What is the most appropriate action for a physical therapist assistant after observing contusions on a patient who frequently arrives late for appointments?

The most appropriate action for a physical therapist assistant upon observing contusions on a patient is to inquire whether someone has been harming the patient. This approach emphasizes the safety and well-being of the patient, addressing a potential concern of abuse or neglect. Observing unexplained injuries, such as contusions, can raise significant concerns about the patient's safety, especially if other factors, such as frequent tardiness, suggest that there may be underlying issues affecting their care or living situation.

Addressing the possibility of harm directly allows the assistant to gather crucial information that may be necessary for ensuring the patient's safety. If there are indications of abuse, the assistant has the responsibility to report these concerns according to the appropriate legal and professional guidelines.

Other options, while they may seem relevant in terms of gathering information, do not directly address the potential risk of harm. Asking if the patient fell down might minimize the seriousness of the observed injuries without exploring the broader implications of their circumstances. Discussing the issue with family members may not be appropriate without the patient's consent or knowledge of their situation, especially if abuse is a potential concern. Additionally, asking what the patient could have done does not necessarily provide information about the cause of their injuries and shifts the focus away from the immediate concern of their safety