A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?

A. The MDS forms are used to comprehensively document various aspects of a resident's health, including their cognitive abilities, physical health, functional status, and other relevant factors. This data is essential for creating individualized care plans, ensuring compliance with regulations, and monitoring changes in residents' conditions over time.
B. The MDS forms are not completed by the provider each month. Instead, they are typically completed at specific intervals, such as upon admission, quarterly, and when there are significant changes in the resident's condition.
C. The MDS forms themselves do not come with an analysis of prescribed medications. While medication management is an important aspect of resident care, the MDS focuses on broader assessments of health and functional status rather than detailed medication analysis.
D. The MDS forms are not faxed to health care providers. Instead, the MDS documentation is used internally within the facility for care planning and regulatory compliance, and the data may be submitted electronically to regulatory bodies as required.

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.