Examkin

Soru

Zorluk: OrtaConfidentiality and Information Security

A practical nurse is preparing discharge documents for a client. A hospital volunteer, who states they are the client's next-door neighbor, approaches the nurse and asks for a copy of the discharge medication list so they can pick up the prescriptions on the way home. The client is currently in the restroom and has not previously authorized this individual to receive health information. Which action should the practical nurse take?

  1. Withhold the medication list until the client returns and can explicitly authorize the disclosure.Cevap
  2. B
    Provide the medication list because the volunteer is an official member of the hospital staff.
  3. C
    Give the volunteer the prescriptions but place them in a sealed envelope to protect privacy in the hallways.
  4. D
    Verbally read the medication names to the volunteer without handing over the printed document.

Cevap

Withhold the medication list until the client returns and can explicitly authorize the disclosure.
The practical nurse has a legal and ethical duty to maintain client confidentiality. Information regarding a client's health, including discharge medications, cannot be shared with family, friends, or neighbors unless the client has explicitly granted permission. The nurse must wait for the client to return to obtain this authorization.

Adım Adım Çözüm

1
Determine the individual's authorization status to receive protected health information.
The individual is not directly involved in the client's care and the client has not provided authorization for this disclosure.
The Health Insurance Portability and Accountability Act (HIPAA) and general privacy standards mandate that information is only shared on a 'need to know' basis or with explicit client consent.
2
Select the nursing action that prevents a confidentiality breach.
The nurse must refuse the request and wait for the client to return.
Only the client or their legally designated representative can authorize the release of medical information to a neighbor or friend.

Anahtar Kavram

Confidentiality and Information Security
Bu soruyu puanla

Konular

Confidentiality and Information Security

Bu konudan daha fazla soru