A nurse in an emergency department is assessing a client from a long-term care facility who has a developmental disability. The nurse observes bruises in various stages of healing. The client denies any abuse and tells the nurse not to report the findings. Which of the following actions should the nurse take?

Rationale: A. This option is incorrect because, even if the client requests that the findings not be reported, nurses are mandated reporters of suspected abuse. Legal and ethical obligations require the nurse to report suspicions of abuse regardless of the client’s wishes. B. This option is incorrect because documentation alone is insufficient. While thorough documentation is essential, it does not fulfill the nurse’s legal duty to report suspected abuse. C. This option is incorrect because sharing the findings with a family member without following proper reporting channels could violate privacy laws and facility policy, and may not ensure the client’s safety. D. This option is correct because the nurse must report suspected abuse to the appropriate authority, which in this case is the client’s long-term care facility. Reporting ensures the client’s safety, allows for a proper investigation, and fulfills the nurse’s role as a mandated reporter.