In which situation would the nurse be justified in overriding a client's right to confidentiality?
A teenage client asks the nurse not to tell her parents that she is pregnant.
A client does not want her husband to know that she is a client on the unit.
An older adult client discloses to the nurse that her son occasionally hits her.
A client states that he does not want to know the results of his recent diagnostic test.
The Correct Answer is C
A. While this situation raises ethical considerations, particularly regarding adolescent confidentiality, the nurse is not justified in overriding the client's right to confidentiality solely based on the request. In many jurisdictions, minors may have the right to confidentiality about reproductive health issues, though this can vary.
B. The nurse is generally required to respect this client's confidentiality. Unless there is a specific safety concern (e.g., domestic violence), the nurse should honor the client's request to keep this information private. Confidentiality should be upheld unless there is a clear and immediate risk of harm.
C. In this situation, the nurse may be justified in overriding the client’s confidentiality due to the disclosure of potential abuse. Healthcare professionals are often mandated reporters in cases of suspected abuse or neglect, particularly involving vulnerable populations such as older adults. The nurse has a duty to report this situation to ensure the safety of the client.
D. A client's wish not to know their diagnostic results does not justify overriding their confidentiality. The nurse must respect the client’s autonomy and decision-making regarding their own health information. The nurse should provide support and discuss the implications of this decision but should not disclose the results without the client’s consent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Frequent handwashing is an important health promotion strategy for individuals with sickle cell disease. They are at increased risk for infections due to potential splenic dysfunction. Good hand hygiene helps reduce the risk of infections, which can trigger a sickle cell crisis.
B. Clients with sickle cell disease are strongly encouraged to receive the annual flu vaccine. Influenza can lead to serious complications in these patients, including increased risk of respiratory infections and sickle cell crises. Vaccination is a key preventive measure.
C. Routine iron supplementation is not typically recommended for individuals with sickle cell disease unless there is a specific diagnosis of iron deficiency anemia. Sickle cell patients can have normal or elevated ferritin levels, and unnecessary iron supplementation can lead to iron overload, which is harmful.
D. Regular eye examinations are important for individuals with sickle cell disease, as they are at risk for ocular complications, including retinopathy. Annual visits help monitor eye health and prevent vision problems.
E. Joining a support group can be beneficial for individuals with sickle cell disease. It provides emotional support, education, and a sense of community. Sharing experiences with others who understand the challenges of living with the disease can enhance coping strategies and overall well-being.
Correct Answer is B
Explanation
A. Monitoring temperature is also important, but it does not directly prevent a crisis.
B. Hydration is critical for children with sickle cell anemia, as it helps prevent sickle cell crises by promoting adequate blood flow and reducing blood viscosity. Encouraging frequent fluid intake is essential in managing the condition.
C. While it's important to monitor activity levels, outright restriction may not be necessary. Instead, children with sickle cell anemia should be encouraged to engage in age-appropriate activities while avoiding extreme temperatures and strenuous activities that could trigger a crisis. Balanced activity is essential for overall health and development.
D. Cold compresses are not typically recommended for managing pain during a sickle cell crisis. Instead, warmth is often preferred because it helps to relax muscles and improve blood flow. Cold can potentially exacerbate vasoconstriction, which is not beneficial for a child experiencing pain due to sickle cell disease.
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