Answer to Question 1
Correct Answer: 2
Rationale 1: Signing a consent form for information to be released is necessary to share information, but this would not ensure the privacy aspect of HIPAAonly the disclosure aspect.
Rationale 2: Case manager nurses need to maintain vigilance to protect the privacy of client health care information when sending and receiving messages. In this case, having the sending agency call prior to faxing information would alert the nurse to collect the information from the fax machine at the time it is received, securing that information so others do not have access to it.
Rationale 3: Sending information through the mail takes time and does not ensure the privacy of the information.
Rationale 4: Phone conversations and information taken during the conversation must be protected and taken in a secured way to ensure HIPAA privacy aspects have not been breached.
Answer to Question 2
Correct Answer: 1
Rationale: Effective discharge planning necessitates health team conferences and family conferences and gives the client, family, and health care professionals the opportunity to plan care and set goals. Involving the client's spouse would be important in this situation because of the complexity of the client's situation.