A nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which of the following examples as a violation of HIPAA?
Faxing medical information to the client's provider's office
Teaching the client discharge instructions with his partner present
Discussing the client's transfer to a long-term care facility with a nurse from another unit
Giving a telephone report to a surgical nurse when sending the client to the surgical suite
The Correct Answer is C
The correct answer is that discussing the client's transfer to a long-term care facility with a nurse from another unit is a violation of HIPA
A. HIPAA regulations require that healthcare providers protect the privacy of their clients' personal health information (PHI) and only share it with authorized individuals on a need- to-know basis.
Options a, b and d are not violations of HIPAA. Faxing medical information to the client's provider's office, teaching the client discharge instructions with his partner present and giving a telephone report to a surgical nurse when sending the client to the surgical suite are all acceptable practices under HIPAA regulations.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
When providing change-of-shift report about a client who has shingles, the nurse should include information about the type of transmission-based precautions in place to prevent the spread of infection to other clients and staff. Shingles is caused by the varicella-zoster virus and can be spread through direct contact with the rash.
- The times for routine vital sign measurements may be important information to include in the report, but it is not specific to the client's condition of shingles.
- The client's background health history may be important information to include in the report, but it is not specific to the client's condition of shingles.
- The number of visitors the client had during the shift may be important information to include in the report, but it is not specific to the client's condition of shingles.

Correct Answer is A
Explanation
The correct answer is that the nurse should dangle the client's arm over the edge of the bed to help dilate the vein. This technique uses gravity to increase blood flow to the arm and dilate the veins, making it easier to insert a peripheral IV catheter.
Options b, c and d are not effective techniques for dilating a vein for IV insertion. Stroking the skin near the vein in an upward direction, instructing the client to flex their arm with the hand open and applying a cool compress to the vein for 10 min are not effective methods for dilating a vein.

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