A nurse is assisting with the care of a 17-year-old client who is married and needs to undergo an emergency appendectomy. Which of the following individuals should the nurse ask to sign the informed consent form?

A. “I am so relieved the baby looks like my mother.”: Feeling relief or comfort when noticing family resemblance in the newborn is a common emotional response. It generally reflects normal adjustment and bonding with the baby and does not indicate emotional distress requiring further evaluation.

B. “My appetite has really increased.”: Increased appetite postpartum can be a normal physiological response, especially with breastfeeding, as the body requires additional calories. It does not usually indicate a mental health concern or a need for further evaluation.

C. “My labor was so long. I'm glad it's over.”: Expressing relief or fatigue after a prolonged labor is a typical postpartum response. It shows processing of the birth experience and adjustment to recovery and newborn care, which does not warrant immediate concern.

D. “I really wish I had a girl instead.”: Expressing regret or disappointment regarding the baby’s sex may indicate difficulty bonding, gender preference stress, or emerging postpartum mood disturbances. This statement warrants further assessment for postpartum depression, anxiety, or adjustment issues to ensure maternal-infant wellbeing.

A. A nurse from another unit after a client commits suicide: Sharing confidential client information with staff not directly involved in the client’s care is a violation of privacy, even in the event of suicide. Only those providing care or requiring information for safety or treatment purposes should have access.

B. A client's employer who is concerned about safety due to substance use: Client health information cannot be shared with an employer without the client’s written consent, as this breaches confidentiality and HIPAA regulations. Employer concerns do not override the client’s right to privacy.

C. A client's partner after the client reports intimate partner abuse: Confidentiality must be maintained even in cases of abuse. Information should not be disclosed to a partner, as this could endanger the client further. Disclosure requires the client’s consent or legal mandate.

D. A social worker who is assigned to an involuntarily committed school-age client: Sharing relevant medical information with the social worker who is part of the client’s care team is appropriate. This ensures continuity of care, safety, and coordination of services while maintaining confidentiality within the care team.