A nurse is teaching a group of older adults about fall prevention. Which strategy is most effective for this audience?

Choice A rationale
Ensuring that the patient has been adequately monitored is important, but it is not the first step when considering the use of restraints. The nurse should first explore alternative interventions.
Choice B rationale
Proceeding with the application of restraints without considering alternatives can lead to unnecessary use of restraints, which can cause physical and psychological harm to the patient.
Choice C rationale
Exploring alternative interventions to address the patient’s behavior is the first step. Restraints should only be used as a last resort when other interventions have failed.
Choice D rationale
Obtaining verbal consent from the patient’s family is important, but it is not the first step. The nurse should first explore alternative interventions.

Choice A rationale
Report the incident to the organization. According to HIPAA, the first step a healthcare provider should take after an accidental disclosure of patient information is to report the incident to the organization. This allows the organization to assess the breach, determine the extent of the disclosure, and take appropriate actions to mitigate any potential harm.
Choice B rationale
Inform the patient about the breach. While informing the patient is important, it is not the first step. The organization must first assess the breach and determine the appropriate course of action before notifying the patient.

Choice C rationale
Ask the unauthorized personnel to delete the information. This step may be part of the mitigation process, but it is not the first step. The incident must first be reported to the organization for proper assessment and documentation.
Choice D rationale
Ignore the incident unless someone reports it. This response is inappropriate and violates HIPAA regulations. All breaches must be reported and addressed promptly to ensure compliance with HIPAA and protect patient privacy.