A nurse is teaching a group of nurses about client confidentiality. Which of the following statements made by a nurse indicates an understanding of the teaching?
"I can discuss client information in the hallway outside a client's room."
"I will need permission from a client to share health information with a relative."
"I can share a client's diagnosis with any member of the health care team."
"I will need written permission from the provider to allow a client to access their electronic medical record."
The Correct Answer is B
A. "I can discuss client information in the hallway outside a client's room." Discussing client information in a public or semi-public area is a violation of HIPAA (Health Insurance Portability and Accountability Act).
B. "I will need permission from a client to share health information with a relative." Under HIPAA, health information cannot be shared with family members unless the client gives explicit permission.
C. "I can share a client's diagnosis with any member of the health care team." Information should only be shared with team members directly involved in the client's care. Not all healthcare workers need access to all client information.
D. "I will need written permission from the provider to allow a client to access their electronic medical record." Clients have the right to access their medical records without needing provider permission. The facility may have specific procedures, but a provider cannot block access unless there is a legal or safety concern.
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Related Questions
Correct Answer is D
Explanation
A. A community health nurse can provide education, medication management, and health monitoring, but they do not specifically focus on ADL assistance.
B. Respite care provides temporary relief for caregivers, but it does not directly help the client develop skills to maintain independence.
C. A dietitian focuses on nutritional needs and meal planning, but this does not directly address the increased difficulty with ADLs.
Correct Answer is A
Explanation
A. Ask the client if they understand the procedure. The nurse’s role in informed consent is to confirm that the client understands the procedure and voluntarily agrees to it. If the client has questions or does not understand, the nurse should notify the provider for further explanation.
B. Describe the procedure to the client. It is the provider’s responsibility to explain the procedure in detail, including what it entails. The nurse should not provide this explanation.
C. Inform the client about alternative treatment options. The provider must discuss alternative treatment options, not the nurse. The nurse can ensure that this discussion has occurred but does not provide the alternatives.
D. Explain the risks of the procedure to the client. The provider is responsible for explaining the risks, benefits, and expected outcomes of the procedure. The nurse’s role is to witness the consent and ensure the client understands.
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