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RN Nursing · Information Technology · Practice question

A nurse is documenting information in a computerized health record. Which of the following nursing actions jeopardizes client confidentiality?

Answer & explanation

Correct: Sharing computer passwords with coworkers

Sharing computer passwords with coworkers is a direct violation of client confidentiality and information security policies. Each healthcare worker is issued individual login credentials to ensure accountability and a traceable audit trail for every action taken within the electronic health record. When passwords are shared, it becomes impossible to determine who accessed or altered a record, undermining both HIPAA compliance and institutional security protocols. This practice is explicitly prohibited and represents a serious breach that can result in disciplinary action, loss of licensure, or legal consequences. Using a computer terminal in a non-public area is appropriate behavior that actually protects confidentiality by limiting who can view the screen. Logging out before leaving a terminal is an essential security measure that prevents unauthorized access when the nurse steps away. Preventing an unidentified worker from viewing a health record is also a protective action, as the nurse cannot confirm whether that individual has a legitimate need to access that specific client's information. All three of these distractors describe correct, protective behaviors. The only action that actively compromises confidentiality is sharing login credentials, which removes the individual accountability that the system depends upon to safeguard protected health information.

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