Which guideline does the nurse apply to discussion of sleep patterns with older adult clients?

Choice A rationale

Self-evaluation skills involve the ability to reflect on one's performance, acknowledge strengths, and identify areas for improvement based on feedback. The graduate nurse's act of reflecting on the positive and negative feedback received from the nurse manager directly demonstrates self-evaluation.

Choice B rationale

Communication skills involve the ability to convey information effectively and respectfully. While the initial meeting with the manager likely involved communication, the scenario focuses on the nurse's internal reflection afterward, not the interaction itself.

Choice C rationale

Interpersonal skills relate to how a nurse interacts with others, building rapport and working collaboratively. The scenario doesn't provide information about the nurse's interactions with colleagues or patients, but rather her individual reflection.

Choice D rationale

Problem-solving skills involve identifying issues and finding solutions. The scenario doesn't describe a problem the nurse is actively trying to resolve, but rather her processing of feedback on her past performance. .

Choice A rationale

A physician's license is primarily concerned with their medical practice, diagnosis, and treatment of patients. While medication security is important in patient care, the direct responsibility for the secure storage and accurate documentation of narcotics in a facility, according to its policies, falls on the nursing staff. Disciplinary actions related to these specific failures would typically target those directly involved in the lapse of protocol.

Choice B rationale

A pharmacist's license governs the dispensing and management of medications within a pharmacy setting. While pharmacists play a crucial role in the supply chain and providing information about medications, the day-to-day secure storage and inventory control of narcotics within a long-term care facility, as per the facility's policies, is the responsibility of the nurses on duty.

Choice C rationale

A facility's license pertains to the operational standards and overall compliance of the healthcare institution. While the failure to secure narcotics and maintain proper documentation could potentially lead to issues with the facility's licensing if it reflects systemic problems, the initial disciplinary actions for direct violations of nursing policies regarding medication handling would likely target the individual nurses involved.

Choice D rationale

Nurses are directly responsible for adhering to the policies and procedures of the healthcare facility regarding the handling and documentation of medications, especially controlled substances like narcotics. Failing to keep narcotics in a locked, secure location and neglecting to document counts before and after each shift are direct violations of these professional responsibilities and institutional guidelines, potentially leading to disciplinary actions against their nursing licenses.