A nurse is caring for a client who is unconscious and has advance directives indicating artificial nutrition should be initiated if necessary.
By upholding the client's directive, the nurse is adhering to which of the following?

Choice A rationale

This statement describes an external action by the preceptor providing direct guidance. While beneficial for learning, it doesn't demonstrate the nurse's internal cognitive process of analyzing their own performance or decision-making. Self-reflection involves introspective thought and evaluation of one's own actions and their impact.

Choice B rationale

This statement reflects an observation about the supportive work environment and the positive interpersonal dynamics with colleagues. While important for job satisfaction and integration, it does not specifically indicate the nurse's personal process of evaluating their own professional actions, behaviors, or learning experiences.

Choice C rationale

This statement demonstrates self-reflection as the nurse is evaluating their own cognitive processes related to decision-making. By considering the "pros and cons," the nurse is actively analyzing their thought patterns, understanding the implications of their choices, and internalizing strategies for improved future performance, which is a core aspect of self-reflection.

Choice D rationale

This statement is an objective observation of task completion and time management. While indicating efficiency and responsibility, it does not reveal the underlying thought processes, challenges encountered, lessons learned, or critical analysis of how the tasks were performed or what could be done differently, which are key components of self-reflection. .

Choice B rationale

The immediate priority following a medication error, even without harm, is to notify the prescribing provider. This allows the provider to assess the situation, determine if any interventions are necessary for the client, and make informed decisions about the client's ongoing care. Prompt communication ensures client safety and facilitates timely adjustments.

Choice A rationale

Documenting the error in the client's medical record is crucial for legal and professional accountability, and for continuity of care. However, it should occur after the provider has been notified and any immediate client safety concerns have been addressed. The initial focus is on client well-being and assessment.

Choice C rationale

Contacting risk management is an important step in the institutional process for addressing errors, facilitating analysis and prevention of future incidents. However, direct notification of the provider takes precedence because it directly impacts the client's immediate care and allows for prompt clinical assessment and decision-making regarding the client's condition.

Choice D rationale

Completing an incident report is a procedural step for internal tracking, analysis, and quality improvement. While essential for organizational learning and preventing recurrence, it is secondary to ensuring the immediate safety and clinical management of the client by notifying the provider first.