Mary is a newly-hired, new graduate nurse. Mary adapts her practice to imitate her co-workers on the unit. She is demonstrating:

A. Deter mistakes by emphasizing the consequences of committing a medication error: While emphasizing consequences can be important, it does not address the root causes or systemic issues that may be contributing to the errors.
B. Include the bedside nurses in the decision-making process involving their practice: Engaging bedside nurses in decision-making helps address issues directly affecting their work environment and practice, fostering a culture of safety and collaboration that can reduce errors.
C. Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart: While reporting errors is important for documentation, placing them in the patient's chart may not be the best practice for addressing systemic issues or improving procedures.
D. Relinquish responsibility by asking a separate department to oversee quality improvement: Quality improvement should be a collaborative effort, not delegated entirely to another department, to ensure that changes are relevant and effective.

A. Referring all errors in nursing judgment to state disciplinary boards: Nurse managers are responsible for addressing nursing errors appropriately within their organization and may involve disciplinary boards when necessary, but not all errors require such referral.

B. Verifying that attending physicians are properly licensed to provide care on patient care units: This responsibility typically falls under the purview of medical credentialing departments, not nurse managers.

C. Practicing within legal guidelines established under state law and nurse practice acts: Nurse managers must ensure their practice and that of their staff adheres to state laws and nurse practice acts to maintain legal and professional standards.

D. Creating an environment of severe consequences for nursing errors to ensure quality practice: A punitive approach can create a blame culture, which is counterproductive. A focus on education and system improvement is more effective.

E. Ensuring that nursing staff under their supervision are currently licensed to practice: Nurse managers are responsible for verifying that all nursing staff hold valid and current licenses to practice, ensuring compliance with regulatory requirements.