Question

Part I (worth 1 point each)

Number your paper from 1-7 and list the correct letter choice/term for each statement.

A. Harm principle

B. Health Insurance Portability and Accountability Act (HIPAA)

C. Institutional review board

D. Legitimate interest

E. Privacy Rule

F. Right to privacy

G. Utilization review

1. A research committee set up to examine the protocol design for research to ensure that the research conforms to appropriate standards for humans.

2. Used in cases where patient confidentiality places a vulnerable population or individual at risk; it limits the practitioner's obligation to maintain confidentiality

3. The right to be left alone.

4. A national standard to protect individuals' medical records and other personal health information.

5. A review of the appropriateness of care and the various types of patient care provided within an institution.

6. Federal legislation designed to encourage the use of electronic transmission of health information and provide new safeguards to protect the security and confidentiality of the information.

7. Access to the patient record is limited to those whose functions require the access.

Part II (worth 10 points--1 point each)

8. Unauthorized versus authorized disclosure: state whether you think the disclosure of information in each of the following scenarios was appropriate or inappropriate.

a. A young woman who states she has just been raped comes into the emergency room requesting a pelvic examination and a morning-after pill but insists that the staff not call

the police. The staff reports the incident.

b. A young father brings his child into the emergency room for treatment of an arm injury. The family has brought the child in several times for similar injuries with the excuse

that she is somewhat clumsy and is having difficulty learning to ride her bike. The child shows no fear of the parent and, upon questioning, confirms the parent’s version of the

events. The staff reports the injury as a possible child abuse case.

c. You are a physical therapy student on a pediatrics rotation within the hospital, and you notice that the neighbor of your parents has been admitted to the surgery unit. During

your lunch break, you review her record before you drop in to see her.

d. You are a technical nurse just completing post-op care of a young woman who is a fellow church member and who has just had an abortion. You are very concerned for the

young woman and decide to confide this information to your minister.

e. A young man who lives in the same housing complex that you do comes into the hospital’s clinical laboratory for tests and is confirmed as being HIV positive. As the manager

of that laboratory, you feel it a duty to tell the manager of the housing complex that the person in Unit Five has an infectious disease.

f. You are a respiratory therapist, and your patient states that she would like to tell you something but only if you would hold it in strictest confidence. She then relates to you that

she is very depressed and is thinking about taking her own life once she is discharged from the hospital. You relate this information to the attending physician.

g. You are a medical records technician and are in the department when two men come in and flash badges indicating that they are from the FBI and need to see the Hiram

Jones record as a matter of national security. You cooperate and allow them access to the files.

h. In the course of caring for a patient, a school bus driver, the physician notes that she is at risk for having a heart attack and recommends that she cease driving, since she

may be placing the children at risk. The driver asks that the physician not notify the school district because it would put her at risk of losing her job. The physician notifies the

district.

i. During the course of a patient evaluation, you find that the family has incest problems. You recommend the notification of the police.

j. You have been invited to present at the monthly meeting of your health specialty’s local chapter. One of your patients is a very interesting case, which you use as a case

study for your presentation.

Answer 1

1. A research committee set up to examine the protocol design for research to ensure that the research conforms to appropriate standards for humans.

- Institutional Review Board

2. Used in cases where patient confidentiality places a vulnerable population or individual at risk; it limits the practitioner's obligation to maintain confidentiality

- Harm principle

3. The right to be left alone.

- Right to privacy

4. A national standard to protect individuals' medical records and other personal health information.

- HIPAA