A nurse is caring for a group of older adult clients who receive home care. Which of the following clients should the nurse interview about the possibility of caregiver abuse or neglect?

A. A client who is 9 kg (20 lb) over their recommended weight: Being overweight alone does not indicate caregiver abuse or neglect. Weight changes may result from dietary habits, metabolic issues, or other health conditions, so this requires monitoring but not necessarily an abuse inquiry. B. A client who is wearing soiled clothing: While soiled clothing may suggest inadequate care, it can also be related to the client’s functional limitations or incontinence. It warrants observation and assessment, but it is not as specific an indicator of abuse or neglect as unexplained injuries. C. A client whose caregiver pays the client's bills: Caregivers assisting with finances is common in older adult care and does not inherently indicate abuse or neglect. It requires verification of consent and legal authority but is not a direct red flag for mistreatment. D. A client who has a bruise on their shin: Unexplained bruising, especially in older adults, is a common indicator of physical abuse or neglect. The nurse should interview the client sensitively to assess for the possibility of caregiver mistreatment and ensure the client’s safety.