NCLEX-PN® ExaminationCoordinated CareMedium
A newly licensed LPN is assisting with the admission of a client who reports being a victim of domestic violence. The client is hesitant to talk about the situation with the healthcare team. Which of the following is the most appropriate initial action for the LPN to take?
- AAssure the client that all information shared will be kept strictly confidential.
- BProvide the client with information about local domestic violence shelters.
- CEncourage the client to discuss the situation openly with the healthcare team.
- DDocument the client's report of domestic violence in the electronic health record.
Show answer & explanationAnswer & explanation
Correct answer: A. Assure the client that all information shared will be kept strictly confidential.
Confidentiality is paramount in establishing trust, especially with sensitive topics like domestic violence. Assuring the client of confidentiality creates a safe environment for them to share information, which is a crucial first step.
Why the other options are wrong
- B. Providing resources is important, but it should come after establishing trust and assessing the client's willingness to receive such information.
- C. While encouraging open discussion is a goal, it must be preceded by building trust through confidentiality assurances.
- D. Documentation is necessary, but it is a subsequent step after the client has shared information and confidentiality has been addressed.
Client Confidentiality
The ethical and legal obligation of healthcare providers to protect client information from unauthorized disclosure, fostering trust and encouraging open communication.
- Foundation of patient trust.
- Protected by HIPAA.
- Essential for sensitive disclosures.
Memory trick: To 'SHARE' sensitive info, 'SECURE' their trust first.