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Difficulty: MediumConfidentiality and Information Security

A practical nurse (PN) is providing care at a busy outpatient pediatric clinic. Which of the following actions by the PN maintain client confidentiality and information security? (Select all that apply.)

  1. Logging out of the electronic health record (EHR) immediately before stepping away to assist a distressed child in the waiting area.Answer
  2. B
    Leaving a clipboard containing the daily appointment schedule and client diagnoses face-up on the registration counter.
  3. Verifying a caller's identity and authorized access code prior to sharing a client's laboratory results over the telephone.Answer
  4. D
    Disposing of handwritten notes containing client vital signs into the standard wastebasket near the workstation.
  5. Escorting a parent to a designated private consultation room to explain their child's newly prescribed asthma action plan.Answer

Answer

The correct actions are logging out of the electronic health record before leaving the workstation, verifying caller identity with an access code before sharing results, and using a private consultation room for clinical discussions.
Maintaining client confidentiality requires a multi-faceted approach. Nurses must secure electronic records by logging out when unattended, ensure verbal disclosures over the phone are made only to verified individuals, and discuss health information in private spaces to prevent eavesdropping.

Step-by-Step Solution

1
Analyze the clinical scenario to identify situations involving protected health information (PHI).
The scenario involves EHR access, physical documents (clipboards and notes), telephone communication, and verbal education.
Identifying where and how PHI is being handled is the first step in assessing compliance.
2
Evaluate each nursing action against HIPAA and standard confidentiality guidelines.
Logging out of the EHR, verifying callers, and using private rooms align with guidelines. Leaving clipboards face-up and throwing notes in regular trash violate guidelines.
Nurses must actively protect PHI from both intentional unauthorized access and unintentional incidental disclosure.
3
Select the options that actively protect client data and reject those that create a vulnerability.
The appropriate actions are selected.
Answering a Select All That Apply question requires judging every option independently as either safe or unsafe practice.

Key Concept

Confidentiality and Information Security
Estimated Time:1m 30s
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Topics

Confidentiality and Information Security

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