The nurse observes the unit clerk providing the hospital chaplain ...

[dalyningkenk]

The nurse observes the unit clerk providing the hospital chaplain with clients' religious affiliations. The nurse's priority action is to:
 
  1. Do nothing.
  2. Stop the unit clerk and reprimand her privately for sharing privileged information.
  3. Inform the chaplain that signed permission will be required to provide that information.
  4. Do nothing, but speak to the unit clerk later about HIPAA privacy laws.

Question 2

The nurse recognizes that which of the following is accurate regarding the client's medical record? Select all that apply. Standard Text: Select all that apply.
 
  1. The insurance agencies have a legal right to review the client's chart.
  2. A client involved in a lawsuit may request that the chart be released to use as evidence.
  3. Students may not use the charts for research or educational purposes.
  4. The client must sign an authorization before the chart can be released to another professional.
  5. Written report sheets between shifts are not considered confidential.

[pallen55]

Answer to Question 1

1
Rationale: According to the HIPAA laws, it is acceptable to give clergy a list of client's names and their location if they are affiliated with the clergyman's religion. The client does not need to be notified in this case, and signed consent is not required.

Answer to Question 2

2,4
Rationale: The client may request that the chart be used as evidence during a lawsuit, and must sign authorization for any information that is released from the chart. Insurance companies do not have a right to review charts unless the client provides authorization for them to see the information contained within it. Of course, failure to provide authorization releases the insurance company from obligation to reimburse for the client's medical treatment. Students may use client charts for research and educational purposes. Any forms that contain the client's name and information are considered confidential material.

[dalyningkenk]

Thank you!

[pallen55]

Always glad to help...