In which situation is the nurse allowed to breach a client's right to confidentiality?

The client missed his follow-up appointment:This information is relevant to the client's care, indicating a missed appointment and potential need for rescheduling or follow-up.

The client stopped taking his medications: This is crucial information about the client's medication adherence, which can impact their health outcomes and treatment plan.

The client refused to go to therapy: Documenting the client's refusal of therapy is essential for continuity of care and ensuring that the healthcare team is aware of the client's decisions regarding their treatment.

The nurse thinks the client is hostile: Documenting the nurse's personal opinion about the client being hostile is not appropriate in the client's chart. Objective, observable behaviors should be documented, but subjective judgments or personal opinions about the client's demeanor or attitude should not be included in the chart. It is important to maintain professionalism and objectivity in documentation.

Use of systems theory.
Neuman's Health-Care Systems Model is based on the principles of systems theory. The model views individuals as open systems interacting with their environment. Health, illness, and wellness are influenced by dynamic interactions between the client and environmental stressors. This systems-based approach helps nurses understand the holistic nature of clients and their responses to stressors.

Behavior is the key to preventing illness.
This statement does not accurately represent Neuman's Health-Care Systems Model. While behavior and lifestyle choices can influence health, Neuman's model primarily emphasizes the dynamic interactions between individuals and their environment, considering stressors and their impact on the client's stability and well-being.

Nurse-centered rather than client-centered.
Neuman's model is client-centered. It focuses on the client's responses to environmental stressors and aims to assist clients in maintaining their optimal wellness within the context of their environment. It is not nurse-centered; instead, it empowers clients to actively participate in their own care.

Alteration of environmental stressors leads to health.
While addressing environmental stressors is a component of Neuman's model, it does not directly state that altering these stressors leads to health. The model emphasizes understanding the client's response to stressors and helping them achieve stability despite these stressors.