A nurse is reinforcing teaching with a newly licensed nurse about the HIPAA Privacy Rule. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

The actual medical record belongs to the client

A client's medical record information remains confidential, even during an emergency

If the client dies, their family receives their medical record

A client has the right to view their medical record

Answer and Explanation

The Correct Answer is D

Answer: (D) A client has the right to view their medical record

Rationale:

A) The actual medical record belongs to the client: While clients have the right to access their medical records, the physical medical record itself typically belongs to the healthcare provider or facility that created it. The client does not own the physical document but has the right to view or obtain copies of it under HIPAA regulations.

B) A client's medical record information remains confidential, even during an emergency: While confidentiality is a core principle of the HIPAA Privacy Rule, there are specific exceptions during emergencies. For instance, healthcare providers may share information if it is necessary to provide care or if there is an imminent threat to the client or others. Thus, confidentiality can be adjusted in critical situations.

C) If the client dies, their family receives their medical record: A client’s medical records do not automatically go to their family after death. Access to a deceased person's medical records is typically granted to the executor of the estate or a legal representative, and specific legal processes must be followed. Therefore, this statement is incorrect.

D) A client has the right to view their medical record: Under the HIPAA Privacy Rule, clients have the right to access and view their medical records. They can request copies of their records, review them, and request amendments if they believe there are errors. This right is fundamental to ensuring transparency and accuracy in medical documentation.

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Correct Answer is C

Explanation

Echolalia is the repetition of words or phrases spoken by others. In this case, the client is repeating the nurse's question, "How are you?" This is an example of echolalia.

a) "I am lovistrated" is an example of neologism, which is the creation of new words.

b) "Super, trooper, and duper" is an example of clang association, which is the use of words that sound alike but have no logical connection.

d) "Pink spots in Africa" is an example of a thought disorder, which is a disruption in the organization and expression of thoughts.

A. The client has state-sponsored health insurance. B. The client has developed difficulty ambulating. C. The client's next dressing change is scheduled in 4 hr. D. The client's vital signs are checked every 8 hr.

Correct Answer is B

Explanation

The client has state-sponsored health insurance: While information about the client's health insurance coverage is important for billing and financial purposes, it may not be directly relevant to the discussion in an interprofessional team meeting unless it specifically impacts the client's access to healthcare resources or affects decision-making regarding their care plan.

The reason for including this information is that difficulty ambulating can impact the client's overall mobility and functional status. It can have implications for their ability to perform activities of daily living, increase the risk of falls, and require additional interventions or resources. By sharing this information with the interprofessional team, appropriate strategies and interventions can be discussed and implemented to address the client's mobility issues.

The client's next dressing change is scheduled in 4 hours: The timing of the client's dressing change may be important for nursing documentation and scheduling purposes. However, it may not be a significant focus of discussion in an interprofessional team meeting unless there are specific concerns or issues related to the dressing change that require collaboration and coordination among the healthcare team.

The client's vital signs are checked every 8 hours: The frequency of vital sign checks is an important aspect of nursing care and monitoring. However, unless there are specific concerns or deviations from normal vital signs that need to be discussed, it may not be the primary information to include in an interprofessional team meeting. The focus of the meeting is typically on broader aspects of the client's condition, care plan, and multidisciplinary interventions.

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A nurse is reinforcing teaching with a newly licensed nurse about the HIPAA Privacy Rule. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is B

Explanation

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