A client who is being transferred to a rehabilitation center asks the nurse if he can take his chart with him, as it's his record. How should the nurse respond to this client's request?
1. "You'll have to ask your doctor for permission to do that."
2. "Actually, the original record is the property of the hospital, but you are welcome to copies of your records."
3. "We'll make sure that all of your records are sent ahead to the rehab hospital, so you don't really have to worry about those details."
4. "There's a new law that protects your records, so you're not going to be able to have access to them."
Correct Answer: 2
Rationale 1: The doctor's permission is not a requirement for the release of a client's medical record.
Rationale 2: Although the client's record is protected legally as private, access to the record is restricted to health professionals involved in the client's care. The institution or agency is the rightful owner of the client's record, but the client has the right to access all information contained within his own record and to have a copy of the original record. The hospital has the right to charge a fee for the copying costs. The Health Insurance Portability and Accountability Act (HIPAA) is a law enacted to protect health information and maintain confidentiality of client records.
Rationale 3: The client does have a legal right concerning his medical record, so this option doesn't adequately address the question.
Rationale 4: This option is not correct; the client does have a legal right to access his medical records.
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