While accessing social media, a nurse finds that a coworker has posted photos and positive comments about a client on their unit. Which of the following actions should the nurse take to adhere to HIPAA guidelines?

Block the coworker's access to social media on hospital computers.

Refer the coworker to the hospital ethics committee.

Tell the coworker to delete the social media post.

Report the coworker's post to the nurse manager or supervisor.

Answer and Explanation

The Correct Answer is D

A. Block the coworker's access to social media on hospital computers. Blocking access to social media on hospital computers may prevent future posts but does not address the immediate HIPAA violation or educate the coworker about proper conduct.
B. Refer the coworker to the hospital ethics committee. This may be a subsequent step if the violation is severe, but it does not provide an immediate response to the HIPAA breach.
C. Tell the coworker to delete the social media post. While this might remove the current violation, it does not follow the proper protocol for reporting HIPAA breaches and does not ensure accountability or prevent future incidents.
D. Report the coworker's post to the nurse manager or supervisor. This is the correct action. Reporting to the nurse manager or supervisor ensures that the incident is documented, investigated, and handled according to the hospital’s policies and HIPAA regulations.

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Correct Answer is A

Explanation

A. Log off the computer before he leaves the nurses' station: This is correct. Logging off ensures that no unauthorized person can access the client's electronic health records, maintaining privacy and security.
B. Turn off the monitor so others cannot view the client's data. This action alone does not provide sufficient security, as the computer might still be logged in.
C. Position the computer's screen so no one else can view it. While this helps with privacy, it does not secure the computer from unauthorized access in the nurse’s absence.
D. Ask another nurse to complete the documentation. This is not appropriate as it may lead to incomplete or inaccurate documentation. Each nurse should document their own care.

A. The provider should sign the advance directives before it is valid." B. The health care proxy is required to approve the client's wishes listed in advance directives." C. "The health care proxy can add additional treatments to the advance directives." D. "Advance directives should be documented in the client's medical record."

Correct Answer is D

Explanation

A. "The provider should sign the advance directives before it is valid." This statement is incorrect. Advance directives are valid once they are signed by the client, not the provider. The provider's signature is not required.
B. "The health care proxy is required to approve the client's wishes listed in advance directives." This statement is incorrect. The health care proxy does not have the authority to approve or alter the client's wishes. The proxy is responsible for ensuring that the client's wishes are followed as documented in the advance directives.
C. "The health care proxy can add additional treatments to the advance directives." This statement is incorrect. The health care proxy cannot add or change treatments listed in the advance directives. Their role is to make decisions based on the existing directives.
D. "Advance directives should be documented in the client's medical record." This statement is correct. Advance directives should be documented in the client's medical record to ensure that all healthcare providers are aware of and can adhere to the client's wishes.

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While accessing social media, a nurse finds that a coworker has posted photos and positive comments about a client on their unit. Which of the following actions should the nurse take to adhere to HIPAA guidelines?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is documenting data in a client's electronic health record at a computer terminal in the nurses' station when he has to leave the area to answer a client's call light. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A charge nurse is providing an in-service for a group of staff nurses about advance directives. Which of the following statements by a staff nurse indicates the teaching was effective?

Correct Answer is D

Explanation

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