Crucial Exams

NCLEX RN Practice Question

A nurse is assessing an 80-year-old client who has multiple bruises on their arms and back in various stages of healing. The client's adult child and primary caregiver states, "They've always been clumsy and fall frequently." The client is quiet and avoids making eye contact. What is the nurse's primary legal responsibility in this situation?

  • Report the suspicion of abuse to the appropriate state authorities.

  • Obtain a definitive confirmation of abuse from the client before reporting.

  • Ask the caregiver to leave the room so the client can be interviewed alone.

  • Document the findings and continue to monitor for any new injuries.

NCLEX RN
Safe and Effective Care Environment
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