護理師照顧 HIV 病人，哪些行動能確保隱私安全？（選所有適合的）
A nurse is managing a client with HIV. Which actions are appropriate to ensure confidentiality and safety? (Select all that apply.)
- ADiscussing the diagnosis with the client's curious neighbor與好奇的鄰居討論診斷結果
- BAccessing the chart only for professional care purposes✓ 正解僅為專業照護目的查閱病歷
- CEnsuring the medical record is not visible to unauthorized persons✓ 正解確保醫療記錄不被未經授權之人看見
- DInforming the client's employer of the diagnosis告知病人雇主其診斷結果
- EFollowing standard precautions for all client contact✓ 正解對所有病人接觸遵循標準防護措施
HIV 病人的護理除了一般的臨床照護，隱私權（Confidentiality）與安全性（Safety）是核心重點。依據 HIPAA 規範，護理師應嚴格限制病歷查閱僅限於醫療需求，並保護醫學記錄不被他人窺視。同時，標準防護措施（Standard Precautions）適用於所有病人，旨在預防血液及體液傳播疾病，不應對 HIV 病人產生歧視或過度隔離。
In nursing care of clients with HIV, beyond routine clinical care, confidentiality and safety are core priorities. Under HIPAA, the nurse must strictly limit chart access to medical necessity and protect medical records from being seen by others. At the same time, standard precautions apply to all clients to prevent transmission of bloodborne and body-fluid diseases, and should not result in discrimination or excessive isolation of clients with HIV.