A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality? (Select all that apply.)

A. Recommend use of a safety alert device when home alone: Implementing a safety alert device is crucial for the client living alone, as it provides a means to call for help in case of a fall or other emergencies. This enhances the client's safety and ensures timely assistance if needed.

B. Collaborate with physical therapy to assess client needs: Involving physical therapy is essential for evaluating the client's mobility and determining appropriate interventions for safe transition to home. Physical therapists can provide guidance on using a walker and suggest exercises to improve strength and balance.

C. Facilitate obtaining assistive devices for home setting: Ensuring that the client has the necessary assistive devices, such as a walker or grab bars, is important for promoting safety and independence in the home environment. This helps reduce the risk of future falls.

D. Collaborate with client and family to implement fall prevention plan: Working with the client and their adult child to develop a comprehensive fall prevention plan addresses the client's history of falls. This plan can include education on safe movement, environmental modifications, and strategies to prevent future falls.

E. Perform a home hazard assessment: Conducting a home hazard assessment is critical for identifying potential risks that could lead to falls or injuries. This assessment allows for targeted interventions to modify the home environment, enhancing safety for the client.

F. Educate client about the effect their medications have on their balance: Understanding the potential side effects of medications, such as metoprolol, on balance and coordination is important for the client. This knowledge can empower them to take precautions and report any concerning symptoms to their healthcare provider.

G. Place no smoking signs in client's home: While promoting a smoke-free environment is beneficial, it is not directly related to the client’s current health concerns regarding falls and recovery from a hip fracture. Therefore, this intervention is less relevant to the discharge planning process in this context.

A. Teach the client about the potential health risks of leaving early: The first action the nurse should take is to inform the client about the potential health risks associated with leaving the facility against medical advice. Providing this information ensures that the client is fully informed about the consequences of their decision, which is essential for promoting their safety and well-being.

B. Ask the client to sign a document stating they are leaving AMA: While obtaining a signed document is necessary, it should occur after the client has been informed about the risks involved in leaving. The nurse should first ensure the client understands the implications of their decision.

C. Document the client's statement in direct quotes in the medical record: Documentation is important but should not be the first action taken. The nurse must first address the client’s immediate request and provide information regarding potential health risks before focusing on documentation.

D. Complete an incident report detailing the client scenario: Completing an incident report may be necessary later, but the priority should be to address the client’s safety and ensure they are making an informed decision about leaving the facility. The nurse should first engage with the client regarding their choice and the associated risks.