A nurse is providing care for an older adult client who has been admitted to the hospital with liver cirrhosis
The client has expressed to the nurse his concerns that the details of his condition and treatment remain confidential, and that written documentation not "get out there.". How can the nurse best respond to the client's concerns? A) "Anything that is discussed between us is confidential and will not be shared with anyone else.".
B) "The Health Insurance Portability and Accountability Act ensures that your medical records will not leave this hospital.".
C) "Provided you signed a directive on admission, your records will not be made public.".
D) "The law protects your right to confidentiality and health information from being released into unintended hands.".
D
Feedback:
The HIPAA aims to protect individuals' right to confidentiality and prevent records from being accessed by individuals for whom it was not intended. It would be inaccurate to assure a client that all assessment findings and interactions will remain between the client and the nurse, and the HIPAA does not necessarily guarantee that records will never leave the institution in question. Preventing health records from public access does not require a signed directive.
You might also like to view...
A client with pneumonia develops kidney stones while hospitalized. While the client is being evaluated for lithotripsy what should the nurse identify as the priority for this client's care?
1. Monitoring for edema 2. Skin care 3. Pain control 4. Administration of medication to break up the stones
The nurse is preparing to administer blood. What solution is most appropriate for the nurse to use when priming the blood administration set?
a. 0.45 normal saline b. 0.9 normal saline c. D5 0.45 normal saline d. Dextrose 5% in water
The nurse is conducting a behavioral analysis of communication between a parent and child by:
A) Asking the dyad to share their feelings about the situation. B) Employing a structured interview. C) Observing their nonverbal actions. D) Using open-ended questions.
Biotransformation is also called:
a. metabolism c. excretion b. absorption d. anabolism