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 B
Explanation
Application of force to another person without lawful justification: This describes battery, not assault. Battery involves the actual application of force or harmful contact with another person.
Threats to do bodily harm to the person or another person: Assault refers to the intentional act of causing someone to fear that they will be physically harmed. It involves the threat of harm, not the actual physical contact.
A legal wrong committed by one person against the property of another: This describes trespass to property, which involves interfering with another person's property without permission.
A legal wrong committed against the public and punishable by law: This is a broad description of a crime, but it does not specifically define assault. Assault is a specific type of crime involving the threat of bodily harm.
Correct Answer is A
Explanation
A) A framework for decision-making:
A code of ethics provides a framework that guides professionals in making ethical decisions. It offers principles and standards to help individuals navigate complex ethical dilemmas in their practice.
B) A collection of static rules:
While a code of ethics does contain specific rules and guidelines, it's not merely a static collection of rules. It includes broader ethical principles and values that professionals are expected to uphold.
C) A group of legally binding values:
While the principles in a code of ethics are important and often supported by laws and regulations, the code itself is not a set of legally binding rules. Violating the code might have professional consequences but doesn't necessarily result in legal penalties.
D) The "ball and chain" of the profession:
This phrase is not an accurate or respectful description of a code of ethics. A code of ethics is a professional responsibility and helps maintain high standards of practice and ethical conduct.
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