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Soru

Zorluk: ZorConfidentiality and Information Security

A practical nurse (PN) receives a telephone call at the nurses' station from an individual claiming to be a client's spouse. The caller requests the results of the client's recent diagnostic tests. The facility utilizes a specific privacy code system for authorized telephone disclosures, but the caller states they have forgotten the code. The client is currently awake and resting in their room. Which action is the most appropriate for the PN to take?

  1. State that health information cannot be released without the privacy code and offer to transfer the call to the client's room.Cevap
  2. B
    Verify the caller's identity by asking for the client's date of birth and home address before sharing the results.
  3. C
    Review the admission documentation to confirm the spouse is listed as the designated emergency contact before providing the results.
  4. D
    Advise the caller that only the charge nurse is authorized to bypass the privacy code system and transfer the call.

Cevap

State that health information cannot be released without the privacy code and offer to transfer the call to the client's room.
The correct action strictly upholds client confidentiality. When a facility uses a privacy code system, it serves as the definitive method for verifying that a caller is authorized to receive protected health information (PHI). If the code cannot be provided, the nurse must withhold clinical information, regardless of the caller's claimed relationship to the client. Offering to transfer the call to the client's room is a professional courtesy that allows the client to manage their own information sharing.

Adım Adım Çözüm

1
Identify the caller's request and the facility's security protocol.
The caller is asking for diagnostic results but cannot provide the required privacy code.
Recognizing the mismatch between the request and the required authorization is the first step in protecting client information.
2
Evaluate the exceptions to the privacy code policy.
Determine that there are no standard exceptions for spouses or emergency contacts who forget the code when inquiring over the phone.
Strict adherence to the privacy code system is necessary to comply with the Health Insurance Portability and Accountability Act (HIPAA).
3
Select the action that protects confidentiality while facilitating communication.
Refuse the clinical disclosure but offer to transfer the call to the client.
This maintains strict information security while allowing the client to decide whether to provide the code or share the results themselves.

Anahtar Kavram

HIPAA Compliance and Privacy Code Enforcement
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Konular

Confidentiality and Information Security

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