Author Question: A client with a sexually transmitted illness (STI) asks the nurse to not tell anyone about the ... (Read 64 times)

Coya19@aol.com · **on:** Jul 23, 2018

A client with a sexually transmitted illness (STI) asks the nurse to not tell anyone about the diagnosis. According to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, what must the nurse do?

1. Honor the client's wishes.
2. Not disclose any information to anyone.
3. Respect the client's privacy and confidentiality.
4. Communicate only necessary information.

Question 2

The nurse learns that a home care client is diluting prescribed nutritional supplements because of the cost. What should the nurse do to advocate for this client?

1. Help the client look for available community resources that may be of assistance.
2. Tell the client that she needs to take the prescribed amount.
3. Report the situation to the physician.
4. Weigh the client on a weekly basis to monitor weight gain or loss.

Leostella20 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Nurses should not make promises to keep necessary information private.
Rationale 2: Nurses are entrusted with sensitive information that, at times, must be revealed to other health care personnel in order to provide appropriate health care.
Rationale 3: Nurses are entrusted with sensitive information that, at times, must be revealed to other health care personnel in order to provide appropriate health care. Clients must be able to trust that their information is secure and will only be shared with appropriate entities.
Rationale 4: 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 patient rights protection. Nurses are entrusted with sensitive information that, at times, must be revealed to other health care personnel in order to provide appropriate health care. In this case, the nurse may be required to report information to the state health department.

Answer to Question 2

Correct Answer: 1
Rationale 1: Resource allocation and financial considerations are major issues in home health care. When clients are in their own home, they operate from their own values and client autonomy must be respected. Community resources may be of benefit for this client to be able to afford the proper supplement at the correct dose or to provide assistance in other financial areas so the client has the treatment needs met.
Rationale 2: The client already knows she should take the prescribed amount.
Rationale 3: Telling the physician will not help to solve the situation.
Rationale 4: Weighing the client merely assesses the need, which has already been established.