ATI HIPAA

A newly hired nurse is reviewing information about the HIPAA privacy rule during facility orientation. Which of the following statements by the nurse indicates an understanding of the privacy rule?

"I can give information about a client over the phone if the client gives permission." Information about a client can be given over the phone if the client has granted permission for that person to receive information. Many facilities have implemented an access code system that requires the person asking for information to provide the code.

A nurse is teaching a newly licensed nurse about using a computer to document in a client's health record. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"I should remain aware of my surroundings when documenting in the computer." 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 nurse in a pediatrician's office is speaking on the telephone with a guardian of a school-age child who will become a new client at the office. The nurse should instruct the guardian to call the child previous provider's office to request which of the following?

A form authorizing release of copies of the child's medical records to be signed by the guardian A written authorization by the responsible party, in this case the guardian, must be provided to the previous provider's office prior to making copies of the health care records available to the new pediatrician.

Which of the following actions should the nurse take after witnessing a breach of a client's confidentiality in a provider's office?

Complete a health information privacy complaint form It is the nurse's responsibility to submit complaints to the proper agency regarding a breach of client confidentiality.

A nurse in the emergency department is caring for a client following a motor vehicle crash. The client is unresponsive and the client's spouse is not present at the facility. Which of the following actions should the nurse take to assist with obtaining consent for the client's surgery?

Inform the provider of the spouse's contact information so consent can be obtained over the telephone Because the client is not cognitively or physically able to provide consent, it is within HIPAA guidelines to discuss the client's condition with a spouse, close relative, or friend. Informed consent guidelines mandate obtaining consent from the client's closest adult relative in an emergency situation because it is deemed in the best interest of the client.

A client tells a nurse that they feel their privacy has been violated and wants to file a formal complaint with someone other than the medical facility. Through which of the following agencies should the nurse instruct the client to file the complaint?

Office for civil rights (OCR) The OCR investigates complaints by clients and other involved individuals related to the HIPAA Privacy Rule. If the client wants to file a complaint to someone in the medical facility, the nurse should arrange for the client to talk to the facility's Privacy Officer.

A group of nurses on a clinical unit are planning to research the incidence of falls among clients following joint replacement surgery. Which of the following actions should the nurse is take to ensure the study complies with the HIPAA privacy rule?

Submit their proposal to the institutional review board for review and describe how they will de-identify client information Research using client records can be done if client information is de-identified. It is the responsibility of institutional review boards to determine if a study meets this criterion.

Which of the following methods of information exchange can occur without client authorization?

Walking rounds that involve two nurses discussing an assigned client at the client's bedside in a private room This practice is acceptable if the two nurses are both assigned to this client and no one else is in the room. It is within the client's rights to hear information about their own care and treatment.