A wound care nurse is assessing a 76-year-old client. The client has intimated to the nurse that her son sometimes "flies off the handle and gets rough with me." Which response made by the nurse is the best response?

A) "When you say 'gets rough,' what does that look like?"
B) "What do you think usually provokes this to happens?"
C) "I'm going to have to phone adult protective services right now."
D) "Why do you think that there is that response with anger or frustration?"


Ans: A
Safety is the first priority in cases of elder abuse and prompt action is often necessary. However, gathering additional information, detail, and context is appropriate when a threat is not immediate. Speculating about a perpetrator's motives is unnecessary and inappropriate.

Nursing

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