A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the committee to review?
An increase in levels of local air pollution
An increase in client admissions for home health care
An increase in client falls at home
An increase in clients receiving annual flu vaccines
The Correct Answer is C
The correct answer is choice C, "An increase in client falls at home." A quality improvement committee is responsible for identifying and addressing areas in need of improvement in client care. Among home health clients, falls are a common cause of injury, which can lead to hospitalizations or even death. Therefore, it is essential to address this issue by examining the data and identifying trends to establish interventions to prevent falls. The committee can evaluate whether proper assessments have been completed, including a home safety evaluation, medication review, and the use of mobility aids, to prevent falls. The committee can also review the use of interventions, such as physical therapy or occupational therapy, to improve mobility and strength, and education for clients, caregivers, and family members to promote safety in the home environment. By addressing the increase in client falls, the committee can improve the quality of care provided to home health clients and reduce the risk of falls and injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B, "Immunizing the clients against influenza." This is the priority for the nurse to include because older adults are at increased risk for complications from influenza. Immunization against influenza can help prevent serious illness and death in this population. While exercise, a low-fat diet, and dental examinations are important health promotion strategies for older adults, they are not as high a priority as influenza immunization. 
Correct Answer is C
Explanation
HIPAA (Health Insurance Portability and Accountability Act) is a federal law that mandates the privacy and security of a patient's medical records and personal health information. A newly licensed nurse must understand the HIPAA regulations to protect patient's confidentiality and avoid penalties for violating the law. HIPAA rules permit clients to access their medical records and receive copies of their medical information upon request. A client can request copies of medical records through a signed authorization form. HIPAA does not allow the sharing of a client's medical information with unauthorized personnel or third parties, including coworkers and supervisors. Therefore, it is essential to protect clients' medical information and keep computer passwords confidential.
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