A nurse is conducting a home health visit for an older adult client who lives with family members. The nurse notices that the client has multiple unusual bruises, and, based on several other factors, the nurse suspects that the client has been physically abused. Which of the following actions should the nurse take first?

Choice A reason: Suspected abuse must be reported immediately according to mandated reporting laws and agency guidelines. This ensures the client’s safety and initiates protective interventions. Choice B reason: Waiting until the next visit delays action and places the client at continued risk. Choice C reason: Family therapy may be helpful but is not appropriate until abuse is addressed and safety ensured. Choice D reason: Increasing visits does not resolve the immediate risk of abuse. Reporting is the priority.