Breach of Confidentiality
A student nurse is taking home a print-out from the electronic health record in order to have data to complete a care plan. Which protected health information (PHI) must the student remove prior to taking the print-out home? (Select all that apply.) A. Birth date B. Medication list C. Date of care D. Medical conditions E. Room number F. Insurance group number G. Marital status
A. Birth date C. Date of care E. Room number F. Insurance group number
Kelly decided to report Sara to the nurse manager for leaving for an extended period of time without giving a proper hand-off report. The nurse manager feels that Sara's actions constitute neglect of duty. This is the second time that the manager has discussed with Sara her leaving the unit without a proper handoff. What form of discipline should the nurse manager use in this instance? A. Verbal admonishment B. Dismissal C. Written admonishment D. Suspension
C. Written admonishment
A nurse takes a break without informing any of the nurse's colleagues. Which ethical principle has the nurse violated in relation to the nurse's patients? A. Justice B. Confidentiality C. Fidelity D. Veracity
C. Fidelity
When the nurse manager found out about Sara's inappropriate access of the medical record, she terminated Sara. What information provided by the nurse manager indicated that Sara had adequate forewarning, one of the four rules of fair and effective discipline? (Select all that apply.) A. Hospital policies and procedures B. Annual training C. Orientation D. Conference attendance E. Online continuing education
A. Hospital policies and procedures B. Annual training C. Orientation
A nurse has repeated infractions, and the nurse manager is preparing a written admonishment to be reviewed with the nurse and placed in the nurse's personnel file. What elements should the nurse manager include in the written admonishment? (Select all that apply.) A. List of the policies that have been violated B. Statements by other nurses demonstrating a pattern of behavior C. Consequences for further violations D. Plan of action for addressing behavior E. Date and time the violation occurred F. List of patients affected by the violation
A. List of the policies that have been violated C. Consequences for further violations D. Plan of action for addressing behavior E. Date and time the violation occurred
A nurse receives a telephone call requesting patient information. In which instance can the nurse legally breach confidentiality and provide the requested information? A. An emergency department nurse following up on a patient the nurse had sent to the unit. B. A public health official asking about a suspected case of Ebola. C. A neighbor calling to find out the results of a patient's MRI. D. An insurance provider seeking information about drug and alcohol screening.
B. A public health official asking about a suspected case of Ebola.
Two unit nurses are having lunch in the hospital cafeteria when one of the nurses begins talking about a difficult patient. What response by the second nurse indicates the best understanding of the Health Insurance Portability and Accountability Act (HIPAA)? A. Be careful not to mention any names or room numbers. B. I'm worried the family may be near. Tell me when we're walking back. C. You need to speak more quietly so people can't overhear. D. It's not appropriate for us to discuss patients in the lunch room.
D. It's not appropriate for us to discuss patients in the lunch room.
In the case scenario, Sara left her patient without providing a proper hand-off report and was gone for an extended time. In which of the following situations would the patient be able to take legal action against her for patient abandonment? A. The patient was angry due to a lack of response to the call bell. B. The patient had an allergic reaction to a prescribed antibiotic. C. The patient overheard nurses talking about the situation. D. The patient who is a fall risk fell and broke a hip.
D. The patient who is a fall risk fell and broke a hip.
