A nurse notices that a colleague has left a computer with patient records open and unattended in a busy hallway. What immediate action should the nurse Take to maintain confidentiality?
Ignore as it is not the nurse's responsibility.
Wat for the colleague to return and discuss the issue with them,
Inform the hospital administration immediately
Close the computer screen and remind the colleague to log out
The Correct Answer is D
A. Ignore as it is not the nurse's responsibility: Maintaining patient confidentiality is a shared professional and legal responsibility. Ignoring a breach could violate HIPAA regulations and ethical standards, placing patients and staff at risk.
B. Wait for the colleague to return and discuss the issue with them: Waiting delays immediate protection of sensitive information and could result in unauthorized access. Patient privacy must be addressed without delay.
C. Inform the hospital administration immediately: While reporting repeated breaches may be appropriate, the immediate concern is to secure the information to prevent exposure. Administrative reporting alone does not address the urgent risk.
D. Close the computer screen and remind the colleague to log out: Securing the unattended computer prevents unauthorized access to patient records and maintains confidentiality. Promptly reminding the colleague reinforces professional accountability and compliance with privacy regulations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Unstageable Pressure Injury: Unstageable injuries involve full-thickness tissue loss in which the wound bed is covered by slough or eschar, making the depth indeterminable. This does not describe the patient’s shallow, pink-red wound.
B. Stage 2 Pressure Injury: Stage 2 injuries are characterized by partial-thickness loss of dermis presenting as a shallow, open ulcer with a pink or red wound bed, without slough or eschar. The patient’s moist, shallow, pink-red sacral wound fits this classification.
C. Stage 1 Pressure Injury: Stage 1 injuries present as non-blanchable erythema of intact skin. Since the patient has a shallow open wound with partial-thickness loss, this stage is not appropriate.
D. Stage 3 Pressure Injury: Stage 3 injuries involve full-thickness tissue loss with visible subcutaneous fat, which may extend to but not through underlying fascia. The patient’s wound is shallow with partial-thickness loss, so stage 3 does not apply.
Correct Answer is C
Explanation
A. The rule regarding portability of health insurance coverage: This provision addresses the ability to maintain health insurance when changing jobs or coverage, and is unrelated to unauthorized access of patient records.
B. The Security Rule regarding administrative safeguards: The Security Rule focuses on protecting electronic health information through administrative, physical, and technical measures. While security is involved, the primary issue here is unauthorized disclosure, not system safeguards.
C. The Privacy Rule regarding patient authorization and disclosure: HIPAA’s Privacy Rule governs the use and disclosure of protected health information. Accessing a patient’s electronic health record without consent violates the requirement that patients authorize who can view or use their information.
D. The rule concerning breach notification requirements: Breach notification addresses required reporting after a confirmed compromise of PHI. The student’s unauthorized access is a violation of privacy, not a post-breach reporting issue.
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