— 照護管理 · MEDIUM · MCQ —
護理長正在評估新進人員的表現，哪項行為顯示該護理師需要加強病人隱私保護訓練？
A nurse manager is evaluating a newly hired nurse's performance. Which action by the nurse indicates a need for further training on patient confidentiality?
- AWriting a client's name and diagnosis on a whiteboard in the common breakroom✓ 正解在白板上寫下公共休息室內病人的姓名和診斷
- BLogging off the computer before walking away from the charting station離開紀錄站前登出電腦
- CDiscussing a client's lab results with the attending physician in a private office在私人辦公室與主治醫師討論病人的檢驗結果
- DAsking a client's family member to step out during a confidential physical exam在進行隱私身體檢查時請病人家屬暫時離開
— Explanation · 中文詳解 —
病人隱私保護（如 HIPAA 規範）規定醫療資訊僅能在照護環境下與授權人員討論。將病人的姓名與診斷寫在公共休息室的白板上，會導致未經授權的人員看到機密資訊，這是嚴重的隱私違規行為。其他選項均符合標準護理隱私維護流程。
Writing a client's name and diagnosis on a whiteboard in a common breakroom violates patient confidentiality and privacy regulations such as HIPAA, as it exposes protected health information to unauthorized individuals. The other actions described, such as logging off computers, discussing results in private offices, and managing family presence during exams, are appropriate measures to maintain client privacy.
✦ 台美臨床差異
美國 HIPAA 法規極嚴，違規罰則重；台灣個資法與醫學倫理規範亦同，但在教學醫院常見病房公告板使用上的風險控管需更謹慎。