— 照護管理 · HARD · SATA —
下列哪些護理行為符合 HIPAA 隱私規範？（選所有適合的）
Which actions by a nurse reflect compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)
- ADiscussing a client's diagnosis in the hospital elevator在醫院電梯中討論病人的診斷
- BLogging off the computer terminal after entering data✓ 正解輸入資料後登出電腦終端機
- CSharing client lab results with a family member who has no proxy authorization將病人實驗室結果分享給沒有代理授權的家屬成員
- DPlacing the client's medical chart in a secure, designated area✓ 正解將病人的病歷放置在安全且指定的區域
- EEnsuring discussions regarding care occur in private spaces✓ 正解確保在私密空間進行照護相關的討論
— Explanation · 中文詳解 —
HIPAA 要求嚴格保護病人隱私。正確行為包括：離開電腦前登出、確保病歷放置於安全區域、僅在隱私空間討論病情。A 選項在電梯談論病情嚴重違反隱私；C 選項未經授權將結果洩漏給家屬，違反病人資訊保護原則。
The implementation phase involves executing the care plan through direct interventions such as wound care, medication administration, and thorough documentation of actions taken. Prioritizing diagnoses belongs to the planning phase, while evaluating the effectiveness of interventions occurs during the evaluation phase, not implementation.
✦ 台美臨床差異
美國 HIPAA 法規極為嚴格且有重罰；台灣遵循個資法與醫事法規定，但罰則與執行強度略有不同。