A nurse is reinforcing teaching about the HIPAA Enforcement Rule with a group of clients. Which of the following information should the nurse include?
The Enforcement Rule addresses the use and disclosure of ePHI.
The Enforcement Rule covers the process of reporting data breaches.
The Enforcement Rule defines protected health information.
The Enforcement Rule covers the administration of financial penalties.
The Correct Answer is D
Choice A reason: This statement is false and should not be included in the teaching. The Enforcement Rule does not address the use and disclosure of ePHI, which stands for electronic protected health information. The use and disclosure of ePHI is addressed by the Privacy Rule and the Security Rule, which are part of the HIPAA Administrative Simplification Rules.
Choice B reason: This statement is false and should not be included in the teaching. The Enforcement Rule does not cover the process of reporting data breaches, which are unauthorized or unlawful access, use, or disclosure of protected health information. The process of reporting data breaches is covered by the Breach Notification Rule, which is also part of the HIPAA Administrative Simplification Rules.
Choice C reason: This statement is false and should not be included in the teaching. The definition of protected health information (PHI) is outlined in the HIPAA Privacy Rule, not the Enforcement Rule. PHI includes any information about health status, provision of healthcare, or payment for healthcare that can be linked to an individual, whether in electronic, paper, or oral form. The Privacy Rule defines PHI and ePHI explicitly to establish what needs to be protected under HIPAA regulations. The Enforcement Rule does not define PHI but instead deals with the penalties and compliance actions when HIPAA rules, such as those defined in the Privacy or Security Rules, are violated.
Choice D reason: This statement is true and should be included in the teaching. The HIPAA Enforcement Rule explicitly covers the administration of financial penalties for violations of HIPAA regulations. It outlines the processes by which the Department of Health and Human Services (HHS) investigates potential violations, determines compliance failures, and imposes civil monetary penalties when necessary. The Enforcement Rule also establishes the structure of penalties based on factors such as the severity of the violation, whether the violation was willful or accidental, and whether corrective actions were taken promptly. This ensures accountability and compliance with HIPAA standards, making this the correct answer to the question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This task is unsafe to assign to an AP, as it requires clinical judgment and critical thinking skills that are beyond the scope of practice of an AP. A confused surgical client who has multiple tubes may be at risk of complications such as infection, bleeding, or dislodgement of the tubes. The nurse is responsible for monitoring the client's condition, assessing the tubes' function and placement, and intervening as needed.
Choice B reason: This task is safe to assign to an AP, as it does not involve direct client care or clinical decision making. Providing postmortem care for a client who has died involves preparing the body for transport, removing any tubes or devices, and ensuring respect and dignity for the deceased and their family. The nurse should supervise and instruct the AP on how to perform this task according to the facility's policies and procedures.
Choice C reason: This task is safe to assign to an AP, as it is part of the basic care and comfort activities that an AP can perform under the nurse's delegation. Assisting a client to eat who has difficulty seeing the foods on the tray involves helping the client identify the food items, cutting or opening them if needed, and encouraging adequate intake. The nurse should ensure that the client has no dietary restrictions or swallowing difficulties before assigning this task to the AP.
Choice D reason: This task is safe to assign to an AP, as it is a routine and noninvasive procedure that an AP can perform under the nurse's direction. Delivering a client’s urine specimen to the laboratory involves labeling the specimen container, placing it in a biohazard bag, and transporting it to the designated area. The nurse should provide the AP with clear instructions on how to collect and handle the specimen.
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because psychiatric history is not the most urgent assessment to make for a client who reports feeling depressed and anxious. Psychiatric history can provide valuable information about the client's diagnosis, treatment, and response, but it is not a priority over the client's safety and wellbeing.
Choice B reason: This statement is correct because suicide risk is the most urgent assessment to make for a client who reports feeling depressed and anxious. Suicide risk can indicate the client's level of hopelessness, despair, and intent to harm themselves. The nurse should assess the client's suicidal thoughts, plans, means, and access, and implement appropriate interventions to prevent self harm or suicide.
Choice C reason: This statement is incorrect because support systems are not the most urgent assessment to make for a client who reports feeling depressed and anxious. Support systems can provide emotional, social, and practical assistance to the client, but they are not a priority over the client's safety and wellbeing.
Choice D reason: This statement is incorrect because coping abilities are not the most urgent assessment to make for a client who reports feeling depressed and anxious. Coping abilities can reflect the client's strategies and skills to manage their stress and emotions, but they are not a priority over the client's safety and wellbeing.
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