During an Assessment of a Newly Admitted 92-Year-Old Woman,the Nurse

Multiple Choice

During an assessment of a newly admitted 92-year-old woman,the nurse notes that her son does not want to leave the room.The woman has signs of old bruises and healed cuts that happened "last week," according to the son.Which of the following actions by the nurse is appropriate?

A) Ask the son for details about the nature of the patient's injuries.
B) Recognize that older people are often unsteady on their feet and that falls do occur.
C) Notify the authorities of a potential abusive situation.
D) Recognize that these findings do not necessarily indicate that abuse has occurred but are signs that further assessment is needed.