Essentials of Database Management 1st Edition Hoffer Test Bank.pdf

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

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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

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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

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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