Author Question: A client who has bipolar disorder stops taking her medication because she says she likes how she ... (Read 33 times)

silviawilliams41 · **on:** Jul 19, 2018

A client who has bipolar disorder stops taking her medication because she says she likes how she feels in a manic state. What is the client's right to make decisions for herself known as?

A) Paternalism
B) Autonomy
C) Justice
D) Veracity

Question 2

While conducting an interview with a 14-year-old mental health client, he tells you that he has a plan to kill students at his school because they will not stop picking on him.

He says, I have everything I need all set up. What would be your responsibility after hearing this statement?
A) To maintain the client's confidentiality and not share the information with anyone
B) To maintain the client's confidentiality, but try to convince him that it is the wrong thing to do
C) To break the client's confidentiality because he has threatened the lives of other people
D) To break his confidentiality by documenting the client's plan

ynlevi · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: B
Feedback:
Autonomy is the right to make decisions for oneself. Paternalism is similar to beneficence in that the intent is to do good. Veracity is a systematic behavior of honesty and truthfulness in speech. The ethical principle of justice in health care commonly is seen as the equitableness of benefits, including the right to access care.

Answer to Question 2

Ans: C
Feedback:
Providers may use and disclose protected health information without consent, authorization, or both when they are conducting treatment, payment, and health care operations. They may disclose information without consent or authorization if so mandated by state or federal reporting requirements, such as those related to public health, abuse, neglect, and domestic violence. Providers may disclose protected information to law enforcement officials under specific circumstances. Documentation does not constitute a violation of confidentiality, though the nurse should certainly document the client's statement.