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Practice Question

Which of the following is the most effective practice for protecting client health information in electronic health records EHRY?

Answer Choices:

Correct Answer:

Using password protection and role-based access for sensitive data.

Rationale:

🌟 Password protection ensures that only individuals with authorized credentials can log into the EHR system.

🌟 Role-based access limits what a user can see or do based on their job function (e.g., nurse, physician, billing), enforcing the minimum necessary principle.

🌟 Together, these controls help prevent unauthorized access to sensitive data and reduce the risk of privacy breaches.

🌟 These measures are consistent with HIPAA Security Rule requirements for administrative and technical safeguards.

🌟 Because this approach balances accessibility with strong protection, it is one of the most effective practices for safeguarding client health information in EHRs.

Implementing a policy of open access for healthcare staff.

🌟 An “open access” policy means any staff member could view any record, which directly conflicts with minimum necessary and need-to-know standards.

🌟 This significantly increases the risk of snooping, curiosity viewing, and inappropriate access to PHI.

🌟 Regulatory bodies expect organizations to restrict access based on role, not to give universal visibility to all records.

🌟 Open access makes it harder to track and justify who accessed what and why, undermining audit and accountability.

🌟 Therefore, this practice would weaken protection of client information rather than enhance it.

Conducting annual cybersecurity training for all employees.

🌟 Annual cybersecurity training is an important supporting safeguard, helping staff recognize threats like phishing and malware.

🌟 However, training alone does not directly control who can access or modify sensitive data in the EHR.

🌟 It must be combined with technical controls like passwords, encryption, access levels, and audit trails to be truly effective.

🌟 While valuable, training is considered supplemental, not the primary mechanism for protecting PHI inside the EHR system.

🌟 Thus, this option is helpful but not the most effective single practice compared with role-based, password-controlled access.

Allowing clients to update their own records without supervision.

🌟 Allowing clients to freely update their records can introduce errors, inconsistencies, or incomplete information into the EHR.

🌟 While client portals are useful, changes to critical health data (e.g., diagnoses, medication lists) should be reviewed and verified by clinicians.

🌟 Unsupervised edits could compromise data integrity, which is a key element of information security and patient safety.

🌟 Best practice is to let clients view and communicate through portals but have providers control formal record entries and updates.

🌟 Therefore, this approach is not considered an effective or safe strategy for protecting client health information in EHRs.

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This question is from Examplify RN Informatics which contains 8 questions.

More Questions from This Exam
A nurse is conducting a telehealth visit and must ensure the client's privacy. Which action best protects the client's health information?

Answer Choices:

A. Conducting the visit in a private, secure location using an encrypted communication platform.
B. Hosting the visit in a public space to ensure internet access.
C. Discussing the client's health details over an unsecure video call.
D. Using the client's personal email to send confidential health information.
The HITECH Act has impacted nursing practice by which of the following?

Answer Choices:

A. Reducing the need for nursing documentation
B. Mandating the use of paper charts in healthcare facilities
C. Requiring nurses to serve as IT specialists in healthcare organizations
D. Providing incentives for the adoption of electronic health records (EHRS)
A nurse is faced with an ethical dilemma involving the use of healthcare informatics. What is the first step in applying an ethical decision-making model?

Answer Choices:

A. Consult legal counsel to avoid personal accountability.
B. Identify the ethical issue or problem.
C. Implement a solution without consulting others.
D. Gather all relevant facts and data.
Which of the following describes the impact of the Health Information Technology for Economic and Clinical Health (HITECH) Act on the Heath Portability and Accountability Act (HIPAA) in nursing practice?

Answer Choices:

A. HITECH reduces the legal requirements for data privacy and security.
B. HITECH extends HIPAA protections to include electronic health records (EHRS).
C. HITECH eliminates HIPAA's requirement for informed consent before sharing information.
D. HITECH allows nurses to share client data without penalties.
Which of the following actions would put a nurse at risk for violating home telehealth regulatory requirements?

Answer Choices:

A. Providing care to a client in a state where the nurse is not licensed.
B. Documenting telehealth visits in a secure EHR system.
C. Referring clients to in-person care when necessary.
D. Using telehealth to educate clients about their health conditions.
From Exam
Examplify RN Informatics

8 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: RN Informatics 🌐
  • Answer Choices: 4
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