Question

Difficulty: EasyConfidentiality and Information Security

A practical nurse (PN) is eating lunch in the hospital cafeteria. A staff member from another department sits down and asks, "I heard a local celebrity was admitted to your unit today. What is their diagnosis?" Which of the following is the most appropriate response by the PN?

  1. I cannot discuss any client's health information with you.Answer
  2. B
    The client is stable, but I am not allowed to share the specific diagnosis.
  3. C
    You should look up the electronic health record if you really want to know.
  4. D
    I can only tell you the diagnosis if you promise to keep it a secret.

Answer

The PN must clearly state that they cannot discuss any client's health information.
The correct response directly upholds confidentiality by refusing to disclose any protected health information. Nurses must not confirm a client's presence, status, or diagnosis to anyone who is not directly involved in their care, especially in public areas like a cafeteria.

Step-by-Step Solution

1
Identify the setting and the nature of the inquiry.
The setting is a public cafeteria, and the inquiry is from an unauthorized staff member asking about a specific individual.
Understanding the environment and the requester's level of authorization is essential for determining HIPAA compliance.
2
Determine the appropriate nursing response to protect confidentiality.
The PN must refuse to confirm the client's presence or share any health information.
Disclosing any protected health information (PHI) to unauthorized individuals, especially in a public setting, is a direct breach of confidentiality laws and nursing ethics.

Key Concept

Under HIPAA and professional nursing standards, healthcare providers must not disclose or confirm any protected health information (PHI) to unauthorized individuals, including colleagues who are not directly involved in the client's care.
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