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    Hesi lpn exit proctored examQuestion 227
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    Hesi lpn exit proctored exam

    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?

    Explanation & Rationale

    A. Write an incident report and submit it to the unit manager: Filing an incident report is appropriate for serious breaches of protocol, but the immediate priority is to stop the inappropriate discussion to protect client confidentiality. B. Try not to listen to the conversation since it is confidential: Ignoring the conversation does not address the violation of privacy that is occurring. The PN has a professional responsibility to intervene when confidentiality is breached. C. Approach the individuals involved and ask them to stop: Directly intervening ensures the conversation ceases and reinforces the importance of client confidentiality. Immediate action protects the client’s privacy and maintains professional standards of care. D. Tell the client of the UAP's concern for him: Sharing details of the conversation with the client would further breach confidentiality and is inappropriate. The PN’s focus should be on stopping the discussion among staff.

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