A competent adult patient in the United States asks the nurse to give the patient's spouse access to the electronic health portal. Which action is appropriate?
Correct answer: C. Follow the facility process to document authorization
- A. Give access without documenting the request
- B. Tell the spouse to use the nurse's login
- C. Follow the facility process to document authorization
- D. Refuse because spouses can never receive access
Explanation
The nurse should use the facility's approved process to document the patient's authorization and arrange access. Sharing personal credentials or granting informal access violates security and privacy requirements.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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50 free US Legal and Ethical Nursing Practice MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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