In which situation is the nurse allowed to breach a client's right to confidentiality?
A local politician is admitted after an automobile accident in which he was inebriated.
An 18-year-old unwed teenager seeks abortion at an abortion clinic.
A 32-year-old housewife comes to the emergency room for care after being raped in a parking lot.
An important member of the business community is treated for cuts and bruises after fighting with his neighbor.
The Correct Answer is A
A local politician is admitted after an automobile accident in which he was inebriated.
Breaching confidentiality might be necessary in this situation due to public safety concerns and legal obligations. If the politician was inebriated, it could imply illegal activity (driving under the influence) and could endanger others on the road. Reporting this to the appropriate authorities might be required by law.
An 18-year-old unwed teenager seeks abortion at an abortion clinic.
In most cases, healthcare providers are bound by confidentiality, even for sensitive issues like abortion. However, laws regarding confidentiality can vary by location, so nurses should be aware of local regulations. Typically, a teenager's confidentiality might be breached only if there's a concern for the minor's safety (such as abuse) or if there are specific local laws requiring parental involvement.
A 32-year-old housewife comes to the emergency room for care after being raped in a parking lot.
Healthcare providers, including nurses, must preserve the confidentiality of patients who have experienced sexual assault. Breaching confidentiality without the patient's consent in this situation would not be ethical and could deter survivors from seeking help.
An important member of the business community is treated for cuts and bruises after fighting with his neighbor.
The patient's status in the community does not justify breaching confidentiality. Healthcare providers are generally obligated to maintain patient confidentiality regardless of the person's social or economic status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
King: Imogene King developed the Theory of Goal Attainment, a nursing theory that focuses on the nurse and patient interacting to achieve goals.
Orem: Dorothea Orem developed the Self-Care Deficit Nursing Theory, which emphasizes the patient's self-care needs.
Watson: Jean Watson developed the Theory of Human Caring, which emphasizes the importance of the nurse-patient relationship and the concept of caring in nursing practice.
Wellington-Smith: There is no widely known nursing theorist by this name, making it the correct answer for this question.
Correct Answer is B
Explanation
Active euthanasia:
Active euthanasia refers to the intentional act of causing the death of a patient in a painless or minimally painful manner. This involves a deliberate action, such as administering a lethal dose of medication, to end a patient's life.
Passive euthanasia:
Passive euthanasia is the practice of allowing a patient to die by withholding or withdrawing extraordinary medical treatment or life-sustaining measures, such as ventilators, feeding tubes, or CPR. It does not involve actively taking steps to end the patient's life.
Mercy killing:
Mercy killing is another term for euthanasia, implying the act of ending a person's life painlessly as an act of mercy. It can refer to both active and passive euthanasia, although it is not a medical or legal term.
Assisted suicide:
Assisted suicide is the act of helping another person end their life by providing the means, usually in the form of prescribed drugs. Unlike euthanasia, in assisted suicide, the individual self-administers the lethal substance.A
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