Which action demonstrates correct HIPAA and EHR safeguard practices?
Discussing client information in the hallway if no visitors are present
Logging off the electronic health record when not in use
Using a personal phone to photograph lab results
Leaving the computer screen open while stepping out briefly
The Correct Answer is B
A. Discussing client information in the hallway if no visitors are present: Hallways are public spaces where sound can travel to adjacent rooms or be overheard by staff not involved in the case. Even in the absence of visitors, this practice violates the principle of "minimum necessary" disclosure and risks a privacy breach. Professional discussions should occur in secure, private areas to ensure HIPAA compliance.
B. Logging off the electronic health record when not in use: This is a fundamental security practice that prevents unauthorized access to protected health information (PHI) by others. Leaving a terminal logged in allows anyone to view or alter sensitive data under the nurse's credentials. Strict adherence to log-off procedures protects the integrity of the health record and the nurse's professional accountability.
C. Using a personal phone to photograph lab results: Capturing PHI on a personal, unencrypted device is a major violation of federal privacy regulations and facility policies. Personal devices lack the security safeguards required to protect sensitive data from being intercepted or shared improperly. Nurses must only use institutionally approved and secured technology for the transmission or recording of clinical data.
D. Leaving the computer screen open while stepping out briefly: Even a brief absence provides an opportunity for a privacy breach if the screen displays identifiable patient information. All electronic displays must be shielded or logged off whenever the nurse is not directly monitoring the terminal. This safeguard ensures that PHI is only accessible to authorized personnel who are actively providing care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Filling out paperwork while the client talks: This behavior signals to the client that the administrative task is more important than their personal narrative. It prevents the nurse from observing critical non-verbal cues and reduces the quality of the interpersonal connection. Effective communication requires a dedicated focus on the sender of the message to ensure accurate decoding and empathy.
B. Asking about sensitive topics first to "get them out of the way": Probing for highly personal information before establishing rapport can cause the client to become defensive or withdrawn. Therapeutic communication is built on a foundation of trust that is developed gradually through neutral, non-threatening interaction. Sensitive data should be gathered only after the client feels safe within the professional relationship.
C. Sitting at eye level and actively listening: This posture demonstrates a willingness to engage and reduces the perceived power imbalance between the provider and the client. Eye level positioning conveys that the nurse is fully present and values the client's input as a partner in care. Active listening involves focused attention and cognitive processing of the client's verbal and non-verbal messages.
D. Standing over the client while asking questions: This physical orientation can be perceived as intimidating and authoritative, creating a barrier to open communication. It emphasizes a hierarchical relationship where the nurse is in a position of power over the vulnerable client. Maintaining a level physical plane is essential for fostering the equality necessary for a therapeutic alliance.
Correct Answer is ["3"]
Explanation
Ordered dose: 225 mg PO daily
Available tablet strength: 75 mg per tablet
Number of tablets=Ordered doseAvailable tablet strength
Number of tablets=225mg75mg/tablet
= 3 tablets
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