Study 3 Client Rights and Ethical Practice with 12 free online flashcards. Review key terms, definitions, and concepts with this interactive flashcard deck.
Name two rights recognized for patients in qualifying hospitals.
In Medicare- or Medicaid-participating hospitals, patients have recognized rights that include participating in care planning, making informed decisions, and accessing records. Specific requirements vary by setting.
Does a client's right to refuse require a provider to deliver inappropriate care?
A client’s right to refuse does not require a provider to deliver care considered medically unnecessary or inappropriate. The team should explain consequences, explore concerns, consider appropriate alternatives, and document the discussion.
What information should a clinician explain before treatment for informed consent?
Before treatment or a procedure, the responsible clinician explains the known diagnosis, proposed intervention and purpose, significant expected benefits and risks, and reasonable alternatives, including no treatment.
Why is a signed form alone not enough for informed consent?
Informed consent is a communication process, not merely a signed form. Agreement must be voluntary and based on information the client can understand; silence or confusion is not agreement.
What determines whether a client has decision-making capacity?
Decision-making capacity depends on the particular decision and circumstances. A diagnosis or disability alone does not establish that a person cannot decide.
When may urgent treatment proceed without the client's decision or an available surrogate?
If the client urgently needs treatment, cannot decide, and no surrogate is available, treatment may proceed under applicable emergency rules. Explain the care and seek consent for ongoing treatment as soon as practicable.
How do privacy and confidentiality differ?
Privacy concerns a person's control over access to their body, personal space, and information. Confidentiality is the professional and legal duty to protect information learned in care from improper access or disclosure.
Does HIPAA allow every health care worker to view any client record?
HIPAA applies to covered health plans, clearinghouses, and certain health care providers. Record access should follow role-based permissions and organizational policy; it does not let every worker view any record.
Does HIPAA's minimum-necessary rule apply to provider-to-provider treatment disclosures?
HIPAA's minimum-necessary rule applies to many uses and disclosures of protected health information, but not to provider-to-provider disclosures for treatment.
When may relevant information generally be shared with someone involved in a client's care?
Relevant information may generally be shared when the client agrees, does not object after an opportunity, or circumstances reasonably indicate no objection. Share only information directly relevant to the person's involvement in care.
Name two privacy-related requests clients may make under HIPAA.
Clients may request access to health information in designated records and ask for corrections, subject to limited exceptions. They may also request certain restrictions or alternative communication methods, though providers need not agree to every restriction.
What does respect for autonomy mean in care?
Respecting autonomy means supporting informed choices and honoring a capable client's decisions, including refusal.