A registered nurse in the United States receives a telephone call from a patient's adult child asking for an update. The child is not listed in the patient's permission for disclosure. What is the nurse's best response?
Correct answer: D. Explain that information cannot be shared without authorization
- A. Provide only the patient's current temperature
- B. Confirm that the patient is receiving hospital care
- C. Ask the child to obtain information from another relative
- D. Explain that information cannot be shared without authorization
Explanation
HIPAA generally requires the nurse to protect individually identifiable health information and disclose it only when permitted. The nurse should not confirm details about the patient's care without authorization or another valid legal basis. The patient's permission and facility policy guide permitted disclosures.
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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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