A 32-year-old woman with progressive bilateral vision loss from retinitis pigmentosa and unilateral hearing loss resides in a long-term care facility. The LPN enters to assist with morning care and notes the client's affect is flat; she stares at the wall without responding to greetings. When asked about visitors, the client states, "No one comes anymore. My boyfriend says I'm useless now that I can't see or hear right, and sometimes I wish I just wouldn't wake up." The LPN also notes new bruising on the client's upper arms in a pattern resembling finger grip marks. What should the LPN do first?
- Tell the client she will feel better once she adjusts to her sensory loss
- Continue with morning care and reassess the bruising tomorrow
- Immediately report these findings to the RN or provider
- Develop a psychiatric safety plan for the client independently