E-mail is an efficient means of disseminating information quickly and inexpensively. However, HIPAA regulations affect e-mail use and routing infrastructures. When may potentially sensitive information be sent via e-mail?
1. Client's consent was obtained to send information via e-mail
2. Recipient is known to the sender
3. E-mail is sent encrypted.
4. Organization's e-mail system has appropriate firewalls
3
Rationale: The correct answer is the e-mail is encrypted. This is done so that only the intended receiver can access the information. Knowing the recipient does not guarantee that the e-mail will not be intercepted by others. Non-encrypted messages can be read and public e-mail password protection of mailboxes can be cracked. While having the client's consent is necessary to share information, it does not protect confidentiality during transmission. Firewalls protect a system from unwanted access by allowing only approved transactions to pass through them.
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When developing a nursing practice, it is important for the nurse to:
a. be exposed to negative as well as positive role models. b. avoid negative role models as much as possible. c. understand that caring and compassion are taught in class. d. consider another profession if he/she is not naturally compassionate.
In a nursing unit, a physician is about to defibrillate a client who is in cardiac arrest. Which of the following is an appropriate action when the physician says "clear"?
A) Shut off all the equipment. B) Put the conductive gel pads in place. C) Step away from the bed. D) Shut off the IV fluid.
The major advantage for giving a client medication via intravenous (IV) route is which of the following?
A) Fewer adverse reactions noted B) Less costly to the client C) Rapid distribution of the drug to all target tissues D) Ease of maintaining drug therapy in the home setting
The nurse begins to auscultate the client's lungs. While listening, the nurse notices fresh bloody drainage oozing from the abdominal dressing. The nurse stops auscultating and applies direct pressure to the wound site. This is an example of:
1. Performing a nursing assessment 2. Reorganizing the nursing diagnoses 3. Implementing nursing interventions 4. Critically analyzing client assessment data