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Difficulty: MediumConfidentiality and Information Security

While preparing morning medications, a practical nurse (PN) is approached by the adult child of a client. The client is currently alert and oriented in their room. The child asks, "Can you tell me what my mother's kidney function test results were this morning? I am very worried about her condition." Which response by the PN is the most appropriate?

  1. A
    Her test results are stable, but the healthcare provider will give you a full update later today.
  2. I must obtain your mother's permission before I can share her medical information with you.Answer
  3. C
    I will need to check the medical record first to verify that you are listed as her healthcare proxy.
  4. D
    Please try not to worry; I am sure her kidneys are improving, but you will need to speak with the provider.

Answer

The nurse must inform the family member that the client's direct permission is required before sharing any medical information.
Alert and oriented clients have the legal right to decide who can receive updates about their medical condition. The practical nurse must directly ask the client for permission before disclosing any protected health information, including laboratory results, to family members.

Step-by-Step Solution

1
Assess the client's current cognitive status and ability to make healthcare decisions.
The client is documented as being alert and oriented.
Competent clients retain the legal right to control the disclosure of their own protected health information.
2
Evaluate the adult child's request for the laboratory results.
The request asks for specific, protected health information (kidney function tests).
Laboratory results are strictly confidential and cannot be shared with family members automatically, regardless of their relationship to the client.
3
Formulate a therapeutic response that protects client privacy while maintaining a professional demeanor.
The nurse informs the family member that permission from the client is required first.
This action upholds HIPAA regulations and respects the client's autonomy and privacy.

Key Concept

Client Confidentiality and HIPAA Regulations
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Topics

Confidentiality and Information Security

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