If an older adult shows signs of potential elder abuse, what is the best initial nursing action?

• A. Cover the bruises with bandages
• B. Take photographs of the bruises
• C. Ask the patient if anyone has hit her
• D. Report the bruises to the charge nurse

Answer: (D)

Suspected elder abuse must be addressed by promptly reporting it through the proper channels to protect the patient and trigger the mandatory reporting process. The best initial action is to notify the charge nurse, who will initiate formal reporting to the appropriate authorities (such as adult protective services) and coordinate next steps, including documentation and safety planning. This upholds professional responsibility, adheres to facility policy and legal requirements, and ensures the patient’s safety is addressed without delaying action.

Covering the bruises hides potential abuse and delays protection. Attempting to gather evidence by photographing or questioning the patient about abuse can violate privacy and may not be appropriate or safe to do without proper support and policy guidance. The priority is to escalate to the supervisor so the proper, lawful steps can be taken.