A home health nurse is explaining a HIPAA acknowledgement form to a client in preparation for them to sign it. Which of the following information should the nurse provide?
I can share your current medical information with providers who are involved in your care.
The billing department at the agency will have access to your medical record.
Assistive personnel will be able to access your prior admission information.
Your health care provider will assist you in making decisions about who to disclose your health information to.
The Correct Answer is A
Choice A reason: This statement is true and relevant. The nurse can share the client's current medical information with other providers who are involved in the client's care, such as physicians, nurses, therapists, or pharmacists. This is necessary for the coordination and continuity of care.
Choice B reason: This statement is false and misleading. The billing department at the agency will not have access to the client's medical record, but only to the minimum necessary information for billing purposes, such as the client's name, date of service, and diagnosis code.
Choice C reason: This statement is false and misleading. Assistive personnel will not be able to access the client's prior admission information, unless they are directly involved in the client's care and have a legitimate need to know. The client's prior admission information is protected by HIPAA and can only be disclosed with the client's authorization or for specific purposes.
Choice D reason: This statement is partially true, but not the best answer. The health care provider will assist the client in making decisions about who to disclose their health information to, but the client has the ultimate right to decide. The client can also revoke or modify their authorization at any time.
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Related Questions
Correct Answer is A
Explanation
Choice A reason: This statement is true and relevant. Advance directives are legal documents that allow the client to express their wishes and preferences regarding their health care in case they become unable to communicate or make decisions. They ease the difficult decisions faced by those involved in the client's care, such as family members, health care providers, and legal representatives.
Choice B reason: This statement is false and misleading. Advance directives do not decrease the potential for receiving palliative care, but rather enable the client to choose whether they want to receive it or not. Palliative care is a type of care that focuses on relieving pain and suffering and improving quality of life for clients with serious or terminal illnesses.
Choice C reason: This statement is partially true, but not the best answer. Advance directives help to uphold the ethical principle of veracity, which means telling the truth and respecting the client's autonomy and dignity. However, advance directives also help to uphold other ethical principles, such as beneficence, nonmaleficence, and justice.
Choice D reason: This statement is false and misleading. Advance directives do not detail the doctor's decisions about the client's end-of-life care, but rather detail the client's own decisions and preferences. The doctor's role is to respect and follow the client's wishes as much as possible, unless they conflict with the law or profession
Correct Answer is B
Explanation
Choice A reason: Sharing computer passwords with a manager is against HIPAA regulations, which emphasize individual access controls to protect client information.
Choice B reason: HIPAA gives clients the right to access their medical records, reflecting an understanding of the regulation's intent to empower patients with information about their health.
Choice C reason: HIPAA is a federal law, and while states can have additional privacy laws, HIPAA itself does not vary from state to state.
Choice D reason: Posting a client's diagnosis in a public area like a communication board is a clear violation of HIPAA, which requires maintaining the confidentiality of health information.
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