The home health nurse has scheduled a visit to a client who lives in a neighborhood that is known to be unsafe because of gang activity. Before going to the client's home, what should the nurse do?

Question

1. Call for an escort.
2. Call the client to let the client know the nurse is on the way.
3. Ask if the client could meet the nurse at the agency.
4. Take a second nurse along on the visit.

Answer 1

Correct Answer: 1
Rationale 1: Some less desirable living locations pose safety concerns for the nurse. Many home health agencies have contracts with security firms to escort nurses needing to see clients in potentially unsafe neighborhoods. If there is no such firm for escort, the police can also provide security for the nurse.
Rationale 2: Calling ahead to the client's home is routine practice, regardless of where the client lives.
Rationale 3: Having the client meet the nurse at the agency is inappropriate, especially if the client meets the criteria for home care.
Rationale 4: Taking a second nurse along may not be a realistic intervention.