Nclexrn Quiz: Informatics Telehealth And Privacy
20 questions · exam conditions
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Informatics Telehealth And PrivacyQuestion 1 of 20

A 48-year-old client is in the hospital and a neighbor calls the nurses' station asking whether the client is still admitted and what room they are in. The client has not authorized sharing information. How should the nurse respond to this confidentiality breach request?

Confirm the client is admitted but do not provide the room number
Decline to confirm or deny the client's presence and offer to take a message
Provide the room number only so the neighbor can drop off belongings
Transfer the call to the unit secretary because they handle visitor questions
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Nclexrn Quiz

Nclexrn Quiz: Informatics Telehealth And Privacy

Practice Informatics Telehealth And Privacy in Nclexrn with focused quiz questions that help you check what you know, review explanations, and build confidence with test-style prompts.

What this quiz covers

This quiz focuses on Informatics Telehealth And Privacy, giving you a quick way to practice the rules, question types, and explanations that matter most for Nclexrn.

How to use this quiz

Try each quiz question before looking at the correct answer. Use the explanations to review missed ideas, then come back to similar questions until the pattern feels familiar.

All questions

Question 1

A 48-year-old client is in the hospital and a neighbor calls the nurses' station asking whether the client is still admitted and what room they are in. The client has not authorized sharing information. How should the nurse respond to this confidentiality breach request?

  1. Confirm the client is admitted but do not provide the room number
  2. Decline to confirm or deny the client's presence and offer to take a message (correct answer)
  3. Provide the room number only so the neighbor can drop off belongings
  4. Transfer the call to the unit secretary because they handle visitor questions
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is avoiding confirmation of client presence or details without authorization to prevent breaches. Declining to confirm or deny and offering to take a message best addresses the issue by protecting confidentiality comprehensively. Confirming admission, providing room numbers, or transferring calls are less optimal because they disclose indirectly, breach directly, or shift responsibility, reflecting common errors in handling inquiries. A key principle is that even basic information like location is protected without consent. Maintaining privacy requires neutral responses to unauthorized requests. A transferable strategy is to train staff on scripted responses for calls in informatics and telehealth to consistently safeguard information.

Question 2

During a telehealth video visit for depression management, a 22-year-old client joins from a bedroom and the nurse sees two friends sitting off to the side. The client does not mention them and begins discussing medication side effects. Which action should the nurse take FIRST to ensure client privacy during the telehealth session?

  1. Continue the visit because the client chose to start talking about private information
  2. Ask the client who is present and whether the client wants them to remain for the visit (correct answer)
  3. End the call immediately and notify the provider of a privacy violation
  4. Send a secure message after the visit reminding the client to be alone next time
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is ensuring client privacy when unidentified individuals are present during a telehealth session. Asking the client who is present and whether they want them to remain best addresses the issue by obtaining explicit consent and protecting confidentiality. Continuing without inquiry, ending the call, or sending a post-visit message are incorrect as they risk exposure, overreact without assessment, or delay intervention, which are common errors in telehealth privacy management. A key principle is that telehealth participants must be identified and authorized by the client to prevent breaches. Upholding data integrity requires pausing discussions until privacy is confirmed. A transferable strategy is to routinely screen for and address the presence of others at the outset of telehealth visits to maintain confidentiality.

Question 3

A 41-year-old client with COPD uses a home pulse oximeter that uploads readings to the clinic. The portal shows an oxygen saturation of 72% for 30 minutes, but the client is speaking in full sentences and reports the device was on a cold finger. What is the BEST way for the nurse to handle this data discrepancy in remote monitoring?

  1. Instruct the client to call 911 immediately based only on the uploaded reading
  2. Have the client warm the hand, reapply the sensor correctly, and repeat the reading while assessing symptoms (correct answer)
  3. Disable the client's remote monitoring because it is generating false alarms
  4. Wait for the provider to review the data at the next clinic day
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is validating remote monitoring data accuracy to avoid false alarms and ensure appropriate interventions. Having the client warm the hand, reapply the sensor, and repeat the reading while assessing symptoms best addresses the issue by troubleshooting environmental factors. Instructing to call 911, disabling monitoring, or waiting for provider review are less optimal because they overreact, remove tools prematurely, or delay verification, highlighting common errors in data management. An essential principle is that physiological readings must account for device placement and conditions. Maintaining integrity involves symptom correlation with data. A transferable strategy is to guide clients through real-time corrections during telehealth to confirm remote monitoring reliability.

Question 4

A 59-year-old client with heart failure is enrolled in home remote monitoring that uploads daily weight and blood pressure to the clinic portal. Today the system shows a 9-lb (4.1-kg) weight gain overnight, but the client reports the home scale battery was low and the reading seemed wrong. What is the BEST way for the nurse to handle this data discrepancy?

  1. Instruct the client to go to the emergency department immediately based on the uploaded weight
  2. Ask the client to repeat the measurement with a working scale and confirm the reading before escalating care (correct answer)
  3. Delete the weight entry from the monitoring record to prevent confusion
  4. Wait for tomorrow's upload to see if the weight returns to baseline
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is ensuring data accuracy in remote monitoring to avoid inappropriate clinical decisions based on faulty information. Asking the client to repeat the measurement with a working scale and confirm the reading best addresses the issue by verifying data integrity before escalating care. Instructing to go to the ED, deleting the entry, or waiting for the next upload are incorrect as they risk unnecessary intervention, alter records improperly, or delay verification, which are common errors in remote data management. A core principle is that remote monitoring data must be validated against client reports and device functionality to maintain reliability. Preserving data integrity involves cross-checking discrepancies with real-time assessments. A transferable strategy is to always troubleshoot equipment and confirm readings during telehealth follow-ups to ensure accurate informatics-based care.

Question 5

An RN overhears a nursing assistant saying they looked up the lab results of a 52-year-old client on another unit because they were "curious." What is the nurse's PRIORITY action regarding this unauthorized EHR access?

  1. Tell the nursing assistant to never do it again and consider the issue resolved
  2. Report the incident through the facility's chain of command and privacy reporting process (correct answer)
  3. Ask the client if they want to file a complaint before taking any action
  4. Post a reminder at the nurses' station about confidentiality rules
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is addressing unauthorized EHR access by a staff member without a care-related need. Reporting the incident through the facility's chain of command and privacy process is the best action as it ensures proper investigation and accountability. Telling the assistant to stop, asking the client, or posting reminders are incorrect because they minimize the breach, shift burden, or fail to document formally, which are common errors in managing confidentiality violations. A fundamental principle is that curiosity does not justify accessing protected health information. Upholding integrity requires mandatory reporting of all breaches. A transferable strategy is to educate teams on need-to-know access and report violations consistently in informatics settings.

Question 6

A 45-year-old client is hospitalized after surgery and has asked that no information be shared with family. The unit phone receives a call from someone stating they are the client's spouse and requesting an update on the client's condition. How should the nurse respond to this confidentiality breach request?

  1. Provide a brief update without details, such as that the client is stable
  2. Ask the caller for the client's date of birth and then provide the requested information
  3. Explain that information cannot be shared without the client's authorization and offer to take a message (correct answer)
  4. Transfer the call to the provider because providers can disclose information to family
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is upholding client confidentiality when unauthorized individuals request health information over the phone. Explaining that information cannot be shared without authorization and offering to take a message best addresses the issue by adhering to privacy laws like HIPAA. Providing brief updates, verifying with DOB, or transferring to the provider are less optimal because they risk disclosure without consent, use insufficient verification, or shift responsibility inappropriately, highlighting common errors in handling release requests. An essential principle is that client authorization must be documented before sharing any protected health information. Maintaining privacy involves refusing unauthorized requests firmly but politely. A transferable strategy is to verify consent through secure channels before discussing client details in any informatics or telehealth context.

Question 7

A 63-year-old client with diabetes uses a continuous glucose monitor (CGM) that uploads readings to the clinic. The nurse sees repeated hypoglycemia readings overnight but the client reports feeling well and says the sensor was loose. What is the BEST way for the nurse to handle this data discrepancy in remote monitoring?

  1. Instruct the client to immediately reduce all insulin doses without confirming the readings
  2. Ask the client to verify with a finger-stick glucose and troubleshoot sensor placement before changing the plan (correct answer)
  3. Remove the CGM from the program because the data appears unreliable
  4. Wait until the next scheduled appointment to address the readings
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is verifying the accuracy of remote monitoring data to prevent erroneous treatment changes. Asking the client to verify with a finger-stick and troubleshoot the sensor best addresses the issue by confirming data reliability before adjustments. Reducing doses immediately, removing the CGM, or waiting for the next appointment are incorrect as they risk harm, discontinue monitoring prematurely, or delay action, which are common errors in handling remote data discrepancies. A core principle is that sensor-based data must be cross-validated with symptoms and alternative methods. Preserving data integrity requires addressing technical issues promptly. A transferable strategy is to incorporate real-time verification steps in telehealth protocols for remote devices to maintain accurate informatics.

Question 8

A 66-year-old client with hypertension is enrolled in remote monitoring. The nurse notices blood pressure readings are uploaded every hour overnight, which is not the prescribed schedule, raising concern that someone else may be using the device. What is the BEST way for the nurse to handle this discrepancy while protecting privacy?

  1. Assume the device is malfunctioning and ignore the extra readings while continuing to review the scheduled daytime measurements as usual
  2. Contact the client to verify who is taking the readings, reinforce device use instructions, and assess for shared access (correct answer)
  3. Call the client's emergency contact to ask who has been using the device and if the overnight pattern is familiar
  4. Post the unusual trend on a staff message board so other staff can advise whether to report it
Explanation: The nurse's priority is to investigate unexpected remote-monitoring data without disclosing the client's protected health information. Speaking directly with the client—the person with the device—is the only option that verifies whether the readings are genuine, reorients the client to the prescribed schedule, and explores whether another person has access. Assuming the device is malfunctioning and ignoring the extra readings leaves possible shared or unauthorized use unexamined. Calling the client's emergency contact routes client-related health information through a third party and bypasses the client, which raises confidentiality concerns. Posting the unusual trend on a staff message board exposes protected information outside a private review process. Therefore, the response that combines verification, instruction, and assessment of shared access is the best privacy-preserving action.

Question 9

A 37-year-old client is on a telehealth visit for anxiety and is using earbuds. The client states they are driving and wants to continue the video visit hands-free. Which action should the nurse take FIRST to ensure client safety and privacy during the telehealth session?

  1. Continue the visit because earbuds reduce the chance of others overhearing, and the client can keep both hands on the wheel.
  2. Ask the client to pull over to a safe, private location or reschedule before continuing the visit (correct answer)
  3. Switch to a text-based format so the client can continue driving without visual distraction and still respond to questions in real time
  4. Proceed with only non-sensitive questions until the client arrives home, avoiding any discussion of anxiety triggers or stressors during the drive
Explanation: The nurse must prioritize immediate safety and privacy. Asking the client to pull over to a safe, private location or reschedule addresses both concerns directly. Continuing the visit, even with earbuds, does not eliminate the risk of distracted driving and does not guarantee privacy if others are present. Switching to text messaging is also unsafe because texting while driving is a significant distraction and does not allow for the non-verbal cues important in an anxiety assessment. Proceeding with only non-sensitive questions still leaves the client actively driving and delays essential aspects of the visit, failing to address the immediate risk. The correct first action is to halt the session until the environment is safe and private.

Question 10

A home health RN reviews remote monitoring data for a 74-year-old client with hypertension using a Bluetooth blood pressure cuff that uploads to the agency's telehealth dashboard. Today's reading shows 82/48 mm Hg, but the client reports feeling well and states they took the reading over a thick sweater. What is the BEST way to handle this data discrepancy in remote monitoring?

  1. Notify the provider immediately that the client is hypotensive and request a change in the antihypertensive medication dose based on this reading
  2. Instruct the client to repeat the blood pressure now with proper cuff placement and document the verification in the record (correct answer)
  3. Delete the abnormal value from the dashboard so it does not affect trending, because the reading was likely obtained with improper cuff technique
  4. Wait for the next scheduled weekly transmission before taking further action, because the client reports feeling well and a single reading may not be reliable
Explanation: This question asks how to respond to a remote monitoring reading that conflicts with the client's report. The systolic value of 82/48 was taken over a thick sweater, so it is likely inaccurate. The best action is to have the client repeat the blood pressure with the cuff directly on the skin and document the repeat result, because this verifies the data before any clinical decision. Notifying the provider and adjusting the medication based on one unverified reading is premature and could lead to unnecessary treatment. Deleting the abnormal value from the dashboard, even with a plausible reason, is not acceptable because it destroys a documented clinical data point and hides information that should be recorded and evaluated. Waiting until the next scheduled weekly transmission is also wrong: an abnormal reading requires timely verification, especially when the client's technique may have caused the discrepancy. The nurse's role in telehealth is to validate questionable readings, correct client technique, and accurately document the outcome.

Question 11

An RN receives an alert from the EHR audit tool that the RN's login was used to access the chart of a 70-year-old client in the emergency department at a time when the RN was off the unit. What is the nurse's PRIORITY action?

  1. Change the password and report the incident to the privacy or information security process per policy. (correct answer)
  2. Ignore the alert because audit tools can sometimes produce a false alarm and the client is medically stable.
  3. Ask a coworker familiar with the audit system to determine who accessed the chart and then report back.
  4. Document in the client's chart that this RN was not present on the unit when the access occurred.
Explanation: When the nurse's own login may have opened a client chart while the nurse was off the unit, the nurse should secure the login and notify the privacy or information security process required by policy. Changing the password prevents further misuse, while reporting allows the event to be officially investigated. Ignoring the alert because audit tools can sometimes produce false alarms leaves the login and the chart unsecured, because even a possible false alarm must be reported and checked. Asking a coworker to investigate and report back bypasses the official privacy/security pathway and can create another access concern. Documenting in the client's chart that the nurse was not present does not secure the account or trigger the policy-required report, and a client's chart is not the place for an employee security incident. Therefore, changing the password and reporting the incident per policy are the correct priority actions.

Question 12

A 60-year-old client is on a telehealth follow-up after a stroke using a tablet. The client asks the nurse to record the session so the caregiver can watch later. Which action should the nurse take FIRST to ensure client privacy during the telehealth session?

  1. Start recording because the client requested it and is the owner of the information
  2. Refuse to continue the visit because recording is never allowed in telehealth
  3. Tell the client to use a second phone to record the screen without informing anyone
  4. Explain the facility policy on recording and obtain required consent or use approved methods before any recording (correct answer)
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is complying with policies on recording to prevent unauthorized distribution of session content. Explaining the facility policy and obtaining required consent best addresses the issue by ensuring controlled sharing. Starting recording without check, suggesting secret methods, or refusing outright are less optimal because they violate policy, encourage breaches, or limit access unnecessarily, reflecting common errors in telehealth privacy. A key principle is that recordings must follow institutional guidelines to protect all parties. Maintaining integrity involves documented consent for any media. A transferable strategy is to review recording policies at telehealth orientation and use approved tools for sharing information securely.

Question 13

While documenting in the EHR, an RN accidentally enters a 500 mL intravenous bolus for a 70-year-old client with chronic kidney disease into the wrong client's chart and realizes the error before any care is delivered. What is the nurse's PRIORITY action related to accurate data management?

  1. Leave the entry as is and document a clarifying note in the correct client's chart
  2. Follow facility policy to correct the documentation error (e.g., amend/void per audit trail) and ensure the order is not acted upon for the wrong client (correct answer)
  3. Ask the charge nurse to delete the entry from the EHR so it cannot be seen
  4. Wait until the end of the shift to correct the charting so the workflow is not interrupted
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is maintaining data integrity and preventing potential patient harm from documentation errors in the electronic health record. Option B is correct because following facility policy for error correction maintains the audit trail while ensuring the erroneous order isn't acted upon, protecting both patients from potential harm. Option A leaves the error in place, risking that someone might act on the wrong order. Option C violates data integrity principles as entries shouldn't be deleted, destroying the audit trail. Option D delays correction, increasing the risk that someone might see and act on the erroneous order. The principle is that documentation errors must be corrected immediately following proper procedures that maintain the audit trail while preventing patient harm. A transferable strategy is to verify patient identification before any documentation and immediately correct errors using facility-approved methods when discovered.

Question 14

An RN caring for a 58-year-old client with newly diagnosed HIV sees a coworker who is not involved in the client's care reading the client's lab results on an unlocked computer screen at the nurses' station. What is the nurse's BEST immediate action to protect confidentiality?

  1. Quietly close or lock the screen and remind the coworker that accessing records without a care-related need is not permitted, then follow the facility reporting process (correct answer)
  2. Ignore the situation to avoid conflict and assume the coworker has a valid reason
  3. Tell the client immediately that a coworker viewed their results and ask whether they want to file a complaint
  4. Post a unit-wide message naming the coworker and warning others not to access charts inappropriately
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is immediately stopping unauthorized access to highly sensitive HIV-related information while following proper reporting procedures. Option A is correct because it immediately stops the privacy violation by securing the screen, addresses the behavior professionally, and ensures proper reporting through facility channels. Option B fails to protect client privacy and violates professional obligations. Option C inappropriately involves the client in a personnel matter and may cause additional distress. Option D creates a hostile work environment and doesn't follow proper reporting channels. The principle is that healthcare workers must immediately intervene when witnessing privacy violations while following established reporting procedures. A transferable strategy is to address privacy violations immediately and professionally at the point of occurrence, then follow facility policies for formal reporting.

Question 15

A 60-year-old client with chronic obstructive pulmonary disease uses a home pulse oximeter that transmits readings to the clinic portal. The RN notices repeated gaps in data uploads and the client reports sharing the portal username and password with a neighbor to "help log in." Which nursing action is BEST to address privacy and data security?

  1. Tell the client to continue sharing access since it improves adherence to monitoring
  2. Instruct the client to change the portal password and avoid sharing credentials, and offer safer alternatives such as authorized caregiver access if available (correct answer)
  3. Ask the neighbor to come to the clinic to be trained on portal use
  4. Disable remote monitoring until the client proves they can use the portal independently
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is protecting portal security while maintaining the client's ability to benefit from remote monitoring. Option B is correct because it addresses the security breach by having the client change credentials while offering appropriate alternatives like authorized caregiver access that maintain both security and functionality. Option A inappropriately endorses a security violation that could expose all portal information. Option C doesn't address the fundamental security issue of shared credentials. Option D punishes the client by removing beneficial monitoring rather than addressing the security concern constructively. The principle is that patient portal credentials must never be shared, but healthcare systems should provide appropriate alternatives for clients needing assistance. A transferable strategy is to educate clients about security risks while helping them access legitimate support options like proxy access for caregivers.

Question 16

An RN is reviewing a 58-year-old client's EHR and notices a progress note includes another client's full name and date of birth in the body of the note, suggesting a copy-and-paste error. What is the nurse's PRIORITY action to protect confidentiality?

  1. Print the note and place it in a secure shred bin to prevent further viewing
  2. Delete the note from the EHR to remove the incorrect information
  3. Wait until the end of the shift to tell the author of the note
  4. Notify the charge nurse or manager and follow facility policy to correct the documentation error promptly (correct answer)
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is correcting erroneous documentation that exposes another client's information in the EHR. Notifying the charge nurse or manager and following policy to correct promptly best addresses the issue by mitigating the breach efficiently. Deleting the note, waiting to inform, or printing to shred are incorrect as they alter records improperly, delay action, or create physical risks, which are common errors in data management. A fundamental principle is that documentation errors must be amended through official processes. Upholding integrity involves immediate reporting of exposures. A transferable strategy is to use EHR audit tools regularly to detect and resolve privacy issues in informatics.

Question 17

While charting in the electronic health record (EHR), an RN on a medical-surgical unit notices that a coworker who is not assigned to the client opened the chart of a 67-year-old client admitted for gastrointestinal bleeding. What is the nurse's PRIORITY action when discovering possible unauthorized EHR access?

  1. Confront the coworker and request an explanation before taking any further steps
  2. Add a note in the client's chart stating the chart may have been accessed inappropriately
  3. Ask the unit manager to remove the coworker's EHR access immediately
  4. Report the suspected unauthorized access using the facility's privacy or compliance reporting process (correct answer)
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is unauthorized access to the electronic health record, which violates client confidentiality and HIPAA regulations. Reporting the suspected unauthorized access using the facility's privacy or compliance process is the best action as it initiates a formal investigation while protecting client data. Confronting the coworker, asking to remove access immediately, or adding a note in the chart are less optimal because they bypass protocol, risk escalation without evidence, or potentially expose more information, reflecting common errors in handling EHR breaches. A fundamental principle is that all EHR access must be audited and limited to those with a legitimate need to know. Upholding data integrity requires prompt reporting of anomalies to prevent further unauthorized views. A transferable strategy is to familiarize oneself with the organization's incident reporting system for quick response to potential privacy violations in informatics.

Question 18

During a telehealth visit for prenatal education, a 29-year-old client connects using a shared family computer and asks the nurse to send visit summaries to the client's partner's email address for convenience. Which action should the nurse take FIRST to ensure client privacy during the telehealth session?

  1. Send the summary to the partner's email address because the client requested that the information be shared during the telehealth visit.
  2. Confirm the client's preferred secure communication method and use the patient portal or approved process for sharing information. (correct answer)
  3. Text the summary to the client's personal phone number to avoid using the partner's email address and the shared family computer.
  4. Refuse to provide the visit summary after the telehealth appointment because the client used a shared family computer during the session.
Explanation: During a telehealth visit, privacy is best preserved by verifying the client's preferred secure communication method before sending any records. Confirming that method and using the patient portal or approved process is correct because it keeps the summary in an authorized channel. Sending the summary to the partner's email simply because the client requested it is not enough: a personal email address is not an approved secure channel and does not address the risks of a shared device. Texting the summary to the client's personal phone also bypasses the approved portal, and it does not provide the convenient access the client asked for. Refusing to provide the summary because the client used a shared family computer is overly restrictive; privacy is protected by routing the information through a secure approved process, not by withholding it. The nurse's first action should therefore be confirming the client's preferred secure communication method and then using the patient portal or approved process for any sharing.

Question 19

During a telehealth visit for hypertension, a 50-year-old client asks the nurse to switch from the secure video platform to a public video app because "it works better." Which action should the nurse take FIRST to ensure client privacy during the telehealth session?

  1. Agree to switch platforms if the client verbally consents to the change
  2. Explain the need to use the approved secure platform and offer troubleshooting or rescheduling (correct answer)
  3. Continue the visit by phone and document the client's request
  4. Send the client a personal email with the visit link for the public app
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is maintaining secure platforms for telehealth to protect data transmission. Explaining the need for the approved platform and offering troubleshooting best addresses the issue by upholding security standards. Agreeing to switch, continuing by phone, or sending personal emails are incorrect as they compromise security, bypass video needs, or use unapproved methods, which are common errors in telehealth informatics. A core principle is that only HIPAA-compliant tools should be used for health discussions. Preserving data integrity requires rejecting unsecured alternatives. A transferable strategy is to pre-educate clients on secure platform use and have backup plans for technical issues in telehealth.

Question 20

During a scheduled video follow-up, a 28-year-old client with anxiety tells the RN they are joining the telehealth visit from a coffee shop using the clinic's patient portal on a smartphone, and the nurse can hear other people nearby. Which action should the nurse take FIRST to ensure client privacy during the telehealth session?

  1. Continue the visit but avoid discussing medications and focus only on general coping strategies
  2. Ask the client to move to a private location or use headphones and confirm who is present before proceeding (correct answer)
  3. End the video visit and email the client a summary of recommendations through the portal
  4. Tell the client that privacy is their responsibility and proceed as scheduled
Explanation: This question tests informatics, telehealth, and privacy within safe and effective care. The priority concern is maintaining client confidentiality when the telehealth session is occurring in a public space where others can overhear protected health information. Option B is correct because it addresses the immediate privacy risk by asking the client to move to a private location or use headphones, and confirms who is present before discussing sensitive information. Option A is incorrect because avoiding medication discussions doesn't fully protect privacy and limits the effectiveness of care. Option C is inappropriate as it abruptly ends care and email may not be secure for detailed recommendations. Option D fails to meet the nurse's professional obligation to ensure privacy during healthcare interactions. The fundamental principle is that healthcare providers must actively ensure confidentiality regardless of the care setting. A transferable strategy is to establish privacy parameters at the beginning of every telehealth session by verifying the client's location and who is present.