The practical nurse (PN) overhears a conversation between an unlicensed assistive personnel (UAP) and another staff member in the hospital cafeteria line concerning a client's reaction to being given a diagnosis of terminal cancer. Which is the best nursing action?
Approach the individuals involved and ask them to stop.
Tell the client of the UAP's concern for him.
Try not to listen to the conversation since it is confidential.
Write an incident report and submit it to the unit manager.
The Correct Answer is A
A. Approach the individuals involved and ask them to stop:
Immediate intervention stops the breach of confidentiality and maintains client privacy.
B. Tell the client of the UAP's concern for him:
Would further violate confidentiality and harm trust.
C. Try not to listen to the conversation since it is confidential:
Passive approach; does not stop the breach.
D. Write an incident report and submit it to the unit manager:
May be needed afterward, but first action is to stop the conversation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Approach the individuals involved and ask them to stop:
Immediate intervention stops the breach of confidentiality and maintains client privacy.
B. Tell the client of the UAP's concern for him:
Would further violate confidentiality and harm trust.
C. Try not to listen to the conversation since it is confidential:
Passive approach; does not stop the breach.
D. Write an incident report and submit it to the unit manager:
May be needed afterward, but first action is to stop the conversation.
Correct Answer is A
Explanation
A. Continue to auscultate the abdomen for a longer time period: Absence of bowel sounds should be confirmed after listening for 5 minutes in each quadrant before reporting.
B. Determine if client needs to empty bladder: Not related to bowel sounds.
C. Ask client to flex knees to relax the abdomen.: May relax abdomen but does not confirm bowel activity.
D. Notify charge nurse of the absence of bowel sounds: Only after confirming prolonged absence.
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