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    Hesi lpn exit proctored exam

    The practical nurse (PN) hears an older adult resident of a long term care facility shout profanities at an unlicensed assistive personnel (UAP) who shouts back at the resident. Which is the first action the PN should take?

    Explanation & Rationale

    A. Report the incident and the UAP for further action by the nurse-manager: Reporting may be needed later, but immediate intervention is required to stop inappropriate behavior. B. Tell both of them to lower their voices in consideration of other residents: This addresses the noise but not the unprofessional and potentially abusive behavior. C. Enter the room and tell the UAP to leave the room immediately: Immediate action is necessary to protect the resident from verbal abuse and to de-escalate the situation. D. Tell the resident and the UAP that shouting is not permitted: This fails to remove the UAP from the situation and address potential abuse concerns.

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