Which example demonstrates a breach of confidentiality and a ...

[littleanan]

Which example demonstrates a breach of confidentiality and a violation of the Health Insurance Portability and Accountability Act (HIPAA) of 1996?
 
  a. Giving a report to the oncoming nurse in a conference room
  b. Discussing a patient's diagnosis with the patient's health care provider
  c. Providing patient information to the nurs-ing assistant caring for the patient
  d. Sharing with other nurses in the cafeteria that a patient is HIV positive

Question 2

The nurse is interviewing a patient who claims to be in the middle of a crisis situation. The nurse should: (Select all that apply.)
 
  a. determine the patient's view of the situa-tion.
  b. be aware that denial is never a coping mechanism for people in crisis.
  c. point out that the patient is repeating in-formation and ask him to stop.
  d. assess for the potential for sui-cide/homicide.
  e. assess coping mechanisms and support systems.

[Ksanderson1296]

Answer to Question 1

D
Although HIPAA does not require such things as soundproof rooms in hospitals, it does mandate that nurses and health care providers avoid discussing patients in public hallways and provide reasonable levels of privacy in communicating with and about patients in any matter. Issues of disclosure, privacy, and confidentiality are important concerns when working with patients or peers infected with blood-borne illnesses such as human immunodeficiency virus (HIV) or ac-quired immunodeficiency virus (AIDS), hepatitis, and sexually transmitted illnesses. Providing continuity of care, giving reports, talking to the health care provider, and providing information to the nursing assistant do not violate HIPAA.

Answer to Question 2

A, D, E
Use the interview to determine a patient's view of the situation that provoked stress, assess safety issues, coping resources, any possible maladaptive coping, and adherence to prescribed medical recommendations, such as medication or diet. If your patient is experiencing a crisis, assess safety concerns such as potential for suicide or homicide and ability to care for one's own activities of daily living. Finally, assess alternatives, coping mechanisms, and support systems. If the patient uses denial as a coping mechanism, be alert to whether the person overlooks necessary information. Listen for any recurrent themes in the patient's conversation.

[littleanan]

TY

[Ksanderson1296]

You're welcome