An 83-yeаr-оld wоmаn is аdmitted with dehydratiоn and acute kidney injury. Her daughter reports, "Mom just refuses to drink. She's impossible." Assessment findings include: Stage III sacral pressure injury Multiple bruises on the lateral upper arms and inner thighs Fingernails overgrown with feces underneath Medication bottles filled 3 months ago that remain nearly full Daughter answers every question before the patient can speak Patient repeatedly looks at her daughter before answering questions Daughter states, "She's getting dementia." The Mini-Cog score is 5/5, and the patient is fully oriented. The nurse suspects elder mistreatment. Which assessment finding most changes the nurse's clinical judgment?