The nurse is preparing to discharge a client home from a mental health institution. The nurse should recognize that in order for a mental health client to receive home-bound health care, which of the following criteria must be met?

A. Advising survivors to keep the assault a secret and not seek help from anyone: This advice is harmful and can exacerbate the trauma experienced by survivors. It is not evidence-based and goes against promoting recovery and safety.

B. Suggesting that survivors should avoid reporting the assault to law enforcement to prevent further trauma: Reporting or not reporting to law enforcement is a personal decision and should be supported based on the survivor's needs and wishes. However, encouraging secrecy is not supportive.

C. Encouraging survivors to blame themselves for the assault to regain a sense of control: Self-blame is detrimental to recovery and is not evidence-based. It can worsen psychological distress and hinder healing.

D. Discussing the importance of seeking medical attention promptly after a sexual assault: This is evidence-based and crucial for survivors. Seeking medical attention allows for assessment and treatment of physical injuries, prevention of sexually transmitted infections (STIs), pregnancy prevention (if applicable), and collection of forensic evidence if the survivor wishes to report the assault later.

A. Administer diazepam: This is not a first-line treatment for delirium and could exacerbate confusion or sedation, potentially worsening delirium.

B. Obtain a medical history: Delirium is often caused by underlying medical conditions such as infections, electrolyte imbalances, or medication side effects. Obtaining a medical history is crucial for identifying and treating the underlying cause, making it the priority action.

C. Start intravenous fluids: While IV fluids might be necessary in cases of dehydration or electrolyte imbalances, identifying the underlying cause of delirium through medical history is more urgent.

D. Raise 3 of the 4 side rails of the bed: This action may help prevent falls but does not address the underlying cause of delirium. Moreover, the use of side rails can sometimes increase the risk of injury or entrapment.