Which of the following is a sign of abuse or neglect in a resident that should be reported?

• A. Fear of staff and unexplained injuries.
• B. Frequent social visits.
• C. High energy during day.
• D. Excellent hygiene.

Answer: (A)

Recognizing signs of abuse or neglect is essential for resident safety, and the strongest warning among the options is fear around staff paired with unexplained injuries. Fear of staff can signal intimidation or coercion, while injuries with no clear, medical explanation point to possible physical harm or neglect in care. Both require prompt reporting to protect the resident and trigger a proper investigation per facility policy and state regulations.

The other options don’t indicate abuse or neglect. Frequent social visits are typically a positive sign of support. High energy during the day can be normal or related to health conditions or medications. Excellent hygiene suggests good personal care and is not a red flag for neglect. When any worry arises, document what you observe and report it to the supervisor or charge nurse promptly.