ATI HIPPA – Flashcard
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1) 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?
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Answer: Office of Civil Rights (OCR) Rationale: The OCR has been given authority to investigate complaints by patients and other individuals related to the Privacy Rule.
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2) A nurse passing by a computer at the nurses station notes that patient information is currently being displayed. Which of the following actions should the nurse take?
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Answer: Locate the nurse responsible for the information and have that person log off Rationale: It is the responsibility of that nurse to log off so others can not access.
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3) 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 HIPAA guidelines were maintained?
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Answer: Document the patient's condition and that consent was obtained after the primary care provider discussed the proposed surgery with the husband, Rationale: Since the patient is unresponsive it is important to document that the spouse gave consent. Per HIPPA's guidelines the patient isn't able to give consent so a spouse, relative, or a close friend.
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4) Which of the following methods of information exchange is in compliance with HIPPA?
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Answer: Walking rounds that involve two nurses discussing an assigned patient at his bedside in a private room Rationale: This practice is acceptable because the nurses are both assigned to the patient and nobody else is in the room. A patient has a right to hear about his care.
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5) Which of the following actions is appropriate for a nurse who has witnessed a breach of patient's privacy in a primary care provider's office?
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Answer: complete a health information privacy complaint form and submit it to the appropriate agency. Rationale: It is the nurse's responsibility to submit a formal compliant if there has been a breach in the patient's privacy.
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6) 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?
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Answer: I can give information about a patient over the phone if the patient gives permission Rationale: Information over the phone can be given a long as the patient has granted permission to give out information to that person.
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7) 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 pediatricians office and request that?
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Answer: A form authorizing release of copies of the records be sent to her to sign and return. Rationale: A written authorization by the responsible party must be received.
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8) 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 with the HIPAA Privacy Rules?
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Answer: Submit their proposal to the institutional review board for review and describe how they will de-identify patient information. Rationale: Research can be done as long as patient confidentiality is maintained at all times.
