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Zorluk: OrtaConfidentiality and Information Security

A registered nurse is providing care on a busy medical-surgical unit. Which of the following actions by the nurse demonstrate adherence to confidentiality and information security standards? Select all that apply.

  1. Verifying the identity and authorization code of a caller before providing a clinical update over the telephone.Cevap
  2. B
    Refusing to report suspected elder abuse to Adult Protective Services because the client explicitly requested the information remain confidential.
  3. C
    Asking an Unlicensed Assistive Personnel (UAP) to provide an update on a client's new cancer diagnosis to visiting family members.
  4. Logging off the electronic health record system immediately when stepping away from the computer terminal to administer medications.Cevap
  5. Applying a privacy screen filter to a mobile charting workstation used in the unit's public hallway.Cevap
  6. F
    Reviewing the electronic health record of a neighbor admitted to the intensive care unit to determine if they need assistance at home.

Cevap

The correct actions are verifying the identity and authorization of callers, logging off the electronic health record system when leaving a terminal, and using privacy screen filters on mobile workstations.
Adhering to confidentiality standards requires active measures to protect data. Verifying a caller's authorization code ensures information is only shared with approved individuals. Logging off unattended computers prevents unauthorized system access, and using privacy screens prevents casual observation of protected health information in public areas.

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1
Evaluate each action against HIPAA regulations and professional nursing standards for confidentiality.
Identify actions that protect client data versus those that expose it or violate exceptions.
Nurses must apply principles of information security in daily practice to prevent unauthorized disclosures.
2
Analyze the action regarding telephone updates.
Verifying a caller's identity and code is an appropriate safeguard to prevent unauthorized disclosure.
Healthcare facilities use authorization codes to ensure only approved individuals receive protected health information.
3
Analyze the action regarding suspected elder abuse.
Refusing to report suspected elder abuse violates mandatory reporting laws.
Mandatory reporting of abuse is a legal exception to HIPAA confidentiality rules.
4
Analyze the action regarding delegating clinical updates to a UAP.
Delegating the communication of a new diagnosis to a UAP is inappropriate.
Discussing clinical information and diagnoses requires nursing knowledge and falls outside the UAP's scope of practice.
5
Analyze the actions regarding computer security (logging off and using privacy screens).
Both logging off unattended computers and using privacy screens are required security measures.
These physical and technical safeguards prevent visual hacking and unauthorized electronic access.
6
Analyze the action regarding reviewing a neighbor's chart.
Reviewing a chart without a direct care assignment is a HIPAA violation.
Nurses may only access health records on a strict need-to-know basis for clients under their direct care.

Anahtar Kavram

Nurses must utilize physical, technical, and administrative safeguards to protect client confidentiality while recognizing legal exceptions such as mandatory reporting of abuse.
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Confidentiality and Information Security

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