Confidentiality and Data Protection

Total points3/15

 
Information can be disclosed in all cases except:
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When effectively anonymised
 
When the information is required by law or under a court order
In identifiable form, when it is required for a specific purpose, with the individual's
written consent or with support under the Health Service (Control of Patient
Information) Regulations 2002, obtained via application to the Confidentiality
Advisory Group (CAG) within the Health Research Authority
In Child Protection proceedings if it is considered that the information required is in
the public or child's interest
 
What is Disclosure according to NHS?
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It is asking action to help people say what they want, secure their rights, represent
their interests and obtain the services they need.
 
This is the divulging or provision of access to data.
It is the response to the suffering of others that motivates a desire to help.
It is a set of rules or a promise that limits access or places restrictions on certain types
of information.
Correct answer
This is the divulging or provision of access to data.
 
When will you disclose the identity of a patient under your care?
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You can disclose it anytime you want
When a patient relatives wishes to
When media demands for it
 
Justified by public interest law and order
Correct answer
Justified by public interest law and order
 
A young woman has suffered fractured pelvis in an accident, she has been
hospitalised for three days, when she tells her primary nurse that she has
something to tell her but she doesn't want the nurse to tell anyone. She says
that she had tried to donate blood and tested positive for HIV. What is the
best action of the nurse to take?
0/1
Document this informatio on the patient's chart.
Tell the patient's physician.
 
Inform the healthcare team who will come in contact with the patient.
Encourage the patient to disclose this information to her physician.
Correct answer
Encourage the patient to disclose this information to her physician.
 
When will you consider giving out information of the patient to a police
officer?
0/1
If he has a rank of an inspector
 
If safety of the public is at risk
Correct answer
If safety of the public is at risk
 
A police officer approached the nurses' station asking for information on a
specific client. The nurse knows that she can give the necessary information
if:
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The police shows his identification
The police officer has the right to such information
 
There is a clear risk of safety and potential harm to the public
The hospital manager authorized to give the information
Correct answer
There is a clear risk of safety and potential harm to the public
 
The nurse can divulge patient's information, only when:
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It can pose as a threat to the public and when it is ordered by the court
Requested by family members
Asked by media personnel for broadcast and publication
 
Required by employer
Correct answer
It can pose as a threat to the public and when it is ordered by the court
 
A famous actress has had plastic surgery. The media contacts the nurse on the
unit and asks for information about the surgery. The nurse knows:
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Any information released will bring publicity to the hospital
Nurse are obligated to respect client’s privacy and confidentiality
It does not matter what is disclosed, the media will find out any way
According to beneficence, the nurse has an obligation to implement actions that will
benefit clients.
 
Correct answer
Nurse are obligated to respect client’s privacy and confidentiality
 
Wendy, 18 years old, was admitted on Medical Ward because of recurrent
urinary tract infection (UTI). She disclosed to you that she had unprotected
sex with her boyfriend on some occasions. You are worried this may be a
possible cause of the infection. How will best handle the situation?
0/1
Tell her that any information related to her well being will need to be share to the
health care team
Inform her parents about this so she can be advised appropriately
Keep the information a secret in view of confidentiality
Report her boyfriend to social services
 
Correct answer
Tell her that any information related to her well being will need to be share to the
health care team
 
A client express concern regarding the confidentiality of her medical
information. The nurse assures the client that the nurse maintains client
confidentiality by:
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Explaining the exact limits of confidentiality in the exchanges between the client and
the nurse.
Limiting discussion about clients to the group room and hallways.
Summarizing the information the client provides during assessments and documenting
this summary in the chart.
 
Sharing the information with all members of the healthcare team
Correct answer
Explaining the exact limits of confidentiality in the exchanges between the client and
the nurse.
 
A client on your medical surgical unit has a cousin who is physician and
wants to see the chart. Which of the following is the best response for the
nurse to take?
0/1
Ask the client to sign an authorization and have someone review the chart with cousin
Hand the cousin the client chart to review
Call the attending physician and have the doctor speak with the cousin
 
Tell the cousin that the request cannot be granted
Correct answer
Ask the client to sign an authorization and have someone review the chart with cousin
 
You have answered a phone call after receiving handover. The person you
were talking to has explained that he needs to find out about his sister’s
condition. What should you initially do?
1/1
Discuss about his sister’s condition and provide treatment options such as access to
other resources in the community.
Check the patient’s record and verify the caller’s identity.
 
Refuse to divulge any information to the caller.
Discuss about his sister’s condition and book an appointment for him to attend care
plan reviews.
 
The nurse is in the hospitals public cafeteria and hears two nursing assistants
talking about the patient in 406. They are using her name and discussing
intimate details about her illness which of the following actions are best for
the nurse to take?
0/1
Go over and tell the nursing assistants that their actions are inappropriate especially in
a public place
Wait and tell the assistants later that they were overheard discussing the patient
otherwise they might be embarrassed
 
Tell the nursing assistant’s supervisor about the incident. It is the supervisor’s
responsibility to address the issue
Say nothing. it is not the nurses job, he or she is not responsible for the assistant’s
action

Correct answer
Go over and tell the nursing assistants that their actions are inappropriate especially in
a public place
 
A patient under you developed shortness of breath while climbing stairs. You
informed this to the doctor. This response is interpreted as:
1/1
Breaching of patients confidentiality
Essential, as it is the matter of patient’s health
 
 
An enquiry was launched involving death of one of your patients. The police
visited your unit to investigate. When interviewed, which of the following
framework will best help assist the investigation?
0/1
Data Protection Act 2005
Storage of Records Policy
Consent policy
 
Confidentiality guidelines
Correct answer
Confidentiality guidelines