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Zorluk: OrtaConfidentiality and Information Security

A practical nurse (PN) is providing care for an alert and oriented older adult client in a long-term care facility. The client's adult son approaches the PN in the hallway and requests an update on the client's recent diagnostic test results. The PN notes that the son is not listed as the designated healthcare proxy. Which of the following actions by the PN are appropriate to maintain confidentiality? (Select all that apply.)

  1. Review the client's medical record to determine if the son is listed on the authorized information release formCevap
  2. B
    Provide a general overview of the diagnostic results without disclosing specific numerical values
  3. Approach the client privately to ask if they consent to sharing their diagnostic results with their sonCevap
  4. D
    Refer the son to the registered nurse (RN) so the RN can explain the test results to him
  5. Explain to the son politely that privacy regulations prohibit the sharing of medical information without the client's direct consentCevap
  6. F
    Hand a copy of the results to the son because immediate family members have an automatic right to health updates

Cevap

The appropriate actions are to review the medical record for an authorized release form, approach the client privately for consent to share the information, and politely explain privacy regulations to the son.
Maintaining client confidentiality requires the nurse to ensure that medical information is only shared with authorized individuals. Since the client is alert and oriented, the nurse must verify authorization in the chart, ask the client directly for consent, or politely inform the son of the privacy laws that prevent unauthorized disclosure.

Adım Adım Çözüm

1
Assess the client's mental status and the son's legal authority.
The client is alert and oriented, meaning they retain the right to direct their own healthcare information. The son is not a healthcare proxy.
To determine who legally has the right to access the client's diagnostic results.
2
Determine if prior authorization exists.
The PN must check the chart to see if the son is on the HIPAA release form before providing any information.
Clients often sign paperwork upon admission dictating which specific family members may receive updates.
3
Take action based on the absence of immediate authorization.
The PN must refuse the son's request politely by citing privacy laws and then ask the client privately if they wish to share the information.
This protects the client's legal right to privacy while maintaining a therapeutic relationship with the family.

Anahtar Kavram

Confidentiality and Information Security regarding Family Members
Tahmini Süre:1m 30s
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Konular

Confidentiality and Information Security

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