A nurse manager in a community health clinic is reviewing the charts of four clients. Which of the following illnesses should the nurse manager recognize as a national notifiable condition?

A. Initiate topics of conversation that avoid the client's health status.

Explanation: Avoiding discussions about the client's health status may hinder open communication and the expression of the client's feelings and concerns. It is essential to provide an opportunity for the client to discuss their thoughts and emotions if they wish to do so.

B. Recommend the client seek out hospice services rather than seek treatment.

Explanation: While hospice services may be appropriate for end-stage cancer care, recommending hospice should be based on a comprehensive assessment of the client's wishes and needs. The decision to pursue treatment or hospice is a personal one, and the nurse should support the client's choices after thorough discussion.

C. Place the client's name and medical condition on an online prayer chain.

Explanation: Privacy and confidentiality are critical in healthcare. Sharing the client's name and medical condition on an online platform may compromise confidentiality. It's essential to respect the client's privacy and obtain their consent before sharing personal information.

D. Provide quiet time during visits for prayer or meditation.

Explanation: Providing quiet time during visits for prayer or meditation recognizes the spiritual and emotional needs of the client. It allows the client to engage in activities that bring comfort, peace, and reflection. Creating a supportive and contemplative environment aligns with the holistic care approach, acknowledging the importance of spiritual well-being during the end-of-life journey.

A. "HIPAA rules vary from state to state."

Explanation: HIPAA regulations are federal laws and are consistent across all states. They provide a national standard for the protection of individuals' health information.

B. "A client's diagnosis can be posted on the communication board inside the client's room."

Explanation: Posting a client's diagnosis in a public area, such as a communication board, violates HIPAA regulations. Protected health information (PHI), including diagnoses, should be kept confidential and not disclosed in public spaces.

C. "We should share our computer passwords with our manager."

Explanation: Sharing computer passwords is a security risk and goes against HIPAA regulations. Each individual should have their unique login credentials to ensure accountability and protect the confidentiality of health information.

D. HIPAA rules allow clients to receive a copy of their medical records."

Explanation: This statement demonstrates an understanding of the HIPAA (Health Insurance Portability and Accountability Act) regulations regarding the client's right to access their medical records. HIPAA ensures that individuals have the right to request and receive copies of their own health information.