# 一位有能力的個案詢問護理師，出院後如何取得電子病歷副本。護理師應如何回應？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=498725&lang=zh-tw  
> language: zh-TW  
> subject: Client Rights  
> category: MOC

## 題目

一位有能力的個案詢問護理師，出院後如何取得電子病歷副本。護理師應如何回應？

## 選項

1. 解釋只有其他醫療提供者才能申請病歷
2. 說明個案的查閱權，並協助啟動機構的申請流程 **✔ 正確答案**
3. 告知個案出院後無法釋出電子病歷
4. 要求個案提供理由才能受理申請

**正確答案: 2**

## 解析

HIPAA 通常賦予個案查閱及取得指定紀錄集內健康資訊副本的權利，包括可輕易產製的電子副本。護理師應協助機構的查閱申請流程，而非設置障礙。

## 深入解析

快速解答
說明查閱病歷的權利，並協助個案使用機構的申請流程。

為什麼這是正確的
個案通常可查閱或取得用於照護決策的資訊副本。當病歷以電子方式保存時，應以可輕易產製的請求格式或雙方同意的可讀替代格式提供電子副本。

簡單比喻或心智圖像
病歷就像一份關於個案的檔案，個案持有查閱的鑰匙。機構仍使用安全的申請流程，此類比不排除有限的法律例外或身分驗證要求。

記憶掛鉤
個案要求病歷，意味著協助安全查閱，而非設置障礙。

NCLEX 決策規則
當個案要求查閱個人健康資訊時，遵循機構符合 HIPAA 的流程，並說明可用的格式。不要求臨床理由，也不假設出院即終止查閱權。

為什麼其他選項是錯的
查閱權不限於其他提供者。出院後仍可取得電子副本，且個案無需說明申請病歷的理由。參考文獻

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]HHS: Individuals' Right to Access Health InformationU.S. Department of Health and Human Services

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