When a pharmacist reviews medication profiles for nursing home patients, who should they report any concerns to?

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The correct answer is based on the key responsibilities and protocols that pharmacists must follow while working with medication profiles for nursing home patients. When reviewing these profiles, a pharmacist's primary concern is ensuring the safe and effective use of medications. If a pharmacist identifies any issues—such as potential drug interactions, incorrect dosages, or concerns regarding a patient's medication regimen—it is essential to report these findings to the appropriate healthcare professionals directly involved in patient care.

By reporting to the director of nursing services and the attending physician, the pharmacist ensures that the concerns are communicated to those who can take immediate and relevant actions to address the medication-related issues. The director of nursing services oversees the nursing team and can ensure that the proper nursing interventions are implemented. Meanwhile, the attending physician is responsible for the overall medical management of the patient and can make necessary changes to the medication orders based on the pharmacist's recommendations.

The other options might involve individuals who are not the most appropriate or responsible for addressing medication-related concerns. For instance, while nursing staff may need to be informed of certain issues, they would not have the authority to make significant changes to medication plans without the oversight of nursing services or the attending physician. Similarly, family members may be involved in discussions about care but are not the right