An alert but disoriented older patient lives with family members. The home health nurse, being aware of the role of patient advocate, recognizes the obligation to report possible patient abuse based on
a. a family member stating, "It's hard being a caregiver."
b. assessment showing bruises in the genital area.
c. observation of mild changes in orientation.
d. patient's report of always being hungry.
B
Even when a patient exhibits disorientation, any report of mistreatment or neglect is to be consi-dered reasonably suspicious and so should be reported. Bruises in the genital area raise suspicions of abuse. The family stating caregiving is hard does not mean they don't have enough support to cope. Mild changes in orientation may be expected in a disoriented patient. The patient who is always hungry should be followed up with a nutrition assessment, and this may or may not be a sign of abuse.
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