A registered nurse in the United States is caring for a patient who asks to see the health record. The patient has decision-making capacity and no restriction applies to access. What is the best response?
Correct answer: B. Follow the facility process for the patient's access request
- A. Tell the patient only the physician can release records
- B. Follow the facility process for the patient's access request
- C. Refuse because nursing notes are never available
- D. Provide another patient's record for comparison
Explanation
The HIPAA Privacy Rule generally gives patients a right to inspect and obtain copies of their protected health information. The nurse should follow the facility process rather than independently refusing or disclosing another patient's information.
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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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