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Soru

Zorluk: OrtaConfidentiality and Information Security

A practical nurse (PN) is assigned to care for a group of clients on a medical-surgical unit. Which actions by the PN demonstrate appropriate adherence to confidentiality and information security guidelines? Select all that apply.

  1. Placing printed shift-report sheets in the designated secure shredder bin before leaving the facilityCevap
  2. Asking a visitor leaning over the nursing station counter to step back while reviewing electronic health recordsCevap
  3. C
    Texting a photograph of a client's complex wound to the wound care specialist using a personal, unencrypted smartphone
  4. Verifying a caller's identity using the designated facility privacy code prior to sharing the client's statusCevap
  5. E
    Leaving a mobile workstation logged in but turned facing the wall while briefly assisting a client in the bathroom
  6. F
    Sharing a client's diagnosis with an off-duty nurse who previously cared for the client and is asking for an update

Cevap

The correct actions are placing printed reports in a secure shredder bin, asking visitors to step back from computer screens, and verifying caller identity with a facility privacy code.
Appropriate adherence to confidentiality guidelines requires actively preventing unauthorized access to PHI in all forms. This includes physically destroying paper records in designated shredding bins, managing the physical environment to shield electronic screens from visitors, and strictly verifying the authorization of individuals requesting information over the phone using established facility codes.

Adım Adım Çözüm

1
Evaluate each action against HIPAA regulations and standard facility privacy protocols regarding protected health information (PHI).
Identify actions that either protect data or expose data to unauthorized individuals.
Nurses are legally and ethically obligated to safeguard all verbal, written, and electronic client information.
2
Analyze the handling of physical documents and physical boundaries.
Shredding documents and creating physical space between visitors and monitors are acceptable methods of securing PHI.
These actions actively prevent visual breaches and unauthorized recovery of physical records.
3
Analyze the handling of electronic communication and verbal disclosures.
Using privacy codes secures verbal communication, whereas using unencrypted devices, failing to log off, and sharing information with off-duty staff are security violations.
Electronic devices must be secured when unattended, data transmission must be encrypted, and verbal disclosures must be restricted strictly to those with a current clinical 'need to know'.

Anahtar Kavram

Safeguarding Protected Health Information (PHI) across physical, electronic, and verbal formats.
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Konular

Confidentiality and Information Security

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