NIC Esthetician Written ExamSafety and Infection ControlMedium

An esthetician is performing a facial and notices that the client has a small, dark mole that has recently changed in size and color. What is the most appropriate action for the esthetician to take?

  1. AApply a soothing cream to the mole to prevent further irritation.
  2. BDocument the observation in the client's chart and monitor it during future visits.
  3. CProceed with the facial, avoiding the area around the mole.
  4. DInform the client about the observation and suggest they consult a dermatologist.
Show answer & explanation

Correct answer: D. Inform the client about the observation and suggest they consult a dermatologist.

Estheticians are not licensed to diagnose medical conditions, but they are trained to recognize abnormal skin conditions that warrant medical attention. Referring the client to a dermatologist is the correct and ethical action.

Why the other options are wrong

  • A. Applying cream is outside the scope of practice for a suspicious lesion.
  • B. While documentation is good, it's insufficient without immediate referral for a potentially serious condition.
  • C. Avoiding the area does not address the potential medical concern.

Scope of Practice: Skin Irregularities

Estheticians should observe and refer clients with suspicious skin lesions (e.g., changing moles, new growths) to a medical professional, as diagnosis and treatment are outside their scope of practice.

  • Observe, but do not diagnose.
  • Refer to dermatologist for suspicious lesions.
  • Prioritize client safety and health.

Memory trick: See something strange, suggest a doctor's change.

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