A registered nurse in the United States receives a voicemail request from a patient's employer asking about the patient's diagnosis. The patient has not authorized disclosure to the employer. What is the nurse's best response?
Correct answer: C. Return the call without confirming patient information
- A. Leave the diagnosis in a return voicemail
- B. Confirm the patient's admission to the employer
- C. Return the call without confirming patient information
- D. Send the employer a copy of the discharge summary
Explanation
The nurse should return the call without confirming that the person is a patient or disclosing health information. HIPAA permits disclosure only with authorization or another applicable legal basis, and a voicemail should contain only limited 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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