A nursing student accesses a patient's electronic health record for a class assignment without the patient's consent. What HIPAA provision does this action violate?
The rule regarding portability of health insurance coverage
The Security Rule regarding administrative safeguards
The Privacy Rule regarding patient authorization and disclosure
The rule concerning breach notification requirements.
The Correct Answer is C
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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Related Questions
Correct Answer is D
Explanation
A. Objective: Objective data consist of measurable or observable findings such as vital signs, physical exam results, or diagnostic data. Headache and dizziness cannot be directly measured by the nurse and rely on the patient’s description. These findings do not belong in the objective section.
B. Plan: The plan section outlines intended nursing interventions, treatments, or follow-up actions based on assessment findings. Patient-reported symptoms are used to guide planning but are not documented within this section. The plan focuses on what will be done, not what the patient feels.
C. Evaluation: Evaluation documents the patient’s response to interventions and whether outcomes were achieved. Headache and dizziness may be reassessed later in this section after treatment. Initial symptom reporting does not fit evaluation charting.
D. Subjective: Subjective data include symptoms and experiences reported directly by the patient. Complaints such as headache and dizziness reflect the patient’s personal perception and cannot be independently verified. These findings are appropriately documented in the subjective section.
Correct Answer is D
Explanation
A. Infectious agent: While targeting pathogens is important, nurses typically do not directly eliminate all infectious organisms in the environment. Strategies such as hand hygiene and aseptic technique focus on preventing access rather than eradicating microbes entirely.
B. Mode of transmission: Interventions like hand hygiene, wearing gloves, and using sterile technique reduce transmission, but in this scenario, the infection occurred via the catheter. Targeting transmission alone may not fully prevent bloodstream infections.
C. Susceptible host: The patient’s immune status contributes to risk, but modifying inherent susceptibility (age, comorbidities) is not always feasible. Interventions more directly target controllable factors related to infection risk.
D. Portal of entry: The central venous catheter provides a direct pathway for pathogens into the bloodstream. Using strict aseptic technique during insertion and maintenance, proper dressing changes, and catheter care directly addresses this portal, making it the most effective link to target for prevention.
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