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A nurse notices that a client's health information is visible on an unattended computer screen at the nurses' station. Which of the following actions should the nurse take first?

A.

Log the previous user out of the system.

B.

Offer to conduct a unit in-service on client confidentiality.

C.

Report the incident to the charge nurse.

D.

Complete an incident report.

Answer and Explanation

The Correct Answer is A

A. Logging the previous user out of the system immediately ensures the client's health information is no longer visible, protecting the client's privacy according to HIPAA guidelines.  

 

B. Offering to conduct an in-service on client confidentiality is a proactive measure but does not address the immediate privacy issue.  

 

C. Reporting the incident to the charge nurse is appropriate but does not prevent unauthorized viewing of the client's information immediately.  

 

D. Completing an incident report is necessary to document the breach, but it should occur after protecting the client’s privacy by logging out.


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View Related questions

Correct Answer is D

Explanation

A. Consulting the ethics committee is unnecessary at this stage, as there is no ethical dilemma in arranging social support services.

B. Suggesting a discharge delay is premature and may not be feasible; alternative support should be considered first.

C. Long-term care facility placement is a more permanent solution and may not align with the client’s needs or preferences.

D. Recommending a referral to social services is appropriate as social services can help arrange post-discharge support, including home health services or community resources, ensuring a safe transition home.

Correct Answer is D

Explanation

A. Identifying clients by room number instead of name does not adequately protect client confidentiality, as room numbers can still be linked to specific patients.

B. Logging assistive personnel into unit computers for documentation undermines security measures, as each user should have their unique login credentials.

C. Placing the client's name on the cover sheet when faxing protected health information violates confidentiality and can lead to unauthorized access to sensitive data.

D. Conducting change-of-shift reports in a designated staff-only area ensures that client information is not overheard by unauthorized individuals, maintaining confidentiality.

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