Author Question: A nurse has just been hired as a medical information system (MIS) trainer at a hospital where an ... (Read 74 times)

kamilo84 · **on:** Jun 25, 2018

A nurse has just been hired as a medical information system (MIS) trainer at a hospital where an electronic medical record is being installed. The nurse has been asked to assess the security of the client's medical records.

According to the Security Rule of HIPAA, which recommendations by the nurse will enhance security? Select all that apply.
A) Assign each staff member a unique username and password.
B) Install a firewall.
C) Store computer-generated materials in a locked vault.
D) Turn monitors away from view when unattended.
E) Assign each unit unique passwords.

Question 2

The nurse is providing care to a client who is newly diagnosed with human immunodeficiency virus (HIV). Which statements by the nurse could inhibit the development of a therapeutic communication with this client?

Select all that apply.
A) I am so happy today I found out that I got accepted into nurse practitioner school, isn't that great?
B) Well, I guess your homosexual lifestyle finally caught up to you, huh?
C) One of my cousins has AIDS. It is hard to watch him die.
D) Tell me your feelings about the diagnosis.
E) Perhaps you would like to talk about the new medications that you have been prescribed?

Jbrasil · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A, B

The Security Rule of HIPAA includes the assignment of individual passwords to each staff member for logging on and off computer files. Firewall installations will also enhance the security of client records. Client information should not be displayed if the terminal is unattended, regardless of which direction the monitor faces; never leave a monitor unattended after logging on. Computer-generated materials should be shredded when no longer needed.

Answer to Question 2

Answer: A, B, C

Blocks of attentive listening can inhibit the development of therapeutic communication. Being concerned with oneself, assuming, and identifying are all blocks to attentive listening. The use of open-ended questions and providing general leads in are actions that enhance therapeutic communication.