Critical Thinking Case Study

Critical Thinking #2

1. A 14-year-old accompanied by her mother presents with complaints of nausea and vomiting for two weeks. After her mother leaves the room, she admits to being sexually active and tells you that she has had unprotected intercourse recently with her boyfriend. Her parents do not know she is sexually active, and she does not want her mother to know that a pregnancy test is being done or the result of that test. Pregnancy test comes back positive.

• Do you disclose the test results to the patient's mother? Why? Why not?

Defilements of confidentiality encompass disclosure of somebody else's secretive information that she willingly conveyed in self-assurance and faith. When there was an understood or a clear promise to not

HIV-positive individuals ought to notify sexual or needle-sharing partners of their HIV status. If you are HIV positive and do not tell your sexual or needle-sharing partner, she may perhaps have grounds to file a lawsuit against you. Even if you don’t pass on HIV to your partner she may take legal action for placing her at jeopardy. He needs to let his girlfriend know that he is HIV-positive and practice safe sex.

4. The police bring in a 15-year-old street kid for an evaluation. During the course of your exam, you notice a foreign body in the ear canal that turns out to be foil-wrapped rock cocaine. What would you do?

In this specific situation, I would question the adolescent about the foil-wrapped rock cocaine. I would notify the family and the correct authorities. I would keep it as evidence of the examination for the authorities.

5. Discuss the basis of the duty of confidentiality and its application to the adolescent client.

The notions of informed consent and confidentiality are multifaceted when the patient is an adolescent. This is predominantly accurate when the wants and requests of the adolescent conflict with the sentiments and partialities of the parents.

6. Identify situations in which breaking confidentiality is justified and the conditions that must be met to break

Discuss some implications to the (a) client/worker relationship, (b) the client (c) to the agency when confidentiality is violated.

(a) Under conditions of trust, such as confessions made in most patient-provider relationships, the patient is betrayed when confidences are broken. They have disclosed personal information to the worker supposing that the worker will not unveil what they have voiced. To do so would be disloyal to that trust. Trust is necessary for communities of citizens to function successfully. Without trust and faithfulness, communities as well as the citizens suffer.

(b) Discretion in the beneficial relationship is expected. Therefore, an inferred assurance exists amongst the patient and the physician. Inattentive a prior notice by the physician to the contrary, to halt discretion is to dishonor a promise made to the patient

(c) If discretion needs to be broken, only those with an absolute need to know should be given access to that information, and only that information that is needed to prevent harm should be revealed.

8. Identify threats to the patient's confidentiality (e.g., the bill that is to be sent to parents).

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