A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
"We should share our computer passwords with our manager."
"HIPAA rules allow clients to receive a copy of their medical records."
"HIPAA rules vary from state to state."
"A client's diagnosis can be posted on the communication board inside the client's room."
The Correct Answer is B
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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Correct Answer is D
Explanation
Choice A reason: A website updated every five years is not a reliable source for current information. Healthcare practices and guidelines can change rapidly, and resources need to be current to be useful.
Choice B reason: A website hosted by a dialysis equipment marketing group may have biased information aimed at promoting their products rather than providing unbiased, evidence-based information.
Choice C reason: A website sponsored by a healthcare political action committee may also present information with a particular agenda, which might not be solely focused on patient care or evidence-based practice.
Choice D reason: A website that provides a peer review process for publishing information is likely to offer high-quality, reliable, and evidence-based information. Peer review is a critical component of scholarly publishing that ensures the credibility and accuracy of the content.
Correct Answer is B
Explanation
Choice A reason: This statement is not the first action, as it does not address the immediate needs of the students. Contacting the local health department may be necessary to report a potential outbreak or environmental hazard, but it is not a priority.
Choice B reason: This statement is the first action, as it addresses the immediate needs of the students. Establishing a triage area can help the nurse assess the severity of the symptoms, identify the possible cause, and provide appropriate interventions.
Choice C reason: This statement is not the first action, as it may not be appropriate for all students. Administering oxygen therapy may be necessary for some students who have severe respiratory distress, but it is not a universal intervention.
Choice D reason: This statement is not the first action, as it does not address the immediate needs of the students. Notifying the parents of the students may be necessary to inform them of the situation and obtain consent for treatment, but it is not a priority.
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