When assessing a client with a developmental disability who has bruises, what is the nurse's appropriate action?

The appropriate action when assessing a client with developmental disabilities who has bruises is to document the findings and inform the provider. This approach ensures that the physical evidence of the bruises is officially recorded, which is critical for ongoing patient care and for any potential investigations that may arise regarding abuse.

By documenting the findings, the nurse creates a legal record that can be vital if the situation escalates or if further evaluation is required. Informing the provider ensures that the client receives appropriate medical attention and that the clinical team can collaboratively determine the best course of action based on the client's overall situation. This step adheres to the principle of ensuring client safety while also respecting the appropriate channels of communication within the healthcare team.

While referring the client to a social worker may be appropriate later in the process, the immediate priority should be to ensure that the provider is aware of the situation, which may prompt further assessment or intervention. Confronting the client directly could lead to increased distress or fear, particularly for individuals with developmental disabilities who may struggle with communication. Ignoring the findings could also compromise the client's safety and health.