A 15-year-old patient presents to the clinic requesting levonorgestrel (Plan B One-Step). The nurse practitioner knows that unconditional confidentiality can be maintained if
state and federal laws allow unconditional confidentiality.
facility policies and procedures allow unconditional confidentiality for adolescents.
no sexual abuse or exploitation is involved.
it is in accordance with guidelines set forth by professional organizations.
The Correct Answer is A
Rationale:
A. Unconditional confidentiality for adolescents seeking contraception, including emergency contraception like levonorgestrel, is determined primarily by state and federal laws. Providers must follow legal requirements regarding minors’ rights to confidential reproductive healthcare.
B. Facility policies may support confidentiality, but they cannot override state or federal law.
C. While reporting requirements exist for sexual abuse or exploitation, confidentiality may still apply in other contexts depending on the law.
D. Professional guidelines provide ethical recommendations, but legal statutes take precedence in determining whether unconditional confidentiality can be maintained.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Four weeks is typically insufficient to prevent relapse; this duration is usually the initial phase of treatment to achieve symptom remission.
B. Eight weeks may allow for acute symptom improvement but does not provide enough time for maintenance.
C. Continuing antidepressant therapy for at least 6 months after symptom remission is recommended to consolidate recovery and reduce the risk of relapse. This period represents the continuation phase of treatment.
D. Two years may be appropriate for patients with recurrent depression or high relapse risk, but it is not the standard minimum duration for a first episode.
Correct Answer is B
Explanation
Rationale:
A. Herpes simplex in infants typically presents with painful vesicles and sometimes systemic symptoms, not a persistent whitish coating.
B. Oral candidiasis (thrush) presents as a white, curd-like coating on the tongue, gums, or inner cheeks that cannot be wiped away. It is caused by an overgrowth of Candida species and is common in young infants.
C. A normal coating in infants (milk residue) is easily wiped away and does not persist.
D. Poor oral care may cause debris or plaque later in infancy but is not the cause of persistent white plaques in young infants.
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