Patient Confidentiality Healthcare Policy

Patient Confidentiality Healthcare Policy
Patient Confidentiality Healthcare Policy
1. Which of the following is LEAST likely to reduce central line–associated bloodstream
infections (CLABSI) in critically ill patients?
A. Use of full body drapes when inserting central venous catheters (CVCs)
B. Performing hand hygiene before placement or manipulation of CVCs
C. Limiting number of people in the room during placement of the CVC to only those needed for
placement and immediate patient care
D. Routinely culturing the tip of CVCs on removal
E. Avoidance of femoral vein CVCs if subclavian or internal jugular sites are available
2. Which of the following is MOST likely to reduce catheter-associated urinary tract infection
(CAUTI) in the intensive care unit (ICU)?
A. Routine use of urinary catheters for all postoperative patients
B. Intermediate catheterization for patients with bladder emptying dysfunction
C. Bladder irrigation with antimicrobial agents
D. Maintain collecting systems above the level of the bladder
E. Leave catheters unsecured to allow free movement of the collecting system
3. Under the Standards for Privacy of Individually Identifiable Health Information established
under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which of the
following is NOT a permitted disclosure of protected health information under “Public Interest
and Benefit Activities”?
A. Disclosure of the results of beta-HCG blood tests to the parents of a 15-year-old female
recently admitted to the ICU
B. Disclosure of an incident of abuse or neglect to government authorities
C. Disclosure of protected information to the medical examiner in the case of a death in the ICU
D. Disclosure of a diagnosis of measles to state authorities and the Centers for Disease Control
E. Disclosure of protected information to the United Network for Organ Sharing (UNOS)
4. Regarding infection control in the ICU, which of the following are standard precautions shown
to be most effective in decreasing the transmission of hospital-acquired infections?
A. Positive pressure ICU rooms for all patients on “respiratory precautions”
B. Limiting patient visitors to those patients on “contact precautions”
C. Use of an alcohol-based hand cleanser or washing with soap and water between patient
Patient Confidentiality Healthcare Policy
D. Requiring ICU staff to wear dedicated clothing only for use in the ICU, and banning white coats
as they are notorious fomites
E. Use of sterile gloves and gowns as personal protective equipment during all patient
5. The HIPAA Privacy Rule permits healthcare providers to disclose protected healthcare
information concerning a patient with major depression, who has capacity and requests that his
or her family not be contacted in which of the following situations?
A. When the family member is the healthcare proxy
B. When the healthcare provider perceives a serious patient safety concern
C. When the family member is the spouse or next of kin
D. When the healthcare provider does not agree with the patient’s healthcare decisions
E. When the healthcare provider believes that the patient’s medical decisions are being influenced
by their mental illness
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