Mrs. Cassidy is a 65 years old, living by herself in her home since her husband passed away. She has a son and grandchildren who have spent time with her. When the home care nurse came to visit and asked her aboutsonand grandchildren, Mrs. Cassidy appeared fearful and withdrawn. The home care nurse also noted Mrs. Cassidy is not well groomed withclothes dirty. While taking a blood pressure reading the home care nurse noticed multiple bruising on her arms.

What types of abuse might have occurred in this case? What contributing factors could have contributed to this possible abuse situation? What should the home care nurse do next?