The Health Insurance Portability and Accountability Act (HIPAA) ...

[rmenurse]

The Health Insurance Portability and Accountability Act (HIPAA) of 1996: (Select all that apply.)
 
  a. requires the user to have verification codes.
  b. ensures access to information without fear of audits.
  c. sets the standards on how information is maintained.
  d. sets the penalties for any breach in security of health data. e.
  has no legal authority relative to security issues.

Question 2

In reviewing a patient's written chart, the nurse notes the use of the terms bed sore, decubitus ulcer. And pressure ulcer.
 
  The nurse knows in order to reach maximum potential in computerized charting and data analysis that a standardized nursing terminology must be utilized. In an attempt to standardize nursing terminology: (Select all that apply.)
  a.
  The Nursing Minimum Data Set (NMDS) was the first attempt to do so
  b.
  The focus was to provide a shared understanding of patient problem labels.
  c.
  The NMDS data was completed and is the definitive source of patient labels.
  d.
  The ICNP was developed to provide a standard for international nurses.
  e.
  Standardized terminology can lead to better utilization of resources.

[momolu]

Answer to Question 1

ANS: A, C, D
Access to electronic records requires a user to have system access and verification codes as a measure of security and protection of the patient's privacy. The codes leave an electronic trail of authorized users that can be audited. HIPAA sets the standards on how security and confidentiality of health care information must be maintained. The act also sets the penalties for any breach in security of health care data.

Answer to Question 2

ANS: A, B, E
A standardized nursing terminology is a structured vocabulary that provides a common means of communication among nurses. A standardized language ensures that when a nurse talks about a specific patient problem, another nurse fully understands the problem. An example is the choice between pressure ulcer, decubitus ulcer, and bedsore. Do all nurses in all settings have a shared understanding of these labels for a patient problem? The Nursing Minimum Data Set (NMDS) represents the first attempt to standardize the collection of essential nursing data. These core data, used on a regular basis by most nurses in the delivery of care across settings, provide accurate descriptions of the nursing diagnoses, nursing care, outcomes of care, and nursing resources used. Collected on an ongoing basis, the NMDS enables nurses to compare data across populations, settings, geographic areas, and time. The International Classification for Nursing Practice (ICNP), developed under the auspices of the International Council of Nurses (ICN), provides a standard that facilitates the description and comparison of nursing practice locally, regionally, nationally, and internationally.

[rmenurse]

TYSM

[Liddy]

Excellent