A teenager is accompanied by his mother to the annual physical ...

[bio_gurl]

A teenager is accompanied by his mother to the annual physical examination. The nurse is aware of privacy issues related to the teenager. While the mother is in the room, which topic should the nurse avoid?
 
  1. School friends
  2. Cigarette smoking
  3. School performance
  4. Seatbelt use

Question 2

Several children arrived at the emergency department accompanied only by their fathers. The nurse knows that the father who legally may sign emergency medical consent for treatment is:
 
  1. The non-biologic one from the heterosexual cohabitating family.
  2. The divorced one from the binuclear family.
  3. The divorced one when the single-parent mother has custody.
  4. The stepfather from the blended or reconstituted family.

[Brenm]

Answer to Question 1

2
1. The nurse can ask general questions about seatbelt use, academic performance, and school friends without breaching confidentiality.
2. The nurse must maintain the nurseclient relationship, which is between the nurse and the adolescent, and the nurse must maintain confidentiality. Therefore, the nurse cannot ask any personal questions while the mother is in the room, such as those related to sexual activity, drug and alcohol use, and smoking cigarettes.
3. The nurse can ask general questions about seatbelt use, academic performance, and school friends without breaching confidentiality.
4. The nurse can ask general questions about seatbelt use, academic performance, and school friends without breaching confidentiality.

Answer to Question 2

2
Rationale 1: The non-biologic father from the heterosexual cohabitating family does not have legal authority to seek emergency medical care for the child.
Rationale 2: The divorced father from the binuclear family may sign informed consent because he has equal legal rights with the mother under joint custody arrangements.
Rationale 3: When the single-parent mother has custody, the divorced non-biologic father does not have legal authority to seek emergency medical care for the child.
Rationale 4: The non-biologic stepfather from the blended or reconstituted family does not have legal authority to seek emergency medical care for the child.
Global Rationale: