Question 1: The nurse manager could have met independently with the clinical specialist for advice. What is gained by including the CNA and LPN?
An interdisciplinary team debriefing, including frontline staff, can reveal information that might not otherwise be obvious. It is also important to engage with those who will be directly affected by any proposed solutions to ensure buy-in.
Question 2: Does the fact that Mr. Otis is cognitively impaired make his abusive behaviors more acceptable as part of the job of nursing?
It may be easier to "forgive" abusive behaviors by someone who is cognitively impaired but that does not mean that the behaviors must be accepted or tolerated as part of the job. The goal should always be to find appropriate means to stop such behaviors from occurring.