- Which of these is accurate about the Health Insurance Portability and Accountability Act (HIPAA) Security Rule and the use of technology?
- Does not specify the use of particular technology (Correct)
- Refers to the Joint Commission standards for technology
- Specifies the utilization of HIPAA-approved technology
- Provides a monthly Web-based list of approved technology
Rationale: HIPAA does not specify the use of particular technologies. It does call for each organization to determine threats and take appropriate protective measures based on their specific needs.
- During the course of client care, the 21-year-old client tells the nurse that she had an abortion last year but that no one in her family knows. Which of these terms best describes the situation?
- Privacy
- Consent
- Security
- Confidentiality (Correct)
Rationale: Confidentiality is the term that best describes this situation. Confidentiality refers to a situation in which a relationship has been established and private information is shared. Confidentiality is essential for the accurate assessment, diagnosis, and treatment of health problems. Once a client discloses confidential information, control over its re-disclosure lies with the persons who access it. Most breaches of confidentiality occur as a result of carelessness and can be avoided by not discussing clients in public areas or with persons who do not have a need to know and through tight control of client records.
- Why do most breaches of confidentiality occur?
- Malicious behavior
- System hacking
- Carelessness (Correct)
- Intent
Rationale: Carelessness is the most common cause for breaches in confidentiality. Most healthcare providers do not intend to share client information or do so maliciously. Breaches can be avoided by not discussing clients in public areas or with persons who do not have a need to know and through tight control of client records. System hacking has not yet become as common as simple carelessness with data.
- Consumers have access to a wide range of resources that have the potential for informing their healthcare decisions, and thus promoting a greater responsibility for which of the following?
- Understanding how electronic health records work
- Developing a cryptic password
- Upgrading personal software
- Self-care (Correct)
Rationale: Consumers have access to a wide-range of resources that have the potential for informing their healthcare decisions and thus promoting a greater responsibility for self-care. Although there is agreement that the Internet is a boon for consumers because they have easier access to information, clinicians are also concerned that the poor quality of some information on the Web has the potential to undermine informed decision making.
- Which of the following statements is most accurate about social media and hospitals?
- Social media have relevance to healthcare. (Correct)
- Healthcare and social media are unrelated.
- Hospital marketing departments refuse to incorporate social media into their practice.
- Social media are not relevant to hospital marketing or nursing practice.
Rationale: Social media have become the norm in marketing services. Social media such as Facebook and Twitter are two examples of how organizations can key into technology to spread their message.
- Which of the following statements is the best response when a healthcare provider is asked by a patient to be his or her "friend" on Facebook?
- "Great idea. I would love to keep in touch with you."
- "I’m flattered that you want to be my friend, but it is not appropriate for me to ’friend’ you on Facebook." (Correct)
- "Absolutely, I 'friend' all of my former patients."
- "Why would you want to be my friend? Are you lonely?"
Rationale: It is inappropriate for former patients and their healthcare providers to be Facebook friends. This blurs the line of distinction between the professional caregiver and the client.