client and caregiver for a few more days to gather definitive evidence before intervening.
Cevap
The priority action is to notify the facility supervisor immediately to initiate the mandated reporting process for suspected elder abuse.
The correct answer focuses on the nurse's legal obligation as a mandated reporter. When physical signs (multiple bruises in various healing stages) and behavioral signs (fear, withdrawal) suggest abuse, the nurse must report these suspicions immediately through the proper facility channels. Proof is not required to make a report.
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Mandated Reporting of Suspected Abuse