Examkin

Soru

Zorluk: OrtaConfidentiality and Information Security

A nurse manager is observing staff members on a medical-surgical unit to ensure adherence to confidentiality, information security, and legal mandates. Which of the following actions by the staff demonstrate appropriate compliance? (Select all that apply.)

  1. Disposing of handwritten client assignment sheets in a designated locked shredding bin before leaving the unit.Cevap
  2. Logging off the electronic health record (EHR) terminal immediately after documenting medication administration.Cevap
  3. C
    Assuring an older adult client that their statements regarding physical abuse by a caregiver will be kept strictly confidential.
  4. D
    Delegating the task of explaining abnormal laboratory results to family members to an unlicensed assistive personnel (UAP).
  5. E
    Asking a client non-therapeutic 'why' questions about their psychiatric history while waiting in a public hospital corridor.
  6. Positioning the computer monitor screen away from the doorway and visitors to prevent unauthorized viewing of protected health information.Cevap

Cevap

The correct actions include disposing of assignment sheets in a locked shredding bin, logging off the EHR terminal immediately after use, and positioning the computer monitor away from doorways and visitors.
The correct actions demonstrate adherence to the Health Insurance Portability and Accountability Act (HIPAA) and general privacy principles. Proper disposal of printed health information in locked shredding bins ensures data cannot be intercepted. Logging off electronic terminals immediately after use prevents unauthorized access to the client's chart. Positioning monitors away from public view prevents incidental disclosure of protected health information to visitors or passersby.

Adım Adım Çözüm

1
Analyze the request
Identify actions that demonstrate compliance with confidentiality and information security protocols.
To distinguish between safe, compliant practices and privacy breaches or legal errors.
2
Evaluate the actions related to physical and electronic records
Shredding handwritten notes, logging off terminals, and shielding screens are all appropriate safeguards.
These actions actively protect Protected Health Information (PHI) from unauthorized access, adhering to HIPAA guidelines.
3
Evaluate the action regarding mandatory reporting
Promising confidentiality for reports of physical abuse is incorrect.
Nurses are legally mandated to report suspected abuse of vulnerable populations; this mandate supersedes general confidentiality principles.
4
Evaluate the action involving delegation
Delegating the explanation of lab results to a UAP is incorrect.
This task requires nursing judgment (improper delegation) and sharing it with family without verifying consent breaches confidentiality.
5
Evaluate the action regarding communication location
Discussing psychiatric history in a public corridor is incorrect.
Sensitive conversations must occur in private settings to prevent incidental disclosure and protect the client's privacy.

Anahtar Kavram

Information Security and Legal Mandates
Bu soruyu puanla

Konular

Confidentiality and Information Security

Bu konudan daha fazla soru