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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Initiating topics of conversation that avoid the client's health status is not an appropriate intervention. The nurse should respect the client's wishes and preferences regarding the communication of their condition. The nurse should also provide emotional support and information as needed.
Choice B reason: Recommending the client seek out hospice services rather than seek treatment is not an appropriate intervention. The nurse should not impose their own values or beliefs on the client's decision-making process. The nurse should also respect the client's autonomy and right to self-determination.
Choice C reason: Providing quiet time during visits for prayer or meditation is an appropriate intervention. The nurse should acknowledge and support the client's spiritual needs and practices. The nurse should also facilitate the client's access to spiritual resources and counselors.
Choice D reason: Placing the client's name and medical condition on an online prayer chain is not an appropriate intervention. The nurse should protect the client's privacy and confidentiality and obtain their consent before sharing any personal information. The nurse should also respect the client's cultural and religious diversity and avoid any assumptions or stereotypes.
Correct Answer is C
Explanation
Choice A reason: Teaching the client about appropriate food choices is an important action, but not the first one. The nurse should first assess the client's current eating habits and preferences before providing any education.
Choice B reason: Referring the client to a diabetes mellitus support group is a helpful action, but not the first one. The nurse should first establish a rapport with the client and assess their readiness to learn and cope with the diagnosis before making any referrals.
Choice C reason: Identifying the client's dietary preferences is the first action to take. The nurse should use a client-centered approach and respect the client's cultural and personal preferences when planning the nutritional program.
Choice D reason: Developing a nutritional program is a necessary action, but not the first one. The nurse should first collaborate with the client and other health care professionals to design a program that meets the client's needs and goals.
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