A nurse manager is teaching a group of nurses about client confidentiality. Which of the following should the nurse manager include as an example of protecting a client's personal health information?
A provider uses a nurse's password to access a client's laboratory results.
A provider leaves a clipboard with the client's vital signs at the client's bedside.
A nurse posts the schedule for an upcoming x-ray on the whiteboard in the client's room.
A nurse sends a list of a client's prescribed medications via encrypted email.
The Correct Answer is D
Rationale:
A. A provider using a nurse’s password violates HIPAA security rules—passwords must never be shared.
B. Leaving a clipboard with vital signs at the bedside risks unauthorized access to personal health information.
C. Posting an x-ray schedule on the client’s whiteboard exposes personal health information to visitors and staff who are not involved in care.
D. Sending client information via encrypted email is a proper method of protecting confidentiality, as it ensures secure transmission of personal health information.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. A post-cesarean client with a PCA pump requires routine postoperative monitoring and pain management, which are familiar tasks for a medical-surgical RN. This makes the assignment appropriate.
B. A client with premature rupture of membranes at 32 weeks requires specialized obstetrical knowledge and monitoring for complications such as infection and preterm labor.
C. A client with preeclampsia on misoprostol induction requires close fetal and maternal monitoring, which demands specialized obstetric expertise.
D. A client with gestational diabetes undergoing nonstress tests needs interpretation of fetal monitoring results, which is outside the scope of practice for a floated med-surg RN.
Correct Answer is B
Explanation
Rationale:
A. A qualified medical interpreter—not a family member—should be used to obtain informed consent from a client who is deaf to ensure accuracy and confidentiality.
B. A durable power of attorney for healthcare can legally provide consent on behalf of a client who is unable to make their own healthcare decisions, making this statement correct.
C. Nurses can clarify information but cannot provide new information or answer questions about risks, benefits, or alternatives—that is the provider’s responsibility.
D. Emancipated minors can provide their own consent; a guardian’s consent is not required.
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