ATI- HIPPA
Which of the following actions is appropriate for a nurse who has witnessed a breach of a patient's privacy in a primary provider's office? A) Complete a health information privacy complaint form and submit it to the appropriate agency. B) Anonymously notify the proper governmental agency. C) Notify the patient and provide her with a health information privacy complaint form to submit to the appropriate agency. D) Inform the primary care provider that a formal complaint will be submitted if another breach is committed.
A It is the nurse's responsibility to submit complaints to the proper agency with regard to a breach of patient privacy.
Which of the following methods of information exchange is in compliance with HIPPA? A) Walking rounds that involve two nurses discussing an assigned patient at his bedside in a private room B) Taped shift report during which all staff hear report on all patients on the unit C) Request by a primary care provider for patient information from the nurse assigned to that patient during an in-service D) A phone request by an employer for verification that an employee is currently being treated in the hospital
A This practice is acceptable if the two nurses are both assigned to this patient and no one else is in the room. It is within the patient's rights to hear information about his care and treatment.
A parent calls a pediatrician's office to make an appointment for her school-age child. The nurse should instruct the parent to call the previous pediatrician's office and request that A) the records be photocopied and sent to the new pediatrician's office. B) the original records be sent to the new pediatrician's office. C) a form authorizing release of copies of the records be sent to her to sign and return. D) a form authorizing release of the records be sent to the new pediatrician to sign and return.
C A written authorization by the responsible party, in this case the parent, must be provided to the previous pediatrician's office prior to making copies of the health care records available to the new pediatrician.
A patient feels his privacy has been violated and wants to file a formal complaint. Through which of the following agencies should the nurse instruct the patient to file the complaint? A) Occupational Safety and Health Administration (OSHA) B) Joint Commission C) Office of Civil Rights (OCR) D) Privacy and Civil Liberties Office
C The OCR has been given the authority to receive and investigate complaints by patients and other involved individuals related to the Privacy Rule.
A nurse is orienting to his new place of employment. Information is being provided regarding HIPPA's Privacy Rule. Which of the following comments by the nurse indicates an accurate understanding of these standards? A) "Patients do not have the right to read their charts." B) "I can read the charts of other patients on my floor." C) "I will expect a list of patients and their room numbers to be posted on my unit." D) "I can give information about a patient over the phone if the patient gives his permission."
D Information about a patient may be given over the phone if the patient has granted permission for that person to receive information. Many institutions have instituted an access code system that requires the person asking for information to provide the code.
Nurses on a clinical unit wish to research the incidence of falls among patients following joint replacement surgery. Which of the following should they do to ensure the study complies w/ the HIPAA Privacy Rules? A) Contact the medical record dept. to obtain permission to access pt's charts. B) Submit their proposal to the institutional review board for review & describe how they will de-identify pt. info. C) Notify the pts. that they will be included in the study & should submit a written request if they choose not to participate. D) Obtain permission from the risk management dept. to gain access to incident reports that were filed due to pt. falls.
B Research using patient records can be done if patient information is de-identified. It is the responsibility of institutional review boards to determine if a study meets this criterion.
A nurse is discussing the use of a computer to document in the client's health record with a newly licensed nurse. Which of the following comments by the new nurse indicates an understanding of the teaching? A) "I should share my computer password with the nurse orienting me." B) "I should remain aware of my surroundings when documenting on the computer." C) "I can step away from the computer for a short time if I am logged on and no one is around." D) "I can review the health records of other clients on the unit not assigned to me."
B The nurse should protect the screen from being visible to others. Maintaining an awareness of who is near the computer and able to see the screen promotes confidentiality and compliance with HIPAA regulations.
A patient is brought to the emergency department after a motor-vehicle crash. She is unresponsive due to a head injury. Permission for emergency surgical stabilization of a cervical injury was obtained over the phone from her husband, who is currently overseas. Which of the following should the assigned nurse document to verify HIPPA guidelines were maintained? A) Document that the primary care provider informed the patient of her condition and the need for surgery. B) Document the patient's condition and surgeon's rationale for taking her to surgery. C) Document the patient's physical condition and avoid addressing the conversation the primary care provider had with the husband. D) Document the patient's condition and that consent was obtained after the primary care provider discussed the proposed surgery with the husband
D Since the patient is not cognitively or physically able to provide consent, it is within HIPAA guidelines to discuss the patient's condition with a spouse or close relative or friend. Consent can be obtained from this individual in this emergency situation because it is deemed in the best interest of the patient.
