A nurse is assisting in planning care for a 16-year-old client in a pediatric clinic. Which of the following actions would be a breach of confidentiality?
Explanation & Rationale
Rationale: A. Reviewing the results of the client's complete blood count (CBC) with their parents, without the client's consent: CBC results are general health data and not considered sensitive. In most jurisdictions, parents of minors typically have access to such information unless restricted by specific laws or agreements. B. Reviewing the results of the client's urinalysis with their parents, without the client's consent: Urinalysis is typically used for general health screening or to assess conditions like infections or kidney issues. Unless it's linked to drug testing or STI diagnosis, sharing these results with parents is not considered a breach. C. Reviewing the results of the client's celiac screening with their parents, without the client's consent: Celiac screening relates to a chronic gastrointestinal condition and is not categorized as confidential reproductive or mental health information. Sharing it with parents does not typically violate confidentiality. D. Reviewing the results of the client's chlamydia screening with their parents, without the client's consent: Reproductive and sexual health services, including STI screening, are protected under minor consent laws in many regions. Disclosing this information without the adolescent's permission breaches their legal right to confidentiality.