A practical nurse (PN) is stationed at the entry desk of a secure inpatient behavioral health unit. A client admitted earlier in the shift has an active "opt-out" status for the facility directory due to a recent history of being stalked. An individual approaches the desk, states the client's exact full name, presents valid photo identification showing they are an immediate family member, and asks for the client's room number. Which statement by the PN is the most appropriate response?
- "I cannot confirm or deny whether an individual by that name is a client in this facility."Answer
- B"The client has requested absolute privacy, so I am not permitted to give you the room number."
- C"Let me check the approved visitor list in the chart to see if you have permission to visit."
- D"I will need to call the client's room to obtain their verbal consent before allowing you to visit."
Answer
The nurse must state that they cannot confirm or deny whether the individual is a client in the facility.
When a client requests to be omitted from the facility directory (opts out), healthcare personnel are legally obligated to protect the client's anonymity. The only legally sound response is to state an inability to confirm or deny the person's presence. This protects the client from potential harm, especially in cases involving domestic violence or stalking, as it gives the inquirer no actionable information.
Step-by-Step Solution
Key Concept
Health Information Portability and Accountability Act (HIPAA) Directory Opt-Out
Estimated Time:1m 15s