A nurse is assessing an elderly client in a long-term care facility who exhibits multiple bruises in various stages of healing and seems apprehensive in responding to questions. The nurse suspects potential elder abuse. What is the most appropriate action for the nurse to take?
Report the findings to the appropriate state agency.
Monitor the client closely for further signs before taking any action.
Discuss the findings with the client’s family to gather more information.
Document the findings in the client’s medical record and notify the healthcare provider.
The correct answer addresses the nurse's mandatory legal obligation to report suspected elder abuse to the appropriate authorities. Reporting ensures the client’s safety and initiates an investigation. While documenting findings and informing the healthcare provider are important, these actions do not fully meet the legal responsibility of reporting. Discussing suspicions with the family could risk further harm to the client or jeopardize the investigation.
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