An older adult client is admitted to the hospital from a skilled care facility with dehydration and malnourishment. The client is oriented times four, but is despondent and withdrawn. The practical nurse (PN) observes that the client has multiple bruises on both arms and has poor hygiene. Which action should the PN implement first?
Explanation & Rationale
A. While documentation is essential, establishing a trusting relationship with the client is a more immediate priority to address their basic needs and gather information. B. Establishing trust with the client is crucial to ensure their basic needs are met and to create an environment where the client feels safe to communicate openly. This foundational step is necessary before other interventions can be effectively implemented. C. Medicating the client as prescribed is important for their overall care but does not address the immediate need to build trust and assess their situation comprehensively. D. Contacting social services is a necessary step if abuse is suspected, but it should follow the initial assessment and establishment of trust with the client to gather accurate information.