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.

Answer and Explanation

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.

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Correct Answer is ["A","B","C","D"]

Explanation

A. Ulcerative colitis can lead to iron deficiency anemia due to chronic inflammation, intestinal bleeding, and malabsorption of nutrients. The disease often affects the colon, which can result in blood loss and inadequate iron absorption.
B. A diet high in prepackaged and processed foods is often low in essential nutrients, including iron. These foods may lack whole grains, fruits, vegetables, and other sources of dietary iron, increasing the risk of iron deficiency anemia.
C. Treatment for gastrointestinal cancer, such as surgery or chemotherapy, can lead to changes in absorption and increased risk of bleeding. This history can significantly elevate the risk for developing iron deficiency anemia due to potential blood loss and malabsorption issues.
D. Gastric bypass surgery can lead to iron deficiency anemia due to reduced stomach size and changes in the gastrointestinal tract that impair nutrient absorption. Patients often need to supplement their diet with iron and other vitamins after surgery.
E. Eating red meat daily is generally associated with an adequate intake of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant sources. While it's important to consider overall dietary patterns, this particular factor does not typically pose a risk for iron deficiency anemia.

A. The client's attorney states that injury to the client could have been prevented. B. Another staff nurse provides testimony about how a reasonable, prudent nurse would have handled the situation. C. The client's provider testifies the nurse was at fault for the injury. D. An expert nurse provides testimony that the nurse should have handled the situation differently.

Correct Answer is B

Explanation

A. While the attorney may argue that the injury was preventable, this statement alone does not establish negligence. It lacks specific evidence or expert testimony to support the claim. Legal arguments must be substantiated by facts, not just assertions from an attorney.
B. This option describes a key component in establishing the standard of care in negligence cases. Testimony from another nurse about the actions of a "reasonable, prudent nurse" provides a benchmark against which the accused nurse’s actions will be measured. This type of testimony is often considered credible and is vital in determining whether the nurse acted within the accepted standards of practice.
C. While a provider’s testimony may influence the case, it is not definitive in establishing negligence. A provider may not be the appropriate expert to determine nursing standards and practices. Their perspective may be biased and does not constitute the standard of care expected of a nurse.
D. Expert testimony is indeed important in negligence cases, and an expert nurse can provide valuable insight into proper nursing practices. However, this option does not fully capture the essence of establishing negligence as clearly as option B, which specifically mentions the standard of a “reasonable, prudent nurse.”

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In which situation would the nurse be justified in overriding a client's right to confidentiality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as possible risk factors for iron deficiency anemia?(Select All that Apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A client who fell and broke his hip while being assisted to the bathroom by a nurse states he plans to sue the nurse. The nurse should know that, in a legal proceeding, the standard that will be used to determine if the nurse was negligent is which of the following?

Correct Answer is B

Explanation

Which of the following behaviors would not have disciplinary or legal consequences?

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

A nurse is planning to assign care activities to nursing assistive personnel (NAP) on her team. Which of the following activities can the nurse assign to the NAP? [SELECT ALL THAT APPLY]

In which situation would the nurse be justified in overriding a client's right to confidentiality?

A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available?

A nurse enters a client's room and finds the client pulseless. The family has requested a do-not- resuscitate (DNR) order from the provider, but he has not written the order yet. Which of the following actions should the nurse take?

A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?

A nurse at a community clinic is reinforcing education for a newly licensed nurse about nursing advocacy. Which of the following actions should the nurse include as an example of nursing advocacy?