Your Elderly Patient Is Malnourished and Wearing Inadequate Clothing for the Current

Your elderly patient is malnourished and wearing inadequate clothing for the current temperature. She is lying on soiled bedding and there is a strong smell of urine throughout the house. Her care giving daughter tells you that her mother refuses to get out of bed most days, won't do any housekeeping, and is not taking her medication. You should

A) politely notify the daughter that you suspect abuse and are required to report it.
B) note in your report that you believe the patient is self-abusive and needs further assessment.
C) accuse the daughter of abusing her mother and warn her that you will report her.
D) report your suspicion of neglect to medical direction and the local abuse agency.