Final answer:
When a patient is withdrawn, refuses visitors, and has bruises, it's critical to report suspected abuse according to facility policy, ensuring their safety is prioritized. Directly confronting the patient with caution may be necessary, but they should not be forced to see unwanted visitors.
Step-by-step explanation:
When encountering a situation where your patient refuses to see certain visitors, is withdrawn, and shows signs of bruising on several parts of their body, it is essential to prioritize the patient's safety and well-being. In this case, the most appropriate action is to report suspected abuse to the nurse or according to facility policy. It's important to recognize the signs of maltreatment such as physical harm or neglect, and respond accordingly, which may include reporting the situation to authorities or senior healthcare providers. Discussing the patient's fears can be important, but should be approached with care, and without forcing them to see visitors they're reluctant to meet. Immediate medical emergency services like calling 911 should be considered if the situation seems life-threatening or the patient's condition warrants it.