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Difficulty: EasyConfidentiality and Information Security

A practical nurse (PN) is providing care for several clients on a long-term care unit. Which of the following actions by the PN demonstrate appropriate protection of client confidentiality? Select all that apply.

  1. Logging off the electronic health record (EHR) immediately before stepping away from the medication cart.Answer
  2. B
    Discarding printed client care worksheets in a standard wastebasket located at the nurses' station.
  3. C
    Discussing a client's recent fall with another nurse while riding in a public elevator.
  4. Requesting a caller to provide the client's pre-assigned privacy code before sharing a health update.Answer
  5. E
    Reassuring a client's visiting neighbor by explaining the details of the client's upcoming surgical procedure.
  6. Closing the door to the client's private room prior to asking questions about their recent medical history.Answer

Answer

The correct actions are logging off the electronic health record, requesting a privacy code from callers, and closing the client's door prior to discussing medical information.
The correct actions involve securing electronic information (logging off), validating the identity and authorization of callers (using a privacy code), and ensuring physical privacy during verbal exchanges (closing the door). These interventions prevent unauthorized access and protect the client's protected health information (PHI) in accordance with HIPAA regulations.

Step-by-Step Solution

1
Evaluate each option against HIPAA standards and basic confidentiality principles.
Identify whether the action protects or exposes protected health information (PHI).
The practical nurse is legally and ethically obligated to prevent unauthorized disclosure of client data in verbal, written, and electronic formats.
2
Select the actions that successfully secure client information.
Logging off the EHR, using a privacy code for telephone updates, and ensuring physical privacy by closing the door are appropriate protective measures.
These actions directly prevent accidental or intentional breaches of confidentiality.

Key Concept

Confidentiality and Information Security
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Topics

Confidentiality and Information Security

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