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The PN should immediately remind staff of HIPAA and confidentiality rules. Ignoring or joining continues the breach. Reporting to the board is excessive unless repeated. This reflects Safe and Effective Care Environment—Legal/Ethical Principles.

Human papillomavirus (HPV) is the leading cause of cervical cancer. Vaccination significantly reduces risk, especially if received before onset of sexual activity. Pap screening generally begins at age 21, not 40. Calcium and dairy intake are unrelated. The PN reinforces preventive education, aligning with Health Promotion and Maintenance—Disease Prevention and Health Promotion.

Option B validates the client’s experience and invites exploration. Options A, C, and D dismiss or criticize the client. This reflects Psychosocial Integrity—Therapeutic Communication and Mental Health Care.

Most guidelines recommend mammography beginning at age 40–50, depending on risk factors, with earlier screening for high-risk clients. Waiting until 60 or avoiding screenings is unsafe. This reflects Health Promotion and Maintenance—Screening and Early Detection.

The “three checks” (when removing, before preparing, and before administering) and use of two identifiers ensure safe medication administration. Options A, C, and D violate safety standards. This reflects Safe and Effective Care Environment—Safety and Infection Control, focusing on prevention of medication errors.