California Registered Dental Hygienist (RDH) Law and Ethics Practice Exam

Question: 1 / 400

In terms of maintaining confidentiality, which situation would require breaking that confidentiality?

Client shares feelings of sadness

Client admits to minor substance use

Client reveals ongoing child abuse

Breaking confidentiality is considered a serious action that is only justified under specific circumstances, particularly when there are concerns for safety or legal obligations. In this case, the situation that necessitates breaking confidentiality is when a client reveals ongoing child abuse. This scenario falls under mandated reporting laws, which require healthcare professionals, including dental hygienists, to report any suspected or disclosed instances of child abuse or neglect to the appropriate authorities.

The reason for this obligation is to protect vulnerable individuals, particularly children, who may be at risk of further harm. Reporting such information serves the welfare of affected individuals and upholds ethical standards in healthcare practice.

The other situations, such as feelings of sadness, minor substance use, or difficulties in relationships, do not involve immediate risk or legal obligations to report under California law. These topics can often be addressed through therapeutic means within the bounds of confidentiality, as they do not pose an imminent threat to the client or others. Thus, the need to maintain confidentiality in these cases remains paramount unless there are disclosures that involve harm or legal requirements to report.

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Client discusses difficulty in their relationships

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