Exhibits Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.

A. Throw away soiled clothing: This can destroy potential forensic evidence. Soiled items should be preserved in case they are needed for documentation or investigation. B. Report findings to Adult Protective Services: Nurses are mandated reporters. If elder mistreatment is suspected, it must be reported to Adult Protective Services to initiate investigation and ensure the client’s safety. C. Develop a safety plan: If abuse or neglect is suspected, the nurse should collaborate with the client (when possible) and the care team to develop a plan that ensures immediate and long-term safety. D. Take photographs to document the abuse or neglect: Photographic documentation, with the client’s consent and per facility policy, provides visual evidence of physical injuries or poor living conditions, supporting investigation and care planning. E. Question the client in front of the suspected abuser: This can place the client at greater risk and inhibit honest disclosure. All assessments regarding abuse should be done privately. F. Complete a comprehensive history: Gathering a full medical and social history helps identify inconsistencies, patterns of neglect or injury, and risk factors. It supports accurate diagnosis and reporting. G. Perform a thorough physical assessment: A full head-to-toe exam is essential to identify signs of injury, malnutrition, hygiene neglect, or other indicators of mistreatment. H. Confront the abuser about concerning actions: Direct confrontation may escalate the situation and compromise the client's safety. The nurse should document objectively and follow legal reporting protocols.