Fornmorentestnbanks,nchecknmyntwitternaccount
n@nursetopianornIGn@returndemo100x
Chaptern15
Questionn1
Type:nMCSA
Anclientnwhonisnbeingntransferredntonanrehabilitationncenternasksnthennurse
nifnhencanntakenhisnchartnwithnhim,nasnitsnhisnrecord.nHownshouldnthennur
senrespondntonthisnclientsnrequest?
1.nYoullnhaventonasknyourndoctornfornpermissionntondonthat.
2.nActually,nthenoriginalnrecordnisnthenpropertynofnthenhospital,nbutnyounar
enwelcomentoncopiesnofnyournrecords.
3.nWellnmakensurenthatnallnofnyournrecordsnarensentnaheadntonthenrehabnh
ospital,nsonyoundontnreallynhaventonworrynaboutnthosendetails.
4.nTheresnannewnlawnthatnprotectsnyournrecords,nsonyourennotngoingntonbe
nablentonhavenaccessntonthem.
CorrectnAnswer:n2
, Fornmorentestnbanks,nchecknmyntwitternaccount
n@nursetopianornIGn@returndemo100x
Rationalen1:nThendoctorsnpermissionnisnnotnanrequirementnfornthenreleasen
ofnanclientsnmedicalnrecord.
Rationalen2:nAlthoughnthenclientsnrecordnisnprotectednlegallynasnprivate,nacc
essntonthenrecordnisnrestrictedntonhealthnprofessionalsninvolvedninnthenclien
tsncare.nTheninstitutionnornagencynisnthenrightfulnownernofnthenclientsnrecor
d,nbutnthenclientnhasnthenrightntonaccessnallninformationncontainednwithinnh
isnownnrecordnandntonhavenancopynofnthenoriginalnrecord.nThenhospitalnhas
nthenrightntonchargenanfeenfornthencopyingncosts.nThenHealthnInsurancenPo
rtabilitynandnAccountabilitynActn(HIPAA)nisnanlawnenactedntonprotectnhealth
ninformationnandnmaintainnconfidentialitynofnclientnrecords.
Rationalen3:nThenclientndoesnhavenanlegalnrightnconcerningnhisnmedicalnrec
ord,nsonthisnoptionndoesntnadequatelynaddressnthenquestion.
Rationalen4:nThisnoptionnisnnotncorrect;nthenclientndoesnhavenanlegalnrightn
tonaccessnhisnmedicalnrecords.
GlobalnRationale:
CognitivenLevel:nApplying
ClientnNeed:nSafenandnEffectivenCarenEnvironment
ClientnNeednSub:nManagementnofnCare
, Fornmorentestnbanks,nchecknmyntwitternaccount
n@nursetopianornIGn@returndemo100x
QSENnCompetencies:nIV.nC.n3.nProtectnconfidentialitynofnprotectednhealthnin
formationninnelectronicnhealthnrecords
AACNnEssentialsnCompetencies:nIV.n8.nUpholdnethicalnstandardsnrelatednton
datansecurity,nregulatorynrequirements,nconfidentialitynandnclientsnrightntonp
rivacy
NLNnCompetencies:nContextnandnEnvironment;nEthicalnComportment;nActnin
naccordancenwithnlegalnandnregulatorynrequirements,nincludingnHIPAA,nfornf
aculty,nstudents,npatients,nandnfamilies
Nursing/IntegratednConcepts:nNursingnProcess:nImplementation
LearningnOutcome:n1.nListnthenmeasuresnusedntonmaintainnconfidentialityna
ndnsecuritynofncomputerizednclientnrecords.
MNLnLearningnOutcome:n1.1.2.nExaminenthenimpactnthenlegalnaspectsnofnn
ursingnhavenonnpractice.
PagenNumber:n221
Questionn2
Type:nMCSA
, Fornmorentestnbanks,nchecknmyntwitternaccount
n@nursetopianornIGn@returndemo100x
Afternclassroomndiscussionnregardingnconfidentialitynpoliciesnandnlawsnprotec
tingnclientnrecords,nanstudentnasksnwhynitsnpermissiblenfornthemntonreview
nandnhavenaccessntonclientnrecordsninnthenclinicalnarea.nHownshouldnthennu
rsingninstructornrespond?
1.nConfidentialitynandnprivacynlawsndontnapplyntonstudents.
2.nMostnstudentsnreviewnsonmanynrecordsnandnchartsnthatntheyncouldnnotn
possiblynrememberndetailsnfromnanynonenofnthem.
3.nRecordsnarenusedninneducationalnsettingsnandnfornlearningnpurposes,nbut
nthenstudentnisnboundntonholdnallninformationninnstrictnconfidence.
4.nAsnlongnasnthenclinicalninstructornisninnthenarea,naccessingnclientnrecords
nisnpartnofntheneducationnprocess.
CorrectnAnswer:n3
Rationalen1:nThisnoptionnisnnotncorrect;nthenlawsndonapplyntonstudents.
Rationalen2:nAlthoughnthisnmaynornmaynnotnbenantruenstatement,nitnisnnot
nannappropriatenresponsentonthenstudentsnquestion.
Rationalen3:nFornpurposesnofneducationnandnresearch,nmostnagenciesnallow
nstudentsnandngraduatenhealthnprofessionalsnaccessntonclientnrecords.nThen
n@nursetopianornIGn@returndemo100x
Chaptern15
Questionn1
Type:nMCSA
Anclientnwhonisnbeingntransferredntonanrehabilitationncenternasksnthennurse
nifnhencanntakenhisnchartnwithnhim,nasnitsnhisnrecord.nHownshouldnthennur
senrespondntonthisnclientsnrequest?
1.nYoullnhaventonasknyourndoctornfornpermissionntondonthat.
2.nActually,nthenoriginalnrecordnisnthenpropertynofnthenhospital,nbutnyounar
enwelcomentoncopiesnofnyournrecords.
3.nWellnmakensurenthatnallnofnyournrecordsnarensentnaheadntonthenrehabnh
ospital,nsonyoundontnreallynhaventonworrynaboutnthosendetails.
4.nTheresnannewnlawnthatnprotectsnyournrecords,nsonyourennotngoingntonbe
nablentonhavenaccessntonthem.
CorrectnAnswer:n2
, Fornmorentestnbanks,nchecknmyntwitternaccount
n@nursetopianornIGn@returndemo100x
Rationalen1:nThendoctorsnpermissionnisnnotnanrequirementnfornthenreleasen
ofnanclientsnmedicalnrecord.
Rationalen2:nAlthoughnthenclientsnrecordnisnprotectednlegallynasnprivate,nacc
essntonthenrecordnisnrestrictedntonhealthnprofessionalsninvolvedninnthenclien
tsncare.nTheninstitutionnornagencynisnthenrightfulnownernofnthenclientsnrecor
d,nbutnthenclientnhasnthenrightntonaccessnallninformationncontainednwithinnh
isnownnrecordnandntonhavenancopynofnthenoriginalnrecord.nThenhospitalnhas
nthenrightntonchargenanfeenfornthencopyingncosts.nThenHealthnInsurancenPo
rtabilitynandnAccountabilitynActn(HIPAA)nisnanlawnenactedntonprotectnhealth
ninformationnandnmaintainnconfidentialitynofnclientnrecords.
Rationalen3:nThenclientndoesnhavenanlegalnrightnconcerningnhisnmedicalnrec
ord,nsonthisnoptionndoesntnadequatelynaddressnthenquestion.
Rationalen4:nThisnoptionnisnnotncorrect;nthenclientndoesnhavenanlegalnrightn
tonaccessnhisnmedicalnrecords.
GlobalnRationale:
CognitivenLevel:nApplying
ClientnNeed:nSafenandnEffectivenCarenEnvironment
ClientnNeednSub:nManagementnofnCare
, Fornmorentestnbanks,nchecknmyntwitternaccount
n@nursetopianornIGn@returndemo100x
QSENnCompetencies:nIV.nC.n3.nProtectnconfidentialitynofnprotectednhealthnin
formationninnelectronicnhealthnrecords
AACNnEssentialsnCompetencies:nIV.n8.nUpholdnethicalnstandardsnrelatednton
datansecurity,nregulatorynrequirements,nconfidentialitynandnclientsnrightntonp
rivacy
NLNnCompetencies:nContextnandnEnvironment;nEthicalnComportment;nActnin
naccordancenwithnlegalnandnregulatorynrequirements,nincludingnHIPAA,nfornf
aculty,nstudents,npatients,nandnfamilies
Nursing/IntegratednConcepts:nNursingnProcess:nImplementation
LearningnOutcome:n1.nListnthenmeasuresnusedntonmaintainnconfidentialityna
ndnsecuritynofncomputerizednclientnrecords.
MNLnLearningnOutcome:n1.1.2.nExaminenthenimpactnthenlegalnaspectsnofnn
ursingnhavenonnpractice.
PagenNumber:n221
Questionn2
Type:nMCSA
, Fornmorentestnbanks,nchecknmyntwitternaccount
n@nursetopianornIGn@returndemo100x
Afternclassroomndiscussionnregardingnconfidentialitynpoliciesnandnlawsnprotec
tingnclientnrecords,nanstudentnasksnwhynitsnpermissiblenfornthemntonreview
nandnhavenaccessntonclientnrecordsninnthenclinicalnarea.nHownshouldnthennu
rsingninstructornrespond?
1.nConfidentialitynandnprivacynlawsndontnapplyntonstudents.
2.nMostnstudentsnreviewnsonmanynrecordsnandnchartsnthatntheyncouldnnotn
possiblynrememberndetailsnfromnanynonenofnthem.
3.nRecordsnarenusedninneducationalnsettingsnandnfornlearningnpurposes,nbut
nthenstudentnisnboundntonholdnallninformationninnstrictnconfidence.
4.nAsnlongnasnthenclinicalninstructornisninnthenarea,naccessingnclientnrecords
nisnpartnofntheneducationnprocess.
CorrectnAnswer:n3
Rationalen1:nThisnoptionnisnnotncorrect;nthenlawsndonapplyntonstudents.
Rationalen2:nAlthoughnthisnmaynornmaynnotnbenantruenstatement,nitnisnnot
nannappropriatenresponsentonthenstudentsnquestion.
Rationalen3:nFornpurposesnofneducationnandnresearch,nmostnagenciesnallow
nstudentsnandngraduatenhealthnprofessionalsnaccessntonclientnrecords.nThen
