Difficulty: Medium
Average Score: 94%
Simulated
A nurse is conducting a home health visit for an older adult client who lives with family members. The nurse notices that the client has multiple unusual bruises, and, based on several other factors, the nurse suspects that the client has been physically abused. Which of the following actions should the nurse take first?
Correct answer
C
Rationale
Delaying action by checking bruises later doesnÔÇÖt address immediate safety. More frequent visits monitor but donÔÇÖt act on the suspicion promptly. Following agency guidelines for reporting suspected abuse ensures the clientÔÇÖs safety first, as itÔÇÖs the nurseÔÇÖs legal and ethical duty. Therapy may help later but isnÔÇÖt the first step without ensuring safety.