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Difficulty: EasyConfidentiality and Information Security

A practical nurse (PN) receives a printed shift report containing personal health information (PHI) for assigned clients. Which actions by the PN correctly maintain client confidentiality regarding this document? Select all that apply.

  1. Disposing of the printed report in a designated locked shredder bin at the end of the shiftAnswer
  2. B
    Placing the intact printed report in the client's bedside wastebasket
  3. Folding the document to conceal client names and diagnoses while walking in the hallwaysAnswer
  4. D
    Leaving the report face-up on top of the medication cart outside a client's room
  5. E
    Taking the report home at the end of the shift to review for future learning
  6. Storing the report in a secure, restricted area when it is not actively being referencedAnswer

Answer

The correct actions include disposing of the report in a locked shredder bin, folding the document to conceal names in public areas, and storing it in a secure location when not in use.
Appropriate handling of printed health records requires the nurse to keep the information shielded from public view, stored in restricted areas when not in use, and destroyed securely via designated shredding bins once the shift concludes.

Step-by-Step Solution

1
Identify the primary goal of the scenario.
The goal is to protect printed personal health information (PHI) from being viewed by unauthorized individuals.
HIPAA and facility policies mandate that nurses must actively prevent the exposure of client data.
2
Evaluate each option against confidentiality standards.
Shredding, concealing, and securing documents are acceptable practices. Trashing, leaving unattended, or removing documents from the facility are violations.
Correct actions prevent accidental or intentional unauthorized disclosure.
3
Select all options that demonstrate correct protective measures.
The options describing shredding, folding, and securing the report are selected.
These actions align with the practical nurse's legal and ethical duty to maintain confidentiality.

Key Concept

Physical Document Security and Confidentiality
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Topics

Confidentiality and Information Security

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