Documentation and Communication Flashcards
7 cards from real LVN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Documentation and Communication flashcards as text
Under HIPAA, an LVN may share a patient's protected health information (PHI) without explicit authorization for which purpose?
Answer: Treatment, payment, or healthcare operations
HIPAA permits disclosure of PHI without specific authorization for treatment, payment, and healthcare operations.
When accessing a patient's electronic health record (EHR), which action best protects patient privacy?
Answer: Logging out of the EHR when stepping away from the workstation
Always log out of the EHR when leaving the workstation to prevent unauthorized access to patient information.
A patient's adult child calls asking for an update on their parent's condition. The LVN should:
Answer: First verify that the patient has authorized information sharing with this individual
PHI may only be shared with family members if the patient has authorized it — verbal or documented authorization must be verified first.
Which EHR documentation feature helps ensure that medications are administered to the correct patient?
Answer: Barcode medication administration (BCMA) scanning
BCMA systems scan the patient's wristband and medication barcode to verify the five rights of medication administration at the point of care.
An LVN accidentally documents information in the wrong patient's electronic chart. What should be done?
Answer: Notify the supervisor, follow facility policy to correct the entry, and document the error
Wrong-patient documentation errors must be reported to the supervisor immediately and corrected per facility policy, as they pose a patient safety risk.
The minimum necessary standard under HIPAA means that an LVN should:
Answer: Only access and share the amount of PHI needed to accomplish the specific task
The minimum necessary standard requires that only the PHI required for a specific purpose be accessed, used, or disclosed.
Which of the following represents a breach of patient confidentiality by an LVN?
Answer: Talking about a patient's condition in a crowded elevator
Discussing patient information in public areas where others can overhear is a confidentiality breach.