A client comes to the clinic and is found to have a sexually ...

[jparksx]

A client comes to the clinic and is found to have a sexually transmitted infection (STI). The client states to the nurse, Promise you won't tell anyone about my condition.
 
  According to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, which action must the nurse take?
  A) Honor the client's wishes.
  B) Respect the client's privacy and confidentiality.
  C) Communicate only necessary information.
  D) Not disclose any information to anyone.

Question 2

The nurse in an urgent care center is assessing an adult client who is diagnosed with the flu. The nurse discusses the need for flu shots with the client, who states, I cannot afford the shots. I do not have health insurance.
 
  Which suggestion by the nurse is most appropriate?
  A) Seek preventive care at the local health department.
  B) Find a primary care physician who will give free care.
  C) Obtain the flu shot at a local pharmacy.
  D) Get the shot every year in the emergency department.

[mmpiza]

Answer to Question 1

Answer: C

HIPAA includes standards that protect the confidentiality, integrity, and availability of data as well as standards that define appropriate disclosures of identifiable health information and client rights protection. Nurses are entrusted with sensitive information, which at times must be revealed to other healthcare personnel in order to provide appropriate health care. In this case, the nurse may be required to report information to the state health department. Clients must be able to trust that their information is secure and will only be shared with appropriate entities. Nurses should not make promises to keep necessary information private.

Answer to Question 2

Answer: A

Public health organizations, such as local health departments, are available for those who are uninsured or underinsured. This provides the client with health promotion and preventive measures as well as treatment when the client is ill. Using the emergency department for preventive care is part of the increased cost of health care. The nurse should not give the client a vague message he or she needs need to find a care provider who gives free care. Rather, the nurse would refer the client to a specific place that can meet the client's needs. Flu shots at pharmacies require payment by the client and are not the solution for those with low income and no insurance.

[jparksx]

Gracias!

[epscape]

TYSM