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    PN Comprehensive Predictor 2023 Proctored Exam

    A nurse on a unit is assisting with the care of a group of clients. Which of the following observations by the nurse requires intervention?

    Explanation & Rationale

    A. A nursing colleague printing material that does not obtain identifiable information from a client's electronic medical record (EMR) for professional use: Using de-identified information for education or professional purposes aligns with privacy regulations. As long as no patient identifiers are included, this action maintains confidentiality and does not violate HIPAA. B. A nursing colleague discussing a client's treatment plan with another nurse on the unit as part of the end-of-shift handoff report: Handoff communication between nurses directly involved in patient care is essential for continuity and safety. Sharing relevant clinical information in this context is appropriate and expected nursing practice. C. A nursing colleague discussing a client's diagnosis with another staff member on the unit who is not involved in the client's care: Sharing protected health information with individuals not involved in the client’s care breaches confidentiality. This violates HIPAA principles and requires immediate intervention to protect the client’s privacy. D. A nursing colleague documenting vitals in the electronic medical record (EMR) of a client that the colleague is caring for: Accurate documentation in the EMR by the assigned nurse is a professional responsibility. This action supports safe, legal, and effective patient care.

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