NURS-FPX4045 Assessment 2: Protected Health Information (PHI) – Privacy, Security, and Confidentiality Exam
Question 1 1 pts
A nurse informaticist must evaluate whether staff are following evidence-based practices for PHI minimization when generating patient care summaries. Which method best reflects a high-level evaluation?
Group of answer choices
Assuming compliance because no breaches occurred.
Posting reminders about summary formatting.
Asking staff if they remember the policy.
Reviewing summaries for unnecessary identifiers and comparing findings to standards.
Question 2 1 pts
An interdisciplinary team is developing a PHI handling protocol for off-site clinics. Which synthesis level action should the nurse take?
Group of answer choices
Recommend eliminating off site access entirely.
Ask IT to determine which devices are allowed.
Suggest copying a protocol from another organization.
Integrate security standards, workflow needs, and device use patterns into the protocol.
Question 3 1 pts
A nurse leader must evaluate whether new secure access charting kiosks reduce unauthorized PHI viewing. Which action best reflects an evidence based evaluation?
Group of answer choices
Assuming effectiveness because other units use them.
Checking whether the kiosks are easier to use.
Reviewing access logs and comparing unauthorized entry attempts to baseline.
Asking staff if they like the kiosks.
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Question 4 1 pts
A nurse is evaluating whether staff are following evidence based strategies for PHI protection during bedside dietary counseling. Which method best reflects a high level evaluation?
Group of answer choices
Conducting direct audits of counseling sessions and comparing findings to privacy standards.
Assuming compliance because no complaints were filed.
Asking staff if they feel confident protecting PHI.
Posting reminders about PHI during counseling.
Question 5 1 pts
An interdisciplinary team is developing a PHI handling protocol for home health visits. Which synthesis level action should the nurse take?
Group of answer choices
Integrate security standards, patient home environments, and workflow needs into the protocol.
Recommend eliminating electronic documentation in the home.
Suggest copying a protocol from another agency.
Ask IT to determine which devices are allowed.
Question 6 1 pts
A nurse informaticist must recommend an evidence based strategy to reduce PHI exposure when clinicians use shared handheld scanners during rapid assessments. Which option best reflects synthesis of privacy, technology, and workflow principles?
Group of answer choices
Asking staff to log out more often.
Implementing automatic logout, role based access, and privacy screen expectations.
Asking staff to avoid using scanners during busy times.
Reducing the number of scanners.
Question 7 1 pts
A nurse informaticist must recommend an evidence based strategy to reduce PHI exposure when clinicians use shared handheld devices during triage. Which option best reflects synthesis of privacy, technology, and workflow principles?
Group of answer choices
Reducing the number of handheld devices.
Asking staff to avoid using devices during busy times.
Implementing automatic logout, role based access, and privacy screen expectations.
Asking staff to log out more often.
NURS-FPX4045 Assessment 2: Protected Health Information (PHI) – Privacy, Security, and Confidentiality Exam Question 8 1 pts
A nurse manager is developing a strategy to reduce PHI exposure during bedside interpreter assisted teaching. Which synthesis level action best reflects evidence based practice?
Group of answer choices
Asking staff to speak more quietly.
Reducing interpreter use.
Combining privacy incident data, room layout assessments, and communication guidelines.
Asking interpreters to shorten discussions.
Question 9 1 pts
A nurse manager is developing a strategy to reduce PHI exposure during bedside chaplain visits. Which synthesis level action best reflects evidence based practice?
Group of answer choices
Reducing the number of chaplain consults.
Asking staff to speak more quietly.
Asking chaplains to shorten visits.
Combining privacy incident data, room layout assessments, and communication guidelines.
Question 10 1 pts
A nurse informaticist is evaluating whether staff training on PHI handling practices is effective. Which action demonstrates high level evaluation?
Group of answer choices
Assessing whether training improved PHI handling accuracy and reduced violations.
Checking whether the training slides were visually appealing.
Asking IT to determine whether training is necessary.
Reviewing whether staff enjoyed the training.
Question 11 1 pts
A nurse manager is redesigning the unit’s PHI release workflow for inpatient to outpatient therapy transitions. Which synthesis level action best reflects evidence based practice?
Group of answer choices
Assigning one nurse to handle all therapy related PHI.
Reducing the number of release forms.
Asking staff to “slow down” when completing releases.
Integrating legal requirements, workflow barriers, and error trend data.
Question 12 1 pts
A nurse leader is evaluating whether a new PHI secure bedside handoff tool reduces unnecessary identifiers. Which action best reflects an evidence based evaluation?
Group of answer choices
Observing one handoff and generalizing findings.
Posting reminders about PHI before handoff.
Asking staff if the tool feels easier.
Comparing recorded handoffs to PHI minimization criteria.
Question 131 pts
A nurse manager is redesigning the unit’s PHI handling workflow. Which synthesis level action best reflects evidence based practice?
Group of answer choices
Copying another unit’s workflow without modification.
Reducing documentation requirements to limit PHI exposure.
Integrating privacy incident data, staff feedback, and regulatory standards into a revised workflow.
Asking staff to “use common sense” when handling PHI.
Question 141 pts
A nurse informaticist is evaluating whether a new workstation timeout policy reduces PHI exposure. Which action best reflects evaluative practice?
Group of answer choices
Comparing PHI exposure incidents before and after implementation.
Checking whether workstation time outs match vendor defaults.
Reviewing whether the policy aligns with national recommendations.
Asking staff if they find the policy convenient.
NURS-FPX4045 Assessment 2: Protected Health Information (PHI) – Privacy, Security, and Confidentiality Exam
Question 151 pts
An interdisciplinary team is redesigning the process for releasing PHI to long term care partners. Which synthesis level action should the nurse take?
Group of answer choices
Ask IT to determine which forms are required.
Integrate legal requirements, workflow needs, and patient safety considerations into the new process.
Suggest copying release procedures from another facility.
Recommend eliminating all external PHI sharing.
Question 161 pts
A nurse informaticist is evaluating whether a new scanning to EHR process reduces PHI exposure. Which action best reflects evaluative practice?
Group of answer choices
Suggesting that scanning be eliminated entirely.
Asking staff if they prefer scanning over faxing.
Reviewing whether the process reduces unclaimed or misfiled PHI.
Checking whether the scanner matches vendor specifications.
Question 171 pts
A nurse informaticist is evaluating whether a new PHI access alert system is reducing inappropriate chart entry. Which action best reflects evidence based evaluation?
Group of answer choices
Comparing alert trigger patterns with actual workflow needs to identify unnecessary or inappropriate access.
Checking whether the alert colors are easy to see.
Asking staff if they feel the alerts are annoying.
Reviewing whether the alert system matches vendor recommendations.
Question 181 pts
A nurse informaticist must evaluate whether staff are following evidence based PHI masking practices when printing patient care summaries. Which method best reflects a high level evaluation?
Group of answer choices
Reviewing printed summaries for unnecessary identifiers and comparing findings to policy.
Assuming compliance because no breaches occurred.
Asking staff if they remember the masking rules.
Posting reminders about masking requirements.
Question 191 pts
A nurse informaticist is evaluating whether a new badge tap login system reduces PHI exposure. Which action best reflects evaluative practice?
Group of answer choices
Reviewing whether the system aligns with national recommendations.
Comparing PHI exposure incidents before and after implementation.
Asking staff if they find the system convenient.
Checking whether badge readers match vendor defaults.
Question 201 pts
A nurse leader must evaluate whether new secure access cabinets for PHI storage are reducing unauthorized viewing. Which action best reflects an evidence based evaluation?
Group of answer choices
Reviewing access logs and comparing unauthorized entry attempts to baseline.
Assuming effectiveness because other units use them.
Asking staff if they like the cabinets.
Checking whether the cabinets are easy to open.
Question 211 pts
A nurse is redesigning the unit’s PHI release workflow for home health referrals. Which synthesis level action best reflects evidence based PHI management?
Group of answer choices
Asking staff to “double check” referral information.
Integrating regulatory requirements, workflow barriers, and breach trend data.
Reducing the number of referral forms.
Assigning one nurse to handle all referrals.
Question 221 pts
A nurse informaticist must evaluate whether staff are following evidence based PHI masking practices when printing patient lists. Which method best reflects a high level evaluation?
Group of answer choices
Reviewing printed lists for unnecessary identifiers and comparing findings to policy.
Asking staff if they remember the masking rules.
Assuming compliance because no breaches occurred.
Posting reminders about masking requirements.
Question 231 pts
An interdisciplinary team is developing a new PHI handling protocol for mobile devices. Which synthesis level action should the nurse take?
Group of answer choices
Recommend banning all mobile devices from clinical areas.
Integrate evidence based security guidelines with clinical workflow needs.
Ask IT to determine which devices should be allowed.
Suggest copying a protocol from another hospital.
Question 241 pts
An interdisciplinary team is redesigning the process for releasing PHI to community partners. Which synthesis level action should the nurse take?
Group of answer choices
Recommend eliminating all external PHI sharing.
Integrate legal requirements, workflow needs, and patient safety considerations into the new process.
Suggest copying release procedures from another facility.
Ask IT to determine which forms are required.
Question 251 pts
A hospital is implementing a new process for storing PHI in a hybrid cloud local environment. Which synthesis level action should the nurse take?
Group of answer choices
Combine role based access needs, workflow patterns, and security standards into a storage structure.
Suggest eliminating cloud storage entirely.
Recommend storing all PHI in a single folder for simplicity.
Ask IT to determine which folders should be restricted.
NURS-FPX4045 Assessment 2: Protected Health Information (PHI) – Privacy, Security, and Confidentiality Exam
After reviewing the Assessment 2 resources, take the Assessment 2: Protected Health Information (PHI) – Privacy, Security, and Confidentiality Exam. Assessment 2 covers Competency 2: Demonstrate evidence based strategies to effectively manage protected health information.
Introduction
In today’s increasingly digital healthcare environment, the protection of patient information has become a critical priority. As healthcare organizations rely more heavily on electronic health records and data-sharing technologies, the need to safeguard protected health information (PHI) is paramount to ensuring patient trust, safety, and legal compliance. Privacy, security, and confidentiality are foundational principles that guide how patient information is collected, accessed, and shared across healthcare systems.
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Nurses play a vital role in maintaining these protections, as they are often at the forefront of handling sensitive patient data. Understanding the requirements of the Health Insurance Portability and Accountability Act (HIPAA), recognizing potential security risks such as cyber threats or unintended data disclosure, and applying evidence-based strategies are essential competencies in modern nursing practice. This assessment examines the importance of protecting PHI, explores the risks associated with data breaches, and highlights the nurse’s responsibility in promoting ethical, secure, and confidential handling of patient information. By strengthening knowledge in these areas, nurses can help prevent violations, protect patient rights, and contribute to a safer and more trustworthy healthcare environment.
Resources
Use the resources linked below to help complete this assessment.
Assessment 2 Resources
Cybersecurity
Cybersecurity is always in the news. It seems like a different organization is hacked and its data is held for ransom each week. With so much data being collected and stored, securing that data is becoming more difficult. Read about the risks and gaps in these articles.
Assessment 2: Cybersecurity
Links to an external site.
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HIPAA
HIPAA guides how healthcare organizations collect, use, disclose, and protect data they collect while caring for patients. HIPAA ensures each patient has the right to data security and privacy. The following articles explore the role of nursing informatics and HIPAA compliance:
Assessment 2: HIPAA
Links to an external site.
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HIPAA Violations
Organizations that collect and use patients’ health data are required by law to protect it. When data breaches occur these organizations often pay a price both in the form of fines and a tarnished reputation. Many data breaches are not caused by hackers; some are accidental releases of information such as in the social media posts of employees. The following articles address HIPAA violations:
Assessment 2: HIPAA Violations
Links to an external site.
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The Nurse’s Role in Patient Privacy
Nurses must protect their patient’s private information from accidental or intentional release without the consent of the patient. It is every nurse’s duty to ensure patient’s data is handled with care.
Assessment 2: The Nurse’s Role in Patient Privacy
Links to an external site.
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Social Media and Privacy
Social media can be used for patient outreach and education, but it can also lead to the accidental release of protected health information. It’s important organizations have a social media policy and provide their staff with education of social media dos and don’ts.
Assessment 2: Social Media and Privacy
Links to an external site.
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Assessment 2: Protected Health Information (PHI) – Privacy, Security, and Confidentiality Exam
Due
No due date
Points
25
Questions
25
Available
after Jul 13 at 12am
Time Limit
25 Minutes
Allowed Attempts
3
Instructions
After reviewing the Assessment 2 resources, take the Assessment 2: Protected Health Information (PHI) – Privacy, Security, and Confidentiality Exam.
Quiz Instructions
This quiz covers protecting health information in the field of healthcare.
You are allowed
three
attempts (there may be a slight delay between attempts).
Each attempt presents a different variation of the exam.
The highest score counts.
Allocate sufficient time to ensure you will be able to complete the exam.
Remember that you cannot stop and restart the test. You must answer all of the questions within one session; you cannot log out of the exam in the middle of taking it and then go back in later to finish it.
Competencies Measured
By successfully completing this exam, you will demonstrate your proficiency in the following course competency and criteria:
Competency 2: Demonstrate evidence based strategies to effectively manage protected health information.
Demonstrate understanding of evidence-based strategies used to manage protected health information, including privacy, security, and confidentiality.
Complete the
Breach of Protected Health Information (PHI)
activity, which tests your knowledge of potential privacy, security, and confidentiality violations of protected health information. NURS-FPX4045 Assessment 2: Protected Health Information (PHI) – Privacy, Security, and Confidentiality Exam
This activity is ungraded. However, you are strongly encouraged to complete this activity as it will help reinforce course concepts.
Breach of Protected Health Information (PHI)
Examine the following image and/or audio snippets and answer the questions that follow.
Two nurses post a selfie of themselves at the nursing station on Facebook. In the background are patient charts with clearly identifiable patient names on them.
Question
1
of
26
Has a breach in PHI occurred? Select all that apply.
Select all answers that apply
a)
No violation has occurred.
b)
This is a privacy breach.
c)
This is a security breach.
Question
2
of
26
What should the nurse do to protect and maintain PHI if a breach is suspected?
Enter your response
Question
3
of
26
What steps can health care facilities take to address and prevent potential breaches of this type?
Enter your response
Question
4
of
26
In this situation, which of the following actions could help the nurse ensure the future protection and maintenance of PHI?
Select all answers that apply
a)
Situational awareness.
b)
Document handling.
c)
Access to electronic systems.
Examine the following image and/or audio snippets and answer the questions that follow.
A nurse posts on Facebook or Instagram a selfie of herself and a patient in a wheelchair who is awaiting discharge. Underneath the photo is a caption that reads: “We’re happy Mr. Brown is heading home for recovery from his open-heart surgery, although we’re sad to see him go. His cheery smile brightened all our days at St Luke’s hospital.”
Question
5
of
26
Has a breach occurred? Select all that apply.
Select all answers that apply
a)
No violation has occurred.
b)
This is a privacy breach.
c)
This is a security breach.
Question
6
of
26
What should the nurse do to protect and maintain PHI if a breach is suspected?
Enter your response
Question
7
of
26
What steps can health care facilities take to address and prevent potential breaches of this type?
Enter your response
Question
8
of
26
In this situation, how could the nurse help ensure the future protection and maintenance of PHI?
Select all answers that apply
a)
Situational awareness.
b)
Document handling.
c)
Access to electronic systems.
Examine the following image and/or audio snippets and answer the questions that follow.
A nurse posts a selfie of himself in front of his health care setting. The name of the health care setting is in the background, but no other people are in the background. No patient information is visible. The caption underneath the picture says: “Made it through my first week of nursing in the pediatric intensive care unit at St. Mary’s Hospital. Can’t wait for Week 2.”
Question
9
of
26
Has a breach occurred? Select all that apply.
Select all answers that apply
a)
No violation has occurred.
b)
This is a PHI security breach.
c)
This is a PHI privacy breach.
Question
10
of
26
While there are no violations here, what could the nurse do to help ensure the protection and maintenance of PHI?
Select all answers that apply
a)
Situational awareness.
b)
Document handling.
c)
Access to electronic systems.
Examine the following image and/or audio snippets and answer the questions that follow.
Receptionist and nursing assistant talking.
Audio Player
00:00
00:00
Use Up/Down Arrow keys to increase or decrease volume.
Show Transcript
Question
11
of
26
Has a breach occurred? Select all that apply.
Select all answers that apply
a)
No violation has occurred.
b)
This is a privacy breach.
c)
This is a security breach.
Question
12
of
26
What should the nurse do to protect and maintain PHI if a breach is suspected?
Enter your response
Question
13
of
26
What steps could the health care facility take to address this type of breach and to prevent other similar breaches from occurring?
Enter your response
Question
14
of
26
In this situation, what could the nurse do to help ensure the protection and maintenance of PHI? Select all that apply.
Select all answers that apply
a)
Situational awareness.
b)
Document handling.
c)
Access to electronic systems.
Examine the following image and/or audio snippets and answer the questions that follow.
Two nurses talking in a cafeteria. Other staff members, visitors, and patients are within earshot.
Audio Player
00:00
00:00
Use Up/Down Arrow keys to increase or decrease volume.
Show Transcript
Question
15
of
26
Has a breach occurred? Select all that apply.
Select all answers that apply
a)
No violation has occurred.
b)
This is a privacy breach.
c)
This is a security breach.
Question
16
of
26
What should the nurse do to protect and maintain PHI if a breach is suspected?
Enter your response NURS-FPX4045 Assessment 2: Protected Health Information (PHI) – Privacy, Security, and Confidentiality Exam
Question
17
of
26
Describe the
steps health care
facilities can take to address and prevent potential breaches of this type.
Enter your response
Question
18
of
26
In this situation, which of the following actions could help the nurse ensure the future protection and maintenance of PHI? Select all that apply.
Select all answers that apply
a)
Situational awareness.
b)
Document handling.
c)
Access to electronic systems.
Examine the following image and/or audio snippets and answer the questions that follow.
A doctor or nurse walked away from a coffee shop counter. A flash drive with patient information is accidentally left behind on the counter.
Question
19
of
26
Has a breach occurred? Select all that apply.
Select all answers that apply
a)
No violation has occurred.
b)
This is a privacy breach.
c)
This is a security breach.
Question
20
of
26
What should the nurse do to protect and maintain PHI if a breach is suspected?
Enter your response
Question
21
of
26
Describe the steps health care facilities can take to address and prevent potential breaches of this type.
Enter your response
Question
22
of
26
In this situation, which of the following actions could help the nurse ensure the future protection and maintenance of PHI? Select all that apply.
Select all answers that apply
a)
Situational awareness.
b)
Document handling.
c)
Access to electronic systems.
Examine the following image and/or audio snippets and answer the questions that follow.
A paper tray labeled Received Faxes near the desk located next to the public bathroom. In the paper tray is a document with protected health information (no cover sheet) and the patient’s name clearly visible.
Question
23
of
26
Has a breach occurred? Select all that apply.
Select all answers that apply
a)
No violation has occurred.
b)
This is a privacy breach.
c)
This is a security breach.
Question
24
of
26
What should the nurse do to protect and maintain PHI if a breach is suspected?
Enter your response
Question
25
of
26
What steps could the health care facility take to address this type of breach and to prevent other similar breaches from occurring?
Enter your response
Question
26
of
26
In this situation, what could the nurse do to help ensure the protection and maintenance of PHI? Select all that apply.
Select all answers that apply
a)
Situational awareness.
b)
Document handling.
c)
Access to electronic systems.
NURS-FPX4045 Assessment 2: Protected Health Information (PHI) – Privacy, Security, and Confidentiality Exam