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.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
Health promotion: Nurse-run clinics focus on promoting health and preventing illness in the community. They provide services such as vaccinations, health screenings, and education on topics like nutrition, exercise, and disease prevention. The goal is to empower individuals and communities to make healthy lifestyle choices.
Disease cure: While nurse-run clinics may provide treatments for various illnesses and conditions, their primary focus is on prevention and health promotion. They aim to prevent diseases through education, screenings, and early interventions rather than focusing solely on curing diseases.
Pregnancy counseling services: Nurse-run clinics may offer pregnancy counseling services, especially related to prenatal care, childbirth education, and postpartum support. However, this is just one aspect of their services, and they cover a broader range of health promotion and preventive care services.
Abortion support: Nurse-run clinics might provide counseling and support services for individuals considering abortion, but this service is not the primary focus of most nurse-run clinics. The primary emphasis is on overall health promotion and preventive care for the community.
Correct Answer is C
Explanation
An individual who is responsible for his or her health care: While client responsibility is a concept in healthcare, it is not the primary focus of Johnson's Behavioral System Model. The model primarily focuses on the client as a dynamic system.
A behavioral system that is an integrated whole: This statement is partly correct; however, it doesn't fully capture the essence of Johnson's model. Johnson does focus on behavioral systems, but the model is more comprehensive, considering the client as a dynamic entity with inputs, processes, and outputs.
A dynamic entity with both input and output: This accurately reflects the essence of Johnson's Behavioral System Model. In this model, the client is seen as a dynamic system that processes inputs (stimuli from the internal and external environment) and produces outputs (responses or behaviors). The interactions between these inputs and outputs determine the client's adaptation and overall health.
An individual who must adapt to illness: While adaptation is a central concept in Johnson's model, it doesn't solely focus on illness adaptation. It encompasses a broader view of the individual's behavioral responses to various stimuli and stressors in both health and illness contexts.
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