A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of the following clients should the nurse assign to the room closest to the nurses' station?

A. While acting as a mediator between the client and the provider is an important aspect of advocacy and communication, it is not directly related to accountability. Mediation involves facilitating communication and resolving conflicts, which are important for effective care but do not specifically address taking responsibility for one's own actions and decisions.
B. This is an example of accountability. Following the rights of medication administration—such as checking the right patient, medication, dose, route, and time—is a critical responsibility of the nurse. Ensuring that these rights are adhered to demonstrates accountability in medication management, as the nurse is taking responsibility for administering medications safely and correctly.
C. Supporting a client’s right to refuse medication is an important aspect of patient autonomy and ethical practice. While it reflects respect for the client’s choices and rights, it is more related to advocacy and ethical principles rather than directly demonstrating accountability for one’s own actions.

D. Ensuring that a client understands the adverse effects of their medication involves educating the client and ensuring informed consent. This is an important aspect of patient education and care but is not solely an example of accountability. Accountability would involve taking responsibility for making sure that this education is provided correctly and thoroughly.

A. A nurse at the competent stage typically has 2-3 years of experience and is able to handle more complex situations. Competent nurses have developed a level of efficiency and are able to plan and organize their work more effectively. They usually require less support from mentors and are able to function independently, although they may still seek guidance for complex or unusual cases.
B. Expert nurses have extensive experience (usually more than 5 years) and demonstrate a high level of intuitive understanding and clinical decision-making. They do not require significant support from mentors as they have developed the ability to handle complex and unexpected situations autonomously. Experts often serve as mentors themselves due to their depth of experience.
C. Proficient nurses have a deeper understanding of patient care than competent nurses, often with 3-5 years of experience. They can see situations holistically and are able to make decisions based on a broader context. While they might still seek occasional guidance, they generally require less support compared to novice or advanced beginner nurses.
D. Advanced beginner nurses are typically in the early stages of their career, having recently graduated or gained initial clinical experience. They are characterized by a need for guidance and support as they are still developing their clinical skills and understanding of various situations. They often benefit significantly from mentoring and support to help them build their skills and confidence.