Which action is appropriate when abuse is suspected in an elderly patient?

• A. Provide the client with a 24-hour hotline number
• B. Ask the caregiver to wait in the waiting room
• C. Document concerns in the chart and discuss with the supervisor
• D. Do not take any action until the patient is alone

Answer: (A)

When abuse is suspected in an elderly patient, the priority is to ensure safety and connect the patient with immediate support. Providing a 24-hour hotline number accomplishes this by offering round-the-clock access to crisis assistance, guidance on next steps, and a pathway to reporting resources. It helps the patient reach help even if they are unsure about what to do or hesitant to disclose details right away, and it respects their autonomy by giving them a concrete, confidential resource they can use at any time.

This step is part of a broader response that includes documenting concerns in the chart and following the facility’s protocol, which typically involves notifying a supervisor and adhering to mandatory reporting requirements. Immediate access to a hotline lays the groundwork for seeking help and initiating protective actions without delay, which is essential in elder abuse cases.