National Physical Therapy Examination (NPTE) Practice Exam

What is the MOST appropriate action when adult children request to view their parent's medical record?

1. Do not let the children view the chart under any circumstances

2. Let the children look at the chart, but only with the physical therapist present

3. Give the children the chart as a family member has a right to view the information

4. Deny access to the chart unless written permission is granted from the patient, and then refer the children to the physical therapist

The correct answer is: Deny access to the chart unless written permission is granted from the patient, and then refer the children to the physical therapist

The most appropriate action when adult children request to view their parent's medical record is to deny access unless written permission is granted from the patient. This approach aligns with the principles of patient confidentiality and privacy, which are protected under laws such as the Health Insurance Portability and Accountability Act (HIPAA). Patients have the right to control who has access to their medical information, even if their medical condition is severe or they are incapacitated. Requiring written permission ensures that the patient's autonomy is respected. If the patient does not wish for family members to view their medical records, their wishes must be upheld. Referring the children to the physical therapist afterward demonstrates a commitment to ensure that any discussion about the patient’s care is handled appropriately, maintaining the integrity of the therapeutic relationship while also adhering to legal requirements. In contrast, allowing family members to view the chart without consent does not respect patient privacy and could violate legal standards. Additionally, enabling children to view the medical records in the therapist's presence does not address the requirement for explicit patient consent. Simply handing the chart to the children disregards the necessary protocols for maintaining confidentiality and can lead to potential breaches of trust between patient and provider.