As a community health nurse developing a disaster-preparedness plan, what is the first action you should take?

The correct answer is Choice A

Choice A rationale: The statement "I know that everything will be better soon" can indicate a risk for suicide as it may reflect a sense of hopelessness and a belief that death is the only solution to their suffering. This requires immediate attention.

Choice B rationale: Expressing a desire to maintain control over decision-making does not necessarily indicate a risk for suicide. It reflects a concern about autonomy and independence, which is common among individuals with chronic illnesses.

Choice C rationale: Relying more on a partner for support suggests that the client is seeking help and building a support system. This does not indicate a risk for suicide but rather a positive coping mechanism to manage their condition.

Choice D rationale: Fear of experiencing pain near the end is a common concern for individuals with terminal illnesses. While it indicates anxiety about the future, it does not necessarily suggest a risk for suicide. Addressing pain management can help alleviate this fear.

Choice A rationale

While the agency’s billing department does have access to a client’s medical record, it is not the primary information that should be shared when preparing a client to sign a HIPAA acknowledgement form. The billing department’s access is primarily for billing purposes and not for the broad sharing of health information.

Choice B rationale

This is the correct answer. Under the HIPAA Privacy Rule, healthcare providers are allowed to share a client’s current medical information with other providers who are involved in their care. This is done to ensure continuity of care and to provide the best possible treatment for

the client. It is important for the client to understand this as it is a key aspect of the HIPAA Privacy Rule.

Choice C rationale

While it is true that a healthcare provider can assist a client in making decisions about who to disclose their health information to, this is not the primary purpose of the HIPAA acknowledgement form. The form is more about informing the client of how their information may be used and shared, rather than assisting them in making disclosure decisions.

Choice D rationale

Assistive personnel do not have access to a client’s prior admission information unless it is necessary for them to carry out their job duties. This is a common misconception and it is important for clients to understand that their information is protected and only shared on a need-to-know basis.