A nurse overhears two staff members in a public hallway discussing the diagnosis of a client on another unit. Which of the following actions should the nurse take to promote HIPAA regulations?
Ask the staff members to speak in much quieter tones.
Tell the staff members to stop discussing confidential information about this client.
Alert the facility's attorney about the staff members' breach of confidentiality.
Ignore the situation because there is no one close by to hear the staff members' discussion.
The Correct Answer is B
A. Ask the staff members to speak in much quieter tones. This does not fully address the issue. HIPAA regulations prohibit discussing patient information in public areas regardless of the volume.
B. Tell the staff members to stop discussing confidential information about this client. This is correct. This action directly addresses the breach of confidentiality and promotes HIPAA regulations by stopping the inappropriate discussion.
C. Alert the facility's attorney about the staff members' breach of confidentiality. This action may be excessive and is not the immediate step needed to stop the breach. Reporting to a supervisor or manager is more appropriate.
D. Ignore the situation because there is no one close by to hear the staff members' discussion. This is incorrect. Ignoring the situation does not comply with HIPAA regulations, which require confidentiality regardless of whether anyone is nearby.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choiceB. Return to the primary health care provider in 3 days for a follow-up appointment.
Choice A rationale:
Scheduling a home visit in 3 weeks for weight and growth monitoring is not appropriate for a newborn who has recently been treated for jaundice.Close monitoring is essential to ensure that bilirubin levels do not rise again and to assess the baby’s overall health and feeding patterns.
Choice B rationale:
Returning to the primary health care provider in 3 days for a follow-up appointment is the most appropriate action.This allows for early detection of any rebound hyperbilirubinemia and ensures that the baby is feeding well and gaining weight appropriately.
Choice C rationale:
Covering the baby with a phototherapy blanket at home when sleeping is not recommended without medical supervision.Phototherapy should be administered under the guidance of healthcare professionals to monitor the baby’s bilirubin levels and ensure safety.
Choice D rationale:
Returning the baby for immunization in 1 month does not address the immediate need for follow-up care after jaundice treatment.Immunizations are important, but the priority is to monitor the baby’s bilirubin levels and overall health in the short term.
Correct Answer is C
Explanation
A. Complete an incident report and notify the nursing supervisor. Completing an incident report and notifying the supervisor is not required for routine tasks like faxing a laboratory report.
B. Direct the provider to the admissions department for the information. Directing the provider to another department is not necessary for this task and does not address the specific request to fax the report.
C. Place a cover sheet on top of the document indicating the recipient. This is the correct action. A cover sheet helps protect patient confidentiality by indicating the intended recipient and purpose of the fax, ensuring secure transmission.
D. Fax the complete medical record to the provider's office. Faxing the complete medical record is inappropriate unless specifically requested. Only the relevant laboratory report should be sent to maintain patient confidentiality and comply with privacy regulations.
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