Exhibits Click to indicate if the listed manifestion of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

Manifestation of Abuse Physical abuse Abandonment Neglect Poor personal hygiene ✔ Depression or withdrawn behavior ✔ Untreated pressure injuries ✔ Bruises in various stages of healing ✔ Leaving an older adult in a public space ✔ Oversedation ✔ • Bruises in various stages of healing: Suggests repeated injury over time, which is a key indicator of physical abuse. These bruises often occur in hidden areas and are inconsistent with normal aging or known medical conditions. • Oversedation: Reflects misuse of medication to control or silence the client, interfering with consciousness and autonomy. This constitutes physical abuse when done without clinical justification or consent. • Leaving an older adult in a public space: Represents abandonment by a caregiver who fails to ensure the older adult's safety or access to basic care needs. It places the person at serious risk of harm or exploitation. • Poor personal hygiene: Indicates neglect, as the caregiver is not assisting with or providing access to basic hygiene needs like bathing, grooming, and oral care, all of which are essential for health and dignity. • Depression or withdrawn behavior: Often results from social isolation, lack of engagement, and emotional neglect. In this case, the client is restricted from activities and interactions that support mental well-being. • Untreated pressure injuries: Reflect failure to provide adequate repositioning, incontinence care, and wound management. The presence of multiple open wounds and boggy heels signals clear neglect of nursing and hygiene care.