The nurse providing care to the fifth-grade child and his family reviews the nursing care plan, noting that teaching about pubertal changes is one of the individualized interventions. The nurse chooses not to address this. How should the nurse's action be evaluated?
a) Nurses make clinical decisions—this action is acceptable.
b) This nurse has not met the standard of care that constitutes adequate nursing practice identified in Pediatric Nursing: Scope of Standards and Practice.
c) The intervention on the nursing care plan came from the family, not the nurse—the nurse may omit it.
d) Sexuality education is a function of the schools—the nurse need not assume the function.
Answer: This nurse has not met the standard of care that constitutes adequate nursing practice identified in Pediatric Nursing: Scope of Standards and Practice.