What action should the UAP take upon suspecting an unethical relationship between a nurse and a patient?

• A. Call the clinical manager and report the suspicion
• B. Discuss with the health care provider what to do
• C. Ignore the suspicion
• D. Document the incident in the chart

Answer: (A)

When suspicions arise about an unethical relationship between a nurse and a patient, the priority is to escalate the concern through the proper chain of command. The best action is to report the situation to the clinical manager or supervisor, who can initiate a formal, confidential investigation and involve the appropriate ethics or risk management resources. This approach protects patient safety, maintains professional boundaries, and keeps the process within policy and regulatory requirements.

Directly discussing the situation with the health care provider bypasses the established reporting process and can create conflicts of interest or bias. Ignoring the suspicion puts the patient at risk and fails to uphold professional responsibilities. Documenting the incident in the chart by a UAP is not appropriate on its own, as charting should reflect accurately observed facts by authorized staff and be handled through the proper reporting channels to ensure a fair review.