A nurse is completing an intake assessment. The nurse notes that an older adult male client appears to have bruises in varying stages of healing. Which action by the nurse indicates an understanding of her responsibilities?
A) The nurse should notify the primary care physician about the bruises.
B) The nurse should contact the facility's social services department.
C) The nurse should question the client about the source of the bruises.
D) The nurse should request permission from the client to photograph the bruises.
Ans: C
Feedback:
The initial action by the nurse would be to determine the source of the bruises. If suspicion remains, the nurse should question the client. If the nurse feels there is potential abuse the nurse is obligated to report it.
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