Which of the following statements, made by a caregiver of an older client, should alert the nurse to assess for evidence of elder abuse?

Choice A rationale

Newly found lice indicate poor hygiene but are not specific to neglect; lice spread easily in crowded settings, even among children with attentive caregivers. Hygiene and environmental factors need assessment.

Choice B rationale

Bruises in various stages of healing suggest physical abuse rather than neglect. Bruises indicate potential harm inflicted intentionally, requiring thorough investigation of injury causes and patterns over time.

Choice C rationale

Lack of weight gain and wearing dirty clothes indicates neglect. Poor nutrition and hygiene are clear signs caregivers may fail to meet basic needs essential for a child's health and development.

Choice D rationale

Failure to attend conferences or return calls shows lack of engagement but does not confirm neglect. Communication barriers like language or financial difficulties may be reasons unrelated to neglect.

Choice A rationale

Referring to a supervisor doesn’t fulfill the nurse’s legal obligation to clarify mandatory reporting requirements. It may also escalate parental frustration due to perceived evasion.

Choice B rationale

Delegating responsibility to a supervisor undermines the nurse’s accountability in adhering to legal reporting protocols. This response is insufficient to address parental concerns effectively.

Choice C rationale

Mandatory reporting laws require healthcare professionals to report suspected abuse, regardless of evidence certainty. Nurses must communicate this obligation clearly to justify their actions.

Choice D rationale

While involving the provider may aid communication, it doesn’t address the nurse’s personal accountability in fulfilling legal reporting duties or informing the parent. .