# 護理長審閱八項受保護健康資訊的使用或揭露。將每個情境拖曳至適當的隱私類別。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=396455&lang=zh-tw  
> language: zh-TW  
> subject: Confidentiality/Information Security  
> category: MOC

## 題目

護理長審閱八項受保護健康資訊的使用或揭露。將每個情境拖曳至適當的隱私類別。

**1.** 透過核准管道將相關出院資訊發送至收案的護理之家以進行治療

Select a category
Permitted treatment or health-care operation
Privacy or security incident: contain and report
Requires authorization or another specific legal permission

**2.** 在私密的臨床工作區與諮詢藥師討論用藥計畫

Select a category
Permitted treatment or health-care operation
Privacy or security incident: contain and report
Requires authorization or another specific legal permission

**3.** 在醫院核准的內部品質改善審查中使用授權的受保護健康資訊

Select a category
Permitted treatment or health-care operation
Privacy or security incident: contain and report
Requires authorization or another specific legal permission

**4.** 未經簽署授權書即應雇主要求將完整病歷以電子郵件發送給個案的雇主

Select a category
Permitted treatment or health-care operation
Privacy or security incident: contain and report
Requires authorization or another specific legal permission

**5.** 在有行為能力的個案明確拒絕向家屬揭露後，將診斷告知成年手足

Select a category
Permitted treatment or health-care operation
Privacy or security incident: contain and report
Requires authorization or another specific legal permission

**6.** 因好奇而無任何照護角色下開啟鄰居的病歷

Select a category
Permitted treatment or health-care operation
Privacy or security incident: contain and report
Requires authorization or another specific legal permission

**7.** 發布病房自拍照，其中白板上可辨識出個案的姓名

Select a category
Permitted treatment or health-care operation
Privacy or security incident: contain and report
Requires authorization or another specific legal permission

**8.** 將列印的交班單留在無人看管的餐廳桌上

Select a category
Permitted treatment or health-care operation
Privacy or security incident: contain and report
Requires authorization or another specific legal permission

## 解析

相關資訊可基於治療及政策許可的照護作業進行分享。在治療、付款、作業或其他法律許可範圍之外的揭露，通常需要授權。因好奇而存取、社群媒體內容中可見的識別資訊，以及無人看管的列印受保護健康資訊，均屬隱私或安全事件，必須通報而非隱瞞。

## 深入解析

快速解答
詢問誰需要這些資訊、基於什麼許可目的、以及透過什麼安全管道。

為何此為正確
HIPAA允許基於治療及特定醫療照護作業進行資訊交換，包括照護協調與品質活動，但須受政策及適用的最低必要原則規範。雇主或家屬的要求並不自動授權揭露。員工因好奇而存取並無照護目的。社群媒體影像上可見的姓名及留在公共區域的交班單均暴露受保護健康資訊，必須透過機構的隱私或安全流程立即通報。

NCLEX決策規則
不要以刪除證據或保持沉默來解決隱私問題。限制存取、控制暴露範圍，並立即通報。參考資料
1HHS：HIPAA允許的使用與揭露
2HHS：HIPAA隱私規則摘要

## 臨床情境

保密與資訊安全
適用HIPAA治療與醫療照護作業許可、個案授權要求、適用時之最低必要原則，以及立即事件通報。

## 重要概念

- **血液培養** — 一種檢測血液中微生物的檢驗。
- **清潔中段尿液** — 為減少污染而收集的尿液檢體。
- **痰液檢體** — 用於某些感染（如結核病）的呼吸道分泌物檢體。

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