— 照護管理 · HARD · SATA —
下列哪些行為被視為侵犯病人的隱私保密原則？（選所有適合的）
Which of the following activities are considered a breach of client confidentiality? (Select all that apply.)
- ADiscussing a client's diagnosis with their spouse in the hallway✓ 正解在走廊與個案的配偶討論其診斷結果
- BPosting a picture of a patient's wound on a personal social media account✓ 正解在個人社交媒體帳號上發布病人傷口照片
- CAccessing the medical record of a neighbor who is not assigned to you✓ 正解查閱非指派給你的鄰居的病歷
- DSharing the client's information with the interdisciplinary healthcare team與跨專業醫療團隊分享個案資訊
- ELeaving the computer screen unlocked with health information visible✓ 正解將電腦螢幕保持解鎖狀態且健康資訊可見
— Explanation · 中文詳解 —
隱私保密（HIPAA 規範）要求護理師保護所有病人的醫療紀錄。在公共區域談論、未經許可在社群媒體公開、未經授權查閱鄰居病歷、離開電腦螢幕未鎖定，均屬違規。與照護團隊成員討論病況是為了提供醫療服務，屬於合規的操作。
Client confidentiality must be maintained by protecting medical records and private information from unauthorized access or disclosure. Discussing diagnoses in public areas, posting patient images on social media, accessing records of unassigned individuals, and leaving computer screens unlocked are all breaches of HIPAA regulations. Sharing information with the interdisciplinary care team is permitted as it is necessary for providing coordinated patient care.
✦ 台美臨床差異
美國有嚴格的 HIPAA 法規；台灣則遵循個人資料保護法與醫療法中的保密義務，違規後果皆極為嚴重。