A nurse is assessing an older adult client admitted with dehydration. The nurse notes multiple unexplained bruises in various stages of healing on the client's arms and back. The client's adult child, who is the primary caregiver, repeatedly interrupts the client and refuses to leave the room. Which ethical and legal actions should the nurse take? Select all that apply.
- Document objective descriptions of the bruises and the client's interactions in the medical record.Cevap
- Request that the adult child step out of the room to interview the client privately.Cevap
- Notify the designated facility authorities and adult protective services about the suspected abuse.Cevap
- DWait to report the suspected abuse until obtaining definitive proof that the adult child caused the injuries.
- ETell the client, 'Don't worry, we will make sure your child never hurts you again.'
Cevap
The correct actions are to document the objective findings, interview the client privately, and report the suspected abuse to the appropriate authorities.
The nurse acts as an advocate for vulnerable clients by applying the principles of beneficence (doing good) and nonmaleficence (preventing harm). When elder abuse is suspected, the standard of care requires the nurse to separate the client from the potential abuser to assess them safely, document all objective physical and behavioral findings, and immediately report the suspicion to the appropriate state agencies. These actions uphold the client's rights and fulfill the nurse's legal mandates.
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Mandatory Reporting and Nurse Advocacy