A nurse manager is teaching a group of nurses about client confidentiality. Which of the following should the nurse manager include as an example of protecting a client's personal health information?
A provider uses a nurse's password to access a client's laboratory results.
A provider leaves a clipboard with the client's vital signs at the client's bedside.
A nurse posts the schedule for an upcoming x-ray on the whiteboard in the client's room.
A nurse sends a list of a client's prescribed medications via encrypted email.
The Correct Answer is D
Rationale:
A. A provider using a nurse’s password violates HIPAA security rules—passwords must never be shared.
B. Leaving a clipboard with vital signs at the bedside risks unauthorized access to personal health information.
C. Posting an x-ray schedule on the client’s whiteboard exposes personal health information to visitors and staff who are not involved in care.
D. Sending client information via encrypted email is a proper method of protecting confidentiality, as it ensures secure transmission of personal health information.
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Related Questions
Correct Answer is B
Explanation
Rationale:
A. Choosing an infant safety system should not occur until the committee first understands the required standards and regulations.
B. The first step in quality control is to identify industry standards or benchmarks. This ensures the facility’s practices align with established guidelines for infant safety.
C. Establishing measurement criteria comes after standards are identified, so performance can be measured against them.
D. Evaluation of a selected system is one of the final steps, after standards are identified, a system is chosen, and criteria are established.
Correct Answer is D
Explanation
Rationale:
A. Urinary retention 12 hours after a laminectomy is concerning but not immediately life-threatening.
B. A low-grade fever in a client with MRSA needs monitoring, but it is not the most urgent problem.
C. Starting chemotherapy for pancreatic cancer is important, but it is a planned treatment and not an acute priority.
D. An absent pedal pulse indicates impaired arterial circulation, which can quickly lead to tissue ischemia and necrosis. Restoring circulation is the highest priority according to the ABC (Airway, Breathing, Circulation) and urgent vs non-urgent frameworks.
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