What initial step should the nurse take when considering a referral for elder abuse?

The initial step the nurse should take when considering a referral for elder abuse is to assess the client’s safety. Ensuring the safety of the client is paramount; this involves evaluating the current environment, any potential threats, and whether the individual is at risk of harm.

By prioritizing the client’s immediate safety, the nurse can establish whether there are any ongoing risks that need to be addressed before taking further action. This assessment can guide the nurse in determining the appropriate next steps, which may include contacting social services or gathering additional information, but the primary concern must always be the client's well-being in the moment.

Once the safety of the client is established and any necessary interventions are initiated, the nurse can then proceed with documentation, consultation, and collaboration with other professionals or family members as needed. This structured approach ensures that all actions taken are in the best interest of the client and that any potential abuse is addressed appropriately and promptly.