A nurse is talking to a patient who has a history of substance abuse. The patient tells the nurse that he tried to kill his sister because he hates her. Before he leaves, the patient says, you won't tell anyone about this, right? I told you this in confidence. Which response from the nurse is correct?


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- I'm sorry, but I do have to report this if it seems that you are a danger to someone else.

- That is right. Under HIPAA law, I must protect your privacy.

- I know you won't do anything to hurt your sister, and I am not liable to report this information.

- You are protected because you are seeking treatment for your condition right now.


The laws of HIPAA are designed to protect patient confidentiality and privacy, except in cases where the patient is a danger to someone. If a patient admits to the nurse that he has or intends to harm someone, the nurse must report the situation. It is not a HIPAA violation in this case.

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