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1.1b. Confidentiality
Let’s move on to our next section.
1.1B. CONFIDENTIALITY
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8. Disclosure of Personal Health Information (PHI) is acceptable for all of the following except:
A. Health insurance reimbursement B. Treatment C. Health care operations D. Family information
Correct answer: D
Rationale: Personal Health Information may be shared for healthcare reimbursement and benefit decisions. It may be used to provide information about health care services and operations. Personal Health Information may be shared for treatment purposes. It may not be shared with friends, employers, or family members without client permission.
9. Which of the following describes a violation of privacy?
A. Discussing a client’s care with a co-worker who is not assigned to that client. B. Attending an interdisciplinary team meeting to discuss discharge plans for a client. C. Sharing a client’s Personal Health Information with the client’s physical therapist. D. Contacting Protective Services to report suspected elder abuse of a client that you are providing care for.
Correct answer: D
Rationale: Personal Health Information may be shared with providers who are/or will be involved in the care of the client. Providers may only access information needed to perform their duties.
10. A client is diagnosed with genital warts. She states that she is no longer sexually active and does not want to tell her previous partner about her diagnosis. The nurse:
A. Calls the health department B. Provides education to the client regarding the contagious disease C. Obtains the ex- partner’s contact information and calls him without the client’s consent D. Provides care to the client and refers her to social services
Correct answer: B
Rationale: The nurse is bound by client confidentiality. Educating the client will help her understand why it is vital she notify her former partner.
11. Safeguards to ensure confidentiality and the availability of Protected Health Information are aspects of:
A. The Security Rule of the Health Insurance Portability and Accountability Act (HIPAA) B. Case management C. Performance improvement D. Advance directives
Correct answer: A
Rationale: The Security Rule of the Health Insurance Portability and Accountability Act (HIPAA) provides safeguards to ensure confidentiality and the availability of Protected Health Information. The rule governs electronic and other forms of information.
12. The Health Insurance Portability and Accountability Act (HIPAA) protects all of the following except:
A. Handwritten medical information B. Oral medical Information C. The right to die D. Electronic medical information
Correct answer: C
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) protects confidential health information regardless of whether it is oral, handwritten, or electronically stored.
13. A woman frantically calls the emergency department to see if her sister is there. The woman’s sister is an emergency department client, but she is currently having an ultrasound. The nurse:
A. Tells the caller that the sister is in the emergency department but can’t come to the telephone right now B. Asks the woman to call back in 20 minutes when the client is likely to be back from getting the ultrasound C. Reassures the woman that her sister is stable and having a test performed D. Does not confirm or deny the presence of the client
Correct answer: D
Rationale: Healthcare workers are prohibited from disclosing information about clients unless permission has been granted by the client.
14. A visitor enquires about a family member’s roommate. The roommate has been moved to the intensive care unit. The nurse states that:
A. he cannot disclose information about clients B. the client has been moved to the intensive care unit C. the client had a severe health issue but is now stable D. admits that the client had a CVA, is in ICU, and not expected to survive
Correct answer: A
Rationale: Healthcare workers are prohibited from disclosing information about clients unless permission has been granted by the client.
15. The nurse is discussing a client’s health status in the hall with another staff member who is also caring for the client. A therapist from another unit overhears and says that she knows the client from previous admissions. The therapist asks for the room number that the client is in. The nurse:
A. Tells the therapist the room number
B. Realizes that she has breached the law by disclosing a client’s Personal Health
Information C. Asks the therapist for input about the client D. Continues to discuss the client with the co-worker who needs information to provide care
Correct answer: B
Rationale: Only health care providers involved in the clients care may discuss clients. Health care workers are bound by law to avoid disclosing information intentionally or inadvertently.
16. Who does not have the “right to know” about a client’s condition?
A. The billing department worker who is processing the client’s medical claim B. The physician from another facility who is providing consultation services C. A nursing student who is caring for the client’s roommate D. The facility’s performance improvement nurse
Correct answer: B
Rationale: Direct and indirect providers have the right to know about a client’s condition.
