A novice (new) nurse is working in a facility that practices the concept of Just Culture. The novice nurse realizes that she just administered an incorrect dose of a medication to a patient. What should the nurse expect as a result of this error?

Choice A reason: Collaboration with the RN and other interdisciplinary team members ensures that care is coordinated, evidence-based, and consistent with the overall plan of care. The RN has supervisory responsibility and often develops the care plan, while other team members (such as physical therapists, dietitians, or social workers) contribute specialized expertise. This collaboration ensures that the LPN’s interventions align with best practices and patient safety.

Choice B reason: While communication with other LPNs may provide continuity of care, it is not considered formal collaboration for best practices. Best practice collaboration requires interdisciplinary input and oversight from the RN or provider. Relying solely on other LPNs does not guarantee adherence to the care plan or evidence-based standards.

Choice C reason: Collaborating with the client themselves is essential because patient-centered care requires respecting autonomy, preferences, and goals. The client provides critical information about symptoms, comfort levels, and personal values, which guide individualized care. Involving the client ensures that interventions are not only clinically appropriate but also acceptable to the patient.

Choice D reason: Family members and significant others, with patient permission, are important collaborators because they provide emotional support, assist with care, and contribute knowledge about the patient’s history and preferences. Their involvement enhances adherence to care plans and ensures continuity after discharge. Collaboration with family also respects cultural and psychosocial needs.

Choice A reason: Administering insulin to a patient who is not diabetic or does not have an order is a medication error. Incident reports are required to document errors, analyze causes, and prevent recurrence.

Choice B reason: A patient not feeling ready for discharge is a subjective concern, not an incident. This should be addressed through care planning and communication, not an incident report.

Choice C reason: Patient refusal of medication is a patient right and does not constitute an incident. It should be documented in the chart but does not require an incident report.

Choice D reason: Administering another patient’s medication is a serious medication error that requires an incident report. This ensures accountability and corrective action.

Choice E reason: A patient falling out of bed is a safety event that must be documented in an incident report. Falls are tracked for quality improvement and prevention strategies.