A nurse has just completed training on the Health Insurance Portability and Accountability Act (HIPAA). Which statement made by the nurse indicates that training has been successful?

1. "Faxing of information is prohibited by HIPAA."
2. "I need to verbally provide the patient with the privacy notice."
3. "I cannot discuss a patient's health history with family members without the patient's permission."
4. "Financial information relating to payment for services is not subject to the HIPAA regulations."


3. "I cannot discuss a patient's health history with family members without the patient's permission."

Explanation: 1. Faxing is permitted only with the permission of the patient.
2. It is mandated that all patients receive a privacy notice, which is a written statement that explains how healthcare information will be used and disclosed.
3. Discussing a patient's health history with family members is not permitted without the patient's permission.
4. Past, present, or future payment for the provision of healthcare is considered confidential and subject to the HIPAA regulations.

Nursing

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A patient's vital signs prior to a blood transfusion were:

T = 97.6°F (36.4°C); P = 72 beats/min; R = 22 breaths/min; and BP = 132/76 mm Hg. Twenty minutes after the transfusion was begun, the patient began complaining of feeling "itchy and hot." The nurse discovered a rash on the patient's trunk. Vital signs were T = 100.8°F (38.2°C); P = 82 beats/min; R = 24 breaths/min; BP = 146/88 mm Hg. Based on these findings, what is the priority intervention? a. Administer an antihistamine (antiallergenic) medication. b. Flush the blood tubing with D5W immediately. c. Prepare for emergency resuscitation. d. Stop the blood transfusion immediately.

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A client reports a family history of aortic stenosis. Which assessment finding would the nurse identify as the most likely contributing factor?

A) High blood pressure B) Missing aortic cusp C) Unidirectional blood flow D) Chest pain

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Personal health record (PHR) security issues relate to HIPAA and physical security of data. HIPAA only covers PHRs provided by covered entities such as health plans, health care clearinghouses, and providers

No governmental coverage exists for other sites unless it is at the state level. To avoid these types of breaches, the American Health Information Community's consumer empowerment working group made a recommendation. Which of the following was recommended for PHRs in order to avoid breaches? 1. Deletion of sensitive data 2. Educating the general consumer about PHRs 3. Restricting the number of authorized users 4. A PHR certification process

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The nurse is conducting a sexual history interview. Which assessment question is appropriate?

1) "Have you ever had a kidney stone?" 2) "Have you had any changes in your voiding pattern?" 3) "How many times do you wake up during the night to void?" 4) "Are you using condoms?"

Nursing