When reviewing a completed pedigree, the nurse notes the strong presence of a heritable trait and discusses the situation with the client and the physician. The client declines to notify relatives
Under what circumstances can the wishes of this client be disregarded? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Under no circumstances
2. When a relative is at risk for an untreatable disease
3. When harm is likely to occur if disclosure is not made
4. If the family member at risk can be determined by the information given
5. When there is no stigma related to the disorder
3,4
Rationale 1: There are identifiable circumstances when this information can be disclosed despite the client's objections.
Rationale 2: If the disease is not treatable, the information cannot be disclosed over the client's objections.
Rationale 3: A criterion for disclosure is that harm is likely to occur.
Rationale 4: The relatives at risk must be identifiable.
Rationale 5: The stigma related to the disorder is not pertinent to disclosure.
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