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. What is the best nursing action?
Try not to listen to the conversation since it is confidential.
Write an incident report and submit it to the unit manager.
Approach the individuals involved and ask them to stop.
Tell the client of the UAP's concern for him.
The Correct Answer is C
A. Trying not to listen to the conversation does not address the issue of confidentiality breach or protect the client's privacy.
B. Writing an incident report might be necessary, but the immediate action should be to stop the conversation to protect the client's confidentiality.
C. Approaching the individuals involved and asking them to stop is the most appropriate and immediate action to protect the client's privacy and confidentiality.
D. Telling the client about the UAP's concern might not be suitable without context or proper consent, and it might not address the confidentiality breach.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The UAPs keep their backs straight and knees bent when moving the client. - This indicates the UAPs are following proper body mechanics for moving the client safely.
B. A turning sheet is used under the client for turning and repositioning. - Using a turning sheet aids in reducing friction and facilitating smooth turning, indicating familiarity with proper
procedures.
C. An abduction pillow is placed between the client's legs when positioned. - This indicates awareness of the need to maintain proper positioning and prevent dislocation after hip surgery.
D. The client is told to keep both legs straight and together while turning. - After a hip arthroplasty, it's crucial to avoid certain movements like keeping both legs straight, as this can stress the hip joint or prosthesis, indicating a need for additional information about proper post-operative positioning.
Correct Answer is B
Explanation
A. Asking about the bowel sterilization prescription isn't directly related to the client's concern about the visibility of the surgical opening.
B. Reviewing the client's expectations regarding elimination after surgery helps address the client's concerns about the surgical opening and ensures proper education and understanding.
C. Verifying the NPO status is important for surgery preparation but doesn’t address the client's specific concern.
D. Understanding if this is the client's first indwelling catheter doesn’t directly address the immediate concern of the client regarding the visibility of the surgical opening.
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