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.
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Related Questions
Correct Answer is C
Explanation
When caring for a client with terminal cancer who expresses a desire to discontinue enteral tube feedings, the nurse's priority is to ensure that the client's wishes are respected and appropriate steps are taken. The most suitable action is:
c) Explain the process for completing a living will.
A living will is a legal document that outlines a person's preferences regarding medical treatment in the event they are unable to communicate their wishes. In this situation, the client can express their desire to forgo enteral tube feedings through a living will, ensuring that their wishes are documented and legally recognized.
The other options may not be as appropriate:
a) Request the facility chaplain to visit the client:While spiritual and emotional support is important, the immediate concern is ensuring the client's autonomy in decision-making regarding medical interventions.
b) Ask the client to sign an informed consent form:Informed consent typically pertains to specific medical procedures, and discontinuing enteral tube feedings is more aligned with the broader context of advance care planning.
d) Complete an against medical advice form:This form is typically used when a patient refuses a recommended treatment against the medical team's advice. However, in this case, the client is expressing their own treatment preferences, and the focus should be on facilitating advance care planning and documentation.
Correct Answer is B
Explanation
It is important to identify the client's spoken dialect before contacting an interpreter because there are many different dialects within a single language, and the interpreter needs to be able to understand and communicate effectively with the client. Using professional terminology may not be effective if the client does not understand the language in the first place, and relying on the client's daughter to communicate information about the procedure may not be reliable or appropriate.
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