In the case of possible elder sexual abuse at a nursing home, which of the following signs should be observed?

Unexplained bruises and broken bones are critical signs that may indicate elder sexual abuse in a nursing home environment. These physical manifestations often suggest trauma that is not consistent with normal aging or mobility issues. In cases of elder abuse, especially sexual abuse, the victim may be subjected to physical violence or coercion, leading to injuries that require attention.

Identifying unexplained injuries is essential for caregivers and investigators, as they can be indicative of not just abuse, but also neglect or a failure to provide adequate care. When combined with other behavioral or emotional signs, such as withdrawal or anxiety, physical indicators significantly strengthen the case for considering the possibility of abuse. Being vigilant to these signs is vital in ensuring the safety and well-being of vulnerable older adults.