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Difficulty: EasyConfidentiality and Information Security

A nurse is reviewing facility policies regarding client confidentiality and information security. Which of the following actions by the nurse demonstrate adherence to these guidelines? (Select all that apply.)

  1. Logging off the electronic health record immediately after finishing documentation.Answer
  2. B
    Providing personal login credentials to a nursing student who needs to access a chart.
  3. Placing printed shift report sheets in a secure shredding receptacle at the end of the shift.Answer
  4. D
    Promising to keep suspected child abuse a secret when requested by the pediatric client.
  5. E
    Discussing a client's diagnosis with visiting family members without verifying the client's permission.
  6. Minimizing the computer screen displaying client data when an unauthorized individual approaches the workstation.Answer

Answer

The correct actions are logging off the electronic health record immediately after use, placing printed shift reports in a secure shredding receptacle, and minimizing the computer screen when an unauthorized person approaches.
Protecting client confidentiality requires strict adherence to physical and electronic safeguards. These include securing devices by logging off or minimizing screens when not in active use, and properly destroying physical documents containing protected health information. These routine actions are fundamental in preventing unauthorized access to sensitive data.

Step-by-Step Solution

1
Identify actions that appropriately protect electronic and physical health information.
Logging off, minimizing screens, and shredding documents are recognized as proper security measures.
These actions actively prevent unauthorized visual and physical access to protected health information.
2
Evaluate the remaining actions for legal or ethical violations.
Sharing passwords, keeping abuse a secret, and sharing data with unapproved family members are identified as violations.
Credentials must never be shared, mandatory reporting overrides confidentiality, and explicit consent is required before disclosing information to family members.

Key Concept

Confidentiality and Information Security
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Topics

Confidentiality and Information Security

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