Certified Medical-Surgical Registered Nurse Practice Exam

Which nursing intervention is critical when dealing with suspected elder abuse?

1. Avoid confrontation with the family.

2. Document findings thoroughly.

3. Engage the patient in casual conversation.

4. Provide counselling resources to the family.

The correct answer is: Document findings thoroughly.

The choice to document findings thoroughly is critical when dealing with suspected elder abuse for several important reasons. Accurate and comprehensive documentation serves as an essential tool for the healthcare provider. It creates a clear record of observations, changes in the patient's condition, and any disclosures made by the patient regarding their experiences. This detailed documentation can be pivotal in forming a legal basis for reporting the abuse and ensuring the patient’s safety. It also helps other healthcare professionals involved in the patient’s care by providing context and continuity. In cases of elder abuse, documentation may include descriptions of injuries, patterns of behavior, or statements made by the patient that suggest abuse. These records may be necessary for law enforcement or social services should a report be made, including identifying potential perpetrators and establishing a timeline of events. While avoiding confrontation with the family, engaging the patient in casual conversation, and providing counseling resources to the family may have their place in the overall care and support of the patient, they do not hold the same level of critical importance as thorough documentation in cases of suspected abuse. Effective documentation is often the first step in protecting vulnerable individuals and ensuring they receive the appropriate interventions and support.