A nurse is reviewing HIPAA with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further instruction?
HIPAA establishes regulations of health information in verbal, electronic, or written form.
HIPAA is a federal law, not a state law.
A client's address would be an example of personally identifiable information.
Information about a client can be disclosed to family members at any time.
The Correct Answer is D
Choice A reason: HIPAA governs the protection of health information across all formats—verbal, written, and electronic. This statement is accurate and reflects the comprehensive scope of HIPAA regulations.
Choice B reason: HIPAA is indeed a federal law enacted in 1996 to protect patient privacy and ensure secure handling of health information. This statement is correct.
Choice C reason: Personally identifiable information (PII) includes data such as names, addresses, phone numbers, and Social Security numbers. A client’s address is a valid example of PII under HIPAA.
Choice D reason: Disclosure of client information to family members requires the client’s consent unless the family member is legally authorized (e.g., power of attorney or legal guardian). Blanket disclosure without permission violates HIPAA regulations and indicates a misunderstanding of privacy laws.
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Related Questions
Correct Answer is A
Explanation
Choice A reason: A living will is a legally binding document that outlines a client's preferences regarding lifesaving and end-of-life medical interventions. It becomes effective when the client is incapacitated or unconscious and unable to communicate their wishes. The nurse should affirm that the living will reflects the client’s predetermined decisions and must be respected by healthcare providers and family members.
Choice B reason: The durable power of attorney for health care (DPOA-HC) is authorized to make decisions only within the scope allowed by the living will. They cannot override or cancel the living will unless the document itself grants them that authority. Most living wills do not permit cancellation by the DPOA-HC once the client is incapacitated.
Choice C reason: The Patient Self-Determination Act (PSDA) mandates that healthcare institutions inform patients of their rights to make advance directives. However, it does not grant family members the right to change lifesaving measures once a living will is in effect. This statement misrepresents the PSDA’s role.
Choice D reason: A case manager does not have legal authority to alter a client’s living will. Their role is to coordinate care and resources, not to make or change medical decisions outlined in legal documents.
Correct Answer is A
Explanation
Choice A reason: Secondary prevention focuses on early detection and prompt intervention to prevent progression of disease. Scheduling a mammogram for someone with a family history of breast cancer is a classic example of secondary prevention, as it aims to detect cancer early before symptoms arise.
Choice B reason: Not scheduling tests for an asymptomatic client contradicts the principles of secondary prevention, which often involves screening asymptomatic individuals to catch disease early.
Choice C reason: An echocardiogram for a client with known heart failure is part of tertiary prevention, which involves managing established disease to prevent complications and improve quality of life.
Choice D reason: Administering an influenza vaccine is an example of primary prevention, which aims to prevent disease before it occurs.
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