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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Related Questions
Correct Answer is D
Explanation
Beneficence includes acts that end a client's suffering permanently: This statement is not accurate. Beneficence refers to the duty to do good and promote the well-being of the patient, but it does not necessarily include actions that end a patient's life permanently. Assisted suicide is a complex ethical issue and not universally considered an act of beneficence.
Paternalism is justified when the client is unsure about the best course of treatment: This statement is not accurate. Paternalism refers to the restriction of a person's autonomy for their own good. In cases of assisted suicide, paternalism would oppose the individual's right to make the decision about their own life, even if they are unsure about the best course of treatment.
Informed consent can only be fulfilled by the client understanding all alternatives: This statement is not accurate. While informed consent requires the patient to understand the alternatives, it is not specifically related to the ethical principle supporting assisted suicide. Informed consent is a broader concept applied to various medical procedures and interventions.
The right to self-determination includes the decision to end one's life: This statement is accurate. The right to self-determination is a fundamental ethical principle that respects an individual's autonomy and ability to make decisions about their own life, including decisions related to death, as seen in the case of assisted suicide.
Correct Answer is B
Explanation
They are not used extensively in high-level nursing research: This statement is not accurate. Middle-range nursing theories are frequently used in nursing research, especially in studies focusing on specific areas or phenomena within nursing. Researchers often apply middle-range theories to guide their studies and develop hypotheses, making them an essential part of high-level nursing research.
They form the foundation for the current evidence-based practice movement: This statement is accurate. Middle-range nursing theories provide the framework for evidence-based practice. They offer specific concepts and relationships that guide research and practice. By using these theories as a foundation, nurses can integrate research findings into their practice, leading to evidence-based care.
They do not focus on abstract concepts: This statement is partially accurate. Middle-range nursing theories focus on specific concepts related to a particular aspect of nursing care. While they may not be as abstract as grand theories, they are not entirely devoid of abstract concepts. Middle-range theories still involve theoretical and conceptual thinking, albeit in a more focused and specific manner.
They are often developed into major nursing theories: This statement is not accurate. Middle-range nursing theories are distinct from major nursing theories. Major nursing theories, often referred to as grand theories, are more comprehensive and abstract, attempting to explain the overall phenomenon of nursing. Middle-range theories, on the other hand, focus on narrower aspects of nursing practice and are not typically developed into grand theories.
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