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照護管理 · HARD · MCQ

下列哪種情況構成對 HIPAA(健康保險可攜性與責任法案)的潛在違規?

Which situation constitutes a potential violation of the Health Insurance Portability and Accountability Act (HIPAA)?

  • AA nurse shares information with another department involved in the client's care
    護理師與參與病人照護的其他部門分享資訊
  • BA nurse verifies the client's identity before providing test results to a family member who has the client's permission
    護理師在提供檢查結果給已取得病人許可的家屬前,先驗證病人身份
  • CA nurse leaves a computer terminal logged on while answering a call light✓ 正解
    護理師在回應呼叫鈴時,讓電腦終端機保持登入狀態
  • DA nurse discusses a client's lab results with the attending physician in a semi-private room
    護理師在半私人病房內與主治醫師討論病人的檢驗結果
Explanation · 中文詳解

HIPAA(健康保險可攜性與責任法案)的核心在於保護病人的健康資訊隱私(PHII)。在公共區域(如半私人病房)討論病人隱私、未登出電腦終端機導致未授權者可存取資訊,皆為常見違規。護理師應養成習慣,離開電腦前必須登出或鎖定螢幕。在處理醫療資訊時,必須確保是在隱私空間內,並嚴格遵守「最小必要原則(Minimum Necessary Rule)」。

The core of HIPAA (the Health Insurance Portability and Accountability Act) is the protection of patients' protected health information (PHI). Discussing patient information in public areas (such as semi-private rooms) or leaving a computer terminal logged in so that unauthorized personnel can access information are common violations. Nurses should make it a habit to log off or lock the screen before leaving the computer. When handling medical information, it must be done in a private space, and the "minimum necessary rule" must be strictly observed.

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