A school nurse is planning primary prevention activities for the upcoming school year. Which of the following should be included in the nurse’s plan? (Select all that apply)

Choice A rationale

HIPAA rules do not vary from state to state. They are federal laws that apply uniformly across all states. However, states may have additional laws related to health information privacy that provide further protections.

Choice B rationale

A client’s diagnosis cannot be posted on the communication board inside the client’s room. This would be a violation of HIPAA rules, which protect the privacy of a patient’s health information.

Choice C rationale

Sharing computer passwords with a manager is not in line with HIPAA regulations. Each healthcare provider should have their own unique login credentials to access electronic health records. This helps ensure the security of health information and allows for tracking of access to patient records.

Choice D rationale

HIPAA rules do indeed allow clients to receive a copy of their medical records. This is part of the patient’s right to access their own health information.

Choice A rationale

Hospice care is a service for people with serious illnesses who choose not to get (or continue) treatment to cure or control their illness. It aims to provide comfort and peace to help improve the quality of life for the person nearing death. It also helps family members cope with their loved one’s illness and can also provide support to the family after the person dies, including help with grieving, sometimes called bereavement care. Therefore, hospice care does allow families to participate in the client’s care, making this the correct answer.

Choice B rationale

While it is true that hospice services often end when the client dies, this is not the only information that should be included in the teaching about hospice care. Hospice care also provides bereavement support to the family after the person dies. Therefore, stating that hospice services end when the client dies could be misleading and incomplete.

Choice C rationale

This statement is incorrect. Hospice care is not designed to provide life-extending interventions. Instead, it focuses on providing comfort and improving the quality of life for people with serious illnesses who choose not to get (or continue) treatment to cure or control their illness.

Choice D rationale

While it is true that many hospice programs are designed for clients who have 9 months or fewer to live, this is not the only criterion for hospice care. The decision to start hospice care can be complex and is based on many factors, including the person’s health status, treatment preferences, and quality of life goals. Therefore, stating that hospice programs are designed for clients who have 9 months or fewer to live could be misleading and incomplete.